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

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON

Logical Model: Unstructured Document

An Unstructured Document (UD) document type can (1) include unstructured content, such as a graphic, directly in a text element with a mediaType attribute, or (2) reference a single document file, such as a word-processing document using a text/reference element.

For guidance on how to handle multiple files, on the selection of media types for this IG, and on the identification of external files, see the examples that follow the constraints below.

IHEs XDS-SD (Cross-Transaction Specifications and Content Specifications, Scanned Documents Module) profile addresses a similar, more restricted use case, specifically for scanned documents or documents electronically created from existing text sources, and limits content to PDF-A or text. This Unstructured Documents template is applicable not only for scanned documents in non-PDF formats, but also for clinical documents produced through word processing applications, etc.

For conformance with both specifications, implementers need to ensure that their documents at a minimum conform with the SHALL constraints from either specification.

Usage:

• This Logical Model is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from USRealmHeader

Name	Flags	Card.	Type	Description & Constraints
ClinicalDocument		1..1	USRealmHeader	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, code, title, sdtcStatusCode, effectiveTime, confidentialityCode, languageCode, setId, versionNumber, copyTime, recordTarget, author, dataEnterer, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, relatedDocument, authorization, componentOf, component, realmCode, typeId, templateId, templateId, id, code, title, effectiveTime, confidentialityCode, languageCode, setId, versionNumber, recordTarget, author, dataEnterer, informant, informant, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, authorization, componentOf Base for all types and resources Instances of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class)
templateId		2..*	II
templateId:unstructured-doc		1..1	II
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.1.10
@extension		1..1	st	Required Pattern: 2024-05-01
recordTarget		1..*	RecordTarget	The recordTarget records the administrative and demographic data of the patient whose health information is described by the clinical document; each recordTarget must contain at least one patientRole element
patientRole		1..1	PatientRole
id		1..*	II
custodian		1..1	Custodian	The custodian element represents the organization that is in charge of maintaining and is entrusted with the care of the document.

There is only one custodian per CDA document. Allowing that a CDA document may not represent the original form of the authenticated document, the custodian represents the steward of the original source document. The custodian may be the document originator, a health information exchange, or other responsible party.
assignedCustodian		1..1	AssignedCustodian
representedCustodianOrganization		1..1	CustodianOrganization
component		1..1	Component
nonXMLBody		1..1	NonXMLBody	An Unstructured Document must include a nonXMLBody component with a single text element. The text element can reference an external file using a reference element, or include unstructured content directly with a mediaType attribute. The nonXMLBody/text element also has a "compression" attribute that can be used to indicate that the unstructured content was compressed before being Base64Encoded. At a minimum, a compression value of "DF" for the deflate compression algorithm (RFC 1951 [URL:http://www.ietf.org/rfc/rfc1951.txt]) must be supported although it is not required that content be compressed.
text	C	1..1	ED	1198-7624: If the text element does not contain a reference element with a value attribute, then it **SHALL** contain exactly one [1..1] @representation="B64" and exactly one [1..1] @mediaType (CONF:1198-7624).
@mediaType		0..1	cs	Binding: SupportedFileFormats (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
ClinicalDocument.component.nonXMLBody.text.mediaType	required	SupportedFileFormats

Constraints

Id	Grade	Path(s)	Details	Requirements
1198-7624	error	ClinicalDocument.component.nonXMLBody.text	If the text element does not contain a reference element with a value attribute, then it **SHALL** contain exactly one [1..1] @representation="B64" and exactly one [1..1] @mediaType (CONF:1198-7624). : reference.value.empty() implies (representation = 'B64' and mediaType.exists())

Name	Flags	Card.	Type	Description & Constraints
ClinicalDocument	C	1..1	USRealmHeader	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, code, title, sdtcStatusCode, effectiveTime, confidentialityCode, languageCode, setId, versionNumber, copyTime, recordTarget, author, dataEnterer, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, relatedDocument, authorization, componentOf, component, realmCode, typeId, templateId, templateId, id, code, title, effectiveTime, confidentialityCode, languageCode, setId, versionNumber, recordTarget, author, dataEnterer, informant, informant, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, authorization, componentOf Base for all types and resources Instances of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class)
realmCode		1..1	CS
@code		1..1	cs	Required Pattern: US
typeId		1..1	II
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st	Fixed Value: POCD_HD000040
Slices for templateId		2..*	II	Slice: Unordered, Open by value:root, value:extension
templateId:us-realm		1..1	II
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.1.1
@extension		1..1	st	Required Pattern: 2024-05-01
templateId:unstructured-doc		1..1	II
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.1.10
@extension		1..1	st	Required Pattern: 2024-05-01
id		1..1	II	**SHALL** be a globally unique identifier for the document (CONF:4537-9991).
code	C	1..1	CE	**SHALL** specify the particular kind of document (e.g., History and Physical, Discharge Summary, Progress Note) (CONF:4537-9992). Binding: FHIRDocumentTypeCodes (example)
title		1..1	ST	The title can either be a locally defined name or the displayName corresponding to clinicalDocument/code
effectiveTime	C	1..1	USRealmDateTime	Base for all types and resources
confidentialityCode		1..1	CE	Binding: HL7 BasicConfidentialityKind (preferred)
@code		1..1	cs
languageCode		1..1	CS	Binding: AllLanguages (required)
recordTarget		1..*	RecordTarget	The recordTarget records the administrative and demographic data of the patient whose health information is described by the clinical document; each recordTarget must contain at least one patientRole element
patientRole		1..1	PatientRole
id		1..*	II
addr	C	1..*	USRealmAddress	(USCDI) Address
telecom	C	1..*	TEL	(USCDI) Phone Number / Email
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
patient	C	1..1	Patient
name	C	1..*	USRealmPatientNamePTNUSFIELDED	Base for all types and resources
administrativeGenderCode		1..1	CE	Binding: Administrative Gender (HL7 V3) (required)
birthTime	C	1..1	TS	(USCDI) Date of Birth - **MAY** be precise to the minute (CONF:4537-32418) (For cases where information about newborn's time of birth needs to be captured)
raceCode		1..1	CE	(USCDI) Race Binding: Race Category Excluding Nulls (required)
ethnicGroupCode		1..1	CE	(USCDI) Ethnicity Binding: Ethnicity (required)
author		1..*	Author	The author element represents the creator of the clinical document. The author may be a device or a person.
time	C	1..1	USRealmDateTime	Base for all types and resources
assignedAuthor	C	1..1	AssignedAuthor
Slices for id		1..*	II	Slice: Unordered, Open by value:root
id:npi	C	0..1	II
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.4.6
addr	C	1..*	USRealmAddress	Base for all types and resources
telecom	C	1..*	TEL
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
Slices for informant		0..*	Informant	Slice: Unordered, Open by exists:relatedEntity, exists:assignedEntity
informant:provider		0..*	Informant	The informant element describes an information source for any content within the clinical document. This informant is constrained for use when the source of information is an assigned health care provider for the patient.
assignedEntity		1..1	AssignedEntity
id		1..*	II	If assignedEntity/id is a provider then this id, **SHOULD** include zero or one [0..1] id where id/@root ="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-9946).
addr	C	1..*	USRealmAddress	Base for all types and resources
assignedPerson		1..1	Person
name	C	1..*	USRealmPersonNamePNUSFIELDED	Base for all types and resources
informant:non-provider		0..*	Informant	The informant element describes an information source (who is not a provider) for any content within the clinical document. This informant would be used when the source of information has a personal relationship with the patient or is the patient.
relatedEntity		1..1	RelatedEntity
custodian		1..1	Custodian	The custodian element represents the organization that is in charge of maintaining and is entrusted with the care of the document.

There is only one custodian per CDA document. Allowing that a CDA document may not represent the original form of the authenticated document, the custodian represents the steward of the original source document. The custodian may be the document originator, a health information exchange, or other responsible party.
assignedCustodian		1..1	AssignedCustodian
representedCustodianOrganization		1..1	CustodianOrganization
id		1..*	II
name		1..1	ON
telecom	C	1..1	TEL
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
addr	C	1..1	USRealmAddress	Base for all types and resources
component		1..1	Component
nonXMLBody		1..1	NonXMLBody	An Unstructured Document must include a nonXMLBody component with a single text element. The text element can reference an external file using a reference element, or include unstructured content directly with a mediaType attribute. The nonXMLBody/text element also has a "compression" attribute that can be used to indicate that the unstructured content was compressed before being Base64Encoded. At a minimum, a compression value of "DF" for the deflate compression algorithm (RFC 1951 [URL:http://www.ietf.org/rfc/rfc1951.txt]) must be supported although it is not required that content be compressed.
text	C	1..1	ED	1198-7624: If the text element does not contain a reference element with a value attribute, then it **SHALL** contain exactly one [1..1] @representation="B64" and exactly one [1..1] @mediaType (CONF:1198-7624).
@mediaType		0..1	cs	Binding: SupportedFileFormats (required)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
ClinicalDocument.code	example	FHIRDocumentTypeCodes
ClinicalDocument.confidentialityCode	preferred	HL7BasicConfidentialityKind
ClinicalDocument.languageCode	required	AllLanguages
ClinicalDocument.recordTarget.patientRole.telecom.use	required	TelecomUseUSRealmHeader
ClinicalDocument.recordTarget.patientRole.patient.administrativeGenderCode	required	AdministrativeGenderHL7V3
ClinicalDocument.recordTarget.patientRole.patient.raceCode	required	RaceCategoryExcludingNulls
ClinicalDocument.recordTarget.patientRole.patient.ethnicGroupCode	required	Ethnicity
ClinicalDocument.author.assignedAuthor.telecom.use	required	TelecomUseUSRealmHeader
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.use	required	TelecomUseUSRealmHeader
ClinicalDocument.component.nonXMLBody.text.mediaType	required	SupportedFileFormats

Constraints

Id	Grade	Path(s)	Details	Requirements
1198-7624	error	ClinicalDocument.component.nonXMLBody.text	If the text element does not contain a reference element with a value attribute, then it **SHALL** contain exactly one [1..1] @representation="B64" and exactly one [1..1] @mediaType (CONF:1198-7624). : reference.value.empty() implies (representation = 'B64' and mediaType.exists())
4537-6380	error	ClinicalDocument	If setId is present versionNumber **SHALL** be present (CONF:4537-6380). : setId.exists() implies versionNumber.exists()
4537-6387	error	ClinicalDocument	If versionNumber is present setId **SHALL** be present (CONF:4537-6387). : versionNumber.exists() implies setId.exists()
4537-16790	error	ClinicalDocument.author.assignedAuthor	There **SHALL** be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:4537-16790). : (assignedPerson | assignedAuthoringDevice).count() = 1
4537-21000	error	ClinicalDocument.recordTarget.patientRole.patient	If sdtc:deceasedTime/@value is present, then sdtc:deceasedInd SHALL be present with value=true : sdtcDeceasedTime.value.exists() implies sdtcDeceasedInd.exists(value='true')
4537-32948	error	ClinicalDocument.code	This code **SHALL** be drawn from the LOINC document type ontology (LOINC codes where SCALE = DOC) (CONF:4537-32948). : codeSystem = '2.16.840.1.113883.6.1'
4537-32993	error	ClinicalDocument.recordTarget.patientRole.patient	If sdtc:deceasedInd="true", then sdtc:deceasedTime **SHALL** be present with either a @value or @nullFlavor=UNK (CONF:4537-32993). : sdtcDeceasedInd.exists(value='true') implies sdtcDeceasedTime.exists()
81-7278	error	ClinicalDocument.recordTarget.patientRole.patient.name	**SHALL NOT** have mixed content except for white space (CONF:81-7278). : item.xmlText.empty()
81-7296	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr	**SHALL NOT** have mixed content except for white space (CONF:81-7296) : item.xmlText.empty()
81-9371	error	ClinicalDocument.informant:provider.assignedEntity.assignedPerson.name	The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). : conformsTo('http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPatientNamePTNUSFIELDED') or item.xmlText.exists()
81-9372	error	ClinicalDocument.informant:provider.assignedEntity.assignedPerson.name	The string **SHALL NOT** contain name parts (CONF:81-9372). : item.xmlText.exists() implies (item.delimiter | item.family | item.given | item.prefix | item.suffix).empty()
81-10024	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr	If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state'))
81-10025	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr	If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?'))
pn-no-ls	error	ClinicalDocument.recordTarget.patientRole.patient.name, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.name	No PN name part may have a qualifier of LS. : (item.delimiter | item.family | item.given | item.prefix | item.suffix).where(qualifier.where($this = 'LS').exists()).empty()
shall-city	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr	SHALL contain exactly one [1..1] city (CONF:81-7292). : nullFlavor.exists() or item.city.count() = 1
shall-family	error	ClinicalDocument.recordTarget.patientRole.patient.name	SHALL contain exactly one [1..1] family (CONF:81-7159). : nullFlavor.exists() or item.family.count() = 1
shall-given	error	ClinicalDocument.recordTarget.patientRole.patient.name	SHALL contain at least one [1..*] given (CONF:81-7157). : nullFlavor.exists() or item.given.exists()
shall-max-ad-parts	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr	SHALL have at most one of each: state, city, postalCode, and country : (item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1)
shall-max-suffix	error	ClinicalDocument.recordTarget.patientRole.patient.name	There may be at most one suffix : (item.suffix.empty() or item.suffix.count() = 1)
shall-streetAddressLine	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr	SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). : nullFlavor.exists() or (item.streetAddressLine.count() >= 1 and item.streetAddressLine.count() <= 4)
should-country	warning	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr	SHOULD contain country : nullFlavor.exists() or item.country.exists()
should-extension	warning	ClinicalDocument.author.assignedAuthor.id:npi	SHOULD contain extension : extension.exists()
should-id-npi	warning	ClinicalDocument.author.assignedAuthor	SHOULD contain an id with root='2.16.840.1.113883.4.6' (NPI) : id.where(root = '2.16.840.1.113883.4.6')
should-legalAuthenticator	warning	ClinicalDocument	SHOULD contain legalAuthenticator : legalAuthenticator.exists()
should-maritalStatusCode	warning	ClinicalDocument.recordTarget.patientRole.patient	SHOULD contain maritalStatusCode : maritalStatusCode.exists()
should-relatedParticipant	warning	ClinicalDocument	Documents SHOULD contain a RelatedPerson participant : participant.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/RelatedPersonRelationshipAndNameParticipant').exists()
should-us-code	warning	ClinicalDocument.author.assignedAuthor	SHOULD contain code : code.exists()
should-us-languageCommunication	warning	ClinicalDocument.recordTarget.patientRole.patient	SHOULD contain languageCommunication : languageCommunication.exists()
should-use	warning	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.telecom, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.author.assignedAuthor.telecom, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr	SHOULD contain @use : nullFlavor.exists() or use.exists()
ts-shall-day	error	ClinicalDocument.effectiveTime, ClinicalDocument.author.time	**SHALL** be precise to at least the day : nullFlavor.exists() or value.toString().length() >= 10
ts-shall-year	error	ClinicalDocument.recordTarget.patientRole.patient.birthTime	**SHALL** be precise to at least the year : nullFlavor.exists() or value.toString().length() >= 4
ts-should-day	warning	ClinicalDocument.recordTarget.patientRole.patient.birthTime	**SHOULD** be precise to at least the day : nullFlavor.exists() or value.toString().length() >= 10
ts-should-minute	warning	ClinicalDocument.effectiveTime, ClinicalDocument.author.time	**SHOULD** be precise to at least the minute : nullFlavor.exists() or value.toString().length() > 10

