Package | hl7.cda.us.ccda |
Type | StructureDefinition |
Id | Id |
FHIR Version | R5 |
Source | http://hl7.org/cda/us/ccda/https://build.fhir.org/ig/HL7/CDA-ccda/StructureDefinition-USRealmHeaderforPatientGeneratedDocument.html |
Url | http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeaderforPatientGeneratedDocument |
Version | 4.0.0-ballot |
Status | active |
Date | 2024-12-11T22:59:59+00:00 |
Name | USRealmHeaderforPatientGeneratedDocument |
Title | US Realm Header for Patient Generated Document |
Experimental | False |
Realm | us |
Authority | hl7 |
Description | This template focuses on the patient or related person in the roles of author and other participants and is designed to be used in conjunction with the US Realm Header. It includes additional conformances which further constrain the US Realm Header. The Patient Generated Document Header template is not a separate document type. The document body may contain any structured or unstructured content from C-CDA. |
Type | http://hl7.org/cda/stds/core/StructureDefinition/ClinicalDocument |
Kind | logical |
No resources found
StructureDefinition | |
USRealmHeader | US Realm Header |
Note: links and images are rebased to the (stated) source
Generated Narrative: StructureDefinition USRealmHeaderforPatientGeneratedDocument
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
ClinicalDocument | 1..1 | USRealmHeader | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, sdtcCategory, code, title, sdtcStatusCode, effectiveTime, confidentialityCode, languageCode, setId, versionNumber, copyTime, recordTarget, author, dataEnterer, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, relatedDocument, authorization, componentOf, component, realmCode, typeId, templateId, templateId, id, code, title, effectiveTime, languageCode, setId, versionNumber, recordTarget, author, dataEnterer, informant, informant, informant, custodian, informationRecipient, legalAuthenticator, authenticator, participant, inFulfillmentOf, documentationOf, authorization, componentOf Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) | |
templateId | 2..* | II | ||
Slices for templateId | Content/Rules for all slices | |||
templateId:us-patient-gen-doc | 1..1 | II | ||
@root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.29.1 | |
@extension | 1..1 | st | Required Pattern: 2024-05-01 | |
recordTarget | 1..1 | RecordTarget | The recordTarget records the patient whose health information is described by the clinical document; each recordTarget must contain at least one patientRole element. If the document receiver is interested in setting up a translator for the encounter with the patient, the receiver of the document will have to infer the need for a translator, based upon the language skills identified for the patient, the patient's language of preference and the predominant language used by the organization receiving the CDA. HL7 Vocabulary simply describes guardian as a relationship to a ward. This need not be a formal legal relationship. When a guardian relationship exists for the patient, it can be represented, regardless of who is present at the time the document is generated. This need not be a formal legal relationship. A child's parent can be represented in the guardian role. In this case, the guardian/code element would encode the personal relationship of "mother" for the child's mom or "father" for the child's dad. An elderly person's child can be represented in the guardian role. In this case, the guardian/code element would encode the personal relationship of "daughter" or "son", or if a legal relationship existed, the relationship of "legal guardian" could be encoded. | |
patientRole | 1..1 | PatientRole | ||
id | 1..* | II | ||
patient | C | 1..1 | Patient | should-languageCommunication: SHOULD contain languageCommunication |
guardian | C | 0..* | Guardian | should-id: SHOULD contain id should-code: SHOULD contain code |
id | 0..* | II | ||
code | 0..1 | CE | ||
languageCommunication | 0..* | LanguageCommunication | 헨헦헖헗헜: Preferred Language | |
languageCode | 1..1 | CS | Binding: AllLanguages (required) | |
preferenceInd | 0..1 | BL | Indicates a preference for information about care delivery and treatments be communicated (or translated if needed) into this language. If more than one languageCommunication is present, only one languageCommunication element SHALL have a preferenceInd with a value of 1. | |
providerOrganization | 0..1 | Organization | If present, this organization represents the provider organization where the person is claiming to be a patient. | |
author | 1..* | Author | The author element represents the creator of the clinical document. The author may be a device, or a person. The person is the patient or the patient's advocate. | |
assignedAuthor | C | 1..1 | AssignedAuthor | should-code: SHOULD contain code |
id | 1..* | II | ||
code | 0..1 | CE | When the author is a person who is not acting in the role of a clinician, this code encodes the personal or legal relationship between author and the patient. | |
@code | 1..1 | cs | Binding: Personal And Legal Relationship Role Type (preferred) | |
dataEnterer | 0..1 | DataEnterer | The dataEnterer element represents the person who transferred the content, written or dictated by someone else, into the clinical document. The guiding rule of thumb is that an author provides the content found within the header or body of the document, subject to their own interpretation, and the dataEnterer adds that information to the electronic system. In other words, a dataEnterer transfers information from one source to another (e.g., transcription from paper form to electronic system). If the dataEnterer is missing, this role is assumed to be played by the author. | |
