Consolidated CDA (C-CDA)
4.0.0 - STU4 United States of America flag

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

Logical Model: US Realm Header

Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader Version: 4.0.0
Draft as of 2025-06-20 Computable Name: USRealmHeader
Other Identifiers: urn:ietf:rfc:3986#Uniform Resource Identifier (URI)#urn:hl7ii:2.16.840.1.113883.10.20.22.1.1:2024-05-01

This template defines constraints that represent common administrative and demographic concepts for US Realm CDA documents. Further specification, such as ClinicalDocument/code, are provided in document templates that conform to this template.

In all C-CDA documents, at least one section SHALL contain clinically relevant information. A document that contains only empty sections is unhelpful to providers and fails to meet the essential purpose of conveying meaningful clinical data. Such documents contribute to inefficiencies and frustration in the healthcare process, as they do not provide the necessary information for informed decision-making.

Usages:

Changes since version 3.0.0:

  • The resource metadata has changed (description)

    • Formal Views of Template Content

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

    This structure is derived from ClinicalDocument

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. ClinicalDocument C 1..1 ClinicalDocument XML Namespace: urn:hl7-org:v3
    Elements defined in Ancestors:@nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, sdtcCategory, code, title, sdtcStatusCode, effectiveTime, confidentialityCode, languageCode, setId, versionNumber, copyTime, recordTarget, author, dataEnterer, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, relatedDocument, authorization, componentOf, component
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    Constraints: 4537-6380, 4537-6387, should-legalAuthenticator, should-relatedParticipant
    ... realmCode 1..1 CS
    .... @code 1..1 cs Required Pattern: US
    ... typeId 1..1 II
    .... @root 1..1 oid, uuid, ruid
    .... @extension 1..1 st
    ... Slices for templateId 1..* 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
    ... code 1..1 CE **SHALL** specify the particular kind of document (e.g., History and Physical, Discharge Summary, Progress Note) (CONF:4537-9992).
    .... @nullFlavor 0..0
    .... @code 1..1 cs
    .... @codeSystem 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.6.1
    ... title 1..1 ST The title can either be a locally defined name or the displayName corresponding to clinicalDocument/code
    ... effectiveTime 1..1 USRealmDateTime
    ... confidentialityCode
    .... @nullFlavor 0..0
    .... @code 1..1 cs Binding: HL7 BasicConfidentialityKind . (preferred)
    ... languageCode 1..1 CS
    ... setId 0..1 II
    ... versionNumber 0..1 INT
    ... 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 1..* USRealmAddress 𝗨𝗦𝗖𝗗𝗜: Address
    ..... telecom C 1..* TEL 𝗨𝗦𝗖𝗗𝗜: Phone Number / Email
    Constraints: should-use
    ...... @use 0..1 cs Binding: Telecom Use (US Realm Header) . (required)
    ..... patient C 1..1 Patient Constraints: 4537-32993, 4537-21000, should-maritalStatusCode, should-us-languageCommunication
    ...... name 1..* USRealmPatientNamePTNUSFIELDED
    ...... 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)
    Constraints: ts-shall-year, ts-should-day
    ...... sdtcDeceasedInd 0..1 BL sdtc:deceasedInd
    ...... sdtcDeceasedTime C 0..1 TS XML Namespace: urn:hl7-org:sdtc
    𝗨𝗦𝗖𝗗𝗜: Date of Death
    XML: deceasedTime (urn:hl7-org:sdtc)
    Constraints: should-value-att, ts-shall-year, ts-should-day
    ...... maritalStatusCode 0..1 CE Binding: Marital Status . (required)
    ...... religiousAffiliationCode 0..1 CE Binding: Religious Affiliation . (required)
    ...... raceCode 1..1 CE 𝗨𝗦𝗖𝗗𝗜: Race
    Binding: Race Categories . (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: Detailed race including absence reasons. . (required)
    ...... ethnicGroupCode 1..1 CE 𝗨𝗦𝗖𝗗𝗜: Ethnicity
    Binding: Ethnicity Categories . (required)
    ...... sdtcEthnicGroupCode 0..* CE XML Namespace: urn:hl7-org:sdtc
    𝗨𝗦𝗖𝗗𝗜: Ethnicity
    XML: ethnicGroupCode (urn:hl7-org:sdtc)
    Binding: Detailed Ethnicity Including Absence Reasons . (required)
    ...... guardian C 0..* Guardian Constraints: should-us-code, should-us-addr, should-us-telecom
    ....... code 0..1 CE Binding: Personal And Legal Relationship Role Type . (required)
    ....... addr 0..* USRealmAddress
    ....... telecom C 0..* TEL Constraints: should-use
    ........ @use 0..1 cs Binding: Telecom Use (US Realm Header) . (required)
    ....... guardianPerson 1..1 Person
    ........ name 1..* USRealmPersonNamePNUSFIELDED
    ...... birthplace 0..1 Birthplace
    ....... place 1..1 Place
    ........ addr C 1..1 AD Constraints: 4537-5402, 4537-5403, should-country
    ......... item
    .......... country 0..1 ADXP Binding: Country2 (required)
    ...... languageCommunication C 0..* LanguageCommunication 𝗨𝗦𝗖𝗗𝗜: Preferred Language
    Constraints: should-proficiencyLevelCode, should-preferenceInd
    ....... languageCode 1..1 CS Binding: Languages (required)
    ....... modeCode 0..1 CE Binding: LanguageAbilityMode . (required)
    ....... proficiencyLevelCode 0..1 CE Binding: LanguageAbilityProficiency . (required)
    ....... preferenceInd 0..1 BL
    ..... providerOrganization 0..1 Organization
    ...... id 1..* II
    ....... @root C 0..1 oid, uuid, ruid Constraints: should-npi
    ...... name 1..* ON
    ...... telecom C 1..* TEL Constraints: should-use
    ....... @use 0..1 cs Binding: Telecom Use (US Realm Header) . (required)
    ...... addr 1..* USRealmAddress
    ... author 1..* Author The author element represents the creator of the clinical document. The author may be a device or a person.
    .... time 1..1 USRealmDateTime
    .... assignedAuthor C 1..1 AssignedAuthor Constraints: 4537-16790, should-id-npi, should-us-code
    ..... Slices for id 1..* II Slice: Unordered, Open by value:root
    ...... id:npi C 0..1 II Constraints: should-extension
    ....... @nullFlavor 0..1 cs If NPI is unknown, set @nullFlavor to UNK
    ....... @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.4.6
    ....... @extension 0..1 st
    ..... code 0..1 CE Only if this assignedAuthor is an assignedPerson should the assignedAuthor contain a code.
    ...... @nullFlavor 0..0
    ...... @code 1..1 cs Binding: Healthcare Provider Taxonomy . (preferred)
    ..... addr 1..* USRealmAddress
    ..... telecom C 1..* TEL Constraints: should-use
    ...... @use 0..1 cs Binding: Telecom Use (US Realm Header) . (required)
    ..... (Choice of one) 1..1
    ...... assignedPerson 0..1 Person
    ....... name 1..* USRealmPersonNamePNUSFIELDED
    ...... assignedAuthoringDevice 0..1 AuthoringDevice
    ....... manufacturerModelName 1..1 SC
    ....... softwareName 1..1 SC
    ... 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.
    .... time 0..1 USRealmDateTime
    .... assignedEntity 1..1 AssignedEntity
    ..... id 1..* II
    ...... @root C 0..1 oid, uuid, ruid Constraints: should-npi
    ..... code 0..1 CE Binding: Healthcare Provider Taxonomy . (preferred)
    ..... addr 1..* USRealmAddress
    ..... telecom C 1..* TEL Constraints: should-use
    ...... @use 0..1 cs Binding: Telecom Use (US Realm Header) . (required)
    ..... assignedPerson 1..1 Person
    ...... name 1..* USRealmPersonNamePNUSFIELDED
    ... 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).
    ...... code 0..1 CE Binding: Healthcare Provider Taxonomy . (preferred)
    ...... addr 1..* USRealmAddress
    ...... assignedPerson 1..1 Person
    ....... name 1..* USRealmPersonNamePNUSFIELDED
    ..... relatedEntity 0..0
    .... 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.
    ..... assignedEntity 0..0
    ..... 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
    ....... @root C 0..1 oid, uuid, ruid Constraints: should-npi
    ...... name 1..1 ON
    ...... telecom C 1..1 TEL Constraints: should-use
    ....... @use 0..1 cs Binding: Telecom Use (US Realm Header) . (required)
    ...... sdtcTelecom 0..* TEL The stdc:telecom extension can be used to provide additional telecom elements for the custodian organization.
    ...... addr 1..1 USRealmAddress
    ... 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.
    .... intendedRecipient 1..1 IntendedRecipient
    ..... id 0..* II
    ..... informationRecipient 0..1 Person
    ...... name 1..* USRealmPersonNamePNUSFIELDED
    ..... receivedOrganization 0..1 Organization
    ...... name 1..1 ON
    ... 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.
    .... time 1..1 USRealmDateTime
    .... signatureCode 1..1 CS
    ..... @code 1..1 cs Required Pattern: S
    .... sdtcSignatureText 0..1 ED 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.
    .... assignedEntity 1..1 AssignedEntity
    ..... id 1..* II
    ...... @root 0..1 oid, uuid, ruid MAY contain '2.16.840.1.113883.4.6' (NPI)
    ..... code 0..1 CE Binding: Healthcare Provider Taxonomy . (preferred)
    ..... addr 1..* USRealmAddress
    ..... telecom C 1..* TEL Constraints: should-use
    ...... @use 0..1 cs Binding: Telecom Use (US Realm Header) . (required)
    ..... assignedPerson 1..1 Person
    ...... name 1..* USRealmPersonNamePNUSFIELDED
    ... authenticator 0..* Authenticator The authenticator identifies a participant or participants who attest to the accuracy of the information in the document.
    .... time 1..1 USRealmDateTime
    .... signatureCode 1..1 CS
    ..... @code 1..1 cs Required Pattern: S
    .... sdtcSignatureText 0..1 ED 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.
    .... assignedEntity 1..1 AssignedEntity
    ..... id 1..* II
    ...... @root C 0..1 oid, uuid, ruid Constraints: should-npi
    ..... code 0..1 CE
    ...... @code 0..1 cs Binding: Healthcare Provider Taxonomy . (preferred)
    ..... addr 1..* USRealmAddress
    ..... telecom C 1..* TEL Constraints: should-use
    ...... @use 0..1 cs Binding: Telecom Use (US Realm Header) . (required)
    ..... assignedPerson 1..1 Person
    ...... name 1..* USRealmPersonNamePNUSFIELDED
    ... 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).
    Constraints: 4537-10006, 4537-10007
    .... time 0..1 USRealmDateTimeInterval
    ... inFulfillmentOf 0..* InFulfillmentOf The inFulfillmentOf element represents orders that are fulfilled by this document such as a radiologists' report of an x-ray.
    .... order 1..1 Order
    ..... id 1..* II
    ... documentationOf 0..* DocumentationOf
    .... 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.
    Constraints: should-us-performer
    ..... effectiveTime 1..1 USRealmDateTimeInterval
    ...... low 1..1 IVXB_TS **MAY** be precise to at least the second
    ..... 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.
    ...... @typeCode 1..1 cs Binding: x_ServiceEventPerformer . (required)
    ...... functionCode C 0..1 CE Constraints: should-code-attr
    ....... @code 0..1 cs Binding: Care Team Member Function . (preferred)
    ...... time 0..1 USRealmDateTimeInterval
    ...... assignedEntity C 1..1 AssignedEntity Constraints: should-us-code
    ....... id 1..* II
    ........ @root C 0..1 oid, uuid, ruid Constraints: should-npi
    ....... code 0..1 CE Binding: Healthcare Provider Taxonomy . (preferred)
    ... 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.
    .... consent 1..1 Consent
    ..... 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.
    ..... statusCode 1..1 CS
    ...... @code 1..1 cs
    ... 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.
    .... encompassingEncounter C 1..1 EncompassingEncounter Constraints: should-responsibleParty
    ..... id 1..* II
    ..... code 0..1 CE Binding: Act Encounter Codes . (preferred)
    ..... effectiveTime 1..1 USRealmDateTimeInterval
    ..... responsibleParty 0..1 InfrastructureRoot
    ...... assignedEntity C 1..1 AssignedEntity Constraints: 1198-32905

    doco Documentation for this format

    Terminology Bindings (Differential)

    PathConformanceValueSetURI
    ClinicalDocument.confidentialityCode.codepreferredHL7BasicConfidentialityKind .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.16926
    ClinicalDocument.recordTarget.patientRole.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.recordTarget.patientRole.patient.maritalStatusCoderequiredMaritalStatus .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12212
    ClinicalDocument.recordTarget.patientRole.patient.religiousAffiliationCoderequiredReligiousAffiliation .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19185
    ClinicalDocument.recordTarget.patientRole.patient.raceCoderequiredRaceCategories .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.4.642.2.575
    ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCoderequiredDetailedRaceIncludingAbsenceReasons .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.25
    ClinicalDocument.recordTarget.patientRole.patient.ethnicGroupCoderequiredEthnicityCategories .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.4.642.40.2.48.3
    ClinicalDocument.recordTarget.patientRole.patient.sdtcEthnicGroupCoderequiredDetailedEthnicityIncludingAbsenceReasons .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.4.642.40.2.48.1
    ClinicalDocument.recordTarget.patientRole.patient.guardian.coderequiredPersonalAndLegalRelationshipRoleType .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1
    ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.countryrequiredCountry2
    http://terminology.hl7.org/ValueSet/v3-Country2
    ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.languageCoderequiredLanguages
    http://terminology.hl7.org/ValueSet/Languages
    ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.modeCoderequiredLanguageAbilityMode .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12249
    ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.proficiencyLevelCoderequiredLanguageAbilityProficiency .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12199
    ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.author.assignedAuthor.code.codepreferredHealthcareProviderTaxonomy .(a valid code from http://nucc.org/provider-taxonomy)
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066
    ClinicalDocument.author.assignedAuthor.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.dataEnterer.assignedEntity.codepreferredHealthcareProviderTaxonomy .(a valid code from http://nucc.org/provider-taxonomy)
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066
    ClinicalDocument.dataEnterer.assignedEntity.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.informant:provider.assignedEntity.codepreferredHealthcareProviderTaxonomy .(a valid code from http://nucc.org/provider-taxonomy)
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066
    ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.legalAuthenticator.assignedEntity.codepreferredHealthcareProviderTaxonomy .(a valid code from http://nucc.org/provider-taxonomy)
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066
    ClinicalDocument.legalAuthenticator.assignedEntity.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.authenticator.assignedEntity.code.codepreferredHealthcareProviderTaxonomy .(a valid code from http://nucc.org/provider-taxonomy)
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066
    ClinicalDocument.authenticator.assignedEntity.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.documentationOf.serviceEvent.performer.typeCoderequiredX_ServiceEventPerformer .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19601
    ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.codepreferredCareTeamMemberFunction .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30
    ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.codepreferredHealthcareProviderTaxonomy .(a valid code from http://nucc.org/provider-taxonomy)
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066
    ClinicalDocument.componentOf.encompassingEncounter.codepreferredActEncounterCodes .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1240.5