Name	Flags	Card.	Type	Description & Constraints
ClinicalDocument	C	1..1	USRealmHeader	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, code, title, sdtcStatusCode, effectiveTime, confidentialityCode, languageCode, setId, versionNumber, copyTime, recordTarget, author, dataEnterer, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, relatedDocument, authorization, componentOf, component, realmCode, typeId, templateId, templateId, id, code, title, effectiveTime, confidentialityCode, languageCode, setId, versionNumber, recordTarget, author, dataEnterer, informant, informant, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, authorization, componentOf Base for all types and resources Instances of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@classCode		0..1	cs	Binding: ActClass (example) Fixed Value: DOCCLIN
@moodCode		0..1	cs	Binding: ActMood (required) Fixed Value: EVN
realmCode		1..1	CS
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@code		1..1	cs	Required Pattern: US
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
typeId		1..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st	Fixed Value: POCD_HD000040
Slices for templateId		2..*	II	Slice: Unordered, Open by value:root, value:extension
templateId:us-realm		1..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.1.1
@extension		1..1	st	Required Pattern: 2024-05-01
templateId:unstructured-doc		1..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.1.10
@extension		1..1	st	Required Pattern: 2024-05-01
id		1..1	II	**SHALL** be a globally unique identifier for the document (CONF:4537-9991).
code	C	1..1	CE	**SHALL** specify the particular kind of document (e.g., History and Physical, Discharge Summary, Progress Note) (CONF:4537-9992). Binding: FHIRDocumentTypeCodes (example)
title		1..1	ST	The title can either be a locally defined name or the displayName corresponding to clinicalDocument/code
sdtcStatusCode		0..1	CS	XML Namespace: urn:hl7-org:sdtc XML: statusCode (urn:hl7-org:sdtc) Binding: ActStatus (required)
effectiveTime	C	1..1	USRealmDateTime	Base for all types and resources
confidentialityCode		1..1	CE	Binding: HL7 BasicConfidentialityKind (preferred)
@code		1..1	cs
@codeSystem		0..1	oid, uuid, ruid
@codeSystemName		0..1	st
@codeSystemVersion		0..1	st
@displayName		0..1	st
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText		0..1	ED
translation		0..*	CD
languageCode		1..1	CS	Binding: AllLanguages (required)
setId		0..1	II
versionNumber		0..1	INT
copyTime		0..1	TS
recordTarget		1..*	RecordTarget	The recordTarget records the administrative and demographic data of the patient whose health information is described by the clinical document; each recordTarget must contain at least one patientRole element
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ParticipationType (required) Fixed Value: RCT
@contextControlCode		0..1	cs	Binding: ContextControl (required) Fixed Value: OP
patientRole		1..1	PatientRole
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassRelationshipFormal (required) Fixed Value: PAT
id		1..*	II
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
addr	C	1..*	USRealmAddress	(USCDI) Address
telecom	C	1..*	TEL	(USCDI) Phone Number / Email
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	url
useablePeriod		0..*
useablePeriod			IVL_TS
useablePeriod			EIVL_TS
useablePeriod			PIVL_TS
useablePeriod			SXPR_TS
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
patient	C	1..1	Patient
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassLivingSubject (required) Fixed Value: PSN
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
id		0..1	II
name	C	1..*	USRealmPatientNamePTNUSFIELDED	Base for all types and resources
sdtcDesc		0..1	ED	XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
administrativeGenderCode		1..1	CE	Binding: Administrative Gender (HL7 V3) (required)
birthTime	C	1..1	TS	(USCDI) Date of Birth - **MAY** be precise to the minute (CONF:4537-32418) (For cases where information about newborn's time of birth needs to be captured)
sdtcDeceasedInd		0..1	BL	XML Namespace: urn:hl7-org:sdtc sdtc:deceasedInd XML: deceasedInd (urn:hl7-org:sdtc)
sdtcDeceasedTime	C	0..1	TS	XML Namespace: urn:hl7-org:sdtc (USCDI) Date of Death XML: deceasedTime (urn:hl7-org:sdtc)
sdtcMultipleBirthInd		0..1	BL	XML Namespace: urn:hl7-org:sdtc XML: multipleBirthInd (urn:hl7-org:sdtc)
sdtcMultipleBirthOrderNumber		0..1	INT_POS	XML Namespace: urn:hl7-org:sdtc XML: multipleBirthOrderNumber (urn:hl7-org:sdtc)
maritalStatusCode		0..1	CE	Binding: Marital Status (required)
religiousAffiliationCode		0..1	CE	Binding: Religious Affiliation (required)
raceCode		1..1	CE	(USCDI) Race Binding: Race Category Excluding Nulls (required)
sdtcRaceCode		0..*	CE	XML Namespace: urn:hl7-org:sdtc (USCDI) Race - The sdtc:raceCode is only used to record additional values when the patient has indicated multiple races or additional race detail beyond the five categories required for Meaningful Use Stage 2. The prefix sdtc: SHALL be bound to the namespace “urn:hl7-org:sdtc”. The use of the namespace provides a necessary extension to CDA R2 for the use of the additional raceCode elements. XML: raceCode (urn:hl7-org:sdtc) Binding: Race Value Set (required)
ethnicGroupCode		1..1	CE	(USCDI) Ethnicity Binding: Ethnicity (required)
sdtcEthnicGroupCode		0..*	CE	XML Namespace: urn:hl7-org:sdtc (USCDI) Ethnicity XML: ethnicGroupCode (urn:hl7-org:sdtc) Binding: Detailed Ethnicity (required)
guardian	C	0..*	Guardian
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassAgent (required) Fixed Value: GUARD
id		0..*	II
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code		0..1	CE	Binding: Personal And Legal Relationship Role Type (required)
addr	C	0..*	USRealmAddress	Base for all types and resources
telecom	C	0..*	TEL
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	url
useablePeriod		0..*
useablePeriod			IVL_TS
useablePeriod			EIVL_TS
useablePeriod			PIVL_TS
useablePeriod			SXPR_TS
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
guardianPerson		1..1	Person
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassLivingSubject (required) Fixed Value: PSN
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
name	C	1..*	USRealmPersonNamePNUSFIELDED	Base for all types and resources
sdtcDesc		0..1	ED	XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship		0..*	InfrastructureRoot	XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs	Fixed Value: PRS
@determinerCode		0..1	cs	Fixed Value: INSTANCE
code		1..1	CE	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
guardianOrganization		0..1	Organization
birthplace		0..1	Birthplace
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassPassive (required) Fixed Value: BIRTHPL
place		1..1	Place
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassPlace (required) Fixed Value: PLC
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
name		0..1	EN
addr	C	1..1	AD
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@isNotOrdered		0..1	bl
@use		0..*	cs	Binding: CDAPostalAddressUse (required)
item	C	0..*	Base	Choice Group: This is a repeating choice group that does not appear directly in the instance
(Choice of one)		1..1
delimiter	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: DEL
country	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: CNT
state	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: STA
county	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: CPA
city	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: CTY
postalCode	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: ZIP
streetAddressLine	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: SAL
houseNumber	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: BNR
houseNumberNumeric	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: BNN
direction	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: DIR
streetName	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: STR
streetNameBase	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: STB
streetNameType	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: STTYP
additionalLocator	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: ADL
unitID	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: UNID
unitType	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: UNIT
careOf	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: CAR
censusTract	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: CEN
deliveryAddressLine	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: DAL
deliveryInstallationType	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: DINST
deliveryInstallationArea	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: DINSTA
deliveryInstallationQualifier	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: DINSTQ
deliveryMode	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: DMOD
deliveryModeIdentifier	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: DMODID
buildingNumberSuffix	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: BNS
postBox	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: POB
precinct	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: PRE
xmlText		0..1	st	Allows for mixed text content
useablePeriod		0..*
useablePeriod			IVL_TS
useablePeriod			EIVL_TS
useablePeriod			PIVL_TS
useablePeriod			SXPR_TS
languageCommunication	C	0..*	LanguageCommunication
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
languageCode		1..1	CS	Binding: AllLanguages (required)
modeCode		0..1	CE	Binding: LanguageAbilityMode (required)
proficiencyLevelCode		0..1	CE	Binding: LanguageAbilityProficiency (required)
preferenceInd		0..1	BL
providerOrganization		0..1	Organization
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassOrganization (required) Fixed Value: ORG
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
id		1..*	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root	C	0..1	oid, uuid, ruid
@extension		0..1	st
name		1..*	ON
telecom	C	1..*	TEL
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	url
useablePeriod		0..*
useablePeriod			IVL_TS
useablePeriod			EIVL_TS
useablePeriod			PIVL_TS
useablePeriod			SXPR_TS
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
addr	C	1..*	USRealmAddress	Base for all types and resources
standardIndustryClassCode		0..1	CE	Binding: OrganizationIndustryClassNAICS (example)
asOrganizationPartOf		0..1	OrganizationPartOf
author		1..*	Author	The author element represents the creator of the clinical document. The author may be a device or a person.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ParticipationType (required) Fixed Value: AUT
@contextControlCode		0..1	cs	Binding: ContextControl (required) Fixed Value: OP
functionCode		0..1	CE
time	C	1..1	USRealmDateTime	Base for all types and resources
assignedAuthor	C	1..1	AssignedAuthor
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED
Slices for id		1..*	II	Slice: Unordered, Open by value:root
id:npi	C	0..1	II
@nullFlavor		0..1	cs	If NPI is unknown, set @nullFlavor to UNK Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.4.6
@extension		0..1	st
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code		0..1	CE	Only if this assignedAuthor is an assignedPerson should the assignedAuthor contain a code. Binding: v3 Code System RoleCode (example)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@code		1..1	cs	Binding: Healthcare Provider Taxonomy (preferred)
@codeSystem		0..1	oid, uuid, ruid
@codeSystemName		0..1	st
@codeSystemVersion		0..1	st
@displayName		0..1	st
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText		0..1	ED
translation		0..*	CD
addr	C	1..*	USRealmAddress	Base for all types and resources
telecom	C	1..*	TEL
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	url
useablePeriod		0..*
useablePeriod			IVL_TS
useablePeriod			EIVL_TS
useablePeriod			PIVL_TS
useablePeriod			SXPR_TS
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
(Choice of one)		1..1
assignedPerson		0..1	Person
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassLivingSubject (required) Fixed Value: PSN
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
name	C	1..*	USRealmPersonNamePNUSFIELDED	Base for all types and resources
sdtcDesc		0..1	ED	XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship		0..*	InfrastructureRoot	XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs	Fixed Value: PRS
@determinerCode		0..1	cs	Fixed Value: INSTANCE
code		1..1	CE	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
assignedAuthoringDevice		0..1	AuthoringDevice
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassDevice (required) Fixed Value: DEV
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
code		0..1	CE	Binding: EntityCode (example)
manufacturerModelName		1..1	SC	Binding: Manufacturer Model Name Example (example)
softwareName		1..1	SC	Binding: Software Name Example (example)
asMaintainedEntity		0..*	MaintainedEntity
representedOrganization		0..1	Organization
dataEnterer		0..1	DataEnterer	The dataEnterer element represents the person who transferred the content, written or dictated, into the clinical document. To clarify, an author provides the content found within the header or body of a document, subject to their own interpretation; a dataEnterer adds an author's information to the electronic system.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ParticipationType (required) Fixed Value: ENT
@contextControlCode		0..1	cs	Binding: ContextControl (required) Fixed Value: OP
time	C	0..1	USRealmDateTime	Base for all types and resources
assignedEntity		1..1	AssignedEntity
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED
id		1..*	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root	C	0..1	oid, uuid, ruid
@extension		0..1	st
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code		0..1	CE	Binding: Healthcare Provider Taxonomy (preferred)
addr	C	1..*	USRealmAddress	Base for all types and resources
telecom	C	1..*	TEL
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	url
useablePeriod		0..*
useablePeriod			IVL_TS
useablePeriod			EIVL_TS
useablePeriod			PIVL_TS
useablePeriod			SXPR_TS
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
assignedPerson		1..1	Person
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassLivingSubject (required) Fixed Value: PSN
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
name	C	1..*	USRealmPersonNamePNUSFIELDED	Base for all types and resources
sdtcDesc		0..1	ED	XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship		0..*	InfrastructureRoot	XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs	Fixed Value: PRS
@determinerCode		0..1	cs	Fixed Value: INSTANCE
code		1..1	CE	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
representedOrganization		0..1	Organization
sdtcPatient		0..1	Base	XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc)
id		1..1	II	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
Slices for informant		0..*	Informant	Slice: Unordered, Open by exists:relatedEntity, exists:assignedEntity
informant:provider		0..*	Informant	The informant element describes an information source for any content within the clinical document. This informant is constrained for use when the source of information is an assigned health care provider for the patient.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ParticipationType (required) Fixed Value: INF
@contextControlCode		0..1	cs	Binding: ContextControl (required) Fixed Value: OP
assignedEntity		1..1	AssignedEntity
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED
id		1..*	II	If assignedEntity/id is a provider then this id, **SHOULD** include zero or one [0..1] id where id/@root ="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-9946).
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code		0..1	CE	Binding: Healthcare Provider Taxonomy (preferred)
addr	C	1..*	USRealmAddress	Base for all types and resources
telecom		0..*	TEL
assignedPerson		1..1	Person
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassLivingSubject (required) Fixed Value: PSN
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
name	C	1..*	USRealmPersonNamePNUSFIELDED	Base for all types and resources
sdtcDesc		0..1	ED	XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship		0..*	InfrastructureRoot	XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs	Fixed Value: PRS
@determinerCode		0..1	cs	Fixed Value: INSTANCE
code		1..1	CE	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
representedOrganization		0..1	Organization
sdtcPatient		0..1	Base	XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc)
id		1..1	II	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
informant:non-provider		0..*	Informant	The informant element describes an information source (who is not a provider) for any content within the clinical document. This informant would be used when the source of information has a personal relationship with the patient or is the patient.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ParticipationType (required) Fixed Value: INF
@contextControlCode		0..1	cs	Binding: ContextControl (required) Fixed Value: OP
relatedEntity		1..1	RelatedEntity
custodian		1..1	Custodian	The custodian element represents the organization that is in charge of maintaining and is entrusted with the care of the document.