assignedEntity | 1..1 | AssignedEntity | ||
code | 0..1 | CE | Binding: Personal And Legal Relationship Role Type (preferred) | |
Slices for informant | Content/Rules for all slices | |||
informant:non-provider | 0..* | Informant | The informant element describes an information source (who is not a provider) for any content within the clinical document. This informant would be used when the source of information has a personal relationship with the patient or is the patient. | |
relatedEntity | 1..1 | RelatedEntity | ||
code | C | 0..1 | CE | should-us-code-attr: SHOULD contain @code |
@code | 0..1 | cs | Binding: Personal And Legal Relationship Role Type (preferred) | |
custodian | 1..1 | Custodian | The custodian element represents the organization or person that is in charge of maintaining the document. The custodian is the steward that is entrusted with the care of the document. Every CDA document has exactly one custodian. The custodian participation satisfies the CDA definition of Stewardship. Because CDA is an exchange standard and may not represent the original form of the authenticated document (e.g., CDA could include scanned copy of original), 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. Also, the custodian may be the patient or an organization acting on behalf of the patient, such as a PHR organization. | |
assignedCustodian | 1..1 | AssignedCustodian | ||
representedCustodianOrganization | 1..1 | CustodianOrganization | The representedCustodianOrganization may be the person when the document is not maintained by an organization. | |
id | 1..* | II | The combined @root and @extension attributes record the custodian organization's identity in a secure, trusted, and unique way. | |
informationRecipient | 0..* | InformationRecipient | The informationRecipient element records the intended recipient of the information at the time the document is created. For example, in cases where the intended recipient of the document is the patient's health chart, set the receivedOrganization to be the scoping organization for that chart. | |
intendedRecipient | C | 1..1 | IntendedRecipient | should-id: SHOULD contain id |
id | C | 0..* | II | The combined @root and @extension attributes to record the information recipient's identity in a secure, trusted, and unique way. should-root: SHOULD contain @root |
@root | 0..1 | oid, uuid, ruid | For a provider, the id/@root ="2.16.840.1.113883.4.6" indicates the National Provider Identifier where id/@extension is the NPI number for the provider. The ids MAY reference the id of a person or organization entity specified elsewhere in the document. | |
legalAuthenticator | 0..1 | LegalAuthenticator | In a patient authored document, the legalAuthenticator identifies the single person legally responsible for the document and must be present if the document has been legally authenticated. (Note that per the following section, there may also be one or more document authenticators.) Based on local practice, patient authored documents may be provided without legal authentication. This implies that a patient authored 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. All patient documents have the potential for legal authentication, given the appropriate legal authority. Local policies MAY choose to delegate the function of legal authentication to a device or system that generates the document. In these cases, the legal authenticator is the person accepting responsibility for the document, not the generating device or system. Note that the legal authenticator, if present, must be a person. | |
assignedEntity | 1..1 | AssignedEntity | ||
id | 1..* | II | The combined @root and @extension attributes to record the information recipient's identity in a secure, trusted, and unique way. | |
code | 0..1 | CE | ||
@code | 0..1 | cs | Binding: Personal And Legal Relationship Role Type (preferred) | |
authenticator | 0..* | Authenticator | The authenticator identifies a participant or participants who attest to the accuracy of the information in the document. | |
assignedEntity | C | 1..1 | AssignedEntity | should-code: SHOULD contain code |
id | 1..* | II | The combined @root and @extension attributes to record the authenticator's identity in a secure, trusted, and unique way. | |
code | 0..1 | CE | Binding: Personal And Legal Relationship Role Type (preferred) | |
participant | 0..* | Participant1 | The participant element identifies other supporting participants, including parents, relatives, caregivers, insurance policyholders, guarantors, and other participants 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) | |
@typeCode | 1..1 | cs | Unless otherwise specified by the document specific header constraints, when participant/@typeCode is IND, associatedEntity/@classCode SHALL be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes STATIC 2011-09-30 | |
associatedEntity | C | 1..1 | AssociatedEntity | should-code: SHOULD contain code |
code | 0..1 | CE | Binding: Personal And Legal Relationship Role Type (preferred) | |
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 | A scheduled appointment or service event in a practice management system may be represented using this id element. | |
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. should-code: SHOULD contain code should-performer: SHOULD contain performer |
code | 0..1 | CE | The code should be selected from a value set established by the document-level template for a specific type of Patient Generated Document. | |
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. | |