    Constraints

    IdGradePath(s)DetailsRequirements
    1198-32905errorClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntityThis assignedEntity SHALL contain an assignedPerson or a representedOrganization or both (CONF:1198-32905).
    : assignedPerson.exists() or representedOrganization.exists()
    4537-5402errorClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addrIf 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://terminology.hl7.org/ValueSet/USPS-State'))
    4537-5403warningClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addrIf 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})?'))
    4537-6380errorClinicalDocumentIf setId is present versionNumber **SHALL** be present (CONF:4537-6380).
    : setId.exists() implies versionNumber.exists()
    4537-6387errorClinicalDocumentIf versionNumber is present setId **SHALL** be present (CONF:4537-6387).
    : versionNumber.exists() implies setId.exists()
    4537-10006errorClinicalDocument.participant**SHALL** contain associatedEntity/associatedPerson *AND/OR* associatedEntity/scopingOrganization (CONF:4537-10006).
    : associatedEntity.associatedPerson.exists() or associatedEntity.scopingOrganization.exists()
    4537-10007warningClinicalDocument.participantWhen 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')
    4537-16790errorClinicalDocument.author.assignedAuthorThere **SHALL** be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:4537-16790).
    : (assignedPerson | assignedAuthoringDevice).count() = 1
    4537-21000errorClinicalDocument.recordTarget.patientRole.patientIf sdtc:deceasedTime/@value is present, then sdtc:deceasedInd SHALL be present with value=true
    : sdtcDeceasedTime.value.exists() implies sdtcDeceasedInd.exists(value='true')
    4537-32993errorClinicalDocument.recordTarget.patientRole.patientIf 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()
    should-code-attrwarningClinicalDocument.documentationOf.serviceEvent.performer.functionCodeSHOULD contain @code
    : code.exists()
    should-countrywarningClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addrSHOULD contain country
    : nullFlavor.exists() or item.country.exists()
    should-extensionwarningClinicalDocument.author.assignedAuthor.id:npiSHOULD contain extension
    : extension.exists()
    should-id-npiwarningClinicalDocument.author.assignedAuthorSHOULD contain an id with root='2.16.840.1.113883.4.6' (NPI)
    : id.where(root = '2.16.840.1.113883.4.6')
    should-legalAuthenticatorwarningClinicalDocumentSHOULD contain legalAuthenticator
    : legalAuthenticator.exists()
    should-maritalStatusCodewarningClinicalDocument.recordTarget.patientRole.patientSHOULD contain maritalStatusCode
    : maritalStatusCode.exists()
    should-npiwarningClinicalDocument.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.rootSHOULD be NPI
    : $this = '2.16.840.1.113883.4.6'
    should-preferenceIndwarningClinicalDocument.recordTarget.patientRole.patient.languageCommunicationSHOULD contain preferenceInd
    : preferenceInd.exists()
    should-proficiencyLevelCodewarningClinicalDocument.recordTarget.patientRole.patient.languageCommunicationSHOULD contain proficiencyLevelCode
    : proficiencyLevelCode.exists()
    should-relatedParticipantwarningClinicalDocumentDocuments SHOULD contain a RelatedPerson participant
    : participant.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/RelatedPersonRelationshipAndNameParticipant').exists()
    should-responsiblePartywarningClinicalDocument.componentOf.encompassingEncounterSHOULD contain responsibleParty
    : responsibleParty.exists()
    should-us-addrwarningClinicalDocument.recordTarget.patientRole.patient.guardianSHOULD contain addr
    : addr.exists()
    should-us-codewarningClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.author.assignedAuthor, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntitySHOULD contain code
    : code.exists()
    should-us-languageCommunicationwarningClinicalDocument.recordTarget.patientRole.patientSHOULD contain languageCommunication
    : languageCommunication.exists()
    should-us-performerwarningClinicalDocument.documentationOf.serviceEventSHOULD contain performer
    : performer.exists()
    should-us-telecomwarningClinicalDocument.recordTarget.patientRole.patient.guardianSHOULD contain telecom
    : telecom.exists()
    should-usewarningClinicalDocument.recordTarget.patientRole.telecom, ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom, ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom, ClinicalDocument.author.assignedAuthor.telecom, ClinicalDocument.dataEnterer.assignedEntity.telecom, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom, ClinicalDocument.legalAuthenticator.assignedEntity.telecom, ClinicalDocument.authenticator.assignedEntity.telecomSHOULD contain @use
    : nullFlavor.exists() or use.exists()
    should-value-attwarningClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTimeSHOULD contain @value
    : value.exists()
    ts-shall-yearerrorClinicalDocument.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-daywarningClinicalDocument.recordTarget.patientRole.patient.birthTime, ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime**SHOULD** be precise to at least the day
    : nullFlavor.exists() or value.toString().length() >= 10
    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. ClinicalDocument C 1..1 ClinicalDocument XML Namespace: urn:hl7-org:v3
    Elements defined in Ancestors:@nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, sdtcCategory, code, title, sdtcStatusCode, effectiveTime, confidentialityCode, languageCode, setId, versionNumber, copyTime, recordTarget, author, dataEnterer, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, relatedDocument, authorization, componentOf, component
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    Constraints: 4537-6380, 4537-6387, should-legalAuthenticator, should-relatedParticipant
    ... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ... @classCode 0..1 cs Binding: CDAActClass (example)
    Fixed Value: DOCCLIN
    ... @moodCode 0..1 cs Binding: CDAActMood (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 C 1..1 II Constraints: II-1
    .... @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 1..* 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
    ... id 1..1 II **SHALL** be a globally unique identifier for the document (CONF:4537-9991).
    ... sdtcCategory 0..* CD XML Namespace: urn:hl7-org:sdtc
    XML: category (urn:hl7-org:sdtc)
    ... code 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)
    .... @code 1..1 cs
    .... @codeSystem 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.6.1
    .... @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
    ... 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 1..1 USRealmDateTime
    ... confidentialityCode 1..1 CE
    .... @code 1..1 cs Binding: HL7 BasicConfidentialityKind . (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
    ... 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 C 0..1 II Constraints: II-1
    ..... @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: CDAParticipationType (required)
    Fixed Value: RCT
    .... @contextControlCode 0..1 cs Binding: CDAContextControl (required)
    Fixed Value: OP
    .... patientRole 1..1 PatientRole
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @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 1..* USRealmAddress 𝗨𝗦𝗖𝗗𝗜: Address
    ..... telecom C 1..* TEL 𝗨𝗦𝗖𝗗𝗜: Phone Number / Email
    Constraints: should-use
    ...... @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 Constraints: 4537-32993, 4537-21000, should-maritalStatusCode, should-us-languageCommunication
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... realmCode 0..* CS
    ...... typeId C 0..1 II Constraints: II-1
    ....... @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 1..* USRealmPatientNamePTNUSFIELDED
    ...... sdtcDesc 0..1 ED XML Namespace: urn:hl7-org:sdtc
    XML: desc (urn:hl7-org:sdtc)
    ...... administrativeGenderCode 0..1 CE Binding: AdministrativeGender (example)
    ...... 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)
    Constraints: ts-shall-year, ts-should-day
    ...... 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)
    Constraints: should-value-att, ts-shall-year, ts-should-day
    ...... 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 Categories . (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: Detailed race including absence reasons. . (required)
    ...... ethnicGroupCode 1..1 CE 𝗨𝗦𝗖𝗗𝗜: Ethnicity
    Binding: Ethnicity Categories . (required)
    ...... sdtcEthnicGroupCode 0..* CE XML Namespace: urn:hl7-org:sdtc
    𝗨𝗦𝗖𝗗𝗜: Ethnicity
    XML: ethnicGroupCode (urn:hl7-org:sdtc)
    Binding: Detailed Ethnicity Including Absence Reasons . (required)
    ...... guardian C 0..* Guardian Constraints: should-us-code, should-us-addr, should-us-telecom
    ....... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ....... realmCode 0..* CS
    ....... typeId C 0..1 II Constraints: II-1
    ........ @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 0..* USRealmAddress
    ....... telecom C 0..* TEL Constraints: should-use
    ........ @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 C 0..1 II Constraints: II-1
    ......... @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 1..* USRealmPersonNamePNUSFIELDED
    ........ 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 C 0..1 II Constraints: II-1
    .......... @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 C 0..1 II Constraints: II-1
    ........ @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 C 0..1 II Constraints: II-1
    ......... @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 Constraints: 4537-5402, 4537-5403, should-country
    ......... @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
    Constraints: AD-1
    .......... (Choice of one) 1..1
    ........... delimiter C 0..1 ADXP Constraints: text-null
    ............ (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 Binding: Country2 (required)
    Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 𝗨𝗦𝗖𝗗𝗜: Preferred Language
    Constraints: should-proficiencyLevelCode, should-preferenceInd
    ....... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ....... realmCode 0..* CS
    ....... typeId C 0..1 II Constraints: II-1
    ........ @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: Languages (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 C 0..1 II Constraints: II-1
    ....... @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 Constraints: should-npi
    ....... @extension 0..1 st
    ...... name 1..* ON
    ...... telecom C 1..* TEL Constraints: should-use
    ....... @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 1..* USRealmAddress
    ...... 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 C 0..1 II Constraints: II-1
    ..... @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: CDAParticipationType (required)
    Fixed Value: AUT
    .... @contextControlCode 0..1 cs Binding: CDAContextControl (required)
    Fixed Value: OP
    .... functionCode 0..1 CE
    .... time 1..1 USRealmDateTime
    .... assignedAuthor C 1..1 AssignedAuthor Constraints: 4537-16790, should-id-npi, should-us-code
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @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 Constraints: should-extension
    ....... @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: CDARoleCode (example)
    ...... @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 1..* USRealmAddress
    ..... telecom C 1..* TEL Constraints: should-use
    ...... @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 C 0..1 II Constraints: II-1
    ........ @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 1..* USRealmPersonNamePNUSFIELDED
    ....... 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 C 0..1 II Constraints: II-1
    ......... @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 C 0..1 II Constraints: II-1
    ........ @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: CDAEntityCode (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 C 0..1 II Constraints: II-1
    ..... @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: CDAParticipationType (required)
    Fixed Value: ENT
    .... @contextControlCode 0..1 cs Binding: CDAContextControl (required)
    Fixed Value: OP
    .... time 0..1 USRealmDateTime
    .... assignedEntity 1..1 AssignedEntity
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @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 Constraints: should-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 1..* USRealmAddress
    ..... telecom C 1..* TEL Constraints: should-use
    ...... @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 C 0..1 II Constraints: II-1
    ....... @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 1..* USRealmPersonNamePNUSFIELDED
    ...... 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 C 0..1 II Constraints: II-1
    ........ @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 C 0..1 II Constraints: II-1
    ...... @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: CDAParticipationType (required)
    Fixed Value: INF
    ..... @contextControlCode 0..1 cs Binding: CDAContextControl (required)
    Fixed Value: OP
    ..... assignedEntity 1..1 AssignedEntity
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... realmCode 0..* CS
    ...... typeId C 0..1 II Constraints: II-1
    ....... @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 1..* USRealmAddress
    ...... telecom 0..* TEL
    ...... assignedPerson 1..1 Person
    ....... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ....... realmCode 0..* CS
    ....... typeId C 0..1 II Constraints: II-1
    ........ @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 1..* USRealmPersonNamePNUSFIELDED
    ....... 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 C 0..1 II Constraints: II-1
    ......... @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 C 0..1 II Constraints: II-1
    ...... @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: CDAParticipationType (required)
    Fixed Value: INF
    ..... @contextControlCode 0..1 cs Binding: CDAContextControl (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 C 0..1 II Constraints: II-1
    ..... @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: CDAParticipationType (required)
    Fixed Value: CST
    .... assignedCustodian 1..1 AssignedCustodian
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @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 C 0..1 II Constraints: II-1
    ....... @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 Constraints: should-npi
    ....... @extension 0..1 st
    ...... name 1..1 ON
    ...... telecom C 1..1 TEL Constraints: should-use
    ....... @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)
    ...... sdtcTelecom 0..* TEL XML Namespace: urn:hl7-org:sdtc
    The stdc:telecom extension can be used to provide additional telecom elements for the custodian organization.
    XML: telecom (urn:hl7-org:sdtc)
    ...... addr 1..1 USRealmAddress
    ... 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 C 0..1 II Constraints: II-1
    ..... @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 C 0..1 II Constraints: II-1
    ...... @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: CDAInformationRecipientRole (required)
    ..... 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 C 0..1 II Constraints: II-1
    ....... @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 1..* USRealmPersonNamePNUSFIELDED
    ...... 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 C 0..1 II Constraints: II-1
    ........ @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 C 0..1 II Constraints: II-1
    ....... @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 C 0..1 II Constraints: II-1
    ..... @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: CDAParticipationType (required)
    Fixed Value: LA
    .... @contextControlCode 0..1 cs Binding: CDAContextControl (required)
    Fixed Value: OP
    .... time 1..1 USRealmDateTime
    .... signatureCode C 1..1 CS Binding: CDASignatureCode (required)
    Constraints: signature
    ..... @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 C 0..1 II Constraints: II-1
    ...... @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 1..* USRealmAddress
    ..... telecom C 1..* TEL Constraints: should-use
    ...... @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 C 0..1 II Constraints: II-1
    ....... @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 1..* USRealmPersonNamePNUSFIELDED
    ...... 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 C 0..1 II Constraints: II-1
    ........ @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 C 0..1 II Constraints: II-1
    ..... @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: CDAParticipationType (required)
    Fixed Value: AUTHEN
    .... time 1..1 USRealmDateTime
    .... signatureCode C 1..1 CS Binding: CDASignatureCode (required)
    Constraints: signature
    ..... @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 C 0..1 II Constraints: II-1
    ...... @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 Constraints: should-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: CDARoleCode (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 1..* USRealmAddress
    ..... telecom C 1..* TEL Constraints: should-use
    ...... @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 C 0..1 II Constraints: II-1
    ....... @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 1..* USRealmPersonNamePNUSFIELDED
    ...... 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 C 0..1 II Constraints: II-1
    ........ @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).
    Constraints: 4537-10006, 4537-10007
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... realmCode 0..* CS
    .... typeId C 0..1 II Constraints: II-1
    ..... @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: CDAParticipationType (required)
    .... @contextControlCode 0..1 cs Binding: CDAContextControl (required)
    Fixed Value: OP
    .... functionCode 0..1 CE
    .... time 0..1 USRealmDateTimeInterval
    .... 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 C 0..1 II Constraints: II-1
    ..... @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 C 0..1 II Constraints: II-1
    ...... @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: CDAActClass (required)
    ..... @moodCode 0..1 cs Binding: CDAActMoodIntent (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 C 0..1 II Constraints: II-1
    ..... @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: CDAActRelationshipType (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.
    Constraints: should-us-performer
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @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: CDAActClass (required)
    ..... @moodCode 0..1 cs Binding: CDAActMood (required)
    Fixed Value: EVN
    ..... id 0..* II
    ..... code 0..1 CE
    ..... effectiveTime 1..1 USRealmDateTimeInterval
    ...... @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: CDASetOperator (required)
    ...... low C 1..1 IVXB_TS **MAY** be precise to at least the second
    Constraints: ts-shall-day, ts-should-minute
    ....... @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
    Constraints: ts-shall-day, ts-should-minute
    ....... @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 C 0..1 II Constraints: II-1
    ....... @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 Constraints: should-code-attr
    ....... @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 0..1 USRealmDateTimeInterval
    ...... assignedEntity C 1..1 AssignedEntity Constraints: should-us-code
    ....... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ....... realmCode 0..* CS
    ....... typeId C 0..1 II Constraints: II-1
    ........ @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 Constraints: should-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 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 C 0..1 II Constraints: II-1
    ..... @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: ActRelationshipAuthorizedBy (required)
    Fixed Value: AUTH
    .... consent 1..1 Consent
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @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: CDAActClass (required)
    Fixed Value: CONS
    ..... @moodCode 0..1 cs Binding: CDAActMood (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 C 0..1 II Constraints: II-1
    ..... @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 Constraints: should-responsibleParty
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @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: CDAActClass (required)
    Fixed Value: ENC
    ..... @moodCode 0..1 cs Binding: CDAActMood (required)
    Fixed Value: EVN
    ..... id 1..* II
    ..... code 0..1 CE Binding: Act Encounter Codes . (preferred)
    ..... effectiveTime 1..1 USRealmDateTimeInterval
    ..... 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 C 0..1 II Constraints: II-1
    ....... @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: CDAParticipationType (required)
    Fixed Value: RESP
    ...... assignedEntity C 1..1 AssignedEntity Constraints: 1198-32905
    ..... encounterParticipant 0..* EncounterParticipant
    ..... location 0..1 InfrastructureRoot
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... realmCode 0..* CS
    ...... typeId C 0..1 II Constraints: II-1
    ....... @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

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    ClinicalDocument.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.classCodeexampleFixed Value: DOCCLIN
    http://hl7.org/cda/stds/core/ValueSet/CDAActClass
    ClinicalDocument.moodCoderequiredFixed Value: EVN
    http://hl7.org/cda/stds/core/ValueSet/CDAActMood
    ClinicalDocument.realmCode.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.templateId:us-realm.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.codeexampleFHIRDocumentTypeCodes
    http://hl7.org/fhir/ValueSet/doc-typecodes
    From the FHIR Standard
    ClinicalDocument.sdtcStatusCoderequiredActStatus
    http://terminology.hl7.org/ValueSet/v3-ActStatus
    ClinicalDocument.confidentialityCode.codepreferredHL7BasicConfidentialityKind .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.16926
    ClinicalDocument.languageCoderequiredAllLanguages
    http://hl7.org/fhir/ValueSet/all-languages
    From the FHIR Standard
    ClinicalDocument.recordTarget.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.typeCoderequiredFixed Value: RCT
    http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
    ClinicalDocument.recordTarget.contextControlCoderequiredFixed Value: OP
    http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
    ClinicalDocument.recordTarget.patientRole.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.classCoderequiredFixed Value: PAT
    http://terminology.hl7.org/ValueSet/v3-RoleClassRelationshipFormal
    ClinicalDocument.recordTarget.patientRole.telecom.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.recordTarget.patientRole.patient.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.classCoderequiredFixed Value: PSN
    http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
    ClinicalDocument.recordTarget.patientRole.patient.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.recordTarget.patientRole.patient.administrativeGenderCodeexampleAdministrativeGender
    http://terminology.hl7.org/ValueSet/v3-AdministrativeGender
    ClinicalDocument.recordTarget.patientRole.patient.maritalStatusCoderequiredMaritalStatus .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12212
    ClinicalDocument.recordTarget.patientRole.patient.religiousAffiliationCoderequiredReligiousAffiliation .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19185
    ClinicalDocument.recordTarget.patientRole.patient.raceCoderequiredRaceCategories .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.4.642.2.575
    ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCoderequiredDetailedRaceIncludingAbsenceReasons .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.25
    ClinicalDocument.recordTarget.patientRole.patient.ethnicGroupCoderequiredEthnicityCategories .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.4.642.40.2.48.3
    ClinicalDocument.recordTarget.patientRole.patient.sdtcEthnicGroupCoderequiredDetailedEthnicityIncludingAbsenceReasons .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.4.642.40.2.48.1
    ClinicalDocument.recordTarget.patientRole.patient.guardian.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.guardian.classCoderequiredFixed Value: GUARD
    http://terminology.hl7.org/ValueSet/v3-RoleClassAgent
    ClinicalDocument.recordTarget.patientRole.patient.guardian.coderequiredPersonalAndLegalRelationshipRoleType .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1
    ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.classCoderequiredFixed Value: PSN
    http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
    ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.classCoderequiredFixed Value: BIRTHPL
    http://terminology.hl7.org/ValueSet/v3-RoleClassPassive
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.classCoderequiredFixed Value: PLC
    http://terminology.hl7.org/ValueSet/v3-EntityClassPlace
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.userequiredCDAPostalAddressUse
    http://hl7.org/cda/stds/core/ValueSet/CDAPostalAddressUse
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.countryrequiredCountry2
    http://terminology.hl7.org/ValueSet/v3-Country2
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.languageCoderequiredLanguages
    http://terminology.hl7.org/ValueSet/Languages
    ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.modeCoderequiredLanguageAbilityMode .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12249
    ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.proficiencyLevelCoderequiredLanguageAbilityProficiency .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12199
    ClinicalDocument.recordTarget.patientRole.providerOrganization.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.providerOrganization.classCoderequiredFixed Value: ORG
    http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization
    ClinicalDocument.recordTarget.patientRole.providerOrganization.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.recordTarget.patientRole.providerOrganization.id.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.recordTarget.patientRole.providerOrganization.standardIndustryClassCodeexampleOrganizationIndustryClassNAICS
    http://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS
    ClinicalDocument.author.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.typeCoderequiredFixed Value: AUT
    http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
    ClinicalDocument.author.contextControlCoderequiredFixed Value: OP
    http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
    ClinicalDocument.author.assignedAuthor.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.assignedAuthor.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.assignedAuthor.classCoderequiredFixed Value: ASSIGNED
    http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
    ClinicalDocument.author.assignedAuthor.id:npi.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.assignedAuthor.codeexampleCDARoleCode
    http://hl7.org/cda/stds/core/ValueSet/CDARoleCode
    ClinicalDocument.author.assignedAuthor.code.codepreferredHealthcareProviderTaxonomy .(a valid code from http://nucc.org/provider-taxonomy)
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066
    ClinicalDocument.author.assignedAuthor.telecom.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.assignedAuthor.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.author.assignedAuthor.assignedPerson.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.assignedAuthor.assignedPerson.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.assignedAuthor.assignedPerson.classCoderequiredFixed Value: PSN
    http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
    ClinicalDocument.author.assignedAuthor.assignedPerson.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.classCoderequiredFixed Value: DEV
    http://terminology.hl7.org/ValueSet/v3-EntityClassDevice
    ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.codeexampleCDAEntityCode
    http://hl7.org/cda/stds/core/ValueSet/CDAEntityCode
    ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.manufacturerModelNameexampleManufacturerModelNameExample
    http://terminology.hl7.org/ValueSet/v3-ManufacturerModelNameExample
    ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.softwareNameexampleSoftwareNameExample
    http://terminology.hl7.org/ValueSet/v3-SoftwareNameExample
    ClinicalDocument.dataEnterer.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.dataEnterer.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.dataEnterer.typeCoderequiredFixed Value: ENT
    http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
    ClinicalDocument.dataEnterer.contextControlCoderequiredFixed Value: OP
    http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
    ClinicalDocument.dataEnterer.assignedEntity.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.dataEnterer.assignedEntity.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.dataEnterer.assignedEntity.classCoderequiredFixed Value: ASSIGNED
    http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
    ClinicalDocument.dataEnterer.assignedEntity.id.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.dataEnterer.assignedEntity.codepreferredHealthcareProviderTaxonomy .(a valid code from http://nucc.org/provider-taxonomy)
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066
    ClinicalDocument.dataEnterer.assignedEntity.telecom.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.dataEnterer.assignedEntity.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.classCoderequiredFixed Value: PSN
    http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
    ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informant:provider.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informant:provider.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informant:provider.typeCoderequiredFixed Value: INF
    http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
    ClinicalDocument.informant:provider.contextControlCoderequiredFixed Value: OP
    http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
    ClinicalDocument.informant:provider.assignedEntity.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informant:provider.assignedEntity.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informant:provider.assignedEntity.classCoderequiredFixed Value: ASSIGNED
    http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
    ClinicalDocument.informant:provider.assignedEntity.codepreferredHealthcareProviderTaxonomy .(a valid code from http://nucc.org/provider-taxonomy)
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066
    ClinicalDocument.informant:provider.assignedEntity.assignedPerson.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informant:provider.assignedEntity.assignedPerson.classCoderequiredFixed Value: PSN
    http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
    ClinicalDocument.informant:provider.assignedEntity.assignedPerson.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informant:non-provider.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informant:non-provider.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informant:non-provider.typeCoderequiredFixed Value: INF
    http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
    ClinicalDocument.informant:non-provider.contextControlCoderequiredFixed Value: OP
    http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
    ClinicalDocument.custodian.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.custodian.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.custodian.typeCoderequiredFixed Value: CST
    http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
    ClinicalDocument.custodian.assignedCustodian.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.custodian.assignedCustodian.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.custodian.assignedCustodian.classCoderequiredFixed Value: ASSIGNED
    http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
    ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.classCoderequiredFixed Value: ORG
    http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization
    ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.informationRecipient.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informationRecipient.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informationRecipient.typeCoderequiredXInformationRecipient
    http://terminology.hl7.org/ValueSet/v3-xInformationRecipient|2.0.0
    ClinicalDocument.informationRecipient.intendedRecipient.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informationRecipient.intendedRecipient.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informationRecipient.intendedRecipient.classCoderequiredCDAInformationRecipientRole
    http://hl7.org/cda/stds/core/ValueSet/CDAInformationRecipientRole
    ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.classCoderequiredFixed Value: PSN
    http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
    ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.classCoderequiredFixed Value: ORG
    http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization
    ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.standardIndustryClassCodeexampleOrganizationIndustryClassNAICS
    http://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS
    ClinicalDocument.legalAuthenticator.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.legalAuthenticator.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.legalAuthenticator.typeCoderequiredFixed Value: LA
    http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
    ClinicalDocument.legalAuthenticator.contextControlCoderequiredFixed Value: OP
    http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
    ClinicalDocument.legalAuthenticator.signatureCoderequiredCDASignatureCode
    http://hl7.org/cda/stds/core/ValueSet/CDASignatureCode
    ClinicalDocument.legalAuthenticator.signatureCode.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.legalAuthenticator.assignedEntity.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.legalAuthenticator.assignedEntity.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.legalAuthenticator.assignedEntity.classCoderequiredFixed Value: ASSIGNED
    http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
    ClinicalDocument.legalAuthenticator.assignedEntity.id.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.legalAuthenticator.assignedEntity.codepreferredHealthcareProviderTaxonomy .(a valid code from http://nucc.org/provider-taxonomy)
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066
    ClinicalDocument.legalAuthenticator.assignedEntity.telecom.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.legalAuthenticator.assignedEntity.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.classCoderequiredFixed Value: PSN
    http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
    ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.typeCoderequiredFixed Value: AUTHEN
    http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
    ClinicalDocument.authenticator.signatureCoderequiredCDASignatureCode
    http://hl7.org/cda/stds/core/ValueSet/CDASignatureCode
    ClinicalDocument.authenticator.signatureCode.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.assignedEntity.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.assignedEntity.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.assignedEntity.classCoderequiredFixed Value: ASSIGNED
    http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
    ClinicalDocument.authenticator.assignedEntity.id.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.assignedEntity.codeexampleCDARoleCode
    http://hl7.org/cda/stds/core/ValueSet/CDARoleCode
    ClinicalDocument.authenticator.assignedEntity.code.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.assignedEntity.code.codepreferredHealthcareProviderTaxonomy .(a valid code from http://nucc.org/provider-taxonomy)
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066
    ClinicalDocument.authenticator.assignedEntity.telecom.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.assignedEntity.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.authenticator.assignedEntity.assignedPerson.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.assignedEntity.assignedPerson.classCoderequiredFixed Value: PSN
    http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
    ClinicalDocument.authenticator.assignedEntity.assignedPerson.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.participant.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.participant.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.participant.typeCoderequiredCDAParticipationType
    http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
    ClinicalDocument.participant.contextControlCoderequiredFixed Value: OP
    http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
    ClinicalDocument.inFulfillmentOf.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.inFulfillmentOf.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.inFulfillmentOf.typeCoderequiredFixed Value: FLFS
    http://terminology.hl7.org/ValueSet/v3-ActRelationshipFulfills|2.0.0
    ClinicalDocument.inFulfillmentOf.order.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.inFulfillmentOf.order.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.inFulfillmentOf.order.classCoderequiredCDAActClass
    http://hl7.org/cda/stds/core/ValueSet/CDAActClass
    ClinicalDocument.inFulfillmentOf.order.moodCoderequiredFixed Value: RQO
    http://hl7.org/cda/stds/core/ValueSet/CDAActMoodIntent
    ClinicalDocument.inFulfillmentOf.order.codeexampleActCode
    http://terminology.hl7.org/ValueSet/v3-ActCode
    ClinicalDocument.inFulfillmentOf.order.priorityCodeexampleActPriority
    http://terminology.hl7.org/ValueSet/v3-ActPriority
    ClinicalDocument.documentationOf.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.typeCoderequiredFixed Value: DOC
    http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType
    ClinicalDocument.documentationOf.serviceEvent.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.serviceEvent.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.serviceEvent.classCoderequiredCDAActClass
    http://hl7.org/cda/stds/core/ValueSet/CDAActClass
    ClinicalDocument.documentationOf.serviceEvent.moodCoderequiredFixed Value: EVN
    http://hl7.org/cda/stds/core/ValueSet/CDAActMood
    ClinicalDocument.documentationOf.serviceEvent.effectiveTime.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.serviceEvent.effectiveTime.operatorrequiredCDASetOperator
    http://hl7.org/cda/stds/core/ValueSet/CDASetOperator
    ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.serviceEvent.performer.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.serviceEvent.performer.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.serviceEvent.performer.typeCoderequiredX_ServiceEventPerformer .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19601
    ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.codepreferredCareTeamMemberFunction .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30
    ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.classCoderequiredFixed Value: ASSIGNED
    http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
    ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.codepreferredHealthcareProviderTaxonomy .(a valid code from http://nucc.org/provider-taxonomy)
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066
    ClinicalDocument.authorization.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authorization.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authorization.typeCoderequiredFixed Value: AUTH
    http://terminology.hl7.org/ValueSet/v3-ActRelationshipAuthorizedBy
    ClinicalDocument.authorization.consent.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authorization.consent.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authorization.consent.classCoderequiredFixed Value: CONS
    http://hl7.org/cda/stds/core/ValueSet/CDAActClass
    ClinicalDocument.authorization.consent.moodCoderequiredFixed Value: EVN
    http://hl7.org/cda/stds/core/ValueSet/CDAActMood
    ClinicalDocument.authorization.consent.codeexampleActCode
    http://terminology.hl7.org/ValueSet/v3-ActCode
    ClinicalDocument.authorization.consent.statusCoderequiredActStatus
    http://terminology.hl7.org/ValueSet/v3-ActStatus
    ClinicalDocument.authorization.consent.statusCode.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.componentOf.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.componentOf.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.componentOf.typeCoderequiredFixed Value: COMP
    http://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent
    ClinicalDocument.componentOf.encompassingEncounter.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.componentOf.encompassingEncounter.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.componentOf.encompassingEncounter.classCoderequiredFixed Value: ENC
    http://hl7.org/cda/stds/core/ValueSet/CDAActClass
    ClinicalDocument.componentOf.encompassingEncounter.moodCoderequiredFixed Value: EVN
    http://hl7.org/cda/stds/core/ValueSet/CDAActMood
    ClinicalDocument.componentOf.encompassingEncounter.codepreferredActEncounterCodes .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1240.5
    ClinicalDocument.componentOf.encompassingEncounter.dischargeDispositionCodeexampleUSEncounterDischargeDisposition
    http://terminology.hl7.org/ValueSet/v3-USEncounterDischargeDisposition
    ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeCoderequiredFixed Value: RESP
    http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
    ClinicalDocument.componentOf.encompassingEncounter.location.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.componentOf.encompassingEncounter.location.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.componentOf.encompassingEncounter.location.typeCoderequiredFixed Value: LOC
    http://terminology.hl7.org/ValueSet/v3-ParticipationTargetLocation

