This page is part of the CCDA: Consolidated CDA Release (v4.0.0: CCDA 4.0) generated with FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version. For a full list of available versions, see the Directory of published versions
Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/NotesSection | Version: 4.0.0 | |||
Draft as of 2025-06-20 | Computable Name: NotesSection | |||
Other Identifiers: urn:ietf:rfc:3986#Uniform Resource Identifier (URI)#urn:hl7ii:2.16.840.1.113883.10.20.22.2.65:2016-11-01 |
The Notes Section allow for inclusion of clinical documentation which does not fit precisely within any other C-CDA section. Multiple Notes sections may be included in a document provided they each include different types of note content as indicated by a different section.code. The Notes Section SHOULD NOT be used in place of a more specific C-CDA section. For example, notes about procedure should be placed within the Procedures Section, not a Notes Section. When a Notes Section is present, Note Activity entries contain structured information about the note information allowing it to be more machine processable.
Although open templates may contain any valid CDA content, the following templates are specifically called out by this template:
Required Entries: NoteActivity
Usages:
Changes since version 3.0.0:
Description of Template, Differentials, Snapshots and how the different presentations work.
This structure is derived from Section
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
![]() ![]() |
C | 1..1 | Section | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @ID, @classCode, @moodCode, id, code, title, text, confidentialityCode, languageCode, subject, author, informant, entry, component Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: shall-note-activity |
![]() ![]() ![]() |
1..* | II | Slice: Unordered, Open by value:root, value:extension | |
![]() ![]() ![]() ![]() |
1..1 | II | ||
![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.2.65 | |
![]() ![]() ![]() ![]() ![]() |
1..1 | st | Required Pattern: 2016-11-01 | |
![]() ![]() ![]() |
1..1 | CE | Binding: Note Types ![]() | |
![]() ![]() ![]() ![]() |
1..1 | cs | ||
![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
![]() ![]() ![]() |
1..1 | ST | This title should reflect the kind of notes included in this section, corresponding to the code. | |
![]() ![]() ![]() |
1..1 | xhtml | The narrative SHOULD contain human-readable representations using standard CDA narrative markup of each note to ensure widest compatibility with receivers. While allowed by CDA, the use of renderMultiMedia elements, which contain a referencedObject attribute pointing to an observationMedia or regionOfInterest element in the discrete entries, is discouraged in Note Sections because rendering support for these elements is not widespread. | |
![]() ![]() ![]() |
0..* | Entry | Slice: Unordered, Open by profile:act | |
![]() ![]() ![]() ![]() |
0..* | Entry | If section/@nullFlavor is not present: | |
![]() ![]() ![]() ![]() ![]() |
1..1 | NoteActivity | ||
![]() |
Path | Conformance | ValueSet | URI |
Section.code | preferred | NoteTypes ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.68 |
Id | Grade | Path(s) | Details | Requirements |
shall-note-activity | error | Section | If section/@nullFlavor is not present, SHALL contain at least one Note Activity : nullFlavor.exists() or entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/NoteActivity')).exists() |
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
![]() ![]() |
C | 1..1 | Section | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @ID, @classCode, @moodCode, id, code, title, text, confidentialityCode, languageCode, subject, author, informant, entry, component Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: shall-note-activity |
![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() |
C | 0..1 | II | Constraints: II-1 |
![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() |
1..* | II | Slice: Unordered, Open by value:root, value:extension | |
![]() ![]() ![]() ![]() |
1..1 | II | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.2.65 | |
![]() ![]() ![]() ![]() ![]() |
1..1 | st | Required Pattern: 2016-11-01 | |
![]() ![]() ![]() |
0..1 | xs:ID | ||
![]() ![]() ![]() |
0..1 | cs | Binding: ActClassRecordOrganizer (required) Fixed Value: DOCSECT | |
![]() ![]() ![]() |
0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
![]() ![]() ![]() |
0..1 | II | ||
![]() ![]() ![]() |
1..1 | CE | Binding: Note Types ![]() | |
![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() |
1..1 | cs | ||
![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() |
0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() |
0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() |
0..1 | ED | ||
![]() ![]() ![]() ![]() |
0..* | CD | ||
![]() ![]() ![]() |
1..1 | ST | This title should reflect the kind of notes included in this section, corresponding to the code. | |
![]() ![]() ![]() |