functionCode | 0..1 | CE | When indicating the performer was the primary care physician, implementers should indicate "PCP" as the functionCode | |
@code | 0..1 | cs | Binding: ParticipationFunction (required) | |
assignedEntity | 1..1 | AssignedEntity | ||
id | 1..* | II | The combined @root and @extension attributes record the performer's identity in a secure, trusted, and unique way. | |
code | 0..1 | CE | If the assignedEntity is an individual, the code SHOULD be selected from value set PersonalandLegalRelationshipRoleType value set Binding: Personal And Legal Relationship Role Type (preferred) | |
Documentation for this format |
{
"resourceType" : "StructureDefinition",
"id" : "USRealmHeaderforPatientGeneratedDocument",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition USRealmHeaderforPatientGeneratedDocument</b></p><a name=\"USRealmHeaderforPatientGeneratedDocument\"> </a><a name=\"hcUSRealmHeaderforPatientGeneratedDocument\"> </a><a name=\"USRealmHeaderforPatientGeneratedDocument-en-US\"> </a><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description & Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument\">ClinicalDocument</a><a name=\"ClinicalDocument\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"StructureDefinition-USRealmHeader.html\">USRealmHeader</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">XML Namespace: </span>urn:hl7-org:v3<br/>Elements defined in Ancestors:<a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-ANY.html\" title=\"If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.\">@nullFlavor</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-ClinicalDocument.html\">@classCode</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-ClinicalDocument.html\">@moodCode</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-ClinicalDocument.html\" title=\"When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question\">realmCode</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-ClinicalDocument.html\" title=\"ClinicalDocument.typeId is a technology-neutral explicit reference to this CDA, Release Two specification, and must be valued as follows: ClinicalDocument.typeId.root = "2.16.840.1.113883.1.3" (which is the OID for HL7 Registered models); ClinicalDocument.typeId.extension = "POCD_HD000040" (which is the unique identifier for the CDA, Release Two Hierarchical Description).\">typeId</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-ClinicalDocument.html\" title=\"When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question\">templateId</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-ClinicalDocument.html\">id</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-ClinicalDocument.html\">sdtcCategory</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-ClinicalDocument.html\">code</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-ClinicalDocument.html\">title</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-ClinicalDocument.html\" title=\"The statusCode extension attribute allows the implementer to identify a ClinicalDocument that is in other than the completed state. It was created to support the Structured Form Definition IG to identify that the document itself is an unfinished product currently being completed for a patient.\">sdtcStatusCode</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-ClinicalDocument.html\">effectiveTime</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-ClinicalDocument.html\">confidentialityCode</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-ClinicalDocument.html\">languageCode</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-ClinicalDocument.html\">setId</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-ClinicalDocument.html\">versionNumber</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-ClinicalDocument.html\">copyTime</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-ClinicalDocument.html\">recordTarget</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-ClinicalDocument.html\">author</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-ClinicalDocument.html\">dataEnterer</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-ClinicalDocument.html\">informant</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-ClinicalDocument.html\">custodian</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-ClinicalDocument.html\">informationRecipient</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-ClinicalDocument.html\">legalAuthenticator</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-ClinicalDocument.html\">authenticator</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-ClinicalDocument.html\">participant</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-ClinicalDocument.html\">inFulfillmentOf</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-ClinicalDocument.html\">documentationOf</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-ClinicalDocument.html\">relatedDocument</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-ClinicalDocument.html\">authorization</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-ClinicalDocument.html\">componentOf</a>, <a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-ClinicalDocument.html\">component</a>, <a href=\"StructureDefinition-USRealmHeader.html\">realmCode</a>, <a href=\"StructureDefinition-USRealmHeader.html\">typeId</a>, <a href=\"StructureDefinition-USRealmHeader.html\">templateId</a>, <a href=\"StructureDefinition-USRealmHeader.html\">templateId</a>, <a href=\"StructureDefinition-USRealmHeader.html\">id</a>, <a href=\"StructureDefinition-USRealmHeader.html\">code</a>, <a href=\"StructureDefinition-USRealmHeader.html\">title</a>, <a href=\"StructureDefinition-USRealmHeader.