    Constraints

    IdGradePath(s)DetailsRequirements
    1198-32905errorClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntityThis assignedEntity SHALL contain an assignedPerson or a representedOrganization or both (CONF:1198-32905).
    : assignedPerson.exists() or representedOrganization.exists()
    4537-5402errorClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addrIf 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://terminology.hl7.org/ValueSet/USPS-State'))
    4537-5403warningClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addrIf 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})?'))
    4537-6380errorClinicalDocumentIf setId is present versionNumber **SHALL** be present (CONF:4537-6380).
    : setId.exists() implies versionNumber.exists()
    4537-6387errorClinicalDocumentIf versionNumber is present setId **SHALL** be present (CONF:4537-6387).
    : versionNumber.exists() implies setId.exists()
    4537-10006errorClinicalDocument.participant**SHALL** contain associatedEntity/associatedPerson *AND/OR* associatedEntity/scopingOrganization (CONF:4537-10006).
    : associatedEntity.associatedPerson.exists() or associatedEntity.scopingOrganization.exists()
    4537-10007warningClinicalDocument.participantWhen 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')
    4537-16790errorClinicalDocument.author.assignedAuthorThere **SHALL** be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:4537-16790).
    : (assignedPerson | assignedAuthoringDevice).count() = 1
    4537-21000errorClinicalDocument.recordTarget.patientRole.patientIf sdtc:deceasedTime/@value is present, then sdtc:deceasedInd SHALL be present with value=true
    : sdtcDeceasedTime.value.exists() implies sdtcDeceasedInd.exists(value='true')
    4537-32993errorClinicalDocument.recordTarget.patientRole.patientIf sdtc:deceasedInd="true", then sdtc:deceasedTime **SHALL** be present with either a @value or @nullFlavor=UNK (CONF:4537-32993).
    : sdtcDeceasedInd.exists(value='true') implies sdtcDeceasedTime.exists()
    AD-1errorClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.itemCan only have only one of the possible item elements in each choice
    : (delimiter | country | state | county | city | postalCode | streetAddressLine | houseNumber | houseNumberNumeric | direction | streetName | streetNameBase | streetNameType | additionalLocator | unitID | unitType | careOf | censusTract | deliveryAddressLine | deliveryInstallationType | deliveryInstallationArea | deliveryInstallationQualifier | deliveryMode | deliveryModeIdentifier | buildingNumberSuffix | postBox | precinct | xmlText).count() = 1
    II-1errorClinicalDocument.typeId, ClinicalDocument.recordTarget.typeId, ClinicalDocument.recordTarget.patientRole.typeId, ClinicalDocument.recordTarget.patientRole.patient.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId, ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId, ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId, ClinicalDocument.author.typeId, ClinicalDocument.author.assignedAuthor.typeId, ClinicalDocument.author.assignedAuthor.assignedPerson.typeId, ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId, ClinicalDocument.dataEnterer.typeId, ClinicalDocument.dataEnterer.assignedEntity.typeId, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.informant:provider.typeId, ClinicalDocument.informant:provider.assignedEntity.typeId, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.informant:non-provider.typeId, ClinicalDocument.custodian.typeId, ClinicalDocument.custodian.assignedCustodian.typeId, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId, ClinicalDocument.informationRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId, ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId, ClinicalDocument.legalAuthenticator.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.authenticator.typeId, ClinicalDocument.authenticator.assignedEntity.typeId, ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId, ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.participant.typeId, ClinicalDocument.inFulfillmentOf.typeId, ClinicalDocument.inFulfillmentOf.order.typeId, ClinicalDocument.documentationOf.typeId, ClinicalDocument.documentationOf.serviceEvent.typeId, ClinicalDocument.documentationOf.serviceEvent.performer.typeId, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId, ClinicalDocument.authorization.typeId, ClinicalDocument.authorization.consent.typeId, ClinicalDocument.componentOf.typeId, ClinicalDocument.componentOf.encompassingEncounter.typeId, ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId, ClinicalDocument.componentOf.encompassingEncounter.location.typeIdAn II instance must have either a root or an nullFlavor.
    : root.exists() or nullFlavor.exists()
    should-code-attrwarningClinicalDocument.documentationOf.serviceEvent.performer.functionCodeSHOULD contain @code
    : code.exists()
    should-countrywarningClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addrSHOULD contain country
    : nullFlavor.exists() or item.country.exists()
    should-extensionwarningClinicalDocument.author.assignedAuthor.id:npiSHOULD contain extension
    : extension.exists()
    should-id-npiwarningClinicalDocument.author.assignedAuthorSHOULD contain an id with root='2.16.840.1.113883.4.6' (NPI)
    : id.where(root = '2.16.840.1.113883.4.6')
    should-legalAuthenticatorwarningClinicalDocumentSHOULD contain legalAuthenticator
    : legalAuthenticator.exists()
    should-maritalStatusCodewarningClinicalDocument.recordTarget.patientRole.patientSHOULD contain maritalStatusCode
    : maritalStatusCode.exists()
    should-npiwarningClinicalDocument.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.rootSHOULD be NPI
    : $this = '2.16.840.1.113883.4.6'
    should-preferenceIndwarningClinicalDocument.recordTarget.patientRole.patient.languageCommunicationSHOULD contain preferenceInd
    : preferenceInd.exists()
    should-proficiencyLevelCodewarningClinicalDocument.recordTarget.patientRole.patient.languageCommunicationSHOULD contain proficiencyLevelCode
    : proficiencyLevelCode.exists()
    should-relatedParticipantwarningClinicalDocumentDocuments SHOULD contain a RelatedPerson participant
    : participant.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/RelatedPersonRelationshipAndNameParticipant').exists()
    should-responsiblePartywarningClinicalDocument.componentOf.encompassingEncounterSHOULD contain responsibleParty
    : responsibleParty.exists()
    should-us-addrwarningClinicalDocument.recordTarget.patientRole.patient.guardianSHOULD contain addr
    : addr.exists()
    should-us-codewarningClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.author.assignedAuthor, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntitySHOULD contain code
    : code.exists()
    should-us-languageCommunicationwarningClinicalDocument.recordTarget.patientRole.patientSHOULD contain languageCommunication
    : languageCommunication.exists()
    should-us-performerwarningClinicalDocument.documentationOf.serviceEventSHOULD contain performer
    : performer.exists()
    should-us-telecomwarningClinicalDocument.recordTarget.patientRole.patient.guardianSHOULD contain telecom
    : telecom.exists()
    should-usewarningClinicalDocument.recordTarget.patientRole.telecom, ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom, ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom, ClinicalDocument.author.assignedAuthor.telecom, ClinicalDocument.dataEnterer.assignedEntity.telecom, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom, ClinicalDocument.legalAuthenticator.assignedEntity.telecom, ClinicalDocument.authenticator.assignedEntity.telecomSHOULD contain @use
    : nullFlavor.exists() or use.exists()
    should-value-attwarningClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTimeSHOULD contain @value
    : value.exists()
    signaturewarningClinicalDocument.legalAuthenticator.signatureCode, ClinicalDocument.authenticator.signatureCodeCDA 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-nullerrorClinicalDocument.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.precinctxmlText and nullFlavor are mutually exclusive (one must be present)
    : (xmlText | nullFlavor).count() = 1
    ts-shall-dayerrorClinicalDocument.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-yearerrorClinicalDocument.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-daywarningClinicalDocument.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-minutewarningClinicalDocument.documentationOf.serviceEvent.effectiveTime.low, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high**SHOULD** be precise to at least the minute
    : nullFlavor.exists() or value.toString().length() > 10
    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. ClinicalDocument C 1..1 ClinicalDocument XML Namespace: urn:hl7-org:v3
    Elements defined in Ancestors:@nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, sdtcCategory, code, title, sdtcStatusCode, effectiveTime, confidentialityCode, languageCode, setId, versionNumber, copyTime, recordTarget, author, dataEnterer, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, relatedDocument, authorization, componentOf, component
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    Constraints: 4537-6380, 4537-6387, should-legalAuthenticator, should-relatedParticipant
    ... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ... @classCode 0..1 cs Binding: CDAActClass (example)
    Fixed Value: DOCCLIN
    ... @moodCode 0..1 cs Binding: CDAActMood (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 C 1..1 II Constraints: II-1
    .... @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 1..* 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
    ... id 1..1 II **SHALL** be a globally unique identifier for the document (CONF:4537-9991).
    ... sdtcCategory 0..* CD XML Namespace: urn:hl7-org:sdtc
    XML: category (urn:hl7-org:sdtc)
    ... code 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)
    .... @code 1..1 cs
    .... @codeSystem 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.6.1
    .... @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
    ... 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 1..1 USRealmDateTime
    ... confidentialityCode 1..1 CE
    .... @code 1..1 cs Binding: HL7 BasicConfidentialityKind . (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
    ... 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 C 0..1 II Constraints: II-1
    ..... @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: CDAParticipationType (required)
    Fixed Value: RCT
    .... @contextControlCode 0..1 cs Binding: CDAContextControl (required)
    Fixed Value: OP
    .... patientRole 1..1 PatientRole
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @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 1..* USRealmAddress 𝗨𝗦𝗖𝗗𝗜: Address
    ..... telecom C 1..* TEL 𝗨𝗦𝗖𝗗𝗜: Phone Number / Email
    Constraints: should-use
    ...... @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 Constraints: 4537-32993, 4537-21000, should-maritalStatusCode, should-us-languageCommunication
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... realmCode 0..* CS
    ...... typeId C 0..1 II Constraints: II-1
    ....... @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 1..* USRealmPatientNamePTNUSFIELDED
    ...... sdtcDesc 0..1 ED XML Namespace: urn:hl7-org:sdtc
    XML: desc (urn:hl7-org:sdtc)
    ...... administrativeGenderCode 0..1 CE Binding: AdministrativeGender (example)
    ...... 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)
    Constraints: ts-shall-year, ts-should-day
    ...... 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)
    Constraints: should-value-att, ts-shall-year, ts-should-day
    ...... 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 Categories . (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: Detailed race including absence reasons. . (required)
    ...... ethnicGroupCode 1..1 CE 𝗨𝗦𝗖𝗗𝗜: Ethnicity
    Binding: Ethnicity Categories . (required)
    ...... sdtcEthnicGroupCode 0..* CE XML Namespace: urn:hl7-org:sdtc
    𝗨𝗦𝗖𝗗𝗜: Ethnicity
    XML: ethnicGroupCode (urn:hl7-org:sdtc)
    Binding: Detailed Ethnicity Including Absence Reasons . (required)
    ...... guardian C 0..* Guardian Constraints: should-us-code, should-us-addr, should-us-telecom
    ....... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ....... realmCode 0..* CS
    ....... typeId C 0..1 II Constraints: II-1
    ........ @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 0..* USRealmAddress
    ....... telecom C 0..* TEL Constraints: should-use
    ........ @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 C 0..1 II Constraints: II-1
    ......... @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 1..* USRealmPersonNamePNUSFIELDED
    ........ 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 C 0..1 II Constraints: II-1
    .......... @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 C 0..1 II Constraints: II-1
    ........ @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 C 0..1 II Constraints: II-1
    ......... @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 Constraints: 4537-5402, 4537-5403, should-country
    ......... @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
    Constraints: AD-1
    .......... (Choice of one) 1..1
    ........... delimiter C 0..1 ADXP Constraints: text-null
    ............ (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 Binding: Country2 (required)
    Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 𝗨𝗦𝗖𝗗𝗜: Preferred Language
    Constraints: should-proficiencyLevelCode, should-preferenceInd
    ....... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ....... realmCode 0..* CS
    ....... typeId C 0..1 II Constraints: II-1
    ........ @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: Languages (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 C 0..1 II Constraints: II-1
    ....... @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 Constraints: should-npi
    ....... @extension 0..1 st
    ...... name 1..* ON
    ...... telecom C 1..* TEL Constraints: should-use
    ....... @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 1..* USRealmAddress
    ...... 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 C 0..1 II Constraints: II-1
    ..... @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: CDAParticipationType (required)
    Fixed Value: AUT
    .... @contextControlCode 0..1 cs Binding: CDAContextControl (required)
    Fixed Value: OP
    .... functionCode 0..1 CE
    .... time 1..1 USRealmDateTime
    .... assignedAuthor C 1..1 AssignedAuthor Constraints: 4537-16790, should-id-npi, should-us-code
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @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 Constraints: should-extension
    ....... @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: CDARoleCode (example)
    ...... @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 1..* USRealmAddress
    ..... telecom C 1..* TEL Constraints: should-use
    ...... @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 C 0..1 II Constraints: II-1
    ........ @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 1..* USRealmPersonNamePNUSFIELDED
    ....... 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 C 0..1 II Constraints: II-1
    ......... @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 C 0..1 II Constraints: II-1
    ........ @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: CDAEntityCode (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 C 0..1 II Constraints: II-1
    ..... @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: CDAParticipationType (required)
    Fixed Value: ENT
    .... @contextControlCode 0..1 cs Binding: CDAContextControl (required)
    Fixed Value: OP
    .... time 0..1 USRealmDateTime
    .... assignedEntity 1..1 AssignedEntity
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @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 Constraints: should-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 1..* USRealmAddress
    ..... telecom C 1..* TEL Constraints: should-use
    ...... @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 C 0..1 II Constraints: II-1
    ....... @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 1..* USRealmPersonNamePNUSFIELDED
    ...... 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 C 0..1 II Constraints: II-1
    ........ @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 C 0..1 II Constraints: II-1
    ...... @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: CDAParticipationType (required)
    Fixed Value: INF
    ..... @contextControlCode 0..1 cs Binding: CDAContextControl (required)
    Fixed Value: OP
    ..... assignedEntity 1..1 AssignedEntity
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... realmCode 0..* CS
    ...... typeId C 0..1 II Constraints: II-1
    ....... @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 1..* USRealmAddress
    ...... telecom 0..* TEL
    ...... assignedPerson 1..1 Person
    ....... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ....... realmCode 0..* CS
    ....... typeId C 0..1 II Constraints: II-1
    ........ @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 1..* USRealmPersonNamePNUSFIELDED
    ....... 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 C 0..1 II Constraints: II-1
    ......... @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 C 0..1 II Constraints: II-1
    ...... @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: CDAParticipationType (required)
    Fixed Value: INF
    ..... @contextControlCode 0..1 cs Binding: CDAContextControl (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 C 0..1 II Constraints: II-1
    ..... @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: CDAParticipationType (required)
    Fixed Value: CST
    .... assignedCustodian 1..1 AssignedCustodian
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @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 C 0..1 II Constraints: II-1
    ....... @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 Constraints: should-npi
    ....... @extension 0..1 st
    ...... name 1..1 ON
    ...... telecom C 1..1 TEL Constraints: should-use
    ....... @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)
    ...... sdtcTelecom 0..* TEL XML Namespace: urn:hl7-org:sdtc
    The stdc:telecom extension can be used to provide additional telecom elements for the custodian organization.
    XML: telecom (urn:hl7-org:sdtc)
    ...... addr 1..1 USRealmAddress
    ... 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 C 0..1 II Constraints: II-1
    ..... @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 C 0..1 II Constraints: II-1
    ...... @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: CDAInformationRecipientRole (required)
    ..... 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 C 0..1 II Constraints: II-1
    ....... @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 1..* USRealmPersonNamePNUSFIELDED
    ...... 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 C 0..1 II Constraints: II-1
    ........ @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 C 0..1 II Constraints: II-1
    ....... @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 C 0..1 II Constraints: II-1
    ..... @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: CDAParticipationType (required)
    Fixed Value: LA
    .... @contextControlCode 0..1 cs Binding: CDAContextControl (required)
    Fixed Value: OP
    .... time 1..1 USRealmDateTime
    .... signatureCode C 1..1 CS Binding: CDASignatureCode (required)
    Constraints: signature
    ..... @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 C 0..1 II Constraints: II-1
    ...... @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 1..* USRealmAddress
    ..... telecom C 1..* TEL Constraints: should-use
    ...... @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 C 0..1 II Constraints: II-1
    ....... @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 1..* USRealmPersonNamePNUSFIELDED
    ...... 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 C 0..1 II Constraints: II-1
    ........ @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 C 0..1 II Constraints: II-1
    ..... @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: CDAParticipationType (required)
    Fixed Value: AUTHEN
    .... time 1..1 USRealmDateTime
    .... signatureCode C 1..1 CS Binding: CDASignatureCode (required)
    Constraints: signature
    ..... @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 C 0..1 II Constraints: II-1
    ...... @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 Constraints: should-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: CDARoleCode (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 1..* USRealmAddress
    ..... telecom C 1..* TEL Constraints: should-use
    ...... @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 C 0..1 II Constraints: II-1
    ....... @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 1..* USRealmPersonNamePNUSFIELDED
    ...... 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 C 0..1 II Constraints: II-1
    ........ @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).
    Constraints: 4537-10006, 4537-10007
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... realmCode 0..* CS
    .... typeId C 0..1 II Constraints: II-1
    ..... @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: CDAParticipationType (required)
    .... @contextControlCode 0..1 cs Binding: CDAContextControl (required)
    Fixed Value: OP
    .... functionCode 0..1 CE
    .... time 0..1 USRealmDateTimeInterval
    .... 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 C 0..1 II Constraints: II-1
    ..... @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 C 0..1 II Constraints: II-1
    ...... @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: CDAActClass (required)
    ..... @moodCode 0..1 cs Binding: CDAActMoodIntent (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 C 0..1 II Constraints: II-1
    ..... @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: CDAActRelationshipType (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.
    Constraints: should-us-performer
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @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: CDAActClass (required)
    ..... @moodCode 0..1 cs Binding: CDAActMood (required)
    Fixed Value: EVN
    ..... id 0..* II
    ..... code 0..1 CE
    ..... effectiveTime 1..1 USRealmDateTimeInterval
    ...... @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: CDASetOperator (required)
    ...... low C 1..1 IVXB_TS **MAY** be precise to at least the second
    Constraints: ts-shall-day, ts-should-minute
    ....... @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
    Constraints: ts-shall-day, ts-should-minute
    ....... @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 C 0..1 II Constraints: II-1
    ....... @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 Constraints: should-code-attr
    ....... @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 0..1 USRealmDateTimeInterval
    ...... assignedEntity C 1..1 AssignedEntity Constraints: should-us-code
    ....... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ....... realmCode 0..* CS
    ....... typeId C 0..1 II Constraints: II-1
    ........ @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 Constraints: should-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 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 C 0..1 II Constraints: II-1
    ..... @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: ActRelationshipAuthorizedBy (required)
    Fixed Value: AUTH
    .... consent 1..1 Consent
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @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: CDAActClass (required)
    Fixed Value: CONS
    ..... @moodCode 0..1 cs Binding: CDAActMood (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 C 0..1 II Constraints: II-1
    ..... @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 Constraints: should-responsibleParty
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @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: CDAActClass (required)
    Fixed Value: ENC
    ..... @moodCode 0..1 cs Binding: CDAActMood (required)
    Fixed Value: EVN
    ..... id 1..* II
    ..... code 0..1 CE Binding: Act Encounter Codes . (preferred)
    ..... effectiveTime 1..1 USRealmDateTimeInterval
    ..... 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 C 0..1 II Constraints: II-1
    ....... @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: CDAParticipationType (required)
    Fixed Value: RESP
    ...... assignedEntity C 1..1 AssignedEntity Constraints: 1198-32905
    ..... encounterParticipant 0..* EncounterParticipant
    ..... location 0..1 InfrastructureRoot
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... realmCode 0..* CS
    ...... typeId C 0..1 II Constraints: II-1
    ....... @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