1..1 | xhtml | The narrative SHOULD contain human-readable representations using standard CDA narrative markup of each note to ensure widest compatibility with receivers. While allowed by CDA, the use of renderMultiMedia elements, which contain a referencedObject attribute pointing to an observationMedia or regionOfInterest element in the discrete entries, is discouraged in Note Sections because rendering support for these elements is not widespread. | |
![]() ![]() ![]() |
0..1 | CE | ||
![]() ![]() ![]() |
0..1 | CS | Binding: AllLanguages (required) | |
![]() ![]() ![]() |
0..1 | Subject | ||
![]() ![]() ![]() |
0..* | Author | ||
![]() ![]() ![]() |
0..* | Informant | ||
![]() ![]() ![]() |
0..* | Entry | Slice: Unordered, Open by profile:act | |
![]() ![]() ![]() ![]() |
0..* | Entry | If section/@nullFlavor is not present: | |
![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | Constraints: II-1 |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: x_ActRelationshipEntry (required) | |
![]() ![]() ![]() ![]() ![]() |
0..1 | bl | Fixed Value: true | |
![]() ![]() ![]() ![]() ![]() |
1..1 | NoteActivity | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | Encounter | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | Observation | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | ObservationMedia | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | Organizer | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | Procedure | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | RegionOfInterest | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | SubstanceAdministration | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | Supply | ||
![]() ![]() ![]() |
0..* | InfrastructureRoot | ||
![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() |
C | 0..1 | II | Constraints: II-1 |
![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: COMP | |
![]() ![]() ![]() ![]() |
0..1 | bl | Fixed Value: true | |
![]() ![]() ![]() ![]() |
1..1 | Section | ||
![]() |
Path | Conformance | ValueSet / Code | URI |
Section.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.templateId:section.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.classCode | required | Fixed Value: DOCSECThttp://terminology.hl7.org/ValueSet/v3-ActClassRecordOrganizer | |
Section.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
Section.code | preferred | NoteTypes ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.68 | |
Section.code.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages From the FHIR Standard | |
Section.entry:note.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.entry:note.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.entry:note.typeCode | required | XActRelationshipEntryhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntry | |
Section.component.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.component.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor |
Id | Grade | Path(s) | Details | Requirements |
II-1 | error | Section.typeId, Section.entry:note.typeId, Section.component.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists() | |
shall-note-activity | error | Section | If section/@nullFlavor is not present, SHALL contain at least one Note Activity : nullFlavor.exists() or entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/NoteActivity')).exists() |
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
![]() ![]() |
C | 1..1 | Section | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @ID, @classCode, @moodCode, id, code, title, text, confidentialityCode, languageCode, subject, author, informant, entry, component Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: shall-note-activity |
![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() |
C | 0..1 | II | Constraints: II-1 |
![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() |
1..* | II | Slice: Unordered, Open by value:root, value:extension | |
![]() ![]() ![]() ![]() |
1..1 | II | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.2.65 | |
![]() ![]() ![]() ![]() ![]() |
1..1 | st | Required Pattern: 2016-11-01 | |
![]() ![]() ![]() |
0..1 | xs:ID | ||
![]() ![]() ![]() |
0..1 | cs | Binding: ActClassRecordOrganizer (required) Fixed Value: DOCSECT | |
![]() ![]() ![]() |
0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
![]() ![]() ![]() |
0..1 | II | ||
![]() ![]() ![]() |
1..1 | CE | Binding: Note Types ![]() | |
![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() |
1..1 | cs | ||
![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() |
0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() |
0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() |
0..1 | ED | ||
![]() ![]() ![]() ![]() |
0..* | CD | ||
![]() ![]() ![]() |
1..1 | ST | This title should reflect the kind of notes included in this section, corresponding to the code. | |
![]() ![]() ![]() |
1..1 | xhtml | The narrative SHOULD contain human-readable representations using standard CDA narrative markup of each note to ensure widest compatibility with receivers. While allowed by CDA, the use of renderMultiMedia elements, which contain a referencedObject attribute pointing to an observationMedia or regionOfInterest element in the discrete entries, is discouraged in Note Sections because rendering support for these elements is not widespread. | |