There is only one custodian per CDA document. Allowing that a CDA document may not represent the original form of the authenticated document, the custodian represents the steward of the original source document. The custodian may be the document originator, a health information exchange, or other responsible party.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ParticipationType (required) Fixed Value: CST
assignedCustodian		1..1	AssignedCustodian
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED
representedCustodianOrganization		1..1	CustodianOrganization
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassOrganization (required) Fixed Value: ORG
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
id		1..*	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root	C	0..1	oid, uuid, ruid
@extension		0..1	st
name		1..1	ON
telecom	C	1..1	TEL
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	url
useablePeriod		0..*
useablePeriod			IVL_TS
useablePeriod			EIVL_TS
useablePeriod			PIVL_TS
useablePeriod			SXPR_TS
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
addr	C	1..1	USRealmAddress	Base for all types and resources
informationRecipient		0..*	InformationRecipient	The informationRecipient element records the intended recipient of the information at the time the document was created. In cases where the intended recipient of the document is the patient's health chart, set the receivedOrganization to the scoping organization for that chart.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: XInformationRecipient (2.0.0) (required)
intendedRecipient		1..1	IntendedRecipient
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs
id		0..*	II
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
addr		0..*	AD
telecom		0..*	TEL
informationRecipient		0..1	Person
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassLivingSubject (required) Fixed Value: PSN
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
name	C	1..*	USRealmPersonNamePNUSFIELDED	Base for all types and resources
sdtcDesc		0..1	ED	XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship		0..*	InfrastructureRoot	XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs	Fixed Value: PRS
@determinerCode		0..1	cs	Fixed Value: INSTANCE
code		1..1	CE	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
receivedOrganization		0..1	Organization
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassOrganization (required) Fixed Value: ORG
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
id		0..*	II
name		1..1	ON
telecom		0..*	TEL
addr		0..*	AD
standardIndustryClassCode		0..1	CE	Binding: OrganizationIndustryClassNAICS (example)
asOrganizationPartOf		0..1	OrganizationPartOf
legalAuthenticator		0..1	LegalAuthenticator	The legalAuthenticator identifies the single person legally responsible for the document and must be present if the document has been legally authenticated. A clinical document that does not contain this element has not been legally authenticated. The act of legal authentication requires a certain privilege be granted to the legal authenticator depending upon local policy. Based on local practice, clinical documents may be released before legal authentication. All clinical documents have the potential for legal authentication, given the appropriate credentials. Local policies MAY choose to delegate the function of legal authentication to a device or system that generates the clinical document. In these cases, the legal authenticator is a person accepting responsibility for the document, not the generating device or system. Note that the legal authenticator, if present, must be a person.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ParticipationType (required) Fixed Value: LA
@contextControlCode		0..1	cs	Binding: ContextControl (required) Fixed Value: OP
time	C	1..1	USRealmDateTime	Base for all types and resources
signatureCode	C	1..1	CS	Binding: CDASignatureCode (required)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@code		1..1	cs	Required Pattern: S
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
sdtcSignatureText		0..1	ED	XML Namespace: urn:hl7-org:sdtc The signature can be represented either inline or by reference according to the ED data type. Typical cases for CDA are: 1) Electronic signature: this attribute can represent virtually any electronic signature scheme. 2) Digital signature: this attribute can represent digital signatures by reference to a signature data block that is constructed in accordance to a digital signature standard, such as XML-DSIG, PKCS#7, PGP, etc. The sdtc:signatureText extension provides a location in CDA for a textual or multimedia depiction of the signature by which the participant endorses and accepts responsibility for his or her participation in the Act as specified in the Participation.typeCode. Details of what goes in the field are described in the HL7 CDA Digital Signature Standard balloted in Fall 2013. XML: signatureText (urn:hl7-org:sdtc)
assignedEntity		1..1	AssignedEntity
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED
id		1..*	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		0..1	oid, uuid, ruid	MAY contain '2.16.840.1.113883.4.6' (NPI)
@extension		0..1	st
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code		0..1	CE	Binding: Healthcare Provider Taxonomy (preferred)
addr	C	1..*	USRealmAddress	Base for all types and resources
telecom	C	1..*	TEL
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	url
useablePeriod		0..*
useablePeriod			IVL_TS
useablePeriod			EIVL_TS
useablePeriod			PIVL_TS
useablePeriod			SXPR_TS
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
assignedPerson		1..1	Person
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassLivingSubject (required) Fixed Value: PSN
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
name	C	1..*	USRealmPersonNamePNUSFIELDED	Base for all types and resources
sdtcDesc		0..1	ED	XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship		0..*	InfrastructureRoot	XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs	Fixed Value: PRS
@determinerCode		0..1	cs	Fixed Value: INSTANCE
code		1..1	CE	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
representedOrganization		0..1	Organization
sdtcPatient		0..1	Base	XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc)
id		1..1	II	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
authenticator		0..*	Authenticator	The authenticator identifies a participant or participants who attest to the accuracy of the information in the document.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ParticipationType (required) Fixed Value: AUTHEN
time	C	1..1	USRealmDateTime	Base for all types and resources
signatureCode	C	1..1	CS	Binding: CDASignatureCode (required)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@code		1..1	cs	Required Pattern: S
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
sdtcSignatureText		0..1	ED	XML Namespace: urn:hl7-org:sdtc The signature can be represented either inline or by reference according to the ED data type. Typical cases for CDA are: 1) Electronic signature: this attribute can represent virtually any electronic signature scheme. 2) Digital signature: this attribute can represent digital signatures by reference to a signature data block that is constructed in accordance to a digital signature standard, such as XML-DSIG, PKCS#7, PGP, etc. The sdtc:signatureText extension provides a location in CDA for a textual or multimedia depiction of the signature by which the participant endorses and accepts responsibility for his or her participation in the Act as specified in the Participation.typeCode. Details of what goes in the field are described in the HL7 CDA Digital Signature Standard balloted in Fall of 2013. XML: signatureText (urn:hl7-org:sdtc)
assignedEntity		1..1	AssignedEntity
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED
id		1..*	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root	C	0..1	oid, uuid, ruid
@extension		0..1	st
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code		0..1	CE	Binding: v3 Code System RoleCode (example)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@code		0..1	cs	Binding: Healthcare Provider Taxonomy (preferred)
@codeSystem		0..1	oid, uuid, ruid
@codeSystemName		0..1	st
@codeSystemVersion		0..1	st
@displayName		0..1	st
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText		0..1	ED
translation		0..*	CD
addr	C	1..*	USRealmAddress	Base for all types and resources
telecom	C	1..*	TEL
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	url
useablePeriod		0..*
useablePeriod			IVL_TS
useablePeriod			EIVL_TS
useablePeriod			PIVL_TS
useablePeriod			SXPR_TS
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
assignedPerson		1..1	Person
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassLivingSubject (required) Fixed Value: PSN
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
name	C	1..*	USRealmPersonNamePNUSFIELDED	Base for all types and resources
sdtcDesc		0..1	ED	XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship		0..*	InfrastructureRoot	XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs	Fixed Value: PRS
@determinerCode		0..1	cs	Fixed Value: INSTANCE
code		1..1	CE	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
representedOrganization		0..1	Organization
sdtcPatient		0..1	Base	XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc)
id		1..1	II	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
participant	C	0..*	Participant1	The participant element identifies supporting entities, including parents, relatives, caregivers, insurance policyholders, guarantors, and others related in some way to the patient. A supporting person or organization is an individual or an organization with a relationship to the patient. A supporting person who is playing multiple roles would be recorded in multiple participants (e.g., emergency contact and next-of-kin).
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: ParticipationType (required)
@contextControlCode		0..1	cs	Binding: ContextControl (required) Fixed Value: OP
functionCode		0..1	CE
time	C	0..1	USRealmDateTimeInterval	Base for all types and resources
associatedEntity		1..1	AssociatedEntity
inFulfillmentOf		0..*	InFulfillmentOf	The inFulfillmentOf element represents orders that are fulfilled by this document such as a radiologists' report of an x-ray.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ActRelationshipFulfills (2.0.0) (required) Fixed Value: FLFS
order		1..1	Order
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs	Binding: ActClass (required)
@moodCode		0..1	cs	Binding: ActMoodIntent (required) Fixed Value: RQO
id		1..*	II
code		0..1	CE	Binding: v3 Code System ActCode (example)
priorityCode		0..1	CE	Binding: ActPriority (example)
documentationOf		0..*	DocumentationOf
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ParticipationType (required) Fixed Value: DOC
serviceEvent	C	1..1	ServiceEvent	A serviceEvent represents the main act being documented, such as a colonoscopy or a cardiac stress study. In a provision of healthcare serviceEvent, the care providers, PCP, or other longitudinal providers, are recorded within the serviceEvent. If the document is about a single encounter, the providers associated can be recorded in the componentOf/encompassingEncounter template.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs	Binding: ActClass (required)
@moodCode		0..1	cs	Binding: ActMood (required) Fixed Value: EVN
id		0..*	II
code		0..1	CE
effectiveTime	C	1..1	USRealmDateTimeInterval	Base for all types and resources
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	ts	Either @value or low/high should be present, but not both Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@operator		0..1	cs	Binding: SetOperator (required)
low	C	1..1	IVXB_TS	**MAY** be precise to at least the second
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	ts	Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@inclusive		0..1	bl
center		0..1	TS
width		0..1	PQ
high	C	0..1	IVXB_TS	**MAY** be precise to at least the second
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	ts	Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@inclusive		0..1	bl
performer		0..*	Performer1	The performer participant represents clinicians who actually and principally carry out the serviceEvent. In a transfer of care this represents the healthcare providers involved in the current or pertinent historical care of the patient. Preferably, the patient's key healthcare care team members would be listed, particularly their primary physician and any active consulting physicians, therapists, and counselors.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ServiceEventPerformer (required)
functionCode	C	0..1	CE
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@code		0..1	cs	Binding: Care Team Member Function (preferred)
@codeSystem		0..1	oid, uuid, ruid
@codeSystemName		0..1	st
@codeSystemVersion		0..1	st
@displayName		0..1	st
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText		0..1	ED
translation		0..*	CD
time	C	0..1	USRealmDateTimeInterval	Base for all types and resources
assignedEntity	C	1..1	AssignedEntity
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED
id		1..*	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root	C	0..1	oid, uuid, ruid
@extension		0..1	st
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code		0..1	CE	Binding: Healthcare Provider Taxonomy (preferred)
addr		0..*	AD
telecom		0..*	TEL
assignedPerson		0..1	Person
representedOrganization		0..1	Organization
sdtcPatient		0..1	Base	XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc)
id		1..1	II	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
relatedDocument		0..*	RelatedDocument
authorization		0..*	Authorization	The authorization element represents information about the patient's consent. The type of consent is conveyed in consent/code. Consents in the header have been finalized (consent/statusCode must equal Completed) and should be on file. This specification does not address how 'Privacy Consent' is represented, but does not preclude the inclusion of 'Privacy Consent'. The authorization consent is used for referring to consents that are documented elsewhere in the EHR or medical record for a health condition and/or treatment that is described in the CDA document.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ParticipationType (required) Fixed Value: AUTH
consent		1..1	Consent
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: ActClass (required) Fixed Value: CONS
@moodCode		0..1	cs	Binding: ActMood (required) Fixed Value: EVN
id		0..*	II
code		0..1	CE	The type of consent (e.g., a consent to perform the related serviceEvent) is conveyed in consent/code. Binding: v3 Code System ActCode (example)
statusCode		1..1	CS	Binding: ActStatus (required)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@code		1..1	cs	Fixed Value: completed
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
componentOf		0..1	ComponentOf	The encompassing encounter represents the setting of the clinical encounter during which the document act(s) or ServiceEvent(s) occurred. In order to represent providers associated with a specific encounter, they are recorded within the encompassingEncounter as participants. In a CCD, the encompassingEncounter may be used when documenting a specific encounter and its participants. All relevant encounters in a CCD may be listed in the encounters section.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ActRelationshipHasComponent (required) Fixed Value: COMP
encompassingEncounter	C	1..1	EncompassingEncounter
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: ActClass (required) Fixed Value: ENC
@moodCode		0..1	cs	Binding: ActMood (required) Fixed Value: EVN
id		1..*	II
code		0..1	CE	Binding: Act Encounter Codes (preferred)
effectiveTime	C	1..1	USRealmDateTimeInterval	Base for all types and resources
sdtcAdmissionReferralSourceCode		0..1	CE	XML Namespace: urn:hl7-org:sdtc XML: admissionReferralSourceCode (urn:hl7-org:sdtc)
dischargeDispositionCode		0..1	CE	Binding: USEncounterDischargeDisposition (example)
responsibleParty		0..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ParticipationType (required) Fixed Value: RESP
assignedEntity	C	1..1	AssignedEntity
encounterParticipant		0..*	EncounterParticipant
location		0..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ParticipationTargetLocation (required) Fixed Value: LOC
healthCareFacility		1..1	HealthCareFacility
component		1..1	Component
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ActRelationshipHasComponent (required) Fixed Value: COMP
@contextConductionInd		0..1	bl	Fixed Value: true
nonXMLBody		1..1	NonXMLBody	An Unstructured Document must include a nonXMLBody component with a single text element. The text element can reference an external file using a reference element, or include unstructured content directly with a mediaType attribute. The nonXMLBody/text element also has a "compression" attribute that can be used to indicate that the unstructured content was compressed before being Base64Encoded. At a minimum, a compression value of "DF" for the deflate compression algorithm (RFC 1951 [URL:http://www.ietf.org/rfc/rfc1951.txt]) must be supported although it is not required that content be compressed.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: ActClassRecordOrganizer (required) Fixed Value: DOCBODY
@moodCode		0..1	cs	Binding: ActMood (required) Fixed Value: EVN
text	C	1..1	ED	1198-7624: If the text element does not contain a reference element with a value attribute, then it **SHALL** contain exactly one [1..1] @representation="B64" and exactly one [1..1] @mediaType (CONF:1198-7624).
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@compression		0..1	cs	Binding: CompressionAlgorithm (required)
@integrityCheck		0..1	bin
@integrityCheckAlgorithm		0..1	cs	Binding: IntegrityCheckAlgorithm (2.0.0) (required)
@language		0..1	cs
@mediaType		0..1	cs	Binding: SupportedFileFormats (required)
@representation		0..1	cs	Binding: Binary Data Encoding Value Set (required)
xmlText		0..1	st	Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
reference		0..1	TEL
thumbnail		0..1	ED
confidentialityCode		0..1	CE
languageCode		0..1	CS	Binding: AllLanguages (required)
structuredBody		0..1	StructuredBody
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
ClinicalDocument.nullFlavor	required	CDANullFlavor
ClinicalDocument.classCode	example	Fixed Value: DOCCLIN
ClinicalDocument.moodCode	required	Fixed Value: EVN
ClinicalDocument.realmCode.nullFlavor	required	CDANullFlavor
ClinicalDocument.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.templateId:us-realm.nullFlavor	required	CDANullFlavor
ClinicalDocument.templateId:unstructured-doc.nullFlavor	required	CDANullFlavor
ClinicalDocument.code	example	FHIRDocumentTypeCodes
ClinicalDocument.sdtcStatusCode	required	ActStatus
ClinicalDocument.confidentialityCode	preferred	HL7BasicConfidentialityKind
ClinicalDocument.languageCode	required	AllLanguages
ClinicalDocument.recordTarget.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.typeCode	required	Fixed Value: RCT
ClinicalDocument.recordTarget.contextControlCode	required	Fixed Value: OP
ClinicalDocument.recordTarget.patientRole.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.classCode	required	Fixed Value: PAT
ClinicalDocument.recordTarget.patientRole.telecom.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.telecom.use	required	TelecomUseUSRealmHeader
ClinicalDocument.recordTarget.patientRole.patient.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.classCode	required	Fixed Value: PSN
ClinicalDocument.recordTarget.patientRole.patient.determinerCode	required	Fixed Value: INSTANCE
ClinicalDocument.recordTarget.patientRole.patient.administrativeGenderCode	required	AdministrativeGenderHL7V3
ClinicalDocument.recordTarget.patientRole.patient.maritalStatusCode	required	MaritalStatus
ClinicalDocument.recordTarget.patientRole.patient.religiousAffiliationCode	required	ReligiousAffiliation
ClinicalDocument.recordTarget.patientRole.patient.raceCode	required	RaceCategoryExcludingNulls
ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCode	required	RaceValueSet
ClinicalDocument.recordTarget.patientRole.patient.ethnicGroupCode	required	Ethnicity
ClinicalDocument.recordTarget.patientRole.patient.sdtcEthnicGroupCode	required	DetailedEthnicity
ClinicalDocument.recordTarget.patientRole.patient.guardian.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.guardian.classCode	required	Fixed Value: GUARD
ClinicalDocument.recordTarget.patientRole.patient.guardian.code	required	PersonalAndLegalRelationshipRoleType
ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.use	required	TelecomUseUSRealmHeader
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.classCode	required	Fixed Value: PSN
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.determinerCode	required	Fixed Value: INSTANCE
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.classCode	required	Fixed Value: BIRTHPL
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.classCode	required	Fixed Value: PLC
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.determinerCode	required	Fixed Value: INSTANCE
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.use	required	CDAPostalAddressUse
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.languageCode	required	AllLanguages
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.modeCode	required	LanguageAbilityMode
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.proficiencyLevelCode	required	LanguageAbilityProficiency
ClinicalDocument.recordTarget.patientRole.providerOrganization.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.providerOrganization.classCode	required	Fixed Value: ORG
ClinicalDocument.recordTarget.patientRole.providerOrganization.determinerCode	required	Fixed Value: INSTANCE
ClinicalDocument.recordTarget.patientRole.providerOrganization.id.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.use	required	TelecomUseUSRealmHeader
ClinicalDocument.recordTarget.patientRole.providerOrganization.standardIndustryClassCode	example	OrganizationIndustryClassNAICS
ClinicalDocument.author.nullFlavor	required	CDANullFlavor
ClinicalDocument.author.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.author.typeCode	required	Fixed Value: AUT
ClinicalDocument.author.contextControlCode	required	Fixed Value: OP
ClinicalDocument.author.assignedAuthor.nullFlavor	required	CDANullFlavor
ClinicalDocument.author.assignedAuthor.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.author.assignedAuthor.classCode	required	Fixed Value: ASSIGNED
ClinicalDocument.author.assignedAuthor.id:npi.nullFlavor	required	CDANullFlavor
ClinicalDocument.author.assignedAuthor.code	example	RoleCode
ClinicalDocument.author.assignedAuthor.code.nullFlavor	required	CDANullFlavor
ClinicalDocument.author.assignedAuthor.code.code	preferred	HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy)
ClinicalDocument.author.assignedAuthor.telecom.nullFlavor	required	CDANullFlavor
ClinicalDocument.author.assignedAuthor.telecom.use	required	TelecomUseUSRealmHeader
ClinicalDocument.author.assignedAuthor.assignedPerson.nullFlavor	required	CDANullFlavor
ClinicalDocument.author.assignedAuthor.assignedPerson.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.author.assignedAuthor.assignedPerson.classCode	required	Fixed Value: PSN
ClinicalDocument.author.assignedAuthor.assignedPerson.determinerCode	required	Fixed Value: INSTANCE
ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor
ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.nullFlavor	required	CDANullFlavor
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.classCode	required	Fixed Value: DEV
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.determinerCode	required	Fixed Value: INSTANCE
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.code	example	EntityCode
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.manufacturerModelName	example	ManufacturerModelNameExample
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.softwareName	example	SoftwareNameExample
ClinicalDocument.dataEnterer.nullFlavor	required	CDANullFlavor
ClinicalDocument.dataEnterer.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.dataEnterer.typeCode	required	Fixed Value: ENT
ClinicalDocument.dataEnterer.contextControlCode	required	Fixed Value: OP
ClinicalDocument.dataEnterer.assignedEntity.nullFlavor	required	CDANullFlavor
ClinicalDocument.dataEnterer.assignedEntity.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.dataEnterer.assignedEntity.classCode	required	Fixed Value: ASSIGNED
ClinicalDocument.dataEnterer.assignedEntity.id.nullFlavor	required	CDANullFlavor
ClinicalDocument.dataEnterer.assignedEntity.code	preferred	HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy)
ClinicalDocument.dataEnterer.assignedEntity.telecom.nullFlavor	required	CDANullFlavor
ClinicalDocument.dataEnterer.assignedEntity.telecom.use	required	TelecomUseUSRealmHeader
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.nullFlavor	required	CDANullFlavor
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.classCode	required	Fixed Value: PSN
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.determinerCode	required	Fixed Value: INSTANCE
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.informant:provider.nullFlavor	required	CDANullFlavor
ClinicalDocument.informant:provider.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.informant:provider.typeCode	required	Fixed Value: INF
ClinicalDocument.informant:provider.contextControlCode	required	Fixed Value: OP
ClinicalDocument.informant:provider.assignedEntity.nullFlavor	required	CDANullFlavor
ClinicalDocument.informant:provider.assignedEntity.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.informant:provider.assignedEntity.classCode	required	Fixed Value: ASSIGNED
ClinicalDocument.informant:provider.assignedEntity.code	preferred	HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy)
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.nullFlavor	required	CDANullFlavor
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.classCode	required	Fixed Value: PSN
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.determinerCode	required	Fixed Value: INSTANCE
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.informant:non-provider.nullFlavor	required	CDANullFlavor
ClinicalDocument.informant:non-provider.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.informant:non-provider.typeCode	required	Fixed Value: INF
ClinicalDocument.informant:non-provider.contextControlCode	required	Fixed Value: OP
ClinicalDocument.custodian.nullFlavor	required	CDANullFlavor
ClinicalDocument.custodian.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.custodian.typeCode	required	Fixed Value: CST
ClinicalDocument.custodian.assignedCustodian.nullFlavor	required	CDANullFlavor
ClinicalDocument.custodian.assignedCustodian.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.custodian.assignedCustodian.classCode	required	Fixed Value: ASSIGNED
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.nullFlavor	required	CDANullFlavor
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.classCode	required	Fixed Value: ORG
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.determinerCode	required	Fixed Value: INSTANCE
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.nullFlavor	required	CDANullFlavor
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.nullFlavor	required	CDANullFlavor
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.use	required	TelecomUseUSRealmHeader
ClinicalDocument.informationRecipient.nullFlavor	required	CDANullFlavor
ClinicalDocument.informationRecipient.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.informationRecipient.typeCode	required	XInformationRecipient
ClinicalDocument.informationRecipient.intendedRecipient.nullFlavor	required	CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.nullFlavor	required	CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.classCode	required	Fixed Value: PSN
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.determinerCode	required	Fixed Value: INSTANCE
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.nullFlavor	required	CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.classCode	required	Fixed Value: ORG
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.determinerCode	required	Fixed Value: INSTANCE
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.standardIndustryClassCode	example	OrganizationIndustryClassNAICS
ClinicalDocument.legalAuthenticator.nullFlavor	required	CDANullFlavor
ClinicalDocument.legalAuthenticator.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.legalAuthenticator.typeCode	required	Fixed Value: LA
ClinicalDocument.legalAuthenticator.contextControlCode	required	Fixed Value: OP
ClinicalDocument.legalAuthenticator.signatureCode	required	CDASignatureCode
ClinicalDocument.legalAuthenticator.signatureCode.nullFlavor	required	CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.nullFlavor	required	CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.classCode	required	Fixed Value: ASSIGNED
ClinicalDocument.legalAuthenticator.assignedEntity.id.nullFlavor	required	CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.code	preferred	HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy)
ClinicalDocument.legalAuthenticator.assignedEntity.telecom.nullFlavor	required	CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.telecom.use	required	TelecomUseUSRealmHeader
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.nullFlavor	required	CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.classCode	required	Fixed Value: PSN
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.determinerCode	required	Fixed Value: INSTANCE
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.authenticator.nullFlavor	required	CDANullFlavor
ClinicalDocument.authenticator.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.authenticator.typeCode	required	Fixed Value: AUTHEN
ClinicalDocument.authenticator.signatureCode	required	CDASignatureCode
ClinicalDocument.authenticator.signatureCode.nullFlavor	required	CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.nullFlavor	required	CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.classCode	required	Fixed Value: ASSIGNED
ClinicalDocument.authenticator.assignedEntity.id.nullFlavor	required	CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.code	example	RoleCode
ClinicalDocument.authenticator.assignedEntity.code.nullFlavor	required	CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.code.code	preferred	HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy)
ClinicalDocument.authenticator.assignedEntity.telecom.nullFlavor	required	CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.telecom.use	required	TelecomUseUSRealmHeader
ClinicalDocument.authenticator.assignedEntity.assignedPerson.nullFlavor	required	CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.assignedPerson.classCode	required	Fixed Value: PSN
ClinicalDocument.authenticator.assignedEntity.assignedPerson.determinerCode	required	Fixed Value: INSTANCE
ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.participant.nullFlavor	required	CDANullFlavor
ClinicalDocument.participant.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.participant.typeCode	required	ParticipationType
ClinicalDocument.participant.contextControlCode	required	Fixed Value: OP
ClinicalDocument.inFulfillmentOf.nullFlavor	required	CDANullFlavor
ClinicalDocument.inFulfillmentOf.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.inFulfillmentOf.typeCode	required	Fixed Value: FLFS
ClinicalDocument.inFulfillmentOf.order.nullFlavor	required	CDANullFlavor
ClinicalDocument.inFulfillmentOf.order.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.inFulfillmentOf.order.classCode	required	ActClass
ClinicalDocument.inFulfillmentOf.order.moodCode	required	Fixed Value: RQO
ClinicalDocument.inFulfillmentOf.order.code	example	ActCode
ClinicalDocument.inFulfillmentOf.order.priorityCode	example	ActPriority
ClinicalDocument.documentationOf.nullFlavor	required	CDANullFlavor
ClinicalDocument.documentationOf.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.documentationOf.typeCode	required	Fixed Value: DOC
ClinicalDocument.documentationOf.serviceEvent.nullFlavor	required	CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.classCode	required	ActClass
ClinicalDocument.documentationOf.serviceEvent.moodCode	required	Fixed Value: EVN
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.nullFlavor	required	CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.operator	required	SetOperator
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low.nullFlavor	required	CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high.nullFlavor	required	CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer.nullFlavor	required	CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer.typeCode	required	X_ServiceEventPerformer
ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.nullFlavor	required	CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.code	preferred	CareTeamMemberFunction
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.nullFlavor	required	CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.classCode	required	Fixed Value: ASSIGNED
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.nullFlavor	required	CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.code	preferred	HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy)
ClinicalDocument.authorization.nullFlavor	required	CDANullFlavor
ClinicalDocument.authorization.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.authorization.typeCode	required	Fixed Value: AUTH
ClinicalDocument.authorization.consent.nullFlavor	required	CDANullFlavor
ClinicalDocument.authorization.consent.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.authorization.consent.classCode	required	Fixed Value: CONS
ClinicalDocument.authorization.consent.moodCode	required	Fixed Value: EVN
ClinicalDocument.authorization.consent.code	example	ActCode
ClinicalDocument.authorization.consent.statusCode	required	ActStatus
ClinicalDocument.authorization.consent.statusCode.nullFlavor	required	CDANullFlavor
ClinicalDocument.componentOf.nullFlavor	required	CDANullFlavor
ClinicalDocument.componentOf.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.componentOf.typeCode	required	Fixed Value: COMP
ClinicalDocument.componentOf.encompassingEncounter.nullFlavor	required	CDANullFlavor
ClinicalDocument.componentOf.encompassingEncounter.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.componentOf.encompassingEncounter.classCode	required	Fixed Value: ENC
ClinicalDocument.componentOf.encompassingEncounter.moodCode	required	Fixed Value: EVN
ClinicalDocument.componentOf.encompassingEncounter.code	preferred	ActEncounterCodes
ClinicalDocument.componentOf.encompassingEncounter.dischargeDispositionCode	example	USEncounterDischargeDisposition
ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.nullFlavor	required	CDANullFlavor
ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeCode	required	Fixed Value: RESP
ClinicalDocument.componentOf.encompassingEncounter.location.nullFlavor	required	CDANullFlavor
ClinicalDocument.componentOf.encompassingEncounter.location.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.componentOf.encompassingEncounter.location.typeCode	required	Fixed Value: LOC
ClinicalDocument.component.nullFlavor	required	CDANullFlavor
ClinicalDocument.component.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.component.typeCode	required	Fixed Value: COMP
ClinicalDocument.component.nonXMLBody.nullFlavor	required	CDANullFlavor
ClinicalDocument.component.nonXMLBody.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.component.nonXMLBody.classCode	required	Fixed Value: DOCBODY
ClinicalDocument.component.nonXMLBody.moodCode	required	Fixed Value: EVN
ClinicalDocument.component.nonXMLBody.text.nullFlavor	required	CDANullFlavor
ClinicalDocument.component.nonXMLBody.text.compression	required	CDACompressionAlgorithm
ClinicalDocument.component.nonXMLBody.text.integrityCheckAlgorithm	required	IntegrityCheckAlgorithm
ClinicalDocument.component.nonXMLBody.text.mediaType	required	SupportedFileFormats
ClinicalDocument.component.nonXMLBody.text.representation	required	BinaryDataEncoding
ClinicalDocument.component.nonXMLBody.languageCode	required	AllLanguages