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    ClinicalDocument.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.classCodeexampleFixed Value: DOCCLIN
    http://hl7.org/cda/stds/core/ValueSet/CDAActClass
    ClinicalDocument.moodCoderequiredFixed Value: EVN
    http://hl7.org/cda/stds/core/ValueSet/CDAActMood
    ClinicalDocument.realmCode.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.templateId:us-realm.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.codeexampleFHIRDocumentTypeCodes
    http://hl7.org/fhir/ValueSet/doc-typecodes
    From the FHIR Standard
    ClinicalDocument.sdtcStatusCoderequiredActStatus
    http://terminology.hl7.org/ValueSet/v3-ActStatus
    ClinicalDocument.confidentialityCode.codepreferredHL7BasicConfidentialityKind .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.16926
    ClinicalDocument.languageCoderequiredAllLanguages
    http://hl7.org/fhir/ValueSet/all-languages
    From the FHIR Standard
    ClinicalDocument.recordTarget.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.typeCoderequiredFixed Value: RCT
    http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
    ClinicalDocument.recordTarget.contextControlCoderequiredFixed Value: OP
    http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
    ClinicalDocument.recordTarget.patientRole.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.classCoderequiredFixed Value: PAT
    http://terminology.hl7.org/ValueSet/v3-RoleClassRelationshipFormal
    ClinicalDocument.recordTarget.patientRole.telecom.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.recordTarget.patientRole.patient.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.classCoderequiredFixed Value: PSN
    http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
    ClinicalDocument.recordTarget.patientRole.patient.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.recordTarget.patientRole.patient.administrativeGenderCodeexampleAdministrativeGender
    http://terminology.hl7.org/ValueSet/v3-AdministrativeGender
    ClinicalDocument.recordTarget.patientRole.patient.maritalStatusCoderequiredMaritalStatus .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12212
    ClinicalDocument.recordTarget.patientRole.patient.religiousAffiliationCoderequiredReligiousAffiliation .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19185
    ClinicalDocument.recordTarget.patientRole.patient.raceCoderequiredRaceCategories .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.4.642.2.575
    ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCoderequiredDetailedRaceIncludingAbsenceReasons .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.25
    ClinicalDocument.recordTarget.patientRole.patient.ethnicGroupCoderequiredEthnicityCategories .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.4.642.40.2.48.3
    ClinicalDocument.recordTarget.patientRole.patient.sdtcEthnicGroupCoderequiredDetailedEthnicityIncludingAbsenceReasons .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.4.642.40.2.48.1
    ClinicalDocument.recordTarget.patientRole.patient.guardian.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.guardian.classCoderequiredFixed Value: GUARD
    http://terminology.hl7.org/ValueSet/v3-RoleClassAgent
    ClinicalDocument.recordTarget.patientRole.patient.guardian.coderequiredPersonalAndLegalRelationshipRoleType .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1
    ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.classCoderequiredFixed Value: PSN
    http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
    ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.classCoderequiredFixed Value: BIRTHPL
    http://terminology.hl7.org/ValueSet/v3-RoleClassPassive
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.classCoderequiredFixed Value: PLC
    http://terminology.hl7.org/ValueSet/v3-EntityClassPlace
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.userequiredCDAPostalAddressUse
    http://hl7.org/cda/stds/core/ValueSet/CDAPostalAddressUse
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.countryrequiredCountry2
    http://terminology.hl7.org/ValueSet/v3-Country2
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.languageCoderequiredLanguages
    http://terminology.hl7.org/ValueSet/Languages
    ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.modeCoderequiredLanguageAbilityMode .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12249
    ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.proficiencyLevelCoderequiredLanguageAbilityProficiency .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12199
    ClinicalDocument.recordTarget.patientRole.providerOrganization.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.providerOrganization.classCoderequiredFixed Value: ORG
    http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization
    ClinicalDocument.recordTarget.patientRole.providerOrganization.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.recordTarget.patientRole.providerOrganization.id.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.recordTarget.patientRole.providerOrganization.standardIndustryClassCodeexampleOrganizationIndustryClassNAICS
    http://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS
    ClinicalDocument.author.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.typeCoderequiredFixed Value: AUT
    http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
    ClinicalDocument.author.contextControlCoderequiredFixed Value: OP
    http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
    ClinicalDocument.author.assignedAuthor.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.assignedAuthor.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.assignedAuthor.classCoderequiredFixed Value: ASSIGNED
    http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
    ClinicalDocument.author.assignedAuthor.id:npi.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.assignedAuthor.codeexampleCDARoleCode
    http://hl7.org/cda/stds/core/ValueSet/CDARoleCode
    ClinicalDocument.author.assignedAuthor.code.codepreferredHealthcareProviderTaxonomy .(a valid code from http://nucc.org/provider-taxonomy)
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066
    ClinicalDocument.author.assignedAuthor.telecom.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.assignedAuthor.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.author.assignedAuthor.assignedPerson.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.assignedAuthor.assignedPerson.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.assignedAuthor.assignedPerson.classCoderequiredFixed Value: PSN
    http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
    ClinicalDocument.author.assignedAuthor.assignedPerson.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.classCoderequiredFixed Value: DEV
    http://terminology.hl7.org/ValueSet/v3-EntityClassDevice
    ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.codeexampleCDAEntityCode
    http://hl7.org/cda/stds/core/ValueSet/CDAEntityCode
    ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.manufacturerModelNameexampleManufacturerModelNameExample
    http://terminology.hl7.org/ValueSet/v3-ManufacturerModelNameExample
    ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.softwareNameexampleSoftwareNameExample
    http://terminology.hl7.org/ValueSet/v3-SoftwareNameExample
    ClinicalDocument.dataEnterer.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.dataEnterer.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.dataEnterer.typeCoderequiredFixed Value: ENT
    http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
    ClinicalDocument.dataEnterer.contextControlCoderequiredFixed Value: OP
    http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
    ClinicalDocument.dataEnterer.assignedEntity.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.dataEnterer.assignedEntity.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.dataEnterer.assignedEntity.classCoderequiredFixed Value: ASSIGNED
    http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
    ClinicalDocument.dataEnterer.assignedEntity.id.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.dataEnterer.assignedEntity.codepreferredHealthcareProviderTaxonomy .(a valid code from http://nucc.org/provider-taxonomy)
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066
    ClinicalDocument.dataEnterer.assignedEntity.telecom.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.dataEnterer.assignedEntity.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.classCoderequiredFixed Value: PSN
    http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
    ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informant:provider.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informant:provider.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informant:provider.typeCoderequiredFixed Value: INF
    http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
    ClinicalDocument.informant:provider.contextControlCoderequiredFixed Value: OP
    http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
    ClinicalDocument.informant:provider.assignedEntity.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informant:provider.assignedEntity.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informant:provider.assignedEntity.classCoderequiredFixed Value: ASSIGNED
    http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
    ClinicalDocument.informant:provider.assignedEntity.codepreferredHealthcareProviderTaxonomy .(a valid code from http://nucc.org/provider-taxonomy)
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066
    ClinicalDocument.informant:provider.assignedEntity.assignedPerson.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informant:provider.assignedEntity.assignedPerson.classCoderequiredFixed Value: PSN
    http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
    ClinicalDocument.informant:provider.assignedEntity.assignedPerson.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informant:non-provider.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informant:non-provider.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informant:non-provider.typeCoderequiredFixed Value: INF
    http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
    ClinicalDocument.informant:non-provider.contextControlCoderequiredFixed Value: OP
    http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
    ClinicalDocument.custodian.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.custodian.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.custodian.typeCoderequiredFixed Value: CST
    http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
    ClinicalDocument.custodian.assignedCustodian.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.custodian.assignedCustodian.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.custodian.assignedCustodian.classCoderequiredFixed Value: ASSIGNED
    http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
    ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.classCoderequiredFixed Value: ORG
    http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization
    ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.informationRecipient.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informationRecipient.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informationRecipient.typeCoderequiredXInformationRecipient
    http://terminology.hl7.org/ValueSet/v3-xInformationRecipient|2.0.0
    ClinicalDocument.informationRecipient.intendedRecipient.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informationRecipient.intendedRecipient.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informationRecipient.intendedRecipient.classCoderequiredCDAInformationRecipientRole
    http://hl7.org/cda/stds/core/ValueSet/CDAInformationRecipientRole
    ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.classCoderequiredFixed Value: PSN
    http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
    ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.classCoderequiredFixed Value: ORG
    http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization
    ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.standardIndustryClassCodeexampleOrganizationIndustryClassNAICS
    http://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS
    ClinicalDocument.legalAuthenticator.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.legalAuthenticator.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.legalAuthenticator.typeCoderequiredFixed Value: LA
    http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
    ClinicalDocument.legalAuthenticator.contextControlCoderequiredFixed Value: OP
    http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
    ClinicalDocument.legalAuthenticator.signatureCoderequiredCDASignatureCode
    http://hl7.org/cda/stds/core/ValueSet/CDASignatureCode
    ClinicalDocument.legalAuthenticator.signatureCode.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.legalAuthenticator.assignedEntity.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.legalAuthenticator.assignedEntity.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.legalAuthenticator.assignedEntity.classCoderequiredFixed Value: ASSIGNED
    http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
    ClinicalDocument.legalAuthenticator.assignedEntity.id.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.legalAuthenticator.assignedEntity.codepreferredHealthcareProviderTaxonomy .(a valid code from http://nucc.org/provider-taxonomy)
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066
    ClinicalDocument.legalAuthenticator.assignedEntity.telecom.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.legalAuthenticator.assignedEntity.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.classCoderequiredFixed Value: PSN
    http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
    ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.typeCoderequiredFixed Value: AUTHEN
    http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
    ClinicalDocument.authenticator.signatureCoderequiredCDASignatureCode
    http://hl7.org/cda/stds/core/ValueSet/CDASignatureCode
    ClinicalDocument.authenticator.signatureCode.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.assignedEntity.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.assignedEntity.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.assignedEntity.classCoderequiredFixed Value: ASSIGNED
    http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
    ClinicalDocument.authenticator.assignedEntity.id.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.assignedEntity.codeexampleCDARoleCode
    http://hl7.org/cda/stds/core/ValueSet/CDARoleCode
    ClinicalDocument.authenticator.assignedEntity.code.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.assignedEntity.code.codepreferredHealthcareProviderTaxonomy .(a valid code from http://nucc.org/provider-taxonomy)
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066
    ClinicalDocument.authenticator.assignedEntity.telecom.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.assignedEntity.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.authenticator.assignedEntity.assignedPerson.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.assignedEntity.assignedPerson.classCoderequiredFixed Value: PSN
    http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
    ClinicalDocument.authenticator.assignedEntity.assignedPerson.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.participant.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.participant.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.participant.typeCoderequiredCDAParticipationType
    http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
    ClinicalDocument.participant.contextControlCoderequiredFixed Value: OP
    http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
    ClinicalDocument.inFulfillmentOf.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.inFulfillmentOf.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.inFulfillmentOf.typeCoderequiredFixed Value: FLFS
    http://terminology.hl7.org/ValueSet/v3-ActRelationshipFulfills|2.0.0
    ClinicalDocument.inFulfillmentOf.order.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.inFulfillmentOf.order.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.inFulfillmentOf.order.classCoderequiredCDAActClass
    http://hl7.org/cda/stds/core/ValueSet/CDAActClass
    ClinicalDocument.inFulfillmentOf.order.moodCoderequiredFixed Value: RQO
    http://hl7.org/cda/stds/core/ValueSet/CDAActMoodIntent
    ClinicalDocument.inFulfillmentOf.order.codeexampleActCode
    http://terminology.hl7.org/ValueSet/v3-ActCode
    ClinicalDocument.inFulfillmentOf.order.priorityCodeexampleActPriority
    http://terminology.hl7.org/ValueSet/v3-ActPriority
    ClinicalDocument.documentationOf.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.typeCoderequiredFixed Value: DOC
    http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType
    ClinicalDocument.documentationOf.serviceEvent.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.serviceEvent.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.serviceEvent.classCoderequiredCDAActClass
    http://hl7.org/cda/stds/core/ValueSet/CDAActClass
    ClinicalDocument.documentationOf.serviceEvent.moodCoderequiredFixed Value: EVN
    http://hl7.org/cda/stds/core/ValueSet/CDAActMood
    ClinicalDocument.documentationOf.serviceEvent.effectiveTime.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.serviceEvent.effectiveTime.operatorrequiredCDASetOperator
    http://hl7.org/cda/stds/core/ValueSet/CDASetOperator
    ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.serviceEvent.performer.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.serviceEvent.performer.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.serviceEvent.performer.typeCoderequiredX_ServiceEventPerformer .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19601
    ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.codepreferredCareTeamMemberFunction .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30
    ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.classCoderequiredFixed Value: ASSIGNED
    http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
    ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.codepreferredHealthcareProviderTaxonomy .(a valid code from http://nucc.org/provider-taxonomy)
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066
    ClinicalDocument.authorization.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authorization.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authorization.typeCoderequiredFixed Value: AUTH
    http://terminology.hl7.org/ValueSet/v3-ActRelationshipAuthorizedBy
    ClinicalDocument.authorization.consent.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authorization.consent.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authorization.consent.classCoderequiredFixed Value: CONS
    http://hl7.org/cda/stds/core/ValueSet/CDAActClass
    ClinicalDocument.authorization.consent.moodCoderequiredFixed Value: EVN
    http://hl7.org/cda/stds/core/ValueSet/CDAActMood
    ClinicalDocument.authorization.consent.codeexampleActCode
    http://terminology.hl7.org/ValueSet/v3-ActCode
    ClinicalDocument.authorization.consent.statusCoderequiredActStatus
    http://terminology.hl7.org/ValueSet/v3-ActStatus
    ClinicalDocument.authorization.consent.statusCode.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.componentOf.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.componentOf.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.componentOf.typeCoderequiredFixed Value: COMP
    http://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent
    ClinicalDocument.componentOf.encompassingEncounter.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.componentOf.encompassingEncounter.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.componentOf.encompassingEncounter.classCoderequiredFixed Value: ENC
    http://hl7.org/cda/stds/core/ValueSet/CDAActClass
    ClinicalDocument.componentOf.encompassingEncounter.moodCoderequiredFixed Value: EVN
    http://hl7.org/cda/stds/core/ValueSet/CDAActMood
    ClinicalDocument.componentOf.encompassingEncounter.codepreferredActEncounterCodes .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1240.5
    ClinicalDocument.componentOf.encompassingEncounter.dischargeDispositionCodeexampleUSEncounterDischargeDisposition
    http://terminology.hl7.org/ValueSet/v3-USEncounterDischargeDisposition
    ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeCoderequiredFixed Value: RESP
    http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
    ClinicalDocument.componentOf.encompassingEncounter.location.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.componentOf.encompassingEncounter.location.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.componentOf.encompassingEncounter.location.typeCoderequiredFixed Value: LOC
    http://terminology.hl7.org/ValueSet/v3-ParticipationTargetLocation

    Constraints

    IdGradePath(s)DetailsRequirements
    1198-32905errorClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntityThis assignedEntity SHALL contain an assignedPerson or a representedOrganization or both (CONF:1198-32905).
    : assignedPerson.exists() or representedOrganization.exists()
    4537-5402errorClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addrIf 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://terminology.hl7.org/ValueSet/USPS-State'))
    4537-5403warningClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addrIf 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})?'))
    4537-6380errorClinicalDocumentIf setId is present versionNumber **SHALL** be present (CONF:4537-6380).
    : setId.exists() implies versionNumber.exists()
    4537-6387errorClinicalDocumentIf versionNumber is present setId **SHALL** be present (CONF:4537-6387).
    : versionNumber.exists() implies setId.exists()
    4537-10006errorClinicalDocument.participant**SHALL** contain associatedEntity/associatedPerson *AND/OR* associatedEntity/scopingOrganization (CONF:4537-10006).
    : associatedEntity.associatedPerson.exists() or associatedEntity.scopingOrganization.exists()
    4537-10007warningClinicalDocument.participantWhen 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')
    4537-16790errorClinicalDocument.author.assignedAuthorThere **SHALL** be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:4537-16790).
    : (assignedPerson | assignedAuthoringDevice).count() = 1
    4537-21000errorClinicalDocument.recordTarget.patientRole.patientIf sdtc:deceasedTime/@value is present, then sdtc:deceasedInd SHALL be present with value=true
    : sdtcDeceasedTime.value.exists() implies sdtcDeceasedInd.exists(value='true')
    4537-32993errorClinicalDocument.recordTarget.patientRole.patientIf sdtc:deceasedInd="true", then sdtc:deceasedTime **SHALL** be present with either a @value or @nullFlavor=UNK (CONF:4537-32993).
    : sdtcDeceasedInd.exists(value='true') implies sdtcDeceasedTime.exists()
    AD-1errorClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.itemCan only have only one of the possible item elements in each choice
    : (delimiter | country | state | county | city | postalCode | streetAddressLine | houseNumber | houseNumberNumeric | direction | streetName | streetNameBase | streetNameType | additionalLocator | unitID | unitType | careOf | censusTract | deliveryAddressLine | deliveryInstallationType | deliveryInstallationArea | deliveryInstallationQualifier | deliveryMode | deliveryModeIdentifier | buildingNumberSuffix | postBox | precinct | xmlText).count() = 1
    II-1errorClinicalDocument.typeId, ClinicalDocument.recordTarget.typeId, ClinicalDocument.recordTarget.patientRole.typeId, ClinicalDocument.recordTarget.patientRole.patient.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId, ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId, ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId, ClinicalDocument.author.typeId, ClinicalDocument.author.assignedAuthor.typeId, ClinicalDocument.author.assignedAuthor.assignedPerson.typeId, ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId, ClinicalDocument.dataEnterer.typeId, ClinicalDocument.dataEnterer.assignedEntity.typeId, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.informant:provider.typeId, ClinicalDocument.informant:provider.assignedEntity.typeId, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.informant:non-provider.typeId, ClinicalDocument.custodian.typeId, ClinicalDocument.custodian.assignedCustodian.typeId, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId, ClinicalDocument.informationRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId, ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId, ClinicalDocument.legalAuthenticator.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.authenticator.typeId, ClinicalDocument.authenticator.assignedEntity.typeId, ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId, ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.participant.typeId, ClinicalDocument.inFulfillmentOf.typeId, ClinicalDocument.inFulfillmentOf.order.typeId, ClinicalDocument.documentationOf.typeId, ClinicalDocument.documentationOf.serviceEvent.typeId, ClinicalDocument.documentationOf.serviceEvent.performer.typeId, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId, ClinicalDocument.authorization.typeId, ClinicalDocument.authorization.consent.typeId, ClinicalDocument.componentOf.typeId, ClinicalDocument.componentOf.encompassingEncounter.typeId, ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId, ClinicalDocument.componentOf.encompassingEncounter.location.typeIdAn II instance must have either a root or an nullFlavor.
    : root.exists() or nullFlavor.exists()
    should-code-attrwarningClinicalDocument.documentationOf.serviceEvent.performer.functionCodeSHOULD contain @code
    : code.exists()
    should-countrywarningClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addrSHOULD contain country
    : nullFlavor.exists() or item.country.exists()
    should-extensionwarningClinicalDocument.author.assignedAuthor.id:npiSHOULD contain extension
    : extension.exists()
    should-id-npiwarningClinicalDocument.author.assignedAuthorSHOULD contain an id with root='2.16.840.1.113883.4.6' (NPI)
    : id.where(root = '2.16.840.1.113883.4.6')
    should-legalAuthenticatorwarningClinicalDocumentSHOULD contain legalAuthenticator
    : legalAuthenticator.exists()
    should-maritalStatusCodewarningClinicalDocument.recordTarget.patientRole.patientSHOULD contain maritalStatusCode
    : maritalStatusCode.exists()
    should-npiwarningClinicalDocument.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.rootSHOULD be NPI
    : $this = '2.16.840.1.113883.4.6'
    should-preferenceIndwarningClinicalDocument.recordTarget.patientRole.patient.languageCommunicationSHOULD contain preferenceInd
    : preferenceInd.exists()
    should-proficiencyLevelCodewarningClinicalDocument.recordTarget.patientRole.patient.languageCommunicationSHOULD contain proficiencyLevelCode
    : proficiencyLevelCode.exists()
    should-relatedParticipantwarningClinicalDocumentDocuments SHOULD contain a RelatedPerson participant
    : participant.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/RelatedPersonRelationshipAndNameParticipant').exists()
    should-responsiblePartywarningClinicalDocument.componentOf.encompassingEncounterSHOULD contain responsibleParty
    : responsibleParty.exists()
    should-us-addrwarningClinicalDocument.recordTarget.patientRole.patient.guardianSHOULD contain addr
    : addr.exists()
    should-us-codewarningClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.author.assignedAuthor, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntitySHOULD contain code
    : code.exists()
    should-us-languageCommunicationwarningClinicalDocument.recordTarget.patientRole.patientSHOULD contain languageCommunication
    : languageCommunication.exists()
    should-us-performerwarningClinicalDocument.documentationOf.serviceEventSHOULD contain performer
    : performer.exists()
    should-us-telecomwarningClinicalDocument.recordTarget.patientRole.patient.guardianSHOULD contain telecom
    : telecom.exists()
    should-usewarningClinicalDocument.recordTarget.patientRole.telecom, ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom, ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom, ClinicalDocument.author.assignedAuthor.telecom, ClinicalDocument.dataEnterer.assignedEntity.telecom, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom, ClinicalDocument.legalAuthenticator.assignedEntity.telecom, ClinicalDocument.authenticator.assignedEntity.telecomSHOULD contain @use
    : nullFlavor.exists() or use.exists()
    should-value-attwarningClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTimeSHOULD contain @value
    : value.exists()
    signaturewarningClinicalDocument.legalAuthenticator.signatureCode, ClinicalDocument.authenticator.signatureCodeCDA 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-nullerrorClinicalDocument.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.precinctxmlText and nullFlavor are mutually exclusive (one must be present)
    : (xmlText | nullFlavor).count() = 1
    ts-shall-dayerrorClinicalDocument.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-yearerrorClinicalDocument.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-daywarningClinicalDocument.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-minutewarningClinicalDocument.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 ClinicalDocument

    Summary

    Mandatory: 24 elements(37 nested mandatory elements)
    Prohibited: 5 elements

    Structures

    This structure refers to these other structures:

    Slices

    This structure defines the following Slices:

    • The element 2 is sliced based on the values of ClinicalDocument.templateId
    • The element 1 is sliced based on the value of ClinicalDocument.author.assignedAuthor.id
    • The element 2 is sliced based on the values of ClinicalDocument.informant