![]() ![]() ![]() |
0..1 | CE | ||
![]() ![]() ![]() |
0..1 | CS | Binding: AllLanguages (required) | |
![]() ![]() ![]() |
0..1 | Subject | ||
![]() ![]() ![]() |
0..* | Author | ||
![]() ![]() ![]() |
0..* | Informant | ||
![]() ![]() ![]() |
0..* | Entry | Slice: Unordered, Open by profile:act | |
![]() ![]() ![]() ![]() |
0..* | Entry | If section/@nullFlavor is not present: | |
![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | Constraints: II-1 |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: x_ActRelationshipEntry (required) | |
![]() ![]() ![]() ![]() ![]() |
0..1 | bl | Fixed Value: true | |
![]() ![]() ![]() ![]() ![]() |
1..1 | NoteActivity | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | Encounter | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | Observation | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | ObservationMedia | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | Organizer | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | Procedure | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | RegionOfInterest | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | SubstanceAdministration | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | Supply | ||
![]() ![]() ![]() |
0..* | InfrastructureRoot | ||
![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() |
C | 0..1 | II | Constraints: II-1 |
![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: COMP | |
![]() ![]() ![]() ![]() |
0..1 | bl | Fixed Value: true | |
![]() ![]() ![]() ![]() |
1..1 | Section | ||
![]() |
Path | Conformance | ValueSet / Code | URI |
Section.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.templateId:section.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.classCode | required | Fixed Value: DOCSECThttp://terminology.hl7.org/ValueSet/v3-ActClassRecordOrganizer | |
Section.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
Section.code | preferred | NoteTypes ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.68 | |
Section.code.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages From the FHIR Standard | |
Section.entry:note.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.entry:note.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.entry:note.typeCode | required | XActRelationshipEntryhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntry | |
Section.component.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.component.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor |
Id | Grade | Path(s) | Details | Requirements |
II-1 | error | Section.typeId, Section.entry:note.typeId, Section.component.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists() | |
shall-note-activity | error | Section | If section/@nullFlavor is not present, SHALL contain at least one Note Activity : nullFlavor.exists() or entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/NoteActivity')).exists() |
This structure is derived from Section
Summary
Mandatory: 9 elements(1 nested mandatory element)
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from Section
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
![]() ![]() |
C | 1..1 | Section | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @ID, @classCode, @moodCode, id, code, title, text, confidentialityCode, languageCode, subject, author, informant, entry, component Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: shall-note-activity |
![]() ![]() ![]() |
1..* | II | Slice: Unordered, Open by value:root, value:extension | |
![]() ![]() ![]() ![]() |
1..1 | II | ||
![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.2.65 | |
![]() ![]() ![]() ![]() ![]() |
1..1 | st | Required Pattern: 2016-11-01 | |
![]() ![]() ![]() |
1..1 | CE | Binding: Note Types ![]() | |
![]() ![]() ![]() ![]() |
1..1 | cs | ||
![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
![]() ![]() ![]() |
1..1 | ST | This title should reflect the kind of notes included in this section, corresponding to the code. | |
![]() ![]() ![]() |
1..1 | xhtml | The narrative SHOULD contain human-readable representations using standard CDA narrative markup of each note to ensure widest compatibility with receivers. While allowed by CDA, the use of renderMultiMedia elements, which contain a referencedObject attribute pointing to an observationMedia or regionOfInterest element in the discrete entries, is discouraged in Note Sections because rendering support for these elements is not widespread. | |
![]() ![]() ![]() |
0..* | Entry | Slice: Unordered, Open by profile:act | |
![]() ![]() ![]() ![]() |
0..* | Entry | If section/@nullFlavor is not present: | |
![]() ![]() ![]() ![]() ![]() |
1..1 | NoteActivity | ||
![]() |
Path | Conformance | ValueSet | URI |
Section.code | preferred | NoteTypes ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.68 |
Id | Grade | Path(s) | Details | Requirements |