Constraints

Id	Grade	Path(s)	Details	Requirements
1198-7624	error	ClinicalDocument.component.nonXMLBody.text	If the text element does not contain a reference element with a value attribute, then it **SHALL** contain exactly one [1..1] @representation="B64" and exactly one [1..1] @mediaType (CONF:1198-7624). : reference.value.empty() implies (representation = 'B64' and mediaType.exists())
1198-32905	error	ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntity	This assignedEntity SHALL contain an assignedPerson or a representedOrganization or both (CONF:1198-32905). : assignedPerson.exists() or representedOrganization.exists()
4537-5402	error	ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr	If country is US, this addr **SHALL** contain exactly one [1..1] state, which **SHALL** be selected from ValueSet US Core USPS State *DYNAMIC* (CONF:4537-5402). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state'))
4537-5403	warning	ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr	If country is US, this addr **MAY** contain zero or one [0..1] postalCode, which **SHALL** be selected from ValueSet PostalCode urn:oid:2.16.840.1.113883.3.88.12.80.2 *DYNAMIC* (CONF:4537-5403). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.empty() or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?'))
4537-6380	error	ClinicalDocument	If setId is present versionNumber **SHALL** be present (CONF:4537-6380). : setId.exists() implies versionNumber.exists()
4537-6387	error	ClinicalDocument	If versionNumber is present setId **SHALL** be present (CONF:4537-6387). : versionNumber.exists() implies setId.exists()
4537-10006	error	ClinicalDocument.participant	**SHALL** contain associatedEntity/associatedPerson *AND/OR* associatedEntity/scopingOrganization (CONF:4537-10006). : associatedEntity.associatedPerson.exists() or associatedEntity.scopingOrganization.exists()
4537-10007	warning	ClinicalDocument.participant	When participant/@typeCode is *IND*, associatedEntity/@classCode **SHOULD** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes *DYNAMIC* (CONF:4537-10007). : typeCode = 'IND' implies associatedEntity.classCode.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.33')
4537-16790	error	ClinicalDocument.author.assignedAuthor	There **SHALL** be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:4537-16790). : (assignedPerson | assignedAuthoringDevice).count() = 1
4537-21000	error	ClinicalDocument.recordTarget.patientRole.patient	If sdtc:deceasedTime/@value is present, then sdtc:deceasedInd SHALL be present with value=true : sdtcDeceasedTime.value.exists() implies sdtcDeceasedInd.exists(value='true')
4537-32948	error	ClinicalDocument.code	This code **SHALL** be drawn from the LOINC document type ontology (LOINC codes where SCALE = DOC) (CONF:4537-32948). : codeSystem = '2.16.840.1.113883.6.1'
4537-32993	error	ClinicalDocument.recordTarget.patientRole.patient	If sdtc:deceasedInd="true", then sdtc:deceasedTime **SHALL** be present with either a @value or @nullFlavor=UNK (CONF:4537-32993). : sdtcDeceasedInd.exists(value='true') implies sdtcDeceasedTime.exists()
81-7278	error	ClinicalDocument.recordTarget.patientRole.patient.name	**SHALL NOT** have mixed content except for white space (CONF:81-7278). : item.xmlText.empty()
81-7296	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr	**SHALL NOT** have mixed content except for white space (CONF:81-7296) : item.xmlText.empty()
81-9371	error	ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.name, ClinicalDocument.author.assignedAuthor.assignedPerson.name, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.name, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.name, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.name, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.name, ClinicalDocument.authenticator.assignedEntity.assignedPerson.name	The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). : conformsTo('http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPatientNamePTNUSFIELDED') or item.xmlText.exists()
81-9372	error	ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.name, ClinicalDocument.author.assignedAuthor.assignedPerson.name, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.name, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.name, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.name, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.name, ClinicalDocument.authenticator.assignedEntity.assignedPerson.name	The string **SHALL NOT** contain name parts (CONF:81-9372). : item.xmlText.exists() implies (item.delimiter | item.family | item.given | item.prefix | item.suffix).empty()
81-10024	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr	If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state'))
81-10025	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr	If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?'))
AD-1	error	ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item	Can only have only one of the possible item elements in each choice : (delimiter | country | state | county | city | postalCode | streetAddressLine | houseNumber | houseNumberNumeric | direction | streetName | streetNameBase | streetNameType | additionalLocator | unitID | unitType | careOf | censusTract | deliveryAddressLine | deliveryInstallationType | deliveryInstallationArea | deliveryInstallationQualifier | deliveryMode | deliveryModeIdentifier | buildingNumberSuffix | postBox | precinct | xmlText).count() = 1
ivl-ts-center	error	ClinicalDocument.participant.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime, ClinicalDocument.documentationOf.serviceEvent.performer.time, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime	Center cannot co-exist with low or high : center.empty() or (low.empty() and high.empty())
ivl-value-shall	error	ClinicalDocument.participant.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime, ClinicalDocument.documentationOf.serviceEvent.performer.time, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime	If a time interval contains @value, then it shall be precise to at least the day. : value.exists() implies value.toString().length() >= 10
ivl-value-should	warning	ClinicalDocument.participant.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime, ClinicalDocument.documentationOf.serviceEvent.performer.time, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime	If a time interval contains @value, then it SHOULD contain a time component. : value.exists() implies value.toString().length() > 10
pn-no-ls	error	ClinicalDocument.recordTarget.patientRole.patient.name, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.name, ClinicalDocument.author.assignedAuthor.assignedPerson.name, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.name, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.name, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.name, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.name, ClinicalDocument.authenticator.assignedEntity.assignedPerson.name	No PN name part may have a qualifier of LS. : (item.delimiter | item.family | item.given | item.prefix | item.suffix).where(qualifier.where($this = 'LS').exists()).empty()
shall-city	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr	SHALL contain exactly one [1..1] city (CONF:81-7292). : nullFlavor.exists() or item.city.count() = 1
shall-family	error	ClinicalDocument.recordTarget.patientRole.patient.name	SHALL contain exactly one [1..1] family (CONF:81-7159). : nullFlavor.exists() or item.family.count() = 1
shall-given	error	ClinicalDocument.recordTarget.patientRole.patient.name	SHALL contain at least one [1..*] given (CONF:81-7157). : nullFlavor.exists() or item.given.exists()
shall-max-ad-parts	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr	SHALL have at most one of each: state, city, postalCode, and country : (item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1)
shall-max-suffix	error	ClinicalDocument.recordTarget.patientRole.patient.name	There may be at most one suffix : (item.suffix.empty() or item.suffix.count() = 1)
shall-streetAddressLine	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr	SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). : nullFlavor.exists() or (item.streetAddressLine.count() >= 1 and item.streetAddressLine.count() <= 4)
should-country	warning	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr	SHOULD contain country : nullFlavor.exists() or item.country.exists()
should-extension	warning	ClinicalDocument.author.assignedAuthor.id:npi	SHOULD contain extension : extension.exists()
should-id-npi	warning	ClinicalDocument.author.assignedAuthor	SHOULD contain an id with root='2.16.840.1.113883.4.6' (NPI) : id.where(root = '2.16.840.1.113883.4.6')
should-legalAuthenticator	warning	ClinicalDocument	SHOULD contain legalAuthenticator : legalAuthenticator.exists()
should-maritalStatusCode	warning	ClinicalDocument.recordTarget.patientRole.patient	SHOULD contain maritalStatusCode : maritalStatusCode.exists()
should-npi	warning	ClinicalDocument.recordTarget.patientRole.providerOrganization.id.root, ClinicalDocument.dataEnterer.assignedEntity.id.root, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.root, ClinicalDocument.authenticator.assignedEntity.id.root, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.root	SHOULD be NPI : $this = '2.16.840.1.113883.4.6'
should-preferenceInd	warning	ClinicalDocument.recordTarget.patientRole.patient.languageCommunication	SHOULD contain preferenceInd : preferenceInd.exists()
should-proficiencyLevelCode	warning	ClinicalDocument.recordTarget.patientRole.patient.languageCommunication	SHOULD contain proficiencyLevelCode : proficiencyLevelCode.exists()
should-relatedParticipant	warning	ClinicalDocument	Documents SHOULD contain a RelatedPerson participant : participant.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/RelatedPersonRelationshipAndNameParticipant').exists()
should-responsibleParty	warning	ClinicalDocument.componentOf.encompassingEncounter	SHOULD contain responsibleParty : responsibleParty.exists()
should-us-addr	warning	ClinicalDocument.recordTarget.patientRole.patient.guardian	SHOULD contain addr : addr.exists()
should-us-code	warning	ClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.author.assignedAuthor, ClinicalDocument.documentationOf.serviceEvent.performer.functionCode, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity	SHOULD contain code : code.exists()
should-us-languageCommunication	warning	ClinicalDocument.recordTarget.patientRole.patient	SHOULD contain languageCommunication : languageCommunication.exists()
should-us-performer	warning	ClinicalDocument.documentationOf.serviceEvent	SHOULD contain performer : performer.exists()
should-us-telecom	warning	ClinicalDocument.recordTarget.patientRole.patient.guardian	SHOULD contain telecom : telecom.exists()
should-use	warning	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.telecom, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom, ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.author.assignedAuthor.telecom, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.dataEnterer.assignedEntity.telecom, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.legalAuthenticator.assignedEntity.telecom, ClinicalDocument.authenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.telecom	SHOULD contain @use : nullFlavor.exists() or use.exists()
should-value-att	warning	ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime	SHOULD contain @value : value.exists()
signature	warning	ClinicalDocument.legalAuthenticator.signatureCode, ClinicalDocument.authenticator.signatureCode	CDA Release One represented either an intended ('X') or actual ('S') authenticator. CDA Release Two only represents an actual authenticator, so has deprecated the value of 'X'. : code.exists() implies code != 'X'
text-null	error	ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct	xmlText and nullFlavor are mutually exclusive (one must be present) : (xmlText | nullFlavor).count() = 1
ts-shall-day	error	ClinicalDocument.effectiveTime, ClinicalDocument.author.time, ClinicalDocument.dataEnterer.time, ClinicalDocument.legalAuthenticator.time, ClinicalDocument.authenticator.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high	**SHALL** be precise to at least the day : nullFlavor.exists() or value.toString().length() >= 10
ts-shall-year	error	ClinicalDocument.recordTarget.patientRole.patient.birthTime, ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime	**SHALL** be precise to at least the year : nullFlavor.exists() or value.toString().length() >= 4
ts-should-day	warning	ClinicalDocument.recordTarget.patientRole.patient.birthTime, ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime	**SHOULD** be precise to at least the day : nullFlavor.exists() or value.toString().length() >= 10
ts-should-minute	warning	ClinicalDocument.effectiveTime, ClinicalDocument.author.time, ClinicalDocument.dataEnterer.time, ClinicalDocument.legalAuthenticator.time, ClinicalDocument.authenticator.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high	**SHOULD** be precise to at least the minute : nullFlavor.exists() or value.toString().length() > 10

This structure is derived from USRealmHeader

Summary

Mandatory: 4 elements

Differential View

This structure is derived from USRealmHeader

Name	Flags	Card.	Type	Description & Constraints
ClinicalDocument		1..1	USRealmHeader	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, code, title, sdtcStatusCode, effectiveTime, confidentialityCode, languageCode, setId, versionNumber, copyTime, recordTarget, author, dataEnterer, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, relatedDocument, authorization, componentOf, component, realmCode, typeId, templateId, templateId, id, code, title, effectiveTime, confidentialityCode, languageCode, setId, versionNumber, recordTarget, author, dataEnterer, informant, informant, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, authorization, componentOf Base for all types and resources Instances of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class)
templateId		2..*	II
templateId:unstructured-doc		1..1	II
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.1.10
@extension		1..1	st	Required Pattern: 2024-05-01
recordTarget		1..*	RecordTarget	The recordTarget records the administrative and demographic data of the patient whose health information is described by the clinical document; each recordTarget must contain at least one patientRole element
patientRole		1..1	PatientRole
id		1..*	II
custodian		1..1	Custodian	The custodian element represents the organization that is in charge of maintaining and is entrusted with the care of the document.