    Differential View

    This structure is derived from ClinicalDocument

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. ClinicalDocument C 1..1 ClinicalDocument XML Namespace: urn:hl7-org:v3
    Elements defined in Ancestors:@nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, sdtcCategory, code, title, sdtcStatusCode, effectiveTime, confidentialityCode, languageCode, setId, versionNumber, copyTime, recordTarget, author, dataEnterer, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, relatedDocument, authorization, componentOf, component
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    Constraints: 4537-6380, 4537-6387, should-legalAuthenticator, should-relatedParticipant
    ... realmCode 1..1 CS
    .... @code 1..1 cs Required Pattern: US
    ... typeId 1..1 II
    .... @root 1..1 oid, uuid, ruid
    .... @extension 1..1 st
    ... Slices for templateId 1..* 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
    ... code 1..1 CE **SHALL** specify the particular kind of document (e.g., History and Physical, Discharge Summary, Progress Note) (CONF:4537-9992).
    .... @nullFlavor 0..0
    .... @code 1..1 cs
    .... @codeSystem 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.6.1
    ... title 1..1 ST The title can either be a locally defined name or the displayName corresponding to clinicalDocument/code
    ... effectiveTime 1..1 USRealmDateTime
    ... confidentialityCode
    .... @nullFlavor 0..0
    .... @code 1..1 cs Binding: HL7 BasicConfidentialityKind . (preferred)
    ... languageCode 1..1 CS
    ... setId 0..1 II
    ... versionNumber 0..1 INT
    ... 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 1..* USRealmAddress 𝗨𝗦𝗖𝗗𝗜: Address
    ..... telecom C 1..* TEL 𝗨𝗦𝗖𝗗𝗜: Phone Number / Email
    Constraints: should-use
    ...... @use 0..1 cs Binding: Telecom Use (US Realm Header) . (required)
    ..... patient C 1..1 Patient Constraints: 4537-32993, 4537-21000, should-maritalStatusCode, should-us-languageCommunication
    ...... name 1..* USRealmPatientNamePTNUSFIELDED
    ...... 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)
    Constraints: ts-shall-year, ts-should-day
    ...... sdtcDeceasedInd 0..1 BL sdtc:deceasedInd
    ...... sdtcDeceasedTime C 0..1 TS XML Namespace: urn:hl7-org:sdtc
    𝗨𝗦𝗖𝗗𝗜: Date of Death
    XML: deceasedTime (urn:hl7-org:sdtc)
    Constraints: should-value-att, ts-shall-year, ts-should-day
    ...... maritalStatusCode 0..1 CE Binding: Marital Status . (required)
    ...... religiousAffiliationCode 0..1 CE Binding: Religious Affiliation . (required)
    ...... raceCode 1..1 CE 𝗨𝗦𝗖𝗗𝗜: Race
    Binding: Race Categories . (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: Detailed race including absence reasons. . (required)
    ...... ethnicGroupCode 1..1 CE 𝗨𝗦𝗖𝗗𝗜: Ethnicity
    Binding: Ethnicity Categories . (required)
    ...... sdtcEthnicGroupCode 0..* CE XML Namespace: urn:hl7-org:sdtc
    𝗨𝗦𝗖𝗗𝗜: Ethnicity
    XML: ethnicGroupCode (urn:hl7-org:sdtc)
    Binding: Detailed Ethnicity Including Absence Reasons . (required)
    ...... guardian C 0..* Guardian Constraints: should-us-code, should-us-addr, should-us-telecom
    ....... code 0..1 CE Binding: Personal And Legal Relationship Role Type . (required)
    ....... addr 0..* USRealmAddress
    ....... telecom C 0..* TEL Constraints: should-use
    ........ @use 0..1 cs Binding: Telecom Use (US Realm Header) . (required)
    ....... guardianPerson 1..1 Person
    ........ name 1..* USRealmPersonNamePNUSFIELDED
    ...... birthplace 0..1 Birthplace
    ....... place 1..1 Place
    ........ addr C 1..1 AD Constraints: 4537-5402, 4537-5403, should-country
    ......... item
    .......... country 0..1 ADXP Binding: Country2 (required)
    ...... languageCommunication C 0..* LanguageCommunication 𝗨𝗦𝗖𝗗𝗜: Preferred Language
    Constraints: should-proficiencyLevelCode, should-preferenceInd
    ....... languageCode 1..1 CS Binding: Languages (required)
    ....... modeCode 0..1 CE Binding: LanguageAbilityMode . (required)
    ....... proficiencyLevelCode 0..1 CE Binding: LanguageAbilityProficiency . (required)
    ....... preferenceInd 0..1 BL
    ..... providerOrganization 0..1 Organization
    ...... id 1..* II
    ....... @root C 0..1 oid, uuid, ruid Constraints: should-npi
    ...... name 1..* ON
    ...... telecom C 1..* TEL Constraints: should-use
    ....... @use 0..1 cs Binding: Telecom Use (US Realm Header) . (required)
    ...... addr 1..* USRealmAddress
    ... author 1..* Author The author element represents the creator of the clinical document. The author may be a device or a person.
    .... time 1..1 USRealmDateTime
    .... assignedAuthor C 1..1 AssignedAuthor Constraints: 4537-16790, should-id-npi, should-us-code
    ..... Slices for id 1..* II Slice: Unordered, Open by value:root
    ...... id:npi C 0..1 II Constraints: should-extension
    ....... @nullFlavor 0..1 cs If NPI is unknown, set @nullFlavor to UNK
    ....... @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.4.6
    ....... @extension 0..1 st
    ..... code 0..1 CE Only if this assignedAuthor is an assignedPerson should the assignedAuthor contain a code.
    ...... @nullFlavor 0..0
    ...... @code 1..1 cs Binding: Healthcare Provider Taxonomy . (preferred)
    ..... addr 1..* USRealmAddress
    ..... telecom C 1..* TEL Constraints: should-use
    ...... @use 0..1 cs Binding: Telecom Use (US Realm Header) . (required)
    ..... (Choice of one) 1..1
    ...... assignedPerson 0..1 Person
    ....... name 1..* USRealmPersonNamePNUSFIELDED
    ...... assignedAuthoringDevice 0..1 AuthoringDevice
    ....... manufacturerModelName 1..1 SC
    ....... softwareName 1..1 SC
    ... 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.
    .... time 0..1 USRealmDateTime
    .... assignedEntity 1..1 AssignedEntity
    ..... id 1..* II
    ...... @root C 0..1 oid, uuid, ruid Constraints: should-npi
    ..... code 0..1 CE Binding: Healthcare Provider Taxonomy . (preferred)
    ..... addr 1..* USRealmAddress
    ..... telecom C 1..* TEL Constraints: should-use
    ...... @use 0..1 cs Binding: Telecom Use (US Realm Header) . (required)
    ..... assignedPerson 1..1 Person
    ...... name 1..* USRealmPersonNamePNUSFIELDED
    ... 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).
    ...... code 0..1 CE Binding: Healthcare Provider Taxonomy . (preferred)
    ...... addr 1..* USRealmAddress
    ...... assignedPerson 1..1 Person
    ....... name 1..* USRealmPersonNamePNUSFIELDED
    ..... relatedEntity 0..0
    .... 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.
    ..... assignedEntity 0..0
    ..... 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
    ....... @root C 0..1 oid, uuid, ruid Constraints: should-npi
    ...... name 1..1 ON
    ...... telecom C 1..1 TEL Constraints: should-use
    ....... @use 0..1 cs Binding: Telecom Use (US Realm Header) . (required)
    ...... sdtcTelecom 0..* TEL The stdc:telecom extension can be used to provide additional telecom elements for the custodian organization.
    ...... addr 1..1 USRealmAddress
    ... 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.
    .... intendedRecipient 1..1 IntendedRecipient
    ..... id 0..* II
    ..... informationRecipient 0..1 Person
    ...... name 1..* USRealmPersonNamePNUSFIELDED
    ..... receivedOrganization 0..1 Organization
    ...... name 1..1 ON
    ... 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.
    .... time 1..1 USRealmDateTime
    .... signatureCode 1..1 CS
    ..... @code 1..1 cs Required Pattern: S
    .... sdtcSignatureText 0..1 ED 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.
    .... assignedEntity 1..1 AssignedEntity
    ..... id 1..* II
    ...... @root 0..1 oid, uuid, ruid MAY contain '2.16.840.1.113883.4.6' (NPI)
    ..... code 0..1 CE Binding: Healthcare Provider Taxonomy . (preferred)
    ..... addr 1..* USRealmAddress
    ..... telecom C 1..* TEL Constraints: should-use
    ...... @use 0..1 cs Binding: Telecom Use (US Realm Header) . (required)
    ..... assignedPerson 1..1 Person
    ...... name 1..* USRealmPersonNamePNUSFIELDED
    ... authenticator 0..* Authenticator The authenticator identifies a participant or participants who attest to the accuracy of the information in the document.
    .... time 1..1 USRealmDateTime
    .... signatureCode 1..1 CS
    ..... @code 1..1 cs Required Pattern: S
    .... sdtcSignatureText 0..1 ED 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.
    .... assignedEntity 1..1 AssignedEntity
    ..... id 1..* II
    ...... @root C 0..1 oid, uuid, ruid Constraints: should-npi
    ..... code 0..1 CE
    ...... @code 0..1 cs Binding: Healthcare Provider Taxonomy . (preferred)
    ..... addr 1..* USRealmAddress
    ..... telecom C 1..* TEL Constraints: should-use
    ...... @use 0..1 cs Binding: Telecom Use (US Realm Header) . (required)
    ..... assignedPerson 1..1 Person
    ...... name 1..* USRealmPersonNamePNUSFIELDED
    ... 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).
    Constraints: 4537-10006, 4537-10007
    .... time 0..1 USRealmDateTimeInterval
    ... inFulfillmentOf 0..* InFulfillmentOf The inFulfillmentOf element represents orders that are fulfilled by this document such as a radiologists' report of an x-ray.
    .... order 1..1 Order
    ..... id 1..* II
    ... documentationOf 0..* DocumentationOf
    .... 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.
    Constraints: should-us-performer
    ..... effectiveTime 1..1 USRealmDateTimeInterval
    ...... low 1..1 IVXB_TS **MAY** be precise to at least the second
    ..... 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.
    ...... @typeCode 1..1 cs Binding: x_ServiceEventPerformer . (required)
    ...... functionCode C 0..1 CE Constraints: should-code-attr
    ....... @code 0..1 cs Binding: Care Team Member Function . (preferred)
    ...... time 0..1 USRealmDateTimeInterval
    ...... assignedEntity C 1..1 AssignedEntity Constraints: should-us-code
    ....... id 1..* II
    ........ @root C 0..1 oid, uuid, ruid Constraints: should-npi
    ....... code 0..1 CE Binding: Healthcare Provider Taxonomy . (preferred)
    ... 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.
    .... consent 1..1 Consent
    ..... 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.
    ..... statusCode 1..1 CS
    ...... @code 1..1 cs
    ... 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.
    .... encompassingEncounter C 1..1 EncompassingEncounter Constraints: should-responsibleParty
    ..... id 1..* II
    ..... code 0..1 CE Binding: Act Encounter Codes . (preferred)
    ..... effectiveTime 1..1 USRealmDateTimeInterval
    ..... responsibleParty 0..1 InfrastructureRoot
    ...... assignedEntity C 1..1 AssignedEntity Constraints: 1198-32905

    doco Documentation for this format

    Terminology Bindings (Differential)

    PathConformanceValueSetURI
    ClinicalDocument.confidentialityCode.codepreferredHL7BasicConfidentialityKind .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.16926
    ClinicalDocument.recordTarget.patientRole.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.recordTarget.patientRole.patient.maritalStatusCoderequiredMaritalStatus .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12212
    ClinicalDocument.recordTarget.patientRole.patient.religiousAffiliationCoderequiredReligiousAffiliation .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19185
    ClinicalDocument.recordTarget.patientRole.patient.raceCoderequiredRaceCategories .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.4.642.2.575
    ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCoderequiredDetailedRaceIncludingAbsenceReasons .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.25
    ClinicalDocument.recordTarget.patientRole.patient.ethnicGroupCoderequiredEthnicityCategories .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.4.642.40.2.48.3
    ClinicalDocument.recordTarget.patientRole.patient.sdtcEthnicGroupCoderequiredDetailedEthnicityIncludingAbsenceReasons .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.4.642.40.2.48.1
    ClinicalDocument.recordTarget.patientRole.patient.guardian.coderequiredPersonalAndLegalRelationshipRoleType .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1
    ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.countryrequiredCountry2
    http://terminology.hl7.org/ValueSet/v3-Country2
    ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.languageCoderequiredLanguages
    http://terminology.hl7.org/ValueSet/Languages
    ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.modeCoderequiredLanguageAbilityMode .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12249
    ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.proficiencyLevelCoderequiredLanguageAbilityProficiency .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12199
    ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.author.assignedAuthor.code.codepreferredHealthcareProviderTaxonomy .(a valid code from http://nucc.org/provider-taxonomy)
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066
    ClinicalDocument.author.assignedAuthor.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.dataEnterer.assignedEntity.codepreferredHealthcareProviderTaxonomy .(a valid code from http://nucc.org/provider-taxonomy)
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066
    ClinicalDocument.dataEnterer.assignedEntity.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.informant:provider.assignedEntity.codepreferredHealthcareProviderTaxonomy .(a valid code from http://nucc.org/provider-taxonomy)
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066
    ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.legalAuthenticator.assignedEntity.codepreferredHealthcareProviderTaxonomy .(a valid code from http://nucc.org/provider-taxonomy)
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066
    ClinicalDocument.legalAuthenticator.assignedEntity.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.authenticator.assignedEntity.code.codepreferredHealthcareProviderTaxonomy .(a valid code from http://nucc.org/provider-taxonomy)
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066
    ClinicalDocument.authenticator.assignedEntity.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.documentationOf.serviceEvent.performer.typeCoderequiredX_ServiceEventPerformer .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19601
    ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.codepreferredCareTeamMemberFunction .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30
    ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.codepreferredHealthcareProviderTaxonomy .(a valid code from http://nucc.org/provider-taxonomy)
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066
    ClinicalDocument.componentOf.encompassingEncounter.codepreferredActEncounterCodes .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1240.5

    Constraints

    IdGradePath(s)DetailsRequirements
    1198-32905errorClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntityThis assignedEntity SHALL contain an assignedPerson or a representedOrganization or both (CONF:1198-32905).
    : assignedPerson.exists() or representedOrganization.exists()
    4537-5402errorClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addrIf 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://terminology.hl7.org/ValueSet/USPS-State'))
    4537-5403warningClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addrIf 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})?'))
    4537-6380errorClinicalDocumentIf setId is present versionNumber **SHALL** be present (CONF:4537-6380).
    : setId.exists() implies versionNumber.exists()
    4537-6387errorClinicalDocumentIf versionNumber is present setId **SHALL** be present (CONF:4537-6387).
    : versionNumber.exists() implies setId.exists()
    4537-10006errorClinicalDocument.participant**SHALL** contain associatedEntity/associatedPerson *AND/OR* associatedEntity/scopingOrganization (CONF:4537-10006).
    : associatedEntity.associatedPerson.exists() or associatedEntity.scopingOrganization.exists()
    4537-10007warningClinicalDocument.participantWhen 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')
    4537-16790errorClinicalDocument.author.assignedAuthorThere **SHALL** be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:4537-16790).
    : (assignedPerson | assignedAuthoringDevice).count() = 1
    4537-21000errorClinicalDocument.recordTarget.patientRole.patientIf sdtc:deceasedTime/@value is present, then sdtc:deceasedInd SHALL be present with value=true
    : sdtcDeceasedTime.value.exists() implies sdtcDeceasedInd.exists(value='true')
    4537-32993errorClinicalDocument.recordTarget.patientRole.patientIf 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()
    should-code-attrwarningClinicalDocument.documentationOf.serviceEvent.performer.functionCodeSHOULD contain @code
    : code.exists()
    should-countrywarningClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addrSHOULD contain country
    : nullFlavor.exists() or item.country.exists()
    should-extensionwarningClinicalDocument.author.assignedAuthor.id:npiSHOULD contain extension
    : extension.exists()
    should-id-npiwarningClinicalDocument.author.assignedAuthorSHOULD contain an id with root='2.16.840.1.113883.4.6' (NPI)
    : id.where(root = '2.16.840.1.113883.4.6')
    should-legalAuthenticatorwarningClinicalDocumentSHOULD contain legalAuthenticator
    : legalAuthenticator.exists()
    should-maritalStatusCodewarningClinicalDocument.recordTarget.patientRole.patientSHOULD contain maritalStatusCode
    : maritalStatusCode.exists()
    should-npiwarningClinicalDocument.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.rootSHOULD be NPI
    : $this = '2.16.840.1.113883.4.6'
    should-preferenceIndwarningClinicalDocument.recordTarget.patientRole.patient.languageCommunicationSHOULD contain preferenceInd
    : preferenceInd.exists()
    should-proficiencyLevelCodewarningClinicalDocument.recordTarget.patientRole.patient.languageCommunicationSHOULD contain proficiencyLevelCode
    : proficiencyLevelCode.exists()
    should-relatedParticipantwarningClinicalDocumentDocuments SHOULD contain a RelatedPerson participant
    : participant.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/RelatedPersonRelationshipAndNameParticipant').exists()
    should-responsiblePartywarningClinicalDocument.componentOf.encompassingEncounterSHOULD contain responsibleParty
    : responsibleParty.exists()
    should-us-addrwarningClinicalDocument.recordTarget.patientRole.patient.guardianSHOULD contain addr
    : addr.exists()
    should-us-codewarningClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.author.assignedAuthor, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntitySHOULD contain code
    : code.exists()
    should-us-languageCommunicationwarningClinicalDocument.recordTarget.patientRole.patientSHOULD contain languageCommunication
    : languageCommunication.exists()
    should-us-performerwarningClinicalDocument.documentationOf.serviceEventSHOULD contain performer
    : performer.exists()
    should-us-telecomwarningClinicalDocument.recordTarget.patientRole.patient.guardianSHOULD contain telecom
    : telecom.exists()
    should-usewarningClinicalDocument.recordTarget.patientRole.telecom, ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom, ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom, ClinicalDocument.author.assignedAuthor.telecom, ClinicalDocument.dataEnterer.assignedEntity.telecom, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom, ClinicalDocument.legalAuthenticator.assignedEntity.telecom, ClinicalDocument.authenticator.assignedEntity.telecomSHOULD contain @use
    : nullFlavor.exists() or use.exists()
    should-value-attwarningClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTimeSHOULD contain @value
    : value.exists()
    ts-shall-yearerrorClinicalDocument.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-daywarningClinicalDocument.recordTarget.patientRole.patient.birthTime, ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime**SHOULD** be precise to at least the day
    : nullFlavor.exists() or value.toString().length() >= 10

    Key Elements View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. ClinicalDocument C 1..1 ClinicalDocument XML Namespace: urn:hl7-org:v3
    Elements defined in Ancestors:@nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, sdtcCategory, code, title, sdtcStatusCode, effectiveTime, confidentialityCode, languageCode, setId, versionNumber, copyTime, recordTarget, author, dataEnterer, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, relatedDocument, authorization, componentOf, component
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    Constraints: 4537-6380, 4537-6387, should-legalAuthenticator, should-relatedParticipant
    ... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ... @classCode 0..1 cs Binding: CDAActClass (example)
    Fixed Value: DOCCLIN
    ... @moodCode 0..1 cs Binding: CDAActMood (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 C 1..1 II Constraints: II-1
    .... @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 1..* 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
    ... id 1..1 II **SHALL** be a globally unique identifier for the document (CONF:4537-9991).
    ... sdtcCategory 0..* CD XML Namespace: urn:hl7-org:sdtc
    XML: category (urn:hl7-org:sdtc)
    ... code 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)
    .... @code 1..1 cs
    .... @codeSystem 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.6.1
    .... @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
    ... 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 1..1 USRealmDateTime
    ... confidentialityCode 1..1 CE
    .... @code 1..1 cs Binding: HL7 BasicConfidentialityKind . (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
    ... 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 C 0..1 II Constraints: II-1
    ..... @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: CDAParticipationType (required)
    Fixed Value: RCT
    .... @contextControlCode 0..1 cs Binding: CDAContextControl (required)
    Fixed Value: OP
    .... patientRole 1..1 PatientRole
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @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 1..* USRealmAddress 𝗨𝗦𝗖𝗗𝗜: Address
    ..... telecom C 1..* TEL 𝗨𝗦𝗖𝗗𝗜: Phone Number / Email
    Constraints: should-use
    ...... @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 Constraints: 4537-32993, 4537-21000, should-maritalStatusCode, should-us-languageCommunication
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... realmCode 0..* CS
    ...... typeId C 0..1 II Constraints: II-1
    ....... @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 1..* USRealmPatientNamePTNUSFIELDED
    ...... sdtcDesc 0..1 ED XML Namespace: urn:hl7-org:sdtc
    XML: desc (urn:hl7-org:sdtc)
    ...... administrativeGenderCode 0..1 CE Binding: AdministrativeGender (example)
    ...... 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)
    Constraints: ts-shall-year, ts-should-day
    ...... 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)
    Constraints: should-value-att, ts-shall-year, ts-should-day
    ...... 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 Categories . (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: Detailed race including absence reasons. . (required)
    ...... ethnicGroupCode 1..1 CE 𝗨𝗦𝗖𝗗𝗜: Ethnicity
    Binding: Ethnicity Categories . (required)
    ...... sdtcEthnicGroupCode 0..* CE XML Namespace: urn:hl7-org:sdtc
    𝗨𝗦𝗖𝗗𝗜: Ethnicity
    XML: ethnicGroupCode (urn:hl7-org:sdtc)
    Binding: Detailed Ethnicity Including Absence Reasons . (required)
    ...... guardian C 0..* Guardian Constraints: should-us-code, should-us-addr, should-us-telecom
    ....... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ....... realmCode 0..* CS
    ....... typeId C 0..1 II Constraints: II-1
    ........ @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 0..* USRealmAddress
    ....... telecom C 0..* TEL Constraints: should-use
    ........ @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 C 0..1 II Constraints: II-1
    ......... @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 1..* USRealmPersonNamePNUSFIELDED
    ........ 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 C 0..1 II Constraints: II-1
    .......... @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 C 0..1 II Constraints: II-1
    ........ @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 C 0..1 II Constraints: II-1
    ......... @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 Constraints: 4537-5402, 4537-5403, should-country
    ......... @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
    Constraints: AD-1
    .......... (Choice of one) 1..1
    ........... delimiter C 0..1 ADXP Constraints: text-null
    ............ (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 Binding: Country2 (required)
    Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 𝗨𝗦𝗖𝗗𝗜: Preferred Language
    Constraints: should-proficiencyLevelCode, should-preferenceInd
    ....... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ....... realmCode 0..* CS
    ....... typeId C 0..1 II Constraints: II-1
    ........ @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: Languages (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 C 0..1 II Constraints: II-1
    ....... @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 Constraints: should-npi
    ....... @extension 0..1 st
    ...... name 1..* ON
    ...... telecom C 1..* TEL Constraints: should-use
    ....... @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 1..* USRealmAddress
    ...... 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 C 0..1 II Constraints: II-1
    ..... @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: CDAParticipationType (required)
    Fixed Value: AUT
    .... @contextControlCode 0..1 cs Binding: CDAContextControl (required)
    Fixed Value: OP
    .... functionCode 0..1 CE
    .... time 1..1 USRealmDateTime
    .... assignedAuthor C 1..1 AssignedAuthor Constraints: 4537-16790, should-id-npi, should-us-code
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @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 Constraints: should-extension
    ....... @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: CDARoleCode (example)
    ...... @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 1..* USRealmAddress
    ..... telecom C 1..* TEL Constraints: should-use
    ...... @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 C 0..1 II Constraints: II-1
    ........ @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 1..* USRealmPersonNamePNUSFIELDED
    ....... 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 C 0..1 II Constraints: II-1
    ......... @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 C 0..1 II Constraints: II-1
    ........ @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: CDAEntityCode (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 C 0..1 II Constraints: II-1
    ..... @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: CDAParticipationType (required)
    Fixed Value: ENT
    .... @contextControlCode 0..1 cs Binding: CDAContextControl (required)
    Fixed Value: OP
    .... time 0..1 USRealmDateTime
    .... assignedEntity 1..1 AssignedEntity
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @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 Constraints: should-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 1..* USRealmAddress
    ..... telecom C 1..* TEL Constraints: should-use
    ...... @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 C 0..1 II Constraints: II-1
    ....... @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 1..* USRealmPersonNamePNUSFIELDED
    ...... 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 C 0..1 II Constraints: II-1
    ........ @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 C 0..1 II Constraints: II-1
    ...... @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: CDAParticipationType (required)
    Fixed Value: INF
    ..... @contextControlCode 0..1 cs Binding: CDAContextControl (required)
    Fixed Value: OP
    ..... assignedEntity 1..1 AssignedEntity
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... realmCode 0..* CS
    ...... typeId C 0..1 II Constraints: II-1
    ....... @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 1..* USRealmAddress
    ...... telecom 0..* TEL
    ...... assignedPerson 1..1 Person
    ....... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ....... realmCode 0..* CS
    ....... typeId C 0..1 II Constraints: II-1
    ........ @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 1..* USRealmPersonNamePNUSFIELDED
    ....... 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 C 0..1 II Constraints: II-1
    ......... @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 C 0..1 II Constraints: II-1
    ...... @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: CDAParticipationType (required)
    Fixed Value: INF
    ..... @contextControlCode 0..1 cs Binding: CDAContextControl (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 C 0..1 II Constraints: II-1
    ..... @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: CDAParticipationType (required)
    Fixed Value: CST
    .... assignedCustodian 1..1 AssignedCustodian
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @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 C 0..1 II Constraints: II-1
    ....... @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 Constraints: should-npi
    ....... @extension 0..1 st
    ...... name 1..1 ON
    ...... telecom C 1..1 TEL Constraints: should-use
    ....... @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)
    ...... sdtcTelecom 0..* TEL XML Namespace: urn:hl7-org:sdtc
    The stdc:telecom extension can be used to provide additional telecom elements for the custodian organization.
    XML: telecom (urn:hl7-org:sdtc)
    ...... addr 1..1 USRealmAddress
    ... 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 C 0..1 II Constraints: II-1
    ..... @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 C 0..1 II Constraints: II-1
    ...... @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: CDAInformationRecipientRole (required)
    ..... 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 C 0..1 II Constraints: II-1
    ....... @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 1..* USRealmPersonNamePNUSFIELDED
    ...... 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 C 0..1 II Constraints: II-1
    ........ @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 C 0..1 II Constraints: II-1
    ....... @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 C 0..1 II Constraints: II-1
    ..... @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: CDAParticipationType (required)
    Fixed Value: LA
    .... @contextControlCode 0..1 cs Binding: CDAContextControl (required)
    Fixed Value: OP
    .... time 1..1 USRealmDateTime
    .... signatureCode C 1..1 CS Binding: CDASignatureCode (required)
    Constraints: signature
    ..... @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 C 0..1 II Constraints: II-1
    ...... @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 1..* USRealmAddress
    ..... telecom C 1..* TEL Constraints: should-use
    ...... @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 C 0..1 II Constraints: II-1
    ....... @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 1..* USRealmPersonNamePNUSFIELDED
    ...... 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 C 0..1 II Constraints: II-1
    ........ @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 C 0..1 II Constraints: II-1
    ..... @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: CDAParticipationType (required)
    Fixed Value: AUTHEN
    .... time 1..1 USRealmDateTime
    .... signatureCode C 1..1 CS Binding: CDASignatureCode (required)
    Constraints: signature
    ..... @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 C 0..1 II Constraints: II-1
    ...... @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 Constraints: should-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: CDARoleCode (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 1..* USRealmAddress
    ..... telecom C 1..* TEL Constraints: should-use
    ...... @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 C 0..1 II Constraints: II-1
    ....... @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 1..* USRealmPersonNamePNUSFIELDED
    ...... 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 C 0..1 II Constraints: II-1
    ........ @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).
    Constraints: 4537-10006, 4537-10007
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... realmCode 0..* CS
    .... typeId C 0..1 II Constraints: II-1
    ..... @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: CDAParticipationType (required)
    .... @contextControlCode 0..1 cs Binding: CDAContextControl (required)
    Fixed Value: OP
    .... functionCode 0..1 CE
    .... time 0..1 USRealmDateTimeInterval
    .... 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 C 0..1 II Constraints: II-1
    ..... @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 C 0..1 II Constraints: II-1
    ...... @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: CDAActClass (required)
    ..... @moodCode 0..1 cs Binding: CDAActMoodIntent (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 C 0..1 II Constraints: II-1
    ..... @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: CDAActRelationshipType (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.
    Constraints: should-us-performer
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @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: CDAActClass (required)
    ..... @moodCode 0..1 cs Binding: CDAActMood (required)
    Fixed Value: EVN
    ..... id 0..* II
    ..... code 0..1 CE
    ..... effectiveTime 1..1 USRealmDateTimeInterval
    ...... @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: CDASetOperator (required)
    ...... low C 1..1 IVXB_TS **MAY** be precise to at least the second
    Constraints: ts-shall-day, ts-should-minute
    ....... @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
    Constraints: ts-shall-day, ts-should-minute
    ....... @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 C 0..1 II Constraints: II-1
    ....... @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 Constraints: should-code-attr
    ....... @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 0..1 USRealmDateTimeInterval
    ...... assignedEntity C 1..1 AssignedEntity Constraints: should-us-code
    ....... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ....... realmCode 0..* CS
    ....... typeId C 0..1 II Constraints: II-1
    ........ @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 Constraints: should-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 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 C 0..1 II Constraints: II-1
    ..... @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: ActRelationshipAuthorizedBy (required)
    Fixed Value: AUTH
    .... consent 1..1 Consent
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @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: CDAActClass (required)
    Fixed Value: CONS
    ..... @moodCode 0..1 cs Binding: CDAActMood (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 C 0..1 II Constraints: II-1
    ..... @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 Constraints: should-responsibleParty
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @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: CDAActClass (required)
    Fixed Value: ENC
    ..... @moodCode 0..1 cs Binding: CDAActMood (required)
    Fixed Value: EVN
    ..... id 1..* II
    ..... code 0..1 CE Binding: Act Encounter Codes . (preferred)
    ..... effectiveTime 1..1 USRealmDateTimeInterval
    ..... 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 C 0..1 II Constraints: II-1
    ....... @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: CDAParticipationType (required)
    Fixed Value: RESP
    ...... assignedEntity C 1..1 AssignedEntity Constraints: 1198-32905
    ..... encounterParticipant 0..* EncounterParticipant
    ..... location 0..1 InfrastructureRoot
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... realmCode 0..* CS
    ...... typeId C 0..1 II Constraints: II-1
    ....... @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

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    ClinicalDocument.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.classCodeexampleFixed Value: DOCCLIN
    http://hl7.org/cda/stds/core/ValueSet/CDAActClass
    ClinicalDocument.moodCoderequiredFixed Value: EVN
    http://hl7.org/cda/stds/core/ValueSet/CDAActMood
    ClinicalDocument.realmCode.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.templateId:us-realm.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.codeexampleFHIRDocumentTypeCodes
    http://hl7.org/fhir/ValueSet/doc-typecodes
    From the FHIR Standard
    ClinicalDocument.sdtcStatusCoderequiredActStatus
    http://terminology.hl7.org/ValueSet/v3-ActStatus
    ClinicalDocument.confidentialityCode.codepreferredHL7BasicConfidentialityKind .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.16926
    ClinicalDocument.languageCoderequiredAllLanguages
    http://hl7.org/fhir/ValueSet/all-languages
    From the FHIR Standard
    ClinicalDocument.recordTarget.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.typeCoderequiredFixed Value: RCT
    http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
    ClinicalDocument.recordTarget.contextControlCoderequiredFixed Value: OP
    http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
    ClinicalDocument.recordTarget.patientRole.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.classCoderequiredFixed Value: PAT
    http://terminology.hl7.org/ValueSet/v3-RoleClassRelationshipFormal
    ClinicalDocument.recordTarget.patientRole.telecom.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.recordTarget.patientRole.patient.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.classCoderequiredFixed Value: PSN
    http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
    ClinicalDocument.recordTarget.patientRole.patient.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.recordTarget.patientRole.patient.administrativeGenderCodeexampleAdministrativeGender
    http://terminology.hl7.org/ValueSet/v3-AdministrativeGender
    ClinicalDocument.recordTarget.patientRole.patient.maritalStatusCoderequiredMaritalStatus .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12212
    ClinicalDocument.recordTarget.patientRole.patient.religiousAffiliationCoderequiredReligiousAffiliation .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19185
    ClinicalDocument.recordTarget.patientRole.patient.raceCoderequiredRaceCategories .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.4.642.2.575
    ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCoderequiredDetailedRaceIncludingAbsenceReasons .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.25
    ClinicalDocument.recordTarget.patientRole.patient.ethnicGroupCoderequiredEthnicityCategories .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.4.642.40.2.48.3
    ClinicalDocument.recordTarget.patientRole.patient.sdtcEthnicGroupCoderequiredDetailedEthnicityIncludingAbsenceReasons .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.4.642.40.2.48.1
    ClinicalDocument.recordTarget.patientRole.patient.guardian.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.guardian.classCoderequiredFixed Value: GUARD
    http://terminology.hl7.org/ValueSet/v3-RoleClassAgent
    ClinicalDocument.recordTarget.patientRole.patient.guardian.coderequiredPersonalAndLegalRelationshipRoleType .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1
    ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.classCoderequiredFixed Value: PSN
    http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
    ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.classCoderequiredFixed Value: BIRTHPL
    http://terminology.hl7.org/ValueSet/v3-RoleClassPassive
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.classCoderequiredFixed Value: PLC
    http://terminology.hl7.org/ValueSet/v3-EntityClassPlace
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.userequiredCDAPostalAddressUse
    http://hl7.org/cda/stds/core/ValueSet/CDAPostalAddressUse
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.countryrequiredCountry2
    http://terminology.hl7.org/ValueSet/v3-Country2
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.languageCoderequiredLanguages
    http://terminology.hl7.org/ValueSet/Languages
    ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.modeCoderequiredLanguageAbilityMode .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12249
    ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.proficiencyLevelCoderequiredLanguageAbilityProficiency .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12199
    ClinicalDocument.recordTarget.patientRole.providerOrganization.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.providerOrganization.classCoderequiredFixed Value: ORG
    http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization
    ClinicalDocument.recordTarget.patientRole.providerOrganization.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.recordTarget.patientRole.providerOrganization.id.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.recordTarget.patientRole.providerOrganization.standardIndustryClassCodeexampleOrganizationIndustryClassNAICS
    http://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS
    ClinicalDocument.author.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.typeCoderequiredFixed Value: AUT
    http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
    ClinicalDocument.author.contextControlCoderequiredFixed Value: OP
    http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
    ClinicalDocument.author.assignedAuthor.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.assignedAuthor.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.assignedAuthor.classCoderequiredFixed Value: ASSIGNED
    http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
    ClinicalDocument.author.assignedAuthor.id:npi.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.assignedAuthor.codeexampleCDARoleCode
    http://hl7.org/cda/stds/core/ValueSet/CDARoleCode
    ClinicalDocument.author.assignedAuthor.code.codepreferredHealthcareProviderTaxonomy .(a valid code from http://nucc.org/provider-taxonomy)
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066
    ClinicalDocument.author.assignedAuthor.telecom.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.assignedAuthor.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.author.assignedAuthor.assignedPerson.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.assignedAuthor.assignedPerson.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.assignedAuthor.assignedPerson.classCoderequiredFixed Value: PSN
    http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
    ClinicalDocument.author.assignedAuthor.assignedPerson.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.classCoderequiredFixed Value: DEV
    http://terminology.hl7.org/ValueSet/v3-EntityClassDevice
    ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.codeexampleCDAEntityCode
    http://hl7.org/cda/stds/core/ValueSet/CDAEntityCode
    ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.manufacturerModelNameexampleManufacturerModelNameExample
    http://terminology.hl7.org/ValueSet/v3-ManufacturerModelNameExample
    ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.softwareNameexampleSoftwareNameExample
    http://terminology.hl7.org/ValueSet/v3-SoftwareNameExample
    ClinicalDocument.dataEnterer.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.dataEnterer.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.dataEnterer.typeCoderequiredFixed Value: ENT
    http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
    ClinicalDocument.dataEnterer.contextControlCoderequiredFixed Value: OP
    http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
    ClinicalDocument.dataEnterer.assignedEntity.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.dataEnterer.assignedEntity.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.dataEnterer.assignedEntity.classCoderequiredFixed Value: ASSIGNED
    http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
    ClinicalDocument.dataEnterer.assignedEntity.id.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.dataEnterer.assignedEntity.codepreferredHealthcareProviderTaxonomy .(a valid code from http://nucc.org/provider-taxonomy)
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066
    ClinicalDocument.dataEnterer.assignedEntity.telecom.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.dataEnterer.assignedEntity.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.classCoderequiredFixed Value: PSN
    http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
    ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informant:provider.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informant:provider.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informant:provider.typeCoderequiredFixed Value: INF
    http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
    ClinicalDocument.informant:provider.contextControlCoderequiredFixed Value: OP
    http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
    ClinicalDocument.informant:provider.assignedEntity.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informant:provider.assignedEntity.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informant:provider.assignedEntity.classCoderequiredFixed Value: ASSIGNED
    http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
    ClinicalDocument.informant:provider.assignedEntity.codepreferredHealthcareProviderTaxonomy .(a valid code from http://nucc.org/provider-taxonomy)
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066
    ClinicalDocument.informant:provider.assignedEntity.assignedPerson.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informant:provider.assignedEntity.assignedPerson.classCoderequiredFixed Value: PSN
    http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
    ClinicalDocument.informant:provider.assignedEntity.assignedPerson.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informant:non-provider.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informant:non-provider.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informant:non-provider.typeCoderequiredFixed Value: INF
    http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
    ClinicalDocument.informant:non-provider.contextControlCoderequiredFixed Value: OP
    http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
    ClinicalDocument.custodian.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.custodian.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.custodian.typeCoderequiredFixed Value: CST
    http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
    ClinicalDocument.custodian.assignedCustodian.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.custodian.assignedCustodian.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.custodian.assignedCustodian.classCoderequiredFixed Value: ASSIGNED
    http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
    ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.classCoderequiredFixed Value: ORG
    http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization
    ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.informationRecipient.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informationRecipient.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informationRecipient.typeCoderequiredXInformationRecipient
    http://terminology.hl7.org/ValueSet/v3-xInformationRecipient|2.0.0
    ClinicalDocument.informationRecipient.intendedRecipient.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informationRecipient.intendedRecipient.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informationRecipient.intendedRecipient.classCoderequiredCDAInformationRecipientRole
    http://hl7.org/cda/stds/core/ValueSet/CDAInformationRecipientRole
    ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.classCoderequiredFixed Value: PSN
    http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
    ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.classCoderequiredFixed Value: ORG
    http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization
    ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.standardIndustryClassCodeexampleOrganizationIndustryClassNAICS
    http://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS
    ClinicalDocument.legalAuthenticator.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.legalAuthenticator.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.legalAuthenticator.typeCoderequiredFixed Value: LA
    http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
    ClinicalDocument.legalAuthenticator.contextControlCoderequiredFixed Value: OP
    http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
    ClinicalDocument.legalAuthenticator.signatureCoderequiredCDASignatureCode
    http://hl7.org/cda/stds/core/ValueSet/CDASignatureCode
    ClinicalDocument.legalAuthenticator.signatureCode.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.legalAuthenticator.assignedEntity.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.legalAuthenticator.assignedEntity.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.legalAuthenticator.assignedEntity.classCoderequiredFixed Value: ASSIGNED
    http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
    ClinicalDocument.legalAuthenticator.assignedEntity.id.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.legalAuthenticator.assignedEntity.codepreferredHealthcareProviderTaxonomy .(a valid code from http://nucc.org/provider-taxonomy)
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066
    ClinicalDocument.legalAuthenticator.assignedEntity.telecom.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.legalAuthenticator.assignedEntity.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.classCoderequiredFixed Value: PSN
    http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
    ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.typeCoderequiredFixed Value: AUTHEN
    http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
    ClinicalDocument.authenticator.signatureCoderequiredCDASignatureCode
    http://hl7.org/cda/stds/core/ValueSet/CDASignatureCode
    ClinicalDocument.authenticator.signatureCode.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.assignedEntity.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.assignedEntity.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.assignedEntity.classCoderequiredFixed Value: ASSIGNED
    http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
    ClinicalDocument.authenticator.assignedEntity.id.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.assignedEntity.codeexampleCDARoleCode
    http://hl7.org/cda/stds/core/ValueSet/CDARoleCode
    ClinicalDocument.authenticator.assignedEntity.code.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.assignedEntity.code.codepreferredHealthcareProviderTaxonomy .(a valid code from http://nucc.org/provider-taxonomy)
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066
    ClinicalDocument.authenticator.assignedEntity.telecom.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.assignedEntity.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.authenticator.assignedEntity.assignedPerson.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.assignedEntity.assignedPerson.classCoderequiredFixed Value: PSN
    http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
    ClinicalDocument.authenticator.assignedEntity.assignedPerson.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.participant.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.participant.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.participant.typeCoderequiredCDAParticipationType
    http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
    ClinicalDocument.participant.contextControlCoderequiredFixed Value: OP
    http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
    ClinicalDocument.inFulfillmentOf.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.inFulfillmentOf.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.inFulfillmentOf.typeCoderequiredFixed Value: FLFS
    http://terminology.hl7.org/ValueSet/v3-ActRelationshipFulfills|2.0.0
    ClinicalDocument.inFulfillmentOf.order.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.inFulfillmentOf.order.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.inFulfillmentOf.order.classCoderequiredCDAActClass
    http://hl7.org/cda/stds/core/ValueSet/CDAActClass
    ClinicalDocument.inFulfillmentOf.order.moodCoderequiredFixed Value: RQO
    http://hl7.org/cda/stds/core/ValueSet/CDAActMoodIntent
    ClinicalDocument.inFulfillmentOf.order.codeexampleActCode
    http://terminology.hl7.org/ValueSet/v3-ActCode
    ClinicalDocument.inFulfillmentOf.order.priorityCodeexampleActPriority
    http://terminology.hl7.org/ValueSet/v3-ActPriority
    ClinicalDocument.documentationOf.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.typeCoderequiredFixed Value: DOC
    http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType
    ClinicalDocument.documentationOf.serviceEvent.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.serviceEvent.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.serviceEvent.classCoderequiredCDAActClass
    http://hl7.org/cda/stds/core/ValueSet/CDAActClass
    ClinicalDocument.documentationOf.serviceEvent.moodCoderequiredFixed Value: EVN
    http://hl7.org/cda/stds/core/ValueSet/CDAActMood
    ClinicalDocument.documentationOf.serviceEvent.effectiveTime.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.serviceEvent.effectiveTime.operatorrequiredCDASetOperator
    http://hl7.org/cda/stds/core/ValueSet/CDASetOperator
    ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.serviceEvent.performer.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.serviceEvent.performer.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.serviceEvent.performer.typeCoderequiredX_ServiceEventPerformer .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19601
    ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.codepreferredCareTeamMemberFunction .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30
    ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.classCoderequiredFixed Value: ASSIGNED
    http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
    ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.codepreferredHealthcareProviderTaxonomy .(a valid code from http://nucc.org/provider-taxonomy)
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066
    ClinicalDocument.authorization.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authorization.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authorization.typeCoderequiredFixed Value: AUTH
    http://terminology.hl7.org/ValueSet/v3-ActRelationshipAuthorizedBy
    ClinicalDocument.authorization.consent.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authorization.consent.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authorization.consent.classCoderequiredFixed Value: CONS
    http://hl7.org/cda/stds/core/ValueSet/CDAActClass
    ClinicalDocument.authorization.consent.moodCoderequiredFixed Value: EVN
    http://hl7.org/cda/stds/core/ValueSet/CDAActMood
    ClinicalDocument.authorization.consent.codeexampleActCode
    http://terminology.hl7.org/ValueSet/v3-ActCode
    ClinicalDocument.authorization.consent.statusCoderequiredActStatus
    http://terminology.hl7.org/ValueSet/v3-ActStatus
    ClinicalDocument.authorization.consent.statusCode.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.componentOf.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.componentOf.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.componentOf.typeCoderequiredFixed Value: COMP
    http://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent
    ClinicalDocument.componentOf.encompassingEncounter.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.componentOf.encompassingEncounter.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.componentOf.encompassingEncounter.classCoderequiredFixed Value: ENC
    http://hl7.org/cda/stds/core/ValueSet/CDAActClass
    ClinicalDocument.componentOf.encompassingEncounter.moodCoderequiredFixed Value: EVN
    http://hl7.org/cda/stds/core/ValueSet/CDAActMood
    ClinicalDocument.componentOf.encompassingEncounter.codepreferredActEncounterCodes .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1240.5
    ClinicalDocument.componentOf.encompassingEncounter.dischargeDispositionCodeexampleUSEncounterDischargeDisposition
    http://terminology.hl7.org/ValueSet/v3-USEncounterDischargeDisposition
    ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeCoderequiredFixed Value: RESP
    http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
    ClinicalDocument.componentOf.encompassingEncounter.location.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.componentOf.encompassingEncounter.location.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.componentOf.encompassingEncounter.location.typeCoderequiredFixed Value: LOC
    http://terminology.hl7.org/ValueSet/v3-ParticipationTargetLocation

    Constraints

    IdGradePath(s)DetailsRequirements
    1198-32905errorClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntityThis assignedEntity SHALL contain an assignedPerson or a representedOrganization or both (CONF:1198-32905).
    : assignedPerson.exists() or representedOrganization.exists()
    4537-5402errorClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addrIf 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://terminology.hl7.org/ValueSet/USPS-State'))
    4537-5403warningClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addrIf 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})?'))
    4537-6380errorClinicalDocumentIf setId is present versionNumber **SHALL** be present (CONF:4537-6380).
    : setId.exists() implies versionNumber.exists()
    4537-6387errorClinicalDocumentIf versionNumber is present setId **SHALL** be present (CONF:4537-6387).
    : versionNumber.exists() implies setId.exists()
    4537-10006errorClinicalDocument.participant**SHALL** contain associatedEntity/associatedPerson *AND/OR* associatedEntity/scopingOrganization (CONF:4537-10006).
    : associatedEntity.associatedPerson.exists() or associatedEntity.scopingOrganization.exists()
    4537-10007warningClinicalDocument.participantWhen 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')
    4537-16790errorClinicalDocument.author.assignedAuthorThere **SHALL** be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:4537-16790).
    : (assignedPerson | assignedAuthoringDevice).count() = 1
    4537-21000errorClinicalDocument.recordTarget.patientRole.patientIf sdtc:deceasedTime/@value is present, then sdtc:deceasedInd SHALL be present with value=true
    : sdtcDeceasedTime.value.exists() implies sdtcDeceasedInd.exists(value='true')
    4537-32993errorClinicalDocument.recordTarget.patientRole.patientIf sdtc:deceasedInd="true", then sdtc:deceasedTime **SHALL** be present with either a @value or @nullFlavor=UNK (CONF:4537-32993).
    : sdtcDeceasedInd.exists(value='true') implies sdtcDeceasedTime.exists()
    AD-1errorClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.itemCan only have only one of the possible item elements in each choice
    : (delimiter | country | state | county | city | postalCode | streetAddressLine | houseNumber | houseNumberNumeric | direction | streetName | streetNameBase | streetNameType | additionalLocator | unitID | unitType | careOf | censusTract | deliveryAddressLine | deliveryInstallationType | deliveryInstallationArea | deliveryInstallationQualifier | deliveryMode | deliveryModeIdentifier | buildingNumberSuffix | postBox | precinct | xmlText).count() = 1
    II-1errorClinicalDocument.typeId, ClinicalDocument.recordTarget.typeId, ClinicalDocument.recordTarget.patientRole.typeId, ClinicalDocument.recordTarget.patientRole.patient.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId, ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId, ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId, ClinicalDocument.author.typeId, ClinicalDocument.author.assignedAuthor.typeId, ClinicalDocument.author.assignedAuthor.assignedPerson.typeId, ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId, ClinicalDocument.dataEnterer.typeId, ClinicalDocument.dataEnterer.assignedEntity.typeId, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.informant:provider.typeId, ClinicalDocument.informant:provider.assignedEntity.typeId, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.informant:non-provider.typeId, ClinicalDocument.custodian.typeId, ClinicalDocument.custodian.assignedCustodian.typeId, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId, ClinicalDocument.informationRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId, ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId, ClinicalDocument.legalAuthenticator.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.authenticator.typeId, ClinicalDocument.authenticator.assignedEntity.typeId, ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId, ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.participant.typeId, ClinicalDocument.inFulfillmentOf.typeId, ClinicalDocument.inFulfillmentOf.order.typeId, ClinicalDocument.documentationOf.typeId, ClinicalDocument.documentationOf.serviceEvent.typeId, ClinicalDocument.documentationOf.serviceEvent.performer.typeId, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId, ClinicalDocument.authorization.typeId, ClinicalDocument.authorization.consent.typeId, ClinicalDocument.componentOf.typeId, ClinicalDocument.componentOf.encompassingEncounter.typeId, ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId, ClinicalDocument.componentOf.encompassingEncounter.location.typeIdAn II instance must have either a root or an nullFlavor.
    : root.exists() or nullFlavor.exists()
    should-code-attrwarningClinicalDocument.documentationOf.serviceEvent.performer.functionCodeSHOULD contain @code
    : code.exists()
    should-countrywarningClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addrSHOULD contain country
    : nullFlavor.exists() or item.country.exists()
    should-extensionwarningClinicalDocument.author.assignedAuthor.id:npiSHOULD contain extension
    : extension.exists()
    should-id-npiwarningClinicalDocument.author.assignedAuthorSHOULD contain an id with root='2.16.840.1.113883.4.6' (NPI)
    : id.where(root = '2.16.840.1.113883.4.6')
    should-legalAuthenticatorwarningClinicalDocumentSHOULD contain legalAuthenticator
    : legalAuthenticator.exists()
    should-maritalStatusCodewarningClinicalDocument.recordTarget.patientRole.patientSHOULD contain maritalStatusCode
    : maritalStatusCode.exists()
    should-npiwarningClinicalDocument.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.rootSHOULD be NPI
    : $this = '2.16.840.1.113883.4.6'
    should-preferenceIndwarningClinicalDocument.recordTarget.patientRole.patient.languageCommunicationSHOULD contain preferenceInd
    : preferenceInd.exists()
    should-proficiencyLevelCodewarningClinicalDocument.recordTarget.patientRole.patient.languageCommunicationSHOULD contain proficiencyLevelCode
    : proficiencyLevelCode.exists()
    should-relatedParticipantwarningClinicalDocumentDocuments SHOULD contain a RelatedPerson participant
    : participant.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/RelatedPersonRelationshipAndNameParticipant').exists()
    should-responsiblePartywarningClinicalDocument.componentOf.encompassingEncounterSHOULD contain responsibleParty
    : responsibleParty.exists()
    should-us-addrwarningClinicalDocument.recordTarget.patientRole.patient.guardianSHOULD contain addr
    : addr.exists()
    should-us-codewarningClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.author.assignedAuthor, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntitySHOULD contain code
    : code.exists()
    should-us-languageCommunicationwarningClinicalDocument.recordTarget.patientRole.patientSHOULD contain languageCommunication
    : languageCommunication.exists()
    should-us-performerwarningClinicalDocument.documentationOf.serviceEventSHOULD contain performer
    : performer.exists()
    should-us-telecomwarningClinicalDocument.recordTarget.patientRole.patient.guardianSHOULD contain telecom
    : telecom.exists()
    should-usewarningClinicalDocument.recordTarget.patientRole.telecom, ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom, ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom, ClinicalDocument.author.assignedAuthor.telecom, ClinicalDocument.dataEnterer.assignedEntity.telecom, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom, ClinicalDocument.legalAuthenticator.assignedEntity.telecom, ClinicalDocument.authenticator.assignedEntity.telecomSHOULD contain @use
    : nullFlavor.exists() or use.exists()
    should-value-attwarningClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTimeSHOULD contain @value
    : value.exists()
    signaturewarningClinicalDocument.legalAuthenticator.signatureCode, ClinicalDocument.authenticator.signatureCodeCDA 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-nullerrorClinicalDocument.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.precinctxmlText and nullFlavor are mutually exclusive (one must be present)
    : (xmlText | nullFlavor).count() = 1
    ts-shall-dayerrorClinicalDocument.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-yearerrorClinicalDocument.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-daywarningClinicalDocument.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-minutewarningClinicalDocument.documentationOf.serviceEvent.effectiveTime.low, ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high**SHOULD** be precise to at least the minute
    : nullFlavor.exists() or value.toString().length() > 10

    Snapshot View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. ClinicalDocument C 1..1 ClinicalDocument XML Namespace: urn:hl7-org:v3
    Elements defined in Ancestors:@nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, sdtcCategory, code, title, sdtcStatusCode, effectiveTime, confidentialityCode, languageCode, setId, versionNumber, copyTime, recordTarget, author, dataEnterer, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, relatedDocument, authorization, componentOf, component
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    Constraints: 4537-6380, 4537-6387, should-legalAuthenticator, should-relatedParticipant
    ... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ... @classCode 0..1 cs Binding: CDAActClass (example)
    Fixed Value: DOCCLIN
    ... @moodCode 0..1 cs Binding: CDAActMood (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 C 1..1 II Constraints: II-1
    .... @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 1..* 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
    ... id 1..1 II **SHALL** be a globally unique identifier for the document (CONF:4537-9991).
    ... sdtcCategory 0..* CD XML Namespace: urn:hl7-org:sdtc
    XML: category (urn:hl7-org:sdtc)
    ... code 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)
    .... @code 1..1 cs
    .... @codeSystem 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.6.1
    .... @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
    ... 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 1..1 USRealmDateTime
    ... confidentialityCode 1..1 CE
    .... @code 1..1 cs Binding: HL7 BasicConfidentialityKind . (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
    ... 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 C 0..1 II Constraints: II-1
    ..... @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: CDAParticipationType (required)
    Fixed Value: RCT
    .... @contextControlCode 0..1 cs Binding: CDAContextControl (required)
    Fixed Value: OP
    .... patientRole 1..1 PatientRole
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @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 1..* USRealmAddress 𝗨𝗦𝗖𝗗𝗜: Address
    ..... telecom C 1..* TEL 𝗨𝗦𝗖𝗗𝗜: Phone Number / Email
    Constraints: should-use
    ...... @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 Constraints: 4537-32993, 4537-21000, should-maritalStatusCode, should-us-languageCommunication
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... realmCode 0..* CS
    ...... typeId C 0..1 II Constraints: II-1
    ....... @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 1..* USRealmPatientNamePTNUSFIELDED
    ...... sdtcDesc 0..1 ED XML Namespace: urn:hl7-org:sdtc
    XML: desc (urn:hl7-org:sdtc)
    ...... administrativeGenderCode 0..1 CE Binding: AdministrativeGender (example)
    ...... 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)
    Constraints: ts-shall-year, ts-should-day
    ...... 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)
    Constraints: should-value-att, ts-shall-year, ts-should-day
    ...... 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 Categories . (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: Detailed race including absence reasons. . (required)
    ...... ethnicGroupCode 1..1 CE 𝗨𝗦𝗖𝗗𝗜: Ethnicity
    Binding: Ethnicity Categories . (required)
    ...... sdtcEthnicGroupCode 0..* CE XML Namespace: urn:hl7-org:sdtc
    𝗨𝗦𝗖𝗗𝗜: Ethnicity
    XML: ethnicGroupCode (urn:hl7-org:sdtc)
    Binding: Detailed Ethnicity Including Absence Reasons . (required)
    ...... guardian C 0..* Guardian Constraints: should-us-code, should-us-addr, should-us-telecom
    ....... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ....... realmCode 0..* CS
    ....... typeId C 0..1 II Constraints: II-1
    ........ @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 0..* USRealmAddress
    ....... telecom C 0..* TEL Constraints: should-use
    ........ @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 C 0..1 II Constraints: II-1
    ......... @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 1..* USRealmPersonNamePNUSFIELDED
    ........ 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 C 0..1 II Constraints: II-1
    .......... @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 C 0..1 II Constraints: II-1
    ........ @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 C 0..1 II Constraints: II-1
    ......... @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 Constraints: 4537-5402, 4537-5403, should-country
    ......... @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
    Constraints: AD-1
    .......... (Choice of one) 1..1
    ........... delimiter C 0..1 ADXP Constraints: text-null
    ............ (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 Binding: Country2 (required)
    Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 Constraints: text-null
    ............ (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 𝗨𝗦𝗖𝗗𝗜: Preferred Language
    Constraints: should-proficiencyLevelCode, should-preferenceInd
    ....... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ....... realmCode 0..* CS
    ....... typeId C 0..1 II Constraints: II-1
    ........ @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: Languages (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 C 0..1 II Constraints: II-1
    ....... @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 Constraints: should-npi
    ....... @extension 0..1 st
    ...... name 1..* ON
    ...... telecom C 1..* TEL Constraints: should-use
    ....... @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 1..* USRealmAddress
    ...... 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 C 0..1 II Constraints: II-1
    ..... @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: CDAParticipationType (required)
    Fixed Value: AUT
    .... @contextControlCode 0..1 cs Binding: CDAContextControl (required)
    Fixed Value: OP
    .... functionCode 0..1 CE
    .... time 1..1 USRealmDateTime
    .... assignedAuthor C 1..1 AssignedAuthor Constraints: 4537-16790, should-id-npi, should-us-code
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @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 Constraints: should-extension
    ....... @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: CDARoleCode (example)
    ...... @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 1..* USRealmAddress
    ..... telecom C 1..* TEL Constraints: should-use
    ...... @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 C 0..1 II Constraints: II-1
    ........ @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 1..* USRealmPersonNamePNUSFIELDED
    ....... 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 C 0..1 II Constraints: II-1
    ......... @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 C 0..1 II Constraints: II-1
    ........ @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: CDAEntityCode (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 C 0..1 II Constraints: II-1
    ..... @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: CDAParticipationType (required)
    Fixed Value: ENT
    .... @contextControlCode 0..1 cs Binding: CDAContextControl (required)
    Fixed Value: OP
    .... time 0..1 USRealmDateTime
    .... assignedEntity 1..1 AssignedEntity
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @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 Constraints: should-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 1..* USRealmAddress
    ..... telecom C 1..* TEL Constraints: should-use
    ...... @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 C 0..1 II Constraints: II-1
    ....... @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 1..* USRealmPersonNamePNUSFIELDED
    ...... 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 C 0..1 II Constraints: II-1
    ........ @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 C 0..1 II Constraints: II-1
    ...... @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: CDAParticipationType (required)
    Fixed Value: INF
    ..... @contextControlCode 0..1 cs Binding: CDAContextControl (required)
    Fixed Value: OP
    ..... assignedEntity 1..1 AssignedEntity
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... realmCode 0..* CS
    ...... typeId C 0..1 II Constraints: II-1
    ....... @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 1..* USRealmAddress
    ...... telecom 0..* TEL
    ...... assignedPerson 1..1 Person
    ....... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ....... realmCode 0..* CS
    ....... typeId C 0..1 II Constraints: II-1
    ........ @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 1..* USRealmPersonNamePNUSFIELDED
    ....... 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 C 0..1 II Constraints: II-1
    ......... @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 C 0..1 II Constraints: II-1
    ...... @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: CDAParticipationType (required)
    Fixed Value: INF
    ..... @contextControlCode 0..1 cs Binding: CDAContextControl (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 C 0..1 II Constraints: II-1
    ..... @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: CDAParticipationType (required)
    Fixed Value: CST
    .... assignedCustodian 1..1 AssignedCustodian
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @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 C 0..1 II Constraints: II-1
    ....... @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 Constraints: should-npi
    ....... @extension 0..1 st
    ...... name 1..1 ON
    ...... telecom C 1..1 TEL Constraints: should-use
    ....... @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)
    ...... sdtcTelecom 0..* TEL XML Namespace: urn:hl7-org:sdtc
    The stdc:telecom extension can be used to provide additional telecom elements for the custodian organization.
    XML: telecom (urn:hl7-org:sdtc)
    ...... addr 1..1 USRealmAddress
    ... 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 C 0..1 II Constraints: II-1
    ..... @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 C 0..1 II Constraints: II-1
    ...... @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: CDAInformationRecipientRole (required)
    ..... 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 C 0..1 II Constraints: II-1
    ....... @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 1..* USRealmPersonNamePNUSFIELDED
    ...... 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 C 0..1 II Constraints: II-1
    ........ @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 C 0..1 II Constraints: II-1
    ....... @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 C 0..1 II Constraints: II-1
    ..... @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: CDAParticipationType (required)
    Fixed Value: LA
    .... @contextControlCode 0..1 cs Binding: CDAContextControl (required)
    Fixed Value: OP
    .... time 1..1 USRealmDateTime
    .... signatureCode C 1..1 CS Binding: CDASignatureCode (required)
    Constraints: signature
    ..... @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 C 0..1 II Constraints: II-1
    ...... @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 1..* USRealmAddress
    ..... telecom C 1..* TEL Constraints: should-use
    ...... @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 C 0..1 II Constraints: II-1
    ....... @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 1..* USRealmPersonNamePNUSFIELDED
    ...... 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 C 0..1 II Constraints: II-1
    ........ @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 C 0..1 II Constraints: II-1
    ..... @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: CDAParticipationType (required)
    Fixed Value: AUTHEN
    .... time 1..1 USRealmDateTime
    .... signatureCode C 1..1 CS Binding: CDASignatureCode (required)
    Constraints: signature
    ..... @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 C 0..1 II Constraints: II-1
    ...... @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 Constraints: should-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: CDARoleCode (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 1..* USRealmAddress
    ..... telecom C 1..* TEL Constraints: should-use
    ...... @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 C 0..1 II Constraints: II-1
    ....... @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 1..* USRealmPersonNamePNUSFIELDED
    ...... 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 C 0..1 II Constraints: II-1
    ........ @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).
    Constraints: 4537-10006, 4537-10007
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... realmCode 0..* CS
    .... typeId C 0..1 II Constraints: II-1
    ..... @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: CDAParticipationType (required)
    .... @contextControlCode 0..1 cs Binding: CDAContextControl (required)
    Fixed Value: OP
    .... functionCode 0..1 CE
    .... time 0..1 USRealmDateTimeInterval
    .... 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 C 0..1 II Constraints: II-1
    ..... @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 C 0..1 II Constraints: II-1
    ...... @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: CDAActClass (required)
    ..... @moodCode 0..1 cs Binding: CDAActMoodIntent (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 C 0..1 II Constraints: II-1
    ..... @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: CDAActRelationshipType (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.
    Constraints: should-us-performer
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @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: CDAActClass (required)
    ..... @moodCode 0..1 cs Binding: CDAActMood (required)
    Fixed Value: EVN
    ..... id 0..* II
    ..... code 0..1 CE
    ..... effectiveTime 1..1 USRealmDateTimeInterval
    ...... @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: CDASetOperator (required)
    ...... low C 1..1 IVXB_TS **MAY** be precise to at least the second
    Constraints: ts-shall-day, ts-should-minute
    ....... @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
    Constraints: ts-shall-day, ts-should-minute
    ....... @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 C 0..1 II Constraints: II-1
    ....... @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 Constraints: should-code-attr
    ....... @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 0..1 USRealmDateTimeInterval
    ...... assignedEntity C 1..1 AssignedEntity Constraints: should-us-code
    ....... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ....... realmCode 0..* CS
    ....... typeId C 0..1 II Constraints: II-1
    ........ @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 Constraints: should-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 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 C 0..1 II Constraints: II-1
    ..... @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: ActRelationshipAuthorizedBy (required)
    Fixed Value: AUTH
    .... consent 1..1 Consent
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @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: CDAActClass (required)
    Fixed Value: CONS
    ..... @moodCode 0..1 cs Binding: CDAActMood (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 C 0..1 II Constraints: II-1
    ..... @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 Constraints: should-responsibleParty
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @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: CDAActClass (required)
    Fixed Value: ENC
    ..... @moodCode 0..1 cs Binding: CDAActMood (required)
    Fixed Value: EVN
    ..... id 1..* II
    ..... code 0..1 CE Binding: Act Encounter Codes . (preferred)
    ..... effectiveTime 1..1 USRealmDateTimeInterval
    ..... 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 C 0..1 II Constraints: II-1
    ....... @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: CDAParticipationType (required)
    Fixed Value: RESP
    ...... assignedEntity C 1..1 AssignedEntity Constraints: 1198-32905
    ..... encounterParticipant 0..* EncounterParticipant
    ..... location 0..1 InfrastructureRoot
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... realmCode 0..* CS
    ...... typeId C 0..1 II Constraints: II-1
    ....... @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

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    ClinicalDocument.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.classCodeexampleFixed Value: DOCCLIN
    http://hl7.org/cda/stds/core/ValueSet/CDAActClass
    ClinicalDocument.moodCoderequiredFixed Value: EVN
    http://hl7.org/cda/stds/core/ValueSet/CDAActMood
    ClinicalDocument.realmCode.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.templateId:us-realm.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.codeexampleFHIRDocumentTypeCodes
    http://hl7.org/fhir/ValueSet/doc-typecodes
    From the FHIR Standard
    ClinicalDocument.sdtcStatusCoderequiredActStatus
    http://terminology.hl7.org/ValueSet/v3-ActStatus
    ClinicalDocument.confidentialityCode.codepreferredHL7BasicConfidentialityKind .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.16926
    ClinicalDocument.languageCoderequiredAllLanguages
    http://hl7.org/fhir/ValueSet/all-languages
    From the FHIR Standard
    ClinicalDocument.recordTarget.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.typeCoderequiredFixed Value: RCT
    http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
    ClinicalDocument.recordTarget.contextControlCoderequiredFixed Value: OP
    http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
    ClinicalDocument.recordTarget.patientRole.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.classCoderequiredFixed Value: PAT
    http://terminology.hl7.org/ValueSet/v3-RoleClassRelationshipFormal
    ClinicalDocument.recordTarget.patientRole.telecom.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.recordTarget.patientRole.patient.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.classCoderequiredFixed Value: PSN
    http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
    ClinicalDocument.recordTarget.patientRole.patient.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.recordTarget.patientRole.patient.administrativeGenderCodeexampleAdministrativeGender
    http://terminology.hl7.org/ValueSet/v3-AdministrativeGender
    ClinicalDocument.recordTarget.patientRole.patient.maritalStatusCoderequiredMaritalStatus .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12212
    ClinicalDocument.recordTarget.patientRole.patient.religiousAffiliationCoderequiredReligiousAffiliation .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19185
    ClinicalDocument.recordTarget.patientRole.patient.raceCoderequiredRaceCategories .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.4.642.2.575
    ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCoderequiredDetailedRaceIncludingAbsenceReasons .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.25
    ClinicalDocument.recordTarget.patientRole.patient.ethnicGroupCoderequiredEthnicityCategories .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.4.642.40.2.48.3
    ClinicalDocument.recordTarget.patientRole.patient.sdtcEthnicGroupCoderequiredDetailedEthnicityIncludingAbsenceReasons .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.4.642.40.2.48.1
    ClinicalDocument.recordTarget.patientRole.patient.guardian.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.guardian.classCoderequiredFixed Value: GUARD
    http://terminology.hl7.org/ValueSet/v3-RoleClassAgent
    ClinicalDocument.recordTarget.patientRole.patient.guardian.coderequiredPersonalAndLegalRelationshipRoleType .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1
    ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.classCoderequiredFixed Value: PSN
    http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
    ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.classCoderequiredFixed Value: BIRTHPL
    http://terminology.hl7.org/ValueSet/v3-RoleClassPassive
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.classCoderequiredFixed Value: PLC
    http://terminology.hl7.org/ValueSet/v3-EntityClassPlace
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.userequiredCDAPostalAddressUse
    http://hl7.org/cda/stds/core/ValueSet/CDAPostalAddressUse
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.countryrequiredCountry2
    http://terminology.hl7.org/ValueSet/v3-Country2
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.state.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.county.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.city.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postalCode.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetAddressLine.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumber.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.houseNumberNumeric.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.direction.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetName.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameBase.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.streetNameType.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.additionalLocator.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitID.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.unitType.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.careOf.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.censusTract.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryAddressLine.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationType.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationArea.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryInstallationQualifier.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryMode.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.deliveryModeIdentifier.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.buildingNumberSuffix.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.postBox.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.precinct.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.languageCoderequiredLanguages
    http://terminology.hl7.org/ValueSet/Languages
    ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.modeCoderequiredLanguageAbilityMode .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12249
    ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.proficiencyLevelCoderequiredLanguageAbilityProficiency .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12199
    ClinicalDocument.recordTarget.patientRole.providerOrganization.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.providerOrganization.classCoderequiredFixed Value: ORG
    http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization
    ClinicalDocument.recordTarget.patientRole.providerOrganization.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.recordTarget.patientRole.providerOrganization.id.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.recordTarget.patientRole.providerOrganization.standardIndustryClassCodeexampleOrganizationIndustryClassNAICS
    http://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS
    ClinicalDocument.author.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.typeCoderequiredFixed Value: AUT
    http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
    ClinicalDocument.author.contextControlCoderequiredFixed Value: OP
    http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
    ClinicalDocument.author.assignedAuthor.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.assignedAuthor.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.assignedAuthor.classCoderequiredFixed Value: ASSIGNED
    http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
    ClinicalDocument.author.assignedAuthor.id:npi.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.assignedAuthor.codeexampleCDARoleCode
    http://hl7.org/cda/stds/core/ValueSet/CDARoleCode
    ClinicalDocument.author.assignedAuthor.code.codepreferredHealthcareProviderTaxonomy .(a valid code from http://nucc.org/provider-taxonomy)
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066
    ClinicalDocument.author.assignedAuthor.telecom.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.assignedAuthor.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.author.assignedAuthor.assignedPerson.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.assignedAuthor.assignedPerson.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.assignedAuthor.assignedPerson.classCoderequiredFixed Value: PSN
    http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
    ClinicalDocument.author.assignedAuthor.assignedPerson.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.classCoderequiredFixed Value: DEV
    http://terminology.hl7.org/ValueSet/v3-EntityClassDevice
    ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.codeexampleCDAEntityCode
    http://hl7.org/cda/stds/core/ValueSet/CDAEntityCode
    ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.manufacturerModelNameexampleManufacturerModelNameExample
    http://terminology.hl7.org/ValueSet/v3-ManufacturerModelNameExample
    ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.softwareNameexampleSoftwareNameExample
    http://terminology.hl7.org/ValueSet/v3-SoftwareNameExample
    ClinicalDocument.dataEnterer.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.dataEnterer.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.dataEnterer.typeCoderequiredFixed Value: ENT
    http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
    ClinicalDocument.dataEnterer.contextControlCoderequiredFixed Value: OP
    http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
    ClinicalDocument.dataEnterer.assignedEntity.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.dataEnterer.assignedEntity.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.dataEnterer.assignedEntity.classCoderequiredFixed Value: ASSIGNED
    http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
    ClinicalDocument.dataEnterer.assignedEntity.id.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.dataEnterer.assignedEntity.codepreferredHealthcareProviderTaxonomy .(a valid code from http://nucc.org/provider-taxonomy)
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066
    ClinicalDocument.dataEnterer.assignedEntity.telecom.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.dataEnterer.assignedEntity.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.classCoderequiredFixed Value: PSN
    http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
    ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informant:provider.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informant:provider.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informant:provider.typeCoderequiredFixed Value: INF
    http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
    ClinicalDocument.informant:provider.contextControlCoderequiredFixed Value: OP
    http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
    ClinicalDocument.informant:provider.assignedEntity.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informant:provider.assignedEntity.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informant:provider.assignedEntity.classCoderequiredFixed Value: ASSIGNED
    http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
    ClinicalDocument.informant:provider.assignedEntity.codepreferredHealthcareProviderTaxonomy .(a valid code from http://nucc.org/provider-taxonomy)
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066
    ClinicalDocument.informant:provider.assignedEntity.assignedPerson.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informant:provider.assignedEntity.assignedPerson.classCoderequiredFixed Value: PSN
    http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
    ClinicalDocument.informant:provider.assignedEntity.assignedPerson.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informant:non-provider.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informant:non-provider.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informant:non-provider.typeCoderequiredFixed Value: INF
    http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
    ClinicalDocument.informant:non-provider.contextControlCoderequiredFixed Value: OP
    http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
    ClinicalDocument.custodian.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.custodian.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.custodian.typeCoderequiredFixed Value: CST
    http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
    ClinicalDocument.custodian.assignedCustodian.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.custodian.assignedCustodian.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.custodian.assignedCustodian.classCoderequiredFixed Value: ASSIGNED
    http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
    ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.classCoderequiredFixed Value: ORG
    http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization
    ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.informationRecipient.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informationRecipient.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informationRecipient.typeCoderequiredXInformationRecipient
    http://terminology.hl7.org/ValueSet/v3-xInformationRecipient|2.0.0
    ClinicalDocument.informationRecipient.intendedRecipient.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informationRecipient.intendedRecipient.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informationRecipient.intendedRecipient.classCoderequiredCDAInformationRecipientRole
    http://hl7.org/cda/stds/core/ValueSet/CDAInformationRecipientRole
    ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.classCoderequiredFixed Value: PSN
    http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
    ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.classCoderequiredFixed Value: ORG
    http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization
    ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.standardIndustryClassCodeexampleOrganizationIndustryClassNAICS
    http://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS
    ClinicalDocument.legalAuthenticator.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.legalAuthenticator.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.legalAuthenticator.typeCoderequiredFixed Value: LA
    http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
    ClinicalDocument.legalAuthenticator.contextControlCoderequiredFixed Value: OP
    http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
    ClinicalDocument.legalAuthenticator.signatureCoderequiredCDASignatureCode
    http://hl7.org/cda/stds/core/ValueSet/CDASignatureCode
    ClinicalDocument.legalAuthenticator.signatureCode.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.legalAuthenticator.assignedEntity.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.legalAuthenticator.assignedEntity.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.legalAuthenticator.assignedEntity.classCoderequiredFixed Value: ASSIGNED
    http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
    ClinicalDocument.legalAuthenticator.assignedEntity.id.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.legalAuthenticator.assignedEntity.codepreferredHealthcareProviderTaxonomy .(a valid code from http://nucc.org/provider-taxonomy)
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066
    ClinicalDocument.legalAuthenticator.assignedEntity.telecom.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.legalAuthenticator.assignedEntity.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.classCoderequiredFixed Value: PSN
    http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
    ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.typeCoderequiredFixed Value: AUTHEN
    http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
    ClinicalDocument.authenticator.signatureCoderequiredCDASignatureCode
    http://hl7.org/cda/stds/core/ValueSet/CDASignatureCode
    ClinicalDocument.authenticator.signatureCode.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.assignedEntity.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.assignedEntity.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.assignedEntity.classCoderequiredFixed Value: ASSIGNED
    http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
    ClinicalDocument.authenticator.assignedEntity.id.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.assignedEntity.codeexampleCDARoleCode
    http://hl7.org/cda/stds/core/ValueSet/CDARoleCode
    ClinicalDocument.authenticator.assignedEntity.code.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.assignedEntity.code.codepreferredHealthcareProviderTaxonomy .(a valid code from http://nucc.org/provider-taxonomy)
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066
    ClinicalDocument.authenticator.assignedEntity.telecom.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.assignedEntity.telecom.userequiredTelecomUseUSRealmHeader .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20
    ClinicalDocument.authenticator.assignedEntity.assignedPerson.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.assignedEntity.assignedPerson.classCoderequiredFixed Value: PSN
    http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
    ClinicalDocument.authenticator.assignedEntity.assignedPerson.determinerCoderequiredFixed Value: INSTANCE
    http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
    ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.participant.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.participant.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.participant.typeCoderequiredCDAParticipationType
    http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
    ClinicalDocument.participant.contextControlCoderequiredFixed Value: OP
    http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
    ClinicalDocument.inFulfillmentOf.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.inFulfillmentOf.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.inFulfillmentOf.typeCoderequiredFixed Value: FLFS
    http://terminology.hl7.org/ValueSet/v3-ActRelationshipFulfills|2.0.0
    ClinicalDocument.inFulfillmentOf.order.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.inFulfillmentOf.order.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.inFulfillmentOf.order.classCoderequiredCDAActClass
    http://hl7.org/cda/stds/core/ValueSet/CDAActClass
    ClinicalDocument.inFulfillmentOf.order.moodCoderequiredFixed Value: RQO
    http://hl7.org/cda/stds/core/ValueSet/CDAActMoodIntent
    ClinicalDocument.inFulfillmentOf.order.codeexampleActCode
    http://terminology.hl7.org/ValueSet/v3-ActCode
    ClinicalDocument.inFulfillmentOf.order.priorityCodeexampleActPriority
    http://terminology.hl7.org/ValueSet/v3-ActPriority
    ClinicalDocument.documentationOf.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.typeCoderequiredFixed Value: DOC
    http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType
    ClinicalDocument.documentationOf.serviceEvent.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.serviceEvent.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.serviceEvent.classCoderequiredCDAActClass
    http://hl7.org/cda/stds/core/ValueSet/CDAActClass
    ClinicalDocument.documentationOf.serviceEvent.moodCoderequiredFixed Value: EVN
    http://hl7.org/cda/stds/core/ValueSet/CDAActMood
    ClinicalDocument.documentationOf.serviceEvent.effectiveTime.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.serviceEvent.effectiveTime.operatorrequiredCDASetOperator
    http://hl7.org/cda/stds/core/ValueSet/CDASetOperator
    ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.serviceEvent.performer.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.serviceEvent.performer.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.serviceEvent.performer.typeCoderequiredX_ServiceEventPerformer .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19601
    ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.codepreferredCareTeamMemberFunction .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30
    ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.classCoderequiredFixed Value: ASSIGNED
    http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
    ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.codepreferredHealthcareProviderTaxonomy .(a valid code from http://nucc.org/provider-taxonomy)
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066
    ClinicalDocument.authorization.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authorization.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authorization.typeCoderequiredFixed Value: AUTH
    http://terminology.hl7.org/ValueSet/v3-ActRelationshipAuthorizedBy
    ClinicalDocument.authorization.consent.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authorization.consent.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.authorization.consent.classCoderequiredFixed Value: CONS
    http://hl7.org/cda/stds/core/ValueSet/CDAActClass
    ClinicalDocument.authorization.consent.moodCoderequiredFixed Value: EVN
    http://hl7.org/cda/stds/core/ValueSet/CDAActMood
    ClinicalDocument.authorization.consent.codeexampleActCode
    http://terminology.hl7.org/ValueSet/v3-ActCode
    ClinicalDocument.authorization.consent.statusCoderequiredActStatus
    http://terminology.hl7.org/ValueSet/v3-ActStatus
    ClinicalDocument.authorization.consent.statusCode.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.componentOf.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.componentOf.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.componentOf.typeCoderequiredFixed Value: COMP
    http://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent
    ClinicalDocument.componentOf.encompassingEncounter.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.componentOf.encompassingEncounter.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.componentOf.encompassingEncounter.classCoderequiredFixed Value: ENC
    http://hl7.org/cda/stds/core/ValueSet/CDAActClass
    ClinicalDocument.componentOf.encompassingEncounter.moodCoderequiredFixed Value: EVN
    http://hl7.org/cda/stds/core/ValueSet/CDAActMood
    ClinicalDocument.componentOf.encompassingEncounter.codepreferredActEncounterCodes .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1240.5
    ClinicalDocument.componentOf.encompassingEncounter.dischargeDispositionCodeexampleUSEncounterDischargeDisposition
    http://terminology.hl7.org/ValueSet/v3-USEncounterDischargeDisposition
    ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeCoderequiredFixed Value: RESP
    http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
    ClinicalDocument.componentOf.encompassingEncounter.location.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.componentOf.encompassingEncounter.location.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    ClinicalDocument.componentOf.encompassingEncounter.location.typeCoderequiredFixed Value: LOC
    http://terminology.hl7.org/ValueSet/v3-ParticipationTargetLocation

    Constraints

    IdGradePath(s)DetailsRequirements
    1198-32905errorClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntityThis assignedEntity SHALL contain an assignedPerson or a representedOrganization or both (CONF:1198-32905).
    : assignedPerson.exists() or representedOrganization.exists()
    4537-5402errorClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addrIf 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://terminology.hl7.org/ValueSet/USPS-State'))
    4537-5403warningClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addrIf 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})?'))
    4537-6380errorClinicalDocumentIf setId is present versionNumber **SHALL** be present (CONF:4537-6380).
    : setId.exists() implies versionNumber.exists()
    4537-6387errorClinicalDocumentIf versionNumber is present setId **SHALL** be present (CONF:4537-6387).
    : versionNumber.exists() implies setId.exists()
    4537-10006errorClinicalDocument.participant**SHALL** contain associatedEntity/associatedPerson *AND/OR* associatedEntity/scopingOrganization (CONF:4537-10006).
    : associatedEntity.associatedPerson.exists() or associatedEntity.scopingOrganization.exists()
    4537-10007warningClinicalDocument.participantWhen 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')
    4537-16790errorClinicalDocument.author.assignedAuthorThere **SHALL** be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:4537-16790).
    : (assignedPerson | assignedAuthoringDevice).count() = 1
    4537-21000errorClinicalDocument.recordTarget.patientRole.patientIf sdtc:deceasedTime/@value is present, then sdtc:deceasedInd SHALL be present with value=true
    : sdtcDeceasedTime.value.exists() implies sdtcDeceasedInd.exists(value='true')
    4537-32993errorClinicalDocument.recordTarget.patientRole.patientIf sdtc:deceasedInd="true", then sdtc:deceasedTime **SHALL** be present with either a @value or @nullFlavor=UNK (CONF:4537-32993).
    : sdtcDeceasedInd.exists(value='true') implies sdtcDeceasedTime.exists()
    AD-1errorClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.itemCan only have only one of the possible item elements in each choice
    : (delimiter | country | state | county | city | postalCode | streetAddressLine | houseNumber | houseNumberNumeric | direction | streetName | streetNameBase | streetNameType | additionalLocator | unitID | unitType | careOf | censusTract | deliveryAddressLine | deliveryInstallationType | deliveryInstallationArea | deliveryInstallationQualifier | deliveryMode | deliveryModeIdentifier | buildingNumberSuffix | postBox | precinct | xmlText).count() = 1
    II-1errorClinicalDocument.typeId, ClinicalDocument.recordTarget.typeId, ClinicalDocument.recordTarget.patientRole.typeId, ClinicalDocument.recordTarget.patientRole.patient.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId, ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId, ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId, ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.typeId, ClinicalDocument.recordTarget.patientRole.providerOrganization.typeId, ClinicalDocument.author.typeId, ClinicalDocument.author.assignedAuthor.typeId, ClinicalDocument.author.assignedAuthor.assignedPerson.typeId, ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.typeId, ClinicalDocument.dataEnterer.typeId, ClinicalDocument.dataEnterer.assignedEntity.typeId, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.typeId, ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.informant:provider.typeId, ClinicalDocument.informant:provider.assignedEntity.typeId, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.typeId, ClinicalDocument.informant:provider.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.informant:non-provider.typeId, ClinicalDocument.custodian.typeId, ClinicalDocument.custodian.assignedCustodian.typeId, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.typeId, ClinicalDocument.informationRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.typeId, ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship.typeId, ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.typeId, ClinicalDocument.legalAuthenticator.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.typeId, ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.authenticator.typeId, ClinicalDocument.authenticator.assignedEntity.typeId, ClinicalDocument.authenticator.assignedEntity.assignedPerson.typeId, ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, ClinicalDocument.participant.typeId, ClinicalDocument.inFulfillmentOf.typeId, ClinicalDocument.inFulfillmentOf.order.typeId, ClinicalDocument.documentationOf.typeId, ClinicalDocument.documentationOf.serviceEvent.typeId, ClinicalDocument.documentationOf.serviceEvent.performer.typeId, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.typeId, ClinicalDocument.authorization.typeId, ClinicalDocument.authorization.consent.typeId, ClinicalDocument.componentOf.typeId, ClinicalDocument.componentOf.encompassingEncounter.typeId, ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeId, ClinicalDocument.componentOf.encompassingEncounter.location.typeIdAn II instance must have either a root or an nullFlavor.
    : root.exists() or nullFlavor.exists()
    should-code-attrwarningClinicalDocument.documentationOf.serviceEvent.performer.functionCodeSHOULD contain @code
    : code.exists()
    should-countrywarningClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addrSHOULD contain country
    : nullFlavor.exists() or item.country.exists()
    should-extensionwarningClinicalDocument.author.assignedAuthor.id:npiSHOULD contain extension
    : extension.exists()
    should-id-npiwarningClinicalDocument.author.assignedAuthorSHOULD contain an id with root='2.16.840.1.113883.4.6' (NPI)
    : id.where(root = '2.16.840.1.113883.4.6')
    should-legalAuthenticatorwarningClinicalDocumentSHOULD contain legalAuthenticator
    : legalAuthenticator.exists()
    should-maritalStatusCodewarningClinicalDocument.recordTarget.patientRole.patientSHOULD contain maritalStatusCode
    : maritalStatusCode.exists()
    should-npiwarningClinicalDocument.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.rootSHOULD be NPI
    : $this = '2.16.840.1.113883.4.6'
    should-preferenceIndwarningClinicalDocument.recordTarget.patientRole.patient.languageCommunicationSHOULD contain preferenceInd
    : preferenceInd.exists()
    should-proficiencyLevelCodewarningClinicalDocument.recordTarget.patientRole.patient.languageCommunicationSHOULD contain proficiencyLevelCode
    : proficiencyLevelCode.exists()
    should-relatedParticipantwarningClinicalDocumentDocuments SHOULD contain a RelatedPerson participant
    : participant.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/RelatedPersonRelationshipAndNameParticipant').exists()
    should-responsiblePartywarningClinicalDocument.componentOf.encompassingEncounterSHOULD contain responsibleParty
    : responsibleParty.exists()
    should-us-addrwarningClinicalDocument.recordTarget.patientRole.patient.guardianSHOULD contain addr
    : addr.exists()
    should-us-codewarningClinicalDocument.recordTarget.patientRole.patient.guardian, ClinicalDocument.author.assignedAuthor, ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntitySHOULD contain code
    : code.exists()
    should-us-languageCommunicationwarningClinicalDocument.recordTarget.patientRole.patientSHOULD contain languageCommunication
    : languageCommunication.exists()
    should-us-performerwarningClinicalDocument.documentationOf.serviceEventSHOULD contain performer
    : performer.exists()
    should-us-telecomwarningClinicalDocument.recordTarget.patientRole.patient.guardianSHOULD contain telecom
    : telecom.exists()
    should-usewarningClinicalDocument.recordTarget.patientRole.telecom, ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom, ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom, ClinicalDocument.author.assignedAuthor.telecom, ClinicalDocument.dataEnterer.assignedEntity.telecom, ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom, ClinicalDocument.legalAuthenticator.assignedEntity.telecom, ClinicalDocument.authenticator.assignedEntity.telecomSHOULD contain @use
    : nullFlavor.exists() or use.exists()
    should-value-attwarningClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTimeSHOULD contain @value
    : value.exists()
    signaturewarningClinicalDocument.legalAuthenticator.signatureCode, ClinicalDocument.authenticator.signatureCodeCDA 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-nullerrorClinicalDocument.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.precinctxmlText and nullFlavor are mutually exclusive (one must be present)
    : (xmlText | nullFlavor).count() = 1
    ts-shall-dayerrorClinicalDocument.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-yearerrorClinicalDocument.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-daywarningClinicalDocument.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-minutewarningClinicalDocument.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 ClinicalDocument

    Summary

    Mandatory: 24 elements(37 nested mandatory elements)
    Prohibited: 5 elements

    Structures

    This structure refers to these other structures:

    Slices

    This structure defines the following Slices:

    • The element 2 is sliced based on the values of ClinicalDocument.templateId
    • The element 1 is sliced based on the value of ClinicalDocument.author.assignedAuthor.id
    • The element 2 is sliced based on the values of ClinicalDocument.informant

     

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