shall-note-activity | error | Section | If section/@nullFlavor is not present, SHALL contain at least one Note Activity : nullFlavor.exists() or entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/NoteActivity')).exists() |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
![]() ![]() |
C | 1..1 | Section | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @ID, @classCode, @moodCode, id, code, title, text, confidentialityCode, languageCode, subject, author, informant, entry, component Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: shall-note-activity |
![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() |
C | 0..1 | II | Constraints: II-1 |
![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() |
1..* | II | Slice: Unordered, Open by value:root, value:extension | |
![]() ![]() ![]() ![]() |
1..1 | II | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.2.65 | |
![]() ![]() ![]() ![]() ![]() |
1..1 | st | Required Pattern: 2016-11-01 | |
![]() ![]() ![]() |
0..1 | xs:ID | ||
![]() ![]() ![]() |
0..1 | cs | Binding: ActClassRecordOrganizer (required) Fixed Value: DOCSECT | |
![]() ![]() ![]() |
0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
![]() ![]() ![]() |
0..1 | II | ||
![]() ![]() ![]() |
1..1 | CE | Binding: Note Types ![]() | |
![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() |
1..1 | cs | ||
![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() |
0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() |
0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() |
0..1 | ED | ||
![]() ![]() ![]() ![]() |
0..* | CD | ||
![]() ![]() ![]() |
1..1 | ST | This title should reflect the kind of notes included in this section, corresponding to the code. | |
![]() ![]() ![]() |
1..1 | xhtml | The narrative SHOULD contain human-readable representations using standard CDA narrative markup of each note to ensure widest compatibility with receivers. While allowed by CDA, the use of renderMultiMedia elements, which contain a referencedObject attribute pointing to an observationMedia or regionOfInterest element in the discrete entries, is discouraged in Note Sections because rendering support for these elements is not widespread. | |
![]() ![]() ![]() |
0..1 | CE | ||
![]() ![]() ![]() |
0..1 | CS | Binding: AllLanguages (required) | |
![]() ![]() ![]() |
0..1 | Subject | ||
![]() ![]() ![]() |
0..* | Author | ||
![]() ![]() ![]() |
0..* | Informant | ||
![]() ![]() ![]() |
0..* | Entry | Slice: Unordered, Open by profile:act | |
![]() ![]() ![]() ![]() |
0..* | Entry | If section/@nullFlavor is not present: | |
![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | Constraints: II-1 |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: x_ActRelationshipEntry (required) | |
![]() ![]() ![]() ![]() ![]() |
0..1 | bl | Fixed Value: true | |
![]() ![]() ![]() ![]() ![]() |
1..1 | NoteActivity | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | Encounter | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | Observation | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | ObservationMedia | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | Organizer | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | Procedure | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | RegionOfInterest | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | SubstanceAdministration | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | Supply | ||
![]() ![]() ![]() |
0..* | InfrastructureRoot | ||
![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() |
C | 0..1 | II | Constraints: II-1 |
![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: COMP | |
![]() ![]() ![]() ![]() |
0..1 | bl | Fixed Value: true | |
![]() ![]() ![]() ![]() |
1..1 | Section | ||
![]() |
Path | Conformance | ValueSet / Code | URI |
Section.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.templateId:section.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.classCode | required | Fixed Value: DOCSECThttp://terminology.hl7.org/ValueSet/v3-ActClassRecordOrganizer | |
Section.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
Section.code | preferred | NoteTypes ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.68 | |
Section.code.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages From the FHIR Standard | |
Section.entry:note.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.entry:note.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.entry:note.typeCode | required | XActRelationshipEntryhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntry | |
Section.component.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.component.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor |
Id | Grade | Path(s) | Details | Requirements |
II-1 | error | Section.typeId, Section.entry:note.typeId, Section.component.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists() | |
shall-note-activity | error | Section | If section/@nullFlavor is not present, SHALL contain at least one Note Activity : nullFlavor.exists() or entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/NoteActivity')).exists() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