There is only one custodian per CDA document. Allowing that a CDA document may not represent the original form of the authenticated document, the custodian represents the steward of the original source document. The custodian may be the document originator, a health information exchange, or other responsible party.
assignedCustodian		1..1	AssignedCustodian
representedCustodianOrganization		1..1	CustodianOrganization
component		1..1	Component
nonXMLBody		1..1	NonXMLBody	An Unstructured Document must include a nonXMLBody component with a single text element. The text element can reference an external file using a reference element, or include unstructured content directly with a mediaType attribute. The nonXMLBody/text element also has a "compression" attribute that can be used to indicate that the unstructured content was compressed before being Base64Encoded. At a minimum, a compression value of "DF" for the deflate compression algorithm (RFC 1951 [URL:http://www.ietf.org/rfc/rfc1951.txt]) must be supported although it is not required that content be compressed.
text	C	1..1	ED	1198-7624: If the text element does not contain a reference element with a value attribute, then it **SHALL** contain exactly one [1..1] @representation="B64" and exactly one [1..1] @mediaType (CONF:1198-7624).
@mediaType		0..1	cs	Binding: SupportedFileFormats (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
ClinicalDocument.component.nonXMLBody.text.mediaType	required	SupportedFileFormats

Constraints

Id	Grade	Path(s)	Details	Requirements
1198-7624	error	ClinicalDocument.component.nonXMLBody.text	If the text element does not contain a reference element with a value attribute, then it **SHALL** contain exactly one [1..1] @representation="B64" and exactly one [1..1] @mediaType (CONF:1198-7624). : reference.value.empty() implies (representation = 'B64' and mediaType.exists())

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
ClinicalDocument	C	1..1	USRealmHeader	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, code, title, sdtcStatusCode, effectiveTime, confidentialityCode, languageCode, setId, versionNumber, copyTime, recordTarget, author, dataEnterer, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, relatedDocument, authorization, componentOf, component, realmCode, typeId, templateId, templateId, id, code, title, effectiveTime, confidentialityCode, languageCode, setId, versionNumber, recordTarget, author, dataEnterer, informant, informant, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, authorization, componentOf Base for all types and resources Instances of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class)
realmCode		1..1	CS
@code		1..1	cs	Required Pattern: US
typeId		1..1	II
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st	Fixed Value: POCD_HD000040
Slices for templateId		2..*	II	Slice: Unordered, Open by value:root, value:extension
templateId:us-realm		1..1	II
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.1.1
@extension		1..1	st	Required Pattern: 2024-05-01
templateId:unstructured-doc		1..1	II
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.1.10
@extension		1..1	st	Required Pattern: 2024-05-01
id		1..1	II	**SHALL** be a globally unique identifier for the document (CONF:4537-9991).
code	C	1..1	CE	**SHALL** specify the particular kind of document (e.g., History and Physical, Discharge Summary, Progress Note) (CONF:4537-9992). Binding: FHIRDocumentTypeCodes (example)
title		1..1	ST	The title can either be a locally defined name or the displayName corresponding to clinicalDocument/code
effectiveTime	C	1..1	USRealmDateTime	Base for all types and resources
confidentialityCode		1..1	CE	Binding: HL7 BasicConfidentialityKind (preferred)
@code		1..1	cs
languageCode		1..1	CS	Binding: AllLanguages (required)
recordTarget		1..*	RecordTarget	The recordTarget records the administrative and demographic data of the patient whose health information is described by the clinical document; each recordTarget must contain at least one patientRole element
patientRole		1..1	PatientRole
id		1..*	II
addr	C	1..*	USRealmAddress	(USCDI) Address
telecom	C	1..*	TEL	(USCDI) Phone Number / Email
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
patient	C	1..1	Patient
name	C	1..*	USRealmPatientNamePTNUSFIELDED	Base for all types and resources
administrativeGenderCode		1..1	CE	Binding: Administrative Gender (HL7 V3) (required)
birthTime	C	1..1	TS	(USCDI) Date of Birth - **MAY** be precise to the minute (CONF:4537-32418) (For cases where information about newborn's time of birth needs to be captured)
raceCode		1..1	CE	(USCDI) Race Binding: Race Category Excluding Nulls (required)
ethnicGroupCode		1..1	CE	(USCDI) Ethnicity Binding: Ethnicity (required)
author		1..*	Author	The author element represents the creator of the clinical document. The author may be a device or a person.
time	C	1..1	USRealmDateTime	Base for all types and resources
assignedAuthor	C	1..1	AssignedAuthor
Slices for id		1..*	II	Slice: Unordered, Open by value:root
id:npi	C	0..1	II
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.4.6
addr	C	1..*	USRealmAddress	Base for all types and resources
telecom	C	1..*	TEL
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
Slices for informant		0..*	Informant	Slice: Unordered, Open by exists:relatedEntity, exists:assignedEntity
informant:provider		0..*	Informant	The informant element describes an information source for any content within the clinical document. This informant is constrained for use when the source of information is an assigned health care provider for the patient.
assignedEntity		1..1	AssignedEntity
id		1..*	II	If assignedEntity/id is a provider then this id, **SHOULD** include zero or one [0..1] id where id/@root ="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-9946).
addr	C	1..*	USRealmAddress	Base for all types and resources
assignedPerson		1..1	Person
name	C	1..*	USRealmPersonNamePNUSFIELDED	Base for all types and resources
informant:non-provider		0..*	Informant	The informant element describes an information source (who is not a provider) for any content within the clinical document. This informant would be used when the source of information has a personal relationship with the patient or is the patient.
relatedEntity		1..1	RelatedEntity
custodian		1..1	Custodian	The custodian element represents the organization that is in charge of maintaining and is entrusted with the care of the document.

There is only one custodian per CDA document. Allowing that a CDA document may not represent the original form of the authenticated document, the custodian represents the steward of the original source document. The custodian may be the document originator, a health information exchange, or other responsible party.
assignedCustodian		1..1	AssignedCustodian
representedCustodianOrganization		1..1	CustodianOrganization
id		1..*	II
name		1..1	ON
telecom	C	1..1	TEL
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
addr	C	1..1	USRealmAddress	Base for all types and resources
component		1..1	Component
nonXMLBody		1..1	NonXMLBody	An Unstructured Document must include a nonXMLBody component with a single text element. The text element can reference an external file using a reference element, or include unstructured content directly with a mediaType attribute. The nonXMLBody/text element also has a "compression" attribute that can be used to indicate that the unstructured content was compressed before being Base64Encoded. At a minimum, a compression value of "DF" for the deflate compression algorithm (RFC 1951 [URL:http://www.ietf.org/rfc/rfc1951.txt]) must be supported although it is not required that content be compressed.
text	C	1..1	ED	1198-7624: If the text element does not contain a reference element with a value attribute, then it **SHALL** contain exactly one [1..1] @representation="B64" and exactly one [1..1] @mediaType (CONF:1198-7624).
@mediaType		0..1	cs	Binding: SupportedFileFormats (required)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
ClinicalDocument.code	example	FHIRDocumentTypeCodes
ClinicalDocument.confidentialityCode	preferred	HL7BasicConfidentialityKind
ClinicalDocument.languageCode	required	AllLanguages
ClinicalDocument.recordTarget.patientRole.telecom.use	required	TelecomUseUSRealmHeader
ClinicalDocument.recordTarget.patientRole.patient.administrativeGenderCode	required	AdministrativeGenderHL7V3
ClinicalDocument.recordTarget.patientRole.patient.raceCode	required	RaceCategoryExcludingNulls
ClinicalDocument.recordTarget.patientRole.patient.ethnicGroupCode	required	Ethnicity
ClinicalDocument.author.assignedAuthor.telecom.use	required	TelecomUseUSRealmHeader
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.use	required	TelecomUseUSRealmHeader
ClinicalDocument.component.nonXMLBody.text.mediaType	required	SupportedFileFormats

Constraints

Id	Grade	Path(s)	Details	Requirements
1198-7624	error	ClinicalDocument.component.nonXMLBody.text	If the text element does not contain a reference element with a value attribute, then it **SHALL** contain exactly one [1..1] @representation="B64" and exactly one [1..1] @mediaType (CONF:1198-7624). : reference.value.empty() implies (representation = 'B64' and mediaType.exists())
4537-6380	error	ClinicalDocument	If setId is present versionNumber **SHALL** be present (CONF:4537-6380). : setId.exists() implies versionNumber.exists()
4537-6387	error	ClinicalDocument	If versionNumber is present setId **SHALL** be present (CONF:4537-6387). : versionNumber.exists() implies setId.exists()
4537-16790	error	ClinicalDocument.author.assignedAuthor	There **SHALL** be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:4537-16790). : (assignedPerson | assignedAuthoringDevice).count() = 1
4537-21000	error	ClinicalDocument.recordTarget.patientRole.patient	If sdtc:deceasedTime/@value is present, then sdtc:deceasedInd SHALL be present with value=true : sdtcDeceasedTime.value.exists() implies sdtcDeceasedInd.exists(value='true')
4537-32948	error	ClinicalDocument.code	This code **SHALL** be drawn from the LOINC document type ontology (LOINC codes where SCALE = DOC) (CONF:4537-32948). : codeSystem = '2.16.840.1.113883.6.1'
4537-32993	error	ClinicalDocument.recordTarget.patientRole.patient	If sdtc:deceasedInd="true", then sdtc:deceasedTime **SHALL** be present with either a @value or @nullFlavor=UNK (CONF:4537-32993). : sdtcDeceasedInd.exists(value='true') implies sdtcDeceasedTime.exists()
81-7278	error	ClinicalDocument.recordTarget.patientRole.patient.name	**SHALL NOT** have mixed content except for white space (CONF:81-7278). : item.xmlText.empty()
81-7296	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr	**SHALL NOT** have mixed content except for white space (CONF:81-7296) : item.xmlText.empty()
81-9371	error	ClinicalDocument.informant:provider.assignedEntity.assignedPerson.name	The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). : conformsTo('http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPatientNamePTNUSFIELDED') or item.xmlText.exists()
81-9372	error	ClinicalDocument.informant:provider.assignedEntity.assignedPerson.name	The string **SHALL NOT** contain name parts (CONF:81-9372). : item.xmlText.exists() implies (item.delimiter | item.family | item.given | item.prefix | item.suffix).empty()
81-10024	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr	If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state'))
81-10025	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr	If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?'))
pn-no-ls	error	ClinicalDocument.recordTarget.patientRole.patient.name, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.name	No PN name part may have a qualifier of LS. : (item.delimiter | item.family | item.given | item.prefix | item.suffix).where(qualifier.where($this = 'LS').exists()).empty()
shall-city	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr	SHALL contain exactly one [1..1] city (CONF:81-7292). : nullFlavor.exists() or item.city.count() = 1
shall-family	error	ClinicalDocument.recordTarget.patientRole.patient.name	SHALL contain exactly one [1..1] family (CONF:81-7159). : nullFlavor.exists() or item.family.count() = 1
shall-given	error	ClinicalDocument.recordTarget.patientRole.patient.name	SHALL contain at least one [1..*] given (CONF:81-7157). : nullFlavor.exists() or item.given.exists()
shall-max-ad-parts	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr	SHALL have at most one of each: state, city, postalCode, and country : (item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1)
shall-max-suffix	error	ClinicalDocument.recordTarget.patientRole.patient.name	There may be at most one suffix : (item.suffix.empty() or item.suffix.count() = 1)
shall-streetAddressLine	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr	SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). : nullFlavor.exists() or (item.streetAddressLine.count() >= 1 and item.streetAddressLine.count() <= 4)
should-country	warning	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr	SHOULD contain country : nullFlavor.exists() or item.country.exists()
should-extension	warning	ClinicalDocument.author.assignedAuthor.id:npi	SHOULD contain extension : extension.exists()
should-id-npi	warning	ClinicalDocument.author.assignedAuthor	SHOULD contain an id with root='2.16.840.1.113883.4.6' (NPI) : id.where(root = '2.16.840.1.113883.4.6')
should-legalAuthenticator	warning	ClinicalDocument	SHOULD contain legalAuthenticator : legalAuthenticator.exists()
should-maritalStatusCode	warning	ClinicalDocument.recordTarget.patientRole.patient	SHOULD contain maritalStatusCode : maritalStatusCode.exists()
should-relatedParticipant	warning	ClinicalDocument	Documents SHOULD contain a RelatedPerson participant : participant.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/RelatedPersonRelationshipAndNameParticipant').exists()
should-us-code	warning	ClinicalDocument.author.assignedAuthor	SHOULD contain code : code.exists()
should-us-languageCommunication	warning	ClinicalDocument.recordTarget.patientRole.patient	SHOULD contain languageCommunication : languageCommunication.exists()
should-use	warning	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.telecom, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.author.assignedAuthor.telecom, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr	SHOULD contain @use : nullFlavor.exists() or use.exists()
ts-shall-day	error	ClinicalDocument.effectiveTime, ClinicalDocument.author.time	**SHALL** be precise to at least the day : nullFlavor.exists() or value.toString().length() >= 10
ts-shall-year	error	ClinicalDocument.recordTarget.patientRole.patient.birthTime	**SHALL** be precise to at least the year : nullFlavor.exists() or value.toString().length() >= 4
ts-should-day	warning	ClinicalDocument.recordTarget.patientRole.patient.birthTime	**SHOULD** be precise to at least the day : nullFlavor.exists() or value.toString().length() >= 10
ts-should-minute	warning	ClinicalDocument.effectiveTime, ClinicalDocument.author.time	**SHOULD** be precise to at least the minute : nullFlavor.exists() or value.toString().length() > 10

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
ClinicalDocument	C	1..1	USRealmHeader	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, code, title, sdtcStatusCode, effectiveTime, confidentialityCode, languageCode, setId, versionNumber, copyTime, recordTarget, author, dataEnterer, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, relatedDocument, authorization, componentOf, component, realmCode, typeId, templateId, templateId, id, code, title, effectiveTime, confidentialityCode, languageCode, setId, versionNumber, recordTarget, author, dataEnterer, informant, informant, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, authorization, componentOf Base for all types and resources Instances of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@classCode		0..1	cs	Binding: ActClass (example) Fixed Value: DOCCLIN
@moodCode		0..1	cs	Binding: ActMood (required) Fixed Value: EVN
realmCode		1..1	CS
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@code		1..1	cs	Required Pattern: US
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
typeId		1..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st	Fixed Value: POCD_HD000040
Slices for templateId		2..*	II	Slice: Unordered, Open by value:root, value:extension
templateId:us-realm		1..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.1.1
@extension		1..1	st	Required Pattern: 2024-05-01
templateId:unstructured-doc		1..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.1.10
@extension		1..1	st	Required Pattern: 2024-05-01
id		1..1	II	**SHALL** be a globally unique identifier for the document (CONF:4537-9991).
code	C	1..1	CE	**SHALL** specify the particular kind of document (e.g., History and Physical, Discharge Summary, Progress Note) (CONF:4537-9992). Binding: FHIRDocumentTypeCodes (example)
title		1..1	ST	The title can either be a locally defined name or the displayName corresponding to clinicalDocument/code
sdtcStatusCode		0..1	CS	XML Namespace: urn:hl7-org:sdtc XML: statusCode (urn:hl7-org:sdtc) Binding: ActStatus (required)
effectiveTime	C	1..1	USRealmDateTime	Base for all types and resources
confidentialityCode		1..1	CE	Binding: HL7 BasicConfidentialityKind (preferred)
@code		1..1	cs
@codeSystem		0..1	oid, uuid, ruid
@codeSystemName		0..1	st
@codeSystemVersion		0..1	st
@displayName		0..1	st
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText		0..1	ED
translation		0..*	CD
languageCode		1..1	CS	Binding: AllLanguages (required)
setId		0..1	II
versionNumber		0..1	INT
copyTime		0..1	TS
recordTarget		1..*	RecordTarget	The recordTarget records the administrative and demographic data of the patient whose health information is described by the clinical document; each recordTarget must contain at least one patientRole element
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ParticipationType (required) Fixed Value: RCT
@contextControlCode		0..1	cs	Binding: ContextControl (required) Fixed Value: OP
patientRole		1..1	PatientRole
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassRelationshipFormal (required) Fixed Value: PAT
id		1..*	II
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
addr	C	1..*	USRealmAddress	(USCDI) Address
telecom	C	1..*	TEL	(USCDI) Phone Number / Email
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	url
useablePeriod		0..*
useablePeriod			IVL_TS
useablePeriod			EIVL_TS
useablePeriod			PIVL_TS
useablePeriod			SXPR_TS
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
patient	C	1..1	Patient
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassLivingSubject (required) Fixed Value: PSN
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
id		0..1	II
name	C	1..*	USRealmPatientNamePTNUSFIELDED	Base for all types and resources
sdtcDesc		0..1	ED	XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
administrativeGenderCode		1..1	CE	Binding: Administrative Gender (HL7 V3) (required)
birthTime	C	1..1	TS	(USCDI) Date of Birth - **MAY** be precise to the minute (CONF:4537-32418) (For cases where information about newborn's time of birth needs to be captured)
sdtcDeceasedInd		0..1	BL	XML Namespace: urn:hl7-org:sdtc sdtc:deceasedInd XML: deceasedInd (urn:hl7-org:sdtc)
sdtcDeceasedTime	C	0..1	TS	XML Namespace: urn:hl7-org:sdtc (USCDI) Date of Death XML: deceasedTime (urn:hl7-org:sdtc)
sdtcMultipleBirthInd		0..1	BL	XML Namespace: urn:hl7-org:sdtc XML: multipleBirthInd (urn:hl7-org:sdtc)
sdtcMultipleBirthOrderNumber		0..1	INT_POS	XML Namespace: urn:hl7-org:sdtc XML: multipleBirthOrderNumber (urn:hl7-org:sdtc)
maritalStatusCode		0..1	CE	Binding: Marital Status (required)
religiousAffiliationCode		0..1	CE	Binding: Religious Affiliation (required)
raceCode		1..1	CE	(USCDI) Race Binding: Race Category Excluding Nulls (required)
sdtcRaceCode		0..*	CE	XML Namespace: urn:hl7-org:sdtc (USCDI) Race - The sdtc:raceCode is only used to record additional values when the patient has indicated multiple races or additional race detail beyond the five categories required for Meaningful Use Stage 2. The prefix sdtc: SHALL be bound to the namespace “urn:hl7-org:sdtc”. The use of the namespace provides a necessary extension to CDA R2 for the use of the additional raceCode elements. XML: raceCode (urn:hl7-org:sdtc) Binding: Race Value Set (required)
ethnicGroupCode		1..1	CE	(USCDI) Ethnicity Binding: Ethnicity (required)
sdtcEthnicGroupCode		0..*	CE	XML Namespace: urn:hl7-org:sdtc (USCDI) Ethnicity XML: ethnicGroupCode (urn:hl7-org:sdtc) Binding: Detailed Ethnicity (required)
guardian	C	0..*	Guardian
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassAgent (required) Fixed Value: GUARD
id		0..*	II
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code		0..1	CE	Binding: Personal And Legal Relationship Role Type (required)
addr	C	0..*	USRealmAddress	Base for all types and resources
telecom	C	0..*	TEL
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	url
useablePeriod		0..*
useablePeriod			IVL_TS
useablePeriod			EIVL_TS
useablePeriod			PIVL_TS
useablePeriod			SXPR_TS
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
guardianPerson		1..1	Person
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassLivingSubject (required) Fixed Value: PSN
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
name	C	1..*	USRealmPersonNamePNUSFIELDED	Base for all types and resources
sdtcDesc		0..1	ED	XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship		0..*	InfrastructureRoot	XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs	Fixed Value: PRS
@determinerCode		0..1	cs	Fixed Value: INSTANCE
code		1..1	CE	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
guardianOrganization		0..1	Organization
birthplace		0..1	Birthplace
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassPassive (required) Fixed Value: BIRTHPL
place		1..1	Place
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassPlace (required) Fixed Value: PLC
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
name		0..1	EN
addr	C	1..1	AD
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@isNotOrdered		0..1	bl
@use		0..*	cs	Binding: CDAPostalAddressUse (required)
item	C	0..*	Base	Choice Group: This is a repeating choice group that does not appear directly in the instance
(Choice of one)		1..1
delimiter	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: DEL
country	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: CNT
state	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: STA
county	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: CPA
city	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: CTY
postalCode	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: ZIP
streetAddressLine	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: SAL
houseNumber	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: BNR
houseNumberNumeric	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: BNN
direction	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: DIR
streetName	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: STR
streetNameBase	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: STB
streetNameType	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: STTYP
additionalLocator	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: ADL
unitID	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: UNID
unitType	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: UNIT
careOf	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: CAR
censusTract	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: CEN
deliveryAddressLine	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: DAL
deliveryInstallationType	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: DINST
deliveryInstallationArea	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: DINSTA
deliveryInstallationQualifier	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: DINSTQ
deliveryMode	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: DMOD
deliveryModeIdentifier	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: DMODID
buildingNumberSuffix	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: BNS
postBox	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: POB
precinct	C	0..1	ADXP
(Choice of one)		1..1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
xmlText		0..1	st	Allows for mixed text content
@representation		0..1	cs	Fixed Value: TXT
@mediaType		0..1	cs	Fixed Value: text/plain
@language		0..1	cs
@partType		0..1	cs	Fixed Value: PRE
xmlText		0..1	st	Allows for mixed text content
useablePeriod		0..*
useablePeriod			IVL_TS
useablePeriod			EIVL_TS
useablePeriod			PIVL_TS
useablePeriod			SXPR_TS
languageCommunication	C	0..*	LanguageCommunication
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
languageCode		1..1	CS	Binding: AllLanguages (required)
modeCode		0..1	CE	Binding: LanguageAbilityMode (required)
proficiencyLevelCode		0..1	CE	Binding: LanguageAbilityProficiency (required)
preferenceInd		0..1	BL
providerOrganization		0..1	Organization
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassOrganization (required) Fixed Value: ORG
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
id		1..*	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root	C	0..1	oid, uuid, ruid
@extension		0..1	st
name		1..*	ON
telecom	C	1..*	TEL
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	url
useablePeriod		0..*
useablePeriod			IVL_TS
useablePeriod			EIVL_TS
useablePeriod			PIVL_TS
useablePeriod			SXPR_TS
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
addr	C	1..*	USRealmAddress	Base for all types and resources
standardIndustryClassCode		0..1	CE	Binding: OrganizationIndustryClassNAICS (example)
asOrganizationPartOf		0..1	OrganizationPartOf
author		1..*	Author	The author element represents the creator of the clinical document. The author may be a device or a person.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ParticipationType (required) Fixed Value: AUT
@contextControlCode		0..1	cs	Binding: ContextControl (required) Fixed Value: OP
functionCode		0..1	CE
time	C	1..1	USRealmDateTime	Base for all types and resources
assignedAuthor	C	1..1	AssignedAuthor
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED
Slices for id		1..*	II	Slice: Unordered, Open by value:root
id:npi	C	0..1	II
@nullFlavor		0..1	cs	If NPI is unknown, set @nullFlavor to UNK Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.4.6
@extension		0..1	st
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code		0..1	CE	Only if this assignedAuthor is an assignedPerson should the assignedAuthor contain a code. Binding: v3 Code System RoleCode (example)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@code		1..1	cs	Binding: Healthcare Provider Taxonomy (preferred)
@codeSystem		0..1	oid, uuid, ruid
@codeSystemName		0..1	st
@codeSystemVersion		0..1	st
@displayName		0..1	st
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText		0..1	ED
translation		0..*	CD
addr	C	1..*	USRealmAddress	Base for all types and resources
telecom	C	1..*	TEL
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	url
useablePeriod		0..*
useablePeriod			IVL_TS
useablePeriod			EIVL_TS
useablePeriod			PIVL_TS
useablePeriod			SXPR_TS
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
(Choice of one)		1..1
assignedPerson		0..1	Person
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassLivingSubject (required) Fixed Value: PSN
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
name	C	1..*	USRealmPersonNamePNUSFIELDED	Base for all types and resources
sdtcDesc		0..1	ED	XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship		0..*	InfrastructureRoot	XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs	Fixed Value: PRS
@determinerCode		0..1	cs	Fixed Value: INSTANCE
code		1..1	CE	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
assignedAuthoringDevice		0..1	AuthoringDevice
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassDevice (required) Fixed Value: DEV
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
code		0..1	CE	Binding: EntityCode (example)
manufacturerModelName		1..1	SC	Binding: Manufacturer Model Name Example (example)
softwareName		1..1	SC	Binding: Software Name Example (example)
asMaintainedEntity		0..*	MaintainedEntity
representedOrganization		0..1	Organization
dataEnterer		0..1	DataEnterer	The dataEnterer element represents the person who transferred the content, written or dictated, into the clinical document. To clarify, an author provides the content found within the header or body of a document, subject to their own interpretation; a dataEnterer adds an author's information to the electronic system.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ParticipationType (required) Fixed Value: ENT
@contextControlCode		0..1	cs	Binding: ContextControl (required) Fixed Value: OP
time	C	0..1	USRealmDateTime	Base for all types and resources
assignedEntity		1..1	AssignedEntity
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED
id		1..*	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root	C	0..1	oid, uuid, ruid
@extension		0..1	st
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code		0..1	CE	Binding: Healthcare Provider Taxonomy (preferred)
addr	C	1..*	USRealmAddress	Base for all types and resources
telecom	C	1..*	TEL
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	url
useablePeriod		0..*
useablePeriod			IVL_TS
useablePeriod			EIVL_TS
useablePeriod			PIVL_TS
useablePeriod			SXPR_TS
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
assignedPerson		1..1	Person
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassLivingSubject (required) Fixed Value: PSN
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
name	C	1..*	USRealmPersonNamePNUSFIELDED	Base for all types and resources
sdtcDesc		0..1	ED	XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship		0..*	InfrastructureRoot	XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs	Fixed Value: PRS
@determinerCode		0..1	cs	Fixed Value: INSTANCE
code		1..1	CE	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
representedOrganization		0..1	Organization
sdtcPatient		0..1	Base	XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc)
id		1..1	II	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
Slices for informant		0..*	Informant	Slice: Unordered, Open by exists:relatedEntity, exists:assignedEntity
informant:provider		0..*	Informant	The informant element describes an information source for any content within the clinical document. This informant is constrained for use when the source of information is an assigned health care provider for the patient.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ParticipationType (required) Fixed Value: INF
@contextControlCode		0..1	cs	Binding: ContextControl (required) Fixed Value: OP
assignedEntity		1..1	AssignedEntity
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED
id		1..*	II	If assignedEntity/id is a provider then this id, **SHOULD** include zero or one [0..1] id where id/@root ="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4537-9946).
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code		0..1	CE	Binding: Healthcare Provider Taxonomy (preferred)
addr	C	1..*	USRealmAddress	Base for all types and resources
telecom		0..*	TEL
assignedPerson		1..1	Person
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassLivingSubject (required) Fixed Value: PSN
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
name	C	1..*	USRealmPersonNamePNUSFIELDED	Base for all types and resources
sdtcDesc		0..1	ED	XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship		0..*	InfrastructureRoot	XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs	Fixed Value: PRS
@determinerCode		0..1	cs	Fixed Value: INSTANCE
code		1..1	CE	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
representedOrganization		0..1	Organization
sdtcPatient		0..1	Base	XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc)
id		1..1	II	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
informant:non-provider		0..*	Informant	The informant element describes an information source (who is not a provider) for any content within the clinical document. This informant would be used when the source of information has a personal relationship with the patient or is the patient.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ParticipationType (required) Fixed Value: INF
@contextControlCode		0..1	cs	Binding: ContextControl (required) Fixed Value: OP
relatedEntity		1..1	RelatedEntity
custodian		1..1	Custodian	The custodian element represents the organization that is in charge of maintaining and is entrusted with the care of the document.

There is only one custodian per CDA document. Allowing that a CDA document may not represent the original form of the authenticated document, the custodian represents the steward of the original source document. The custodian may be the document originator, a health information exchange, or other responsible party.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ParticipationType (required) Fixed Value: CST
assignedCustodian		1..1	AssignedCustodian
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED
representedCustodianOrganization		1..1	CustodianOrganization
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassOrganization (required) Fixed Value: ORG
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
id		1..*	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root	C	0..1	oid, uuid, ruid
@extension		0..1	st
name		1..1	ON
telecom	C	1..1	TEL
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	url
useablePeriod		0..*
useablePeriod			IVL_TS
useablePeriod			EIVL_TS
useablePeriod			PIVL_TS
useablePeriod			SXPR_TS
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
addr	C	1..1	USRealmAddress	Base for all types and resources
informationRecipient		0..*	InformationRecipient	The informationRecipient element records the intended recipient of the information at the time the document was created. In cases where the intended recipient of the document is the patient's health chart, set the receivedOrganization to the scoping organization for that chart.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: XInformationRecipient (2.0.0) (required)
intendedRecipient		1..1	IntendedRecipient
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs
id		0..*	II
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
addr		0..*	AD
telecom		0..*	TEL
informationRecipient		0..1	Person
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassLivingSubject (required) Fixed Value: PSN
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
name	C	1..*	USRealmPersonNamePNUSFIELDED	Base for all types and resources
sdtcDesc		0..1	ED	XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship		0..*	InfrastructureRoot	XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs	Fixed Value: PRS
@determinerCode		0..1	cs	Fixed Value: INSTANCE
code		1..1	CE	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
receivedOrganization		0..1	Organization
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassOrganization (required) Fixed Value: ORG
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
id		0..*	II
name		1..1	ON
telecom		0..*	TEL
addr		0..*	AD
standardIndustryClassCode		0..1	CE	Binding: OrganizationIndustryClassNAICS (example)
asOrganizationPartOf		0..1	OrganizationPartOf
legalAuthenticator		0..1	LegalAuthenticator	The legalAuthenticator identifies the single person legally responsible for the document and must be present if the document has been legally authenticated. A clinical document that does not contain this element has not been legally authenticated. The act of legal authentication requires a certain privilege be granted to the legal authenticator depending upon local policy. Based on local practice, clinical documents may be released before legal authentication. All clinical documents have the potential for legal authentication, given the appropriate credentials. Local policies MAY choose to delegate the function of legal authentication to a device or system that generates the clinical document. In these cases, the legal authenticator is a person accepting responsibility for the document, not the generating device or system. Note that the legal authenticator, if present, must be a person.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ParticipationType (required) Fixed Value: LA
@contextControlCode		0..1	cs	Binding: ContextControl (required) Fixed Value: OP
time	C	1..1	USRealmDateTime	Base for all types and resources
signatureCode	C	1..1	CS	Binding: CDASignatureCode (required)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@code		1..1	cs	Required Pattern: S
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
sdtcSignatureText		0..1	ED	XML Namespace: urn:hl7-org:sdtc The signature can be represented either inline or by reference according to the ED data type. Typical cases for CDA are: 1) Electronic signature: this attribute can represent virtually any electronic signature scheme. 2) Digital signature: this attribute can represent digital signatures by reference to a signature data block that is constructed in accordance to a digital signature standard, such as XML-DSIG, PKCS#7, PGP, etc. The sdtc:signatureText extension provides a location in CDA for a textual or multimedia depiction of the signature by which the participant endorses and accepts responsibility for his or her participation in the Act as specified in the Participation.typeCode. Details of what goes in the field are described in the HL7 CDA Digital Signature Standard balloted in Fall 2013. XML: signatureText (urn:hl7-org:sdtc)
assignedEntity		1..1	AssignedEntity
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED
id		1..*	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		0..1	oid, uuid, ruid	MAY contain '2.16.840.1.113883.4.6' (NPI)
@extension		0..1	st
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code		0..1	CE	Binding: Healthcare Provider Taxonomy (preferred)
addr	C	1..*	USRealmAddress	Base for all types and resources
telecom	C	1..*	TEL
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	url
useablePeriod		0..*
useablePeriod			IVL_TS
useablePeriod			EIVL_TS
useablePeriod			PIVL_TS
useablePeriod			SXPR_TS
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
assignedPerson		1..1	Person
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassLivingSubject (required) Fixed Value: PSN
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
name	C	1..*	USRealmPersonNamePNUSFIELDED	Base for all types and resources
sdtcDesc		0..1	ED	XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship		0..*	InfrastructureRoot	XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs	Fixed Value: PRS
@determinerCode		0..1	cs	Fixed Value: INSTANCE
code		1..1	CE	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
representedOrganization		0..1	Organization
sdtcPatient		0..1	Base	XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc)
id		1..1	II	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
authenticator		0..*	Authenticator	The authenticator identifies a participant or participants who attest to the accuracy of the information in the document.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ParticipationType (required) Fixed Value: AUTHEN
time	C	1..1	USRealmDateTime	Base for all types and resources
signatureCode	C	1..1	CS	Binding: CDASignatureCode (required)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@code		1..1	cs	Required Pattern: S
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
sdtcSignatureText		0..1	ED	XML Namespace: urn:hl7-org:sdtc The signature can be represented either inline or by reference according to the ED data type. Typical cases for CDA are: 1) Electronic signature: this attribute can represent virtually any electronic signature scheme. 2) Digital signature: this attribute can represent digital signatures by reference to a signature data block that is constructed in accordance to a digital signature standard, such as XML-DSIG, PKCS#7, PGP, etc. The sdtc:signatureText extension provides a location in CDA for a textual or multimedia depiction of the signature by which the participant endorses and accepts responsibility for his or her participation in the Act as specified in the Participation.typeCode. Details of what goes in the field are described in the HL7 CDA Digital Signature Standard balloted in Fall of 2013. XML: signatureText (urn:hl7-org:sdtc)
assignedEntity		1..1	AssignedEntity
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED
id		1..*	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root	C	0..1	oid, uuid, ruid
@extension		0..1	st
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code		0..1	CE	Binding: v3 Code System RoleCode (example)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@code		0..1	cs	Binding: Healthcare Provider Taxonomy (preferred)
@codeSystem		0..1	oid, uuid, ruid
@codeSystemName		0..1	st
@codeSystemVersion		0..1	st
@displayName		0..1	st
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText		0..1	ED
translation		0..*	CD
addr	C	1..*	USRealmAddress	Base for all types and resources
telecom	C	1..*	TEL
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	url
useablePeriod		0..*
useablePeriod			IVL_TS
useablePeriod			EIVL_TS
useablePeriod			PIVL_TS
useablePeriod			SXPR_TS
@use		0..1	cs	Binding: Telecom Use (US Realm Header) (required)
assignedPerson		1..1	Person
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassLivingSubject (required) Fixed Value: PSN
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
name	C	1..*	USRealmPersonNamePNUSFIELDED	Base for all types and resources
sdtcDesc		0..1	ED	XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship		0..*	InfrastructureRoot	XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs	Fixed Value: PRS
@determinerCode		0..1	cs	Fixed Value: INSTANCE
code		1..1	CE	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
representedOrganization		0..1	Organization
sdtcPatient		0..1	Base	XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc)
id		1..1	II	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
participant	C	0..*	Participant1	The participant element identifies supporting entities, including parents, relatives, caregivers, insurance policyholders, guarantors, and others related in some way to the patient. A supporting person or organization is an individual or an organization with a relationship to the patient. A supporting person who is playing multiple roles would be recorded in multiple participants (e.g., emergency contact and next-of-kin).
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: ParticipationType (required)
@contextControlCode		0..1	cs	Binding: ContextControl (required) Fixed Value: OP
functionCode		0..1	CE
time	C	0..1	USRealmDateTimeInterval	Base for all types and resources
associatedEntity		1..1	AssociatedEntity
inFulfillmentOf		0..*	InFulfillmentOf	The inFulfillmentOf element represents orders that are fulfilled by this document such as a radiologists' report of an x-ray.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ActRelationshipFulfills (2.0.0) (required) Fixed Value: FLFS
order		1..1	Order
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs	Binding: ActClass (required)
@moodCode		0..1	cs	Binding: ActMoodIntent (required) Fixed Value: RQO
id		1..*	II
code		0..1	CE	Binding: v3 Code System ActCode (example)
priorityCode		0..1	CE	Binding: ActPriority (example)
documentationOf		0..*	DocumentationOf
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ParticipationType (required) Fixed Value: DOC
serviceEvent	C	1..1	ServiceEvent	A serviceEvent represents the main act being documented, such as a colonoscopy or a cardiac stress study. In a provision of healthcare serviceEvent, the care providers, PCP, or other longitudinal providers, are recorded within the serviceEvent. If the document is about a single encounter, the providers associated can be recorded in the componentOf/encompassingEncounter template.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs	Binding: ActClass (required)
@moodCode		0..1	cs	Binding: ActMood (required) Fixed Value: EVN
id		0..*	II
code		0..1	CE
effectiveTime	C	1..1	USRealmDateTimeInterval	Base for all types and resources
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	ts	Either @value or low/high should be present, but not both Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@operator		0..1	cs	Binding: SetOperator (required)
low	C	1..1	IVXB_TS	**MAY** be precise to at least the second
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	ts	Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@inclusive		0..1	bl
center		0..1	TS
width		0..1	PQ
high	C	0..1	IVXB_TS	**MAY** be precise to at least the second
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	ts	Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@inclusive		0..1	bl
performer		0..*	Performer1	The performer participant represents clinicians who actually and principally carry out the serviceEvent. In a transfer of care this represents the healthcare providers involved in the current or pertinent historical care of the patient. Preferably, the patient's key healthcare care team members would be listed, particularly their primary physician and any active consulting physicians, therapists, and counselors.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ServiceEventPerformer (required)
functionCode	C	0..1	CE
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@code		0..1	cs	Binding: Care Team Member Function (preferred)
@codeSystem		0..1	oid, uuid, ruid
@codeSystemName		0..1	st
@codeSystemVersion		0..1	st
@displayName		0..1	st
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText		0..1	ED
translation		0..*	CD
time	C	0..1	USRealmDateTimeInterval	Base for all types and resources
assignedEntity	C	1..1	AssignedEntity
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED
id		1..*	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root	C	0..1	oid, uuid, ruid
@extension		0..1	st
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code		0..1	CE	Binding: Healthcare Provider Taxonomy (preferred)
addr		0..*	AD
telecom		0..*	TEL
assignedPerson		0..1	Person
representedOrganization		0..1	Organization
sdtcPatient		0..1	Base	XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc)
id		1..1	II	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
relatedDocument		0..*	RelatedDocument
authorization		0..*	Authorization	The authorization element represents information about the patient's consent. The type of consent is conveyed in consent/code. Consents in the header have been finalized (consent/statusCode must equal Completed) and should be on file. This specification does not address how 'Privacy Consent' is represented, but does not preclude the inclusion of 'Privacy Consent'. The authorization consent is used for referring to consents that are documented elsewhere in the EHR or medical record for a health condition and/or treatment that is described in the CDA document.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ParticipationType (required) Fixed Value: AUTH
consent		1..1	Consent
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: ActClass (required) Fixed Value: CONS
@moodCode		0..1	cs	Binding: ActMood (required) Fixed Value: EVN
id		0..*	II
code		0..1	CE	The type of consent (e.g., a consent to perform the related serviceEvent) is conveyed in consent/code. Binding: v3 Code System ActCode (example)
statusCode		1..1	CS	Binding: ActStatus (required)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@code		1..1	cs	Fixed Value: completed
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
componentOf		0..1	ComponentOf	The encompassing encounter represents the setting of the clinical encounter during which the document act(s) or ServiceEvent(s) occurred. In order to represent providers associated with a specific encounter, they are recorded within the encompassingEncounter as participants. In a CCD, the encompassingEncounter may be used when documenting a specific encounter and its participants. All relevant encounters in a CCD may be listed in the encounters section.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ActRelationshipHasComponent (required) Fixed Value: COMP
encompassingEncounter	C	1..1	EncompassingEncounter
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: ActClass (required) Fixed Value: ENC
@moodCode		0..1	cs	Binding: ActMood (required) Fixed Value: EVN
id		1..*	II
code		0..1	CE	Binding: Act Encounter Codes (preferred)
effectiveTime	C	1..1	USRealmDateTimeInterval	Base for all types and resources
sdtcAdmissionReferralSourceCode		0..1	CE	XML Namespace: urn:hl7-org:sdtc XML: admissionReferralSourceCode (urn:hl7-org:sdtc)
dischargeDispositionCode		0..1	CE	Binding: USEncounterDischargeDisposition (example)
responsibleParty		0..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ParticipationType (required) Fixed Value: RESP
assignedEntity	C	1..1	AssignedEntity
encounterParticipant		0..*	EncounterParticipant
location		0..1	InfrastructureRoot
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ParticipationTargetLocation (required) Fixed Value: LOC
healthCareFacility		1..1	HealthCareFacility
component		1..1	Component
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ActRelationshipHasComponent (required) Fixed Value: COMP
@contextConductionInd		0..1	bl	Fixed Value: true
nonXMLBody		1..1	NonXMLBody	An Unstructured Document must include a nonXMLBody component with a single text element. The text element can reference an external file using a reference element, or include unstructured content directly with a mediaType attribute. The nonXMLBody/text element also has a "compression" attribute that can be used to indicate that the unstructured content was compressed before being Base64Encoded. At a minimum, a compression value of "DF" for the deflate compression algorithm (RFC 1951 [URL:http://www.ietf.org/rfc/rfc1951.txt]) must be supported although it is not required that content be compressed.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId		0..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: ActClassRecordOrganizer (required) Fixed Value: DOCBODY
@moodCode		0..1	cs	Binding: ActMood (required) Fixed Value: EVN
text	C	1..1	ED	1198-7624: If the text element does not contain a reference element with a value attribute, then it **SHALL** contain exactly one [1..1] @representation="B64" and exactly one [1..1] @mediaType (CONF:1198-7624).
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@compression		0..1	cs	Binding: CompressionAlgorithm (required)
@integrityCheck		0..1	bin
@integrityCheckAlgorithm		0..1	cs	Binding: IntegrityCheckAlgorithm (2.0.0) (required)
@language		0..1	cs
@mediaType		0..1	cs	Binding: SupportedFileFormats (required)
@representation		0..1	cs	Binding: Binary Data Encoding Value Set (required)
xmlText		0..1	st	Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
reference		0..1	TEL
thumbnail		0..1	ED
confidentialityCode		0..1	CE
languageCode		0..1	CS	Binding: AllLanguages (required)
structuredBody		0..1	StructuredBody
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
ClinicalDocument.nullFlavor	required	CDANullFlavor
ClinicalDocument.classCode	example	Fixed Value: DOCCLIN
ClinicalDocument.moodCode	required	Fixed Value: EVN
ClinicalDocument.realmCode.nullFlavor	required	CDANullFlavor
ClinicalDocument.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.templateId:us-realm.nullFlavor	required	CDANullFlavor
ClinicalDocument.templateId:unstructured-doc.nullFlavor	required	CDANullFlavor
ClinicalDocument.code	example	FHIRDocumentTypeCodes
ClinicalDocument.sdtcStatusCode	required	ActStatus
ClinicalDocument.confidentialityCode	preferred	HL7BasicConfidentialityKind
ClinicalDocument.languageCode	required	AllLanguages
ClinicalDocument.recordTarget.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.typeCode	required	Fixed Value: RCT
ClinicalDocument.recordTarget.contextControlCode	required	Fixed Value: OP
ClinicalDocument.recordTarget.patientRole.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.classCode	required	Fixed Value: PAT
ClinicalDocument.recordTarget.patientRole.telecom.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.telecom.use	required	TelecomUseUSRealmHeader
ClinicalDocument.recordTarget.patientRole.patient.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.classCode	required	Fixed Value: PSN
ClinicalDocument.recordTarget.patientRole.patient.determinerCode	required	Fixed Value: INSTANCE
ClinicalDocument.recordTarget.patientRole.patient.administrativeGenderCode	required	AdministrativeGenderHL7V3
ClinicalDocument.recordTarget.patientRole.patient.maritalStatusCode	required	MaritalStatus
ClinicalDocument.recordTarget.patientRole.patient.religiousAffiliationCode	required	ReligiousAffiliation
ClinicalDocument.recordTarget.patientRole.patient.raceCode	required	RaceCategoryExcludingNulls
ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCode	required	RaceValueSet
ClinicalDocument.recordTarget.patientRole.patient.ethnicGroupCode	required	Ethnicity
ClinicalDocument.recordTarget.patientRole.patient.sdtcEthnicGroupCode	required	DetailedEthnicity
ClinicalDocument.recordTarget.patientRole.patient.guardian.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.guardian.classCode	required	Fixed Value: GUARD
ClinicalDocument.recordTarget.patientRole.patient.guardian.code	required	PersonalAndLegalRelationshipRoleType
ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.use	required	TelecomUseUSRealmHeader
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.classCode	required	Fixed Value: PSN
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.determinerCode	required	Fixed Value: INSTANCE
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.classCode	required	Fixed Value: BIRTHPL
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.classCode	required	Fixed Value: PLC
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.determinerCode	required	Fixed Value: INSTANCE
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.use	required	CDAPostalAddressUse
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.languageCode	required	AllLanguages
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.modeCode	required	LanguageAbilityMode
ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.proficiencyLevelCode	required	LanguageAbilityProficiency
ClinicalDocument.recordTarget.patientRole.providerOrganization.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.providerOrganization.classCode	required	Fixed Value: ORG
ClinicalDocument.recordTarget.patientRole.providerOrganization.determinerCode	required	Fixed Value: INSTANCE
ClinicalDocument.recordTarget.patientRole.providerOrganization.id.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.nullFlavor	required	CDANullFlavor
ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.use	required	TelecomUseUSRealmHeader
ClinicalDocument.recordTarget.patientRole.providerOrganization.standardIndustryClassCode	example	OrganizationIndustryClassNAICS
ClinicalDocument.author.nullFlavor	required	CDANullFlavor
ClinicalDocument.author.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.author.typeCode	required	Fixed Value: AUT
ClinicalDocument.author.contextControlCode	required	Fixed Value: OP
ClinicalDocument.author.assignedAuthor.nullFlavor	required	CDANullFlavor
ClinicalDocument.author.assignedAuthor.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.author.assignedAuthor.classCode	required	Fixed Value: ASSIGNED
ClinicalDocument.author.assignedAuthor.id:npi.nullFlavor	required	CDANullFlavor
ClinicalDocument.author.assignedAuthor.code	example	RoleCode
ClinicalDocument.author.assignedAuthor.code.nullFlavor	required	CDANullFlavor
ClinicalDocument.author.assignedAuthor.code.code	preferred	HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy)
ClinicalDocument.author.assignedAuthor.telecom.nullFlavor	required	CDANullFlavor
ClinicalDocument.author.assignedAuthor.telecom.use	required	TelecomUseUSRealmHeader
ClinicalDocument.author.assignedAuthor.assignedPerson.nullFlavor	required	CDANullFlavor
ClinicalDocument.author.assignedAuthor.assignedPerson.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.author.assignedAuthor.assignedPerson.classCode	required	Fixed Value: PSN
ClinicalDocument.author.assignedAuthor.assignedPerson.determinerCode	required	Fixed Value: INSTANCE
ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor
ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.nullFlavor	required	CDANullFlavor
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.classCode	required	Fixed Value: DEV
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.determinerCode	required	Fixed Value: INSTANCE
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.code	example	EntityCode
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.manufacturerModelName	example	ManufacturerModelNameExample
ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.softwareName	example	SoftwareNameExample
ClinicalDocument.dataEnterer.nullFlavor	required	CDANullFlavor
ClinicalDocument.dataEnterer.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.dataEnterer.typeCode	required	Fixed Value: ENT
ClinicalDocument.dataEnterer.contextControlCode	required	Fixed Value: OP
ClinicalDocument.dataEnterer.assignedEntity.nullFlavor	required	CDANullFlavor
ClinicalDocument.dataEnterer.assignedEntity.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.dataEnterer.assignedEntity.classCode	required	Fixed Value: ASSIGNED
ClinicalDocument.dataEnterer.assignedEntity.id.nullFlavor	required	CDANullFlavor
ClinicalDocument.dataEnterer.assignedEntity.code	preferred	HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy)
ClinicalDocument.dataEnterer.assignedEntity.telecom.nullFlavor	required	CDANullFlavor
ClinicalDocument.dataEnterer.assignedEntity.telecom.use	required	TelecomUseUSRealmHeader
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.nullFlavor	required	CDANullFlavor
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.classCode	required	Fixed Value: PSN
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.determinerCode	required	Fixed Value: INSTANCE
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor
ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.informant:provider.nullFlavor	required	CDANullFlavor
ClinicalDocument.informant:provider.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.informant:provider.typeCode	required	Fixed Value: INF
ClinicalDocument.informant:provider.contextControlCode	required	Fixed Value: OP
ClinicalDocument.informant:provider.assignedEntity.nullFlavor	required	CDANullFlavor
ClinicalDocument.informant:provider.assignedEntity.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.informant:provider.assignedEntity.classCode	required	Fixed Value: ASSIGNED
ClinicalDocument.informant:provider.assignedEntity.code	preferred	HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy)
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.nullFlavor	required	CDANullFlavor
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.classCode	required	Fixed Value: PSN
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.determinerCode	required	Fixed Value: INSTANCE
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor
ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.informant:non-provider.nullFlavor	required	CDANullFlavor
ClinicalDocument.informant:non-provider.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.informant:non-provider.typeCode	required	Fixed Value: INF
ClinicalDocument.informant:non-provider.contextControlCode	required	Fixed Value: OP
ClinicalDocument.custodian.nullFlavor	required	CDANullFlavor
ClinicalDocument.custodian.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.custodian.typeCode	required	Fixed Value: CST
ClinicalDocument.custodian.assignedCustodian.nullFlavor	required	CDANullFlavor
ClinicalDocument.custodian.assignedCustodian.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.custodian.assignedCustodian.classCode	required	Fixed Value: ASSIGNED
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.nullFlavor	required	CDANullFlavor
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.classCode	required	Fixed Value: ORG
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.determinerCode	required	Fixed Value: INSTANCE
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.nullFlavor	required	CDANullFlavor
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.nullFlavor	required	CDANullFlavor
ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.use	required	TelecomUseUSRealmHeader
ClinicalDocument.informationRecipient.nullFlavor	required	CDANullFlavor
ClinicalDocument.informationRecipient.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.informationRecipient.typeCode	required	XInformationRecipient
ClinicalDocument.informationRecipient.intendedRecipient.nullFlavor	required	CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.nullFlavor	required	CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.classCode	required	Fixed Value: PSN
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.determinerCode	required	Fixed Value: INSTANCE
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.nullFlavor	required	CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.classCode	required	Fixed Value: ORG
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.determinerCode	required	Fixed Value: INSTANCE
ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.standardIndustryClassCode	example	OrganizationIndustryClassNAICS
ClinicalDocument.legalAuthenticator.nullFlavor	required	CDANullFlavor
ClinicalDocument.legalAuthenticator.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.legalAuthenticator.typeCode	required	Fixed Value: LA
ClinicalDocument.legalAuthenticator.contextControlCode	required	Fixed Value: OP
ClinicalDocument.legalAuthenticator.signatureCode	required	CDASignatureCode
ClinicalDocument.legalAuthenticator.signatureCode.nullFlavor	required	CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.nullFlavor	required	CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.classCode	required	Fixed Value: ASSIGNED
ClinicalDocument.legalAuthenticator.assignedEntity.id.nullFlavor	required	CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.code	preferred	HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy)
ClinicalDocument.legalAuthenticator.assignedEntity.telecom.nullFlavor	required	CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.telecom.use	required	TelecomUseUSRealmHeader
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.nullFlavor	required	CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.classCode	required	Fixed Value: PSN
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.determinerCode	required	Fixed Value: INSTANCE
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor
ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.authenticator.nullFlavor	required	CDANullFlavor
ClinicalDocument.authenticator.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.authenticator.typeCode	required	Fixed Value: AUTHEN
ClinicalDocument.authenticator.signatureCode	required	CDASignatureCode
ClinicalDocument.authenticator.signatureCode.nullFlavor	required	CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.nullFlavor	required	CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.classCode	required	Fixed Value: ASSIGNED
ClinicalDocument.authenticator.assignedEntity.id.nullFlavor	required	CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.code	example	RoleCode
ClinicalDocument.authenticator.assignedEntity.code.nullFlavor	required	CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.code.code	preferred	HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy)
ClinicalDocument.authenticator.assignedEntity.telecom.nullFlavor	required	CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.telecom.use	required	TelecomUseUSRealmHeader
ClinicalDocument.authenticator.assignedEntity.assignedPerson.nullFlavor	required	CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.assignedPerson.classCode	required	Fixed Value: PSN
ClinicalDocument.authenticator.assignedEntity.assignedPerson.determinerCode	required	Fixed Value: INSTANCE
ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor
ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.participant.nullFlavor	required	CDANullFlavor
ClinicalDocument.participant.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.participant.typeCode	required	ParticipationType
ClinicalDocument.participant.contextControlCode	required	Fixed Value: OP
ClinicalDocument.inFulfillmentOf.nullFlavor	required	CDANullFlavor
ClinicalDocument.inFulfillmentOf.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.inFulfillmentOf.typeCode	required	Fixed Value: FLFS
ClinicalDocument.inFulfillmentOf.order.nullFlavor	required	CDANullFlavor
ClinicalDocument.inFulfillmentOf.order.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.inFulfillmentOf.order.classCode	required	ActClass
ClinicalDocument.inFulfillmentOf.order.moodCode	required	Fixed Value: RQO
ClinicalDocument.inFulfillmentOf.order.code	example	ActCode
ClinicalDocument.inFulfillmentOf.order.priorityCode	example	ActPriority
ClinicalDocument.documentationOf.nullFlavor	required	CDANullFlavor
ClinicalDocument.documentationOf.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.documentationOf.typeCode	required	Fixed Value: DOC
ClinicalDocument.documentationOf.serviceEvent.nullFlavor	required	CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.classCode	required	ActClass
ClinicalDocument.documentationOf.serviceEvent.moodCode	required	Fixed Value: EVN
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.nullFlavor	required	CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.operator	required	SetOperator
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low.nullFlavor	required	CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high.nullFlavor	required	CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer.nullFlavor	required	CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer.typeCode	required	X_ServiceEventPerformer
ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.nullFlavor	required	CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.code	preferred	CareTeamMemberFunction
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.nullFlavor	required	CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.classCode	required	Fixed Value: ASSIGNED
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.nullFlavor	required	CDANullFlavor
ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.code	preferred	HealthcareProviderTaxonomy (a valid code from http://nucc.org/provider-taxonomy)
ClinicalDocument.authorization.nullFlavor	required	CDANullFlavor
ClinicalDocument.authorization.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.authorization.typeCode	required	Fixed Value: AUTH
ClinicalDocument.authorization.consent.nullFlavor	required	CDANullFlavor
ClinicalDocument.authorization.consent.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.authorization.consent.classCode	required	Fixed Value: CONS
ClinicalDocument.authorization.consent.moodCode	required	Fixed Value: EVN
ClinicalDocument.authorization.consent.code	example	ActCode
ClinicalDocument.authorization.consent.statusCode	required	ActStatus
ClinicalDocument.authorization.consent.statusCode.nullFlavor	required	CDANullFlavor
ClinicalDocument.componentOf.nullFlavor	required	CDANullFlavor
ClinicalDocument.componentOf.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.componentOf.typeCode	required	Fixed Value: COMP
ClinicalDocument.componentOf.encompassingEncounter.nullFlavor	required	CDANullFlavor
ClinicalDocument.componentOf.encompassingEncounter.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.componentOf.encompassingEncounter.classCode	required	Fixed Value: ENC
ClinicalDocument.componentOf.encompassingEncounter.moodCode	required	Fixed Value: EVN
ClinicalDocument.componentOf.encompassingEncounter.code	preferred	ActEncounterCodes
ClinicalDocument.componentOf.encompassingEncounter.dischargeDispositionCode	example	USEncounterDischargeDisposition
ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.nullFlavor	required	CDANullFlavor
ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeCode	required	Fixed Value: RESP
ClinicalDocument.componentOf.encompassingEncounter.location.nullFlavor	required	CDANullFlavor
ClinicalDocument.componentOf.encompassingEncounter.location.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.componentOf.encompassingEncounter.location.typeCode	required	Fixed Value: LOC
ClinicalDocument.component.nullFlavor	required	CDANullFlavor
ClinicalDocument.component.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.component.typeCode	required	Fixed Value: COMP
ClinicalDocument.component.nonXMLBody.nullFlavor	required	CDANullFlavor
ClinicalDocument.component.nonXMLBody.typeId.nullFlavor	required	CDANullFlavor
ClinicalDocument.component.nonXMLBody.classCode	required	Fixed Value: DOCBODY
ClinicalDocument.component.nonXMLBody.moodCode	required	Fixed Value: EVN
ClinicalDocument.component.nonXMLBody.text.nullFlavor	required	CDANullFlavor
ClinicalDocument.component.nonXMLBody.text.compression	required	CDACompressionAlgorithm
ClinicalDocument.component.nonXMLBody.text.integrityCheckAlgorithm	required	IntegrityCheckAlgorithm
ClinicalDocument.component.nonXMLBody.text.mediaType	required	SupportedFileFormats
ClinicalDocument.component.nonXMLBody.text.representation	required	BinaryDataEncoding
ClinicalDocument.component.nonXMLBody.languageCode	required	AllLanguages

Constraints

Id	Grade	Path(s)	Details	Requirements
1198-7624	error	ClinicalDocument.component.nonXMLBody.text	If the text element does not contain a reference element with a value attribute, then it **SHALL** contain exactly one [1..1] @representation="B64" and exactly one [1..1] @mediaType (CONF:1198-7624). : reference.value.empty() implies (representation = 'B64' and mediaType.exists())
1198-32905	error	ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntity	This assignedEntity SHALL contain an assignedPerson or a representedOrganization or both (CONF:1198-32905). : assignedPerson.exists() or representedOrganization.exists()
4537-5402	error	ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr	If country is US, this addr **SHALL** contain exactly one [1..1] state, which **SHALL** be selected from ValueSet US Core USPS State *DYNAMIC* (CONF:4537-5402). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state'))
4537-5403	warning	ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr	If country is US, this addr **MAY** contain zero or one [0..1] postalCode, which **SHALL** be selected from ValueSet PostalCode urn:oid:2.16.840.1.113883.3.88.12.80.2 *DYNAMIC* (CONF:4537-5403). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.empty() or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?'))
4537-6380	error	ClinicalDocument	If setId is present versionNumber **SHALL** be present (CONF:4537-6380). : setId.exists() implies versionNumber.exists()
4537-6387	error	ClinicalDocument	If versionNumber is present setId **SHALL** be present (CONF:4537-6387). : versionNumber.exists() implies setId.exists()
4537-10006	error	ClinicalDocument.participant	**SHALL** contain associatedEntity/associatedPerson *AND/OR* associatedEntity/scopingOrganization (CONF:4537-10006). : associatedEntity.associatedPerson.exists() or associatedEntity.scopingOrganization.exists()
4537-10007	warning	ClinicalDocument.participant	When participant/@typeCode is *IND*, associatedEntity/@classCode **SHOULD** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes *DYNAMIC* (CONF:4537-10007). : typeCode = 'IND' implies associatedEntity.classCode.memberOf('http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.33')
4537-16790	error	ClinicalDocument.author.assignedAuthor	There **SHALL** be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:4537-16790). : (assignedPerson | assignedAuthoringDevice).count() = 1
4537-21000	error	ClinicalDocument.recordTarget.patientRole.patient	If sdtc:deceasedTime/@value is present, then sdtc:deceasedInd SHALL be present with value=true : sdtcDeceasedTime.value.exists() implies sdtcDeceasedInd.exists(value='true')
4537-32948	error	ClinicalDocument.code	This code **SHALL** be drawn from the LOINC document type ontology (LOINC codes where SCALE = DOC) (CONF:4537-32948). : codeSystem = '2.16.840.1.113883.6.1'
4537-32993	error	ClinicalDocument.recordTarget.patientRole.patient	If sdtc:deceasedInd="true", then sdtc:deceasedTime **SHALL** be present with either a @value or @nullFlavor=UNK (CONF:4537-32993). : sdtcDeceasedInd.exists(value='true') implies sdtcDeceasedTime.exists()
81-7278	error	ClinicalDocument.recordTarget.patientRole.patient.name	**SHALL NOT** have mixed content except for white space (CONF:81-7278). : item.xmlText.empty()
81-7296	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr	**SHALL NOT** have mixed content except for white space (CONF:81-7296) : item.xmlText.empty()
81-9371	error	ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.name, ClinicalDocument.author.assignedAuthor.assignedPerson.name, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.name, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.name, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.name, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.name, ClinicalDocument.authenticator.assignedEntity.assignedPerson.name	The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). : conformsTo('http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPatientNamePTNUSFIELDED') or item.xmlText.exists()
81-9372	error	ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.name, ClinicalDocument.author.assignedAuthor.assignedPerson.name, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.name, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.name, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.name, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.name, ClinicalDocument.authenticator.assignedEntity.assignedPerson.name	The string **SHALL NOT** contain name parts (CONF:81-9372). : item.xmlText.exists() implies (item.delimiter | item.family | item.given | item.prefix | item.suffix).empty()
81-10024	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr	If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state'))
81-10025	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr	If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?'))
AD-1	error	ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item	Can only have only one of the possible item elements in each choice : (delimiter | country | state | county | city | postalCode | streetAddressLine | houseNumber | houseNumberNumeric | direction | streetName | streetNameBase | streetNameType | additionalLocator | unitID | unitType | careOf | censusTract | deliveryAddressLine | deliveryInstallationType | deliveryInstallationArea | deliveryInstallationQualifier | deliveryMode | deliveryModeIdentifier | buildingNumberSuffix | postBox | precinct | xmlText).count() = 1
ivl-ts-center	error	ClinicalDocument.participant.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime, ClinicalDocument.documentationOf.serviceEvent.performer.time, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime	Center cannot co-exist with low or high : center.empty() or (low.empty() and high.empty())
ivl-value-shall	error	ClinicalDocument.participant.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime, ClinicalDocument.documentationOf.serviceEvent.performer.time, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime	If a time interval contains @value, then it shall be precise to at least the day. : value.exists() implies value.toString().length() >= 10
ivl-value-should	warning	ClinicalDocument.participant.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime, ClinicalDocument.documentationOf.serviceEvent.performer.time, ClinicalDocument.componentOf.encompassingEncounter.effectiveTime	If a time interval contains @value, then it SHOULD contain a time component. : value.exists() implies value.toString().length() > 10
pn-no-ls	error	ClinicalDocument.recordTarget.patientRole.patient.name, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.name, ClinicalDocument.author.assignedAuthor.assignedPerson.name, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.name, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.name, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.name, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.name, ClinicalDocument.authenticator.assignedEntity.assignedPerson.name	No PN name part may have a qualifier of LS. : (item.delimiter | item.family | item.given | item.prefix | item.suffix).where(qualifier.where($this = 'LS').exists()).empty()
shall-city	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr	SHALL contain exactly one [1..1] city (CONF:81-7292). : nullFlavor.exists() or item.city.count() = 1
shall-family	error	ClinicalDocument.recordTarget.patientRole.patient.name	SHALL contain exactly one [1..1] family (CONF:81-7159). : nullFlavor.exists() or item.family.count() = 1
shall-given	error	ClinicalDocument.recordTarget.patientRole.patient.name	SHALL contain at least one [1..*] given (CONF:81-7157). : nullFlavor.exists() or item.given.exists()
shall-max-ad-parts	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr	SHALL have at most one of each: state, city, postalCode, and country : (item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1)
shall-max-suffix	error	ClinicalDocument.recordTarget.patientRole.patient.name	There may be at most one suffix : (item.suffix.empty() or item.suffix.count() = 1)
shall-streetAddressLine	error	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr	SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). : nullFlavor.exists() or (item.streetAddressLine.count() >= 1 and item.streetAddressLine.count() <= 4)
should-country	warning	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.addr	SHOULD contain country : nullFlavor.exists() or item.country.exists()
should-extension	warning	ClinicalDocument.author.assignedAuthor.id:npi	SHOULD contain extension : extension.exists()
should-id-npi	warning	ClinicalDocument.author.assignedAuthor	SHOULD contain an id with root='2.16.840.1.113883.4.6' (NPI) : id.where(root = '2.16.840.1.113883.4.6')
should-legalAuthenticator	warning	ClinicalDocument	SHOULD contain legalAuthenticator : legalAuthenticator.exists()
should-maritalStatusCode	warning	ClinicalDocument.recordTarget.patientRole.patient	SHOULD contain maritalStatusCode : maritalStatusCode.exists()
should-npi	warning	ClinicalDocument.recordTarget.patientRole.providerOrganization.id.root, ClinicalDocument.dataEnterer.assignedEntity.id.root, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.root, ClinicalDocument.authenticator.assignedEntity.id.root, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.root	SHOULD be NPI : $this = '2.16.840.1.113883.4.6'
should-preferenceInd	warning	ClinicalDocument.recordTarget.patientRole.patient.languageCommunication	SHOULD contain preferenceInd : preferenceInd.exists()
should-proficiencyLevelCode	warning	ClinicalDocument.recordTarget.patientRole.patient.languageCommunication	SHOULD contain proficiencyLevelCode : proficiencyLevelCode.exists()
should-relatedParticipant	warning	ClinicalDocument	Documents SHOULD contain a RelatedPerson participant : participant.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/RelatedPersonRelationshipAndNameParticipant').exists()
should-responsibleParty	warning	ClinicalDocument.componentOf.encompassingEncounter	SHOULD contain responsibleParty : responsibleParty.exists()
should-us-addr	warning	ClinicalDocument.recordTarget.patientRole.patient.guardian	SHOULD contain addr : addr.exists()
should-us-code	warning	ClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.author.assignedAuthor, ClinicalDocument.documentationOf.serviceEvent.performer.functionCode, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity	SHOULD contain code : code.exists()
should-us-languageCommunication	warning	ClinicalDocument.recordTarget.patientRole.patient	SHOULD contain languageCommunication : languageCommunication.exists()
should-us-performer	warning	ClinicalDocument.documentationOf.serviceEvent	SHOULD contain performer : performer.exists()
should-us-telecom	warning	ClinicalDocument.recordTarget.patientRole.patient.guardian	SHOULD contain telecom : telecom.exists()
should-use	warning	ClinicalDocument.recordTarget.patientRole.addr, ClinicalDocument.recordTarget.patientRole.telecom, ClinicalDocument.recordTarget.patientRole.patient.guardian.addr, ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom, ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom, ClinicalDocument.recordTarget.patientRole.providerOrganization.addr, ClinicalDocument.author.assignedAuthor.addr, ClinicalDocument.author.assignedAuthor.telecom, ClinicalDocument.dataEnterer.assignedEntity.addr, ClinicalDocument.dataEnterer.assignedEntity.telecom, ClinicalDocument.informant:provider.assignedEntity.addr, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr, ClinicalDocument.legalAuthenticator.assignedEntity.addr, ClinicalDocument.legalAuthenticator.assignedEntity.telecom, ClinicalDocument.authenticator.assignedEntity.addr, ClinicalDocument.authenticator.assignedEntity.telecom	SHOULD contain @use : nullFlavor.exists() or use.exists()
should-value-att	warning	ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime	SHOULD contain @value : value.exists()
signature	warning	ClinicalDocument.legalAuthenticator.signatureCode, ClinicalDocument.authenticator.signatureCode	CDA Release One represented either an intended ('X') or actual ('S') authenticator. CDA Release Two only represents an actual authenticator, so has deprecated the value of 'X'. : code.exists() implies code != 'X'
text-null	error	ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct	xmlText and nullFlavor are mutually exclusive (one must be present) : (xmlText | nullFlavor).count() = 1
ts-shall-day	error	ClinicalDocument.effectiveTime, ClinicalDocument.author.time, ClinicalDocument.dataEnterer.time, ClinicalDocument.legalAuthenticator.time, ClinicalDocument.authenticator.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high	**SHALL** be precise to at least the day : nullFlavor.exists() or value.toString().length() >= 10
ts-shall-year	error	ClinicalDocument.recordTarget.patientRole.patient.birthTime, ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime	**SHALL** be precise to at least the year : nullFlavor.exists() or value.toString().length() >= 4
ts-should-day	warning	ClinicalDocument.recordTarget.patientRole.patient.birthTime, ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime	**SHOULD** be precise to at least the day : nullFlavor.exists() or value.toString().length() >= 10
ts-should-minute	warning	ClinicalDocument.effectiveTime, ClinicalDocument.author.time, ClinicalDocument.dataEnterer.time, ClinicalDocument.legalAuthenticator.time, ClinicalDocument.authenticator.time, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high	**SHOULD** be precise to at least the minute : nullFlavor.exists() or value.toString().length() > 10

This structure is derived from USRealmHeader

Summary

Mandatory: 4 elements