![]() ![]() |
C | 1..1 | Section | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @ID, @classCode, @moodCode, id, code, title, text, confidentialityCode, languageCode, subject, author, informant, entry, component Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: shall-note-activity |
![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() |
C | 0..1 | II | Constraints: II-1 |
![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() |
1..* | II | Slice: Unordered, Open by value:root, value:extension | |
![]() ![]() ![]() ![]() |
1..1 | II | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.2.65 | |
![]() ![]() ![]() ![]() ![]() |
1..1 | st | Required Pattern: 2016-11-01 | |
![]() ![]() ![]() |
0..1 | xs:ID | ||
![]() ![]() ![]() |
0..1 | cs | Binding: ActClassRecordOrganizer (required) Fixed Value: DOCSECT | |
![]() ![]() ![]() |
0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
![]() ![]() ![]() |
0..1 | II | ||
![]() ![]() ![]() |
1..1 | CE | Binding: Note Types ![]() | |
![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() |
1..1 | cs | ||
![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() |
0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() |
0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() |
0..1 | ED | ||
![]() ![]() ![]() ![]() |
0..* | CD | ||
![]() ![]() ![]() |
1..1 | ST | This title should reflect the kind of notes included in this section, corresponding to the code. | |
![]() ![]() ![]() |
1..1 | xhtml | The narrative SHOULD contain human-readable representations using standard CDA narrative markup of each note to ensure widest compatibility with receivers. While allowed by CDA, the use of renderMultiMedia elements, which contain a referencedObject attribute pointing to an observationMedia or regionOfInterest element in the discrete entries, is discouraged in Note Sections because rendering support for these elements is not widespread. | |
![]() ![]() ![]() |
0..1 | CE | ||
![]() ![]() ![]() |
0..1 | CS | Binding: AllLanguages (required) | |
![]() ![]() ![]() |
0..1 | Subject | ||
![]() ![]() ![]() |
0..* | Author | ||
![]() ![]() ![]() |
0..* | Informant | ||
![]() ![]() ![]() |
0..* | Entry | Slice: Unordered, Open by profile:act | |
![]() ![]() ![]() ![]() |
0..* | Entry | If section/@nullFlavor is not present: | |
![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | Constraints: II-1 |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: x_ActRelationshipEntry (required) | |
![]() ![]() ![]() ![]() ![]() |
0..1 | bl | Fixed Value: true | |
![]() ![]() ![]() ![]() ![]() |
1..1 | NoteActivity | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | Encounter | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | Observation | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | ObservationMedia | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | Organizer | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | Procedure | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | RegionOfInterest | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | SubstanceAdministration | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | Supply | ||
![]() ![]() ![]() |
0..* | InfrastructureRoot | ||
![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() |
C | 0..1 | II | Constraints: II-1 |
![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() |
0..1 | cs | Fixed Value: COMP | |
![]() ![]() ![]() ![]() |
0..1 | bl | Fixed Value: true | |
![]() ![]() ![]() ![]() |
1..1 | Section | ||
![]() |
Path | Conformance | ValueSet / Code | URI |
Section.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.templateId:section.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.classCode | required | Fixed Value: DOCSECThttp://terminology.hl7.org/ValueSet/v3-ActClassRecordOrganizer | |
Section.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
Section.code | preferred | NoteTypes ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.68 | |
Section.code.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages From the FHIR Standard | |
Section.entry:note.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.entry:note.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.entry:note.typeCode | required | XActRelationshipEntryhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntry | |
Section.component.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.component.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor |
Id | Grade | Path(s) | Details | Requirements |
II-1 | error | Section.typeId, Section.entry:note.typeId, Section.component.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists() | |
shall-note-activity | error | Section | If section/@nullFlavor is not present, SHALL contain at least one Note Activity : nullFlavor.exists() or entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/NoteActivity')).exists() |
This structure is derived from Section
Summary
Mandatory: 9 elements(1 nested mandatory element)
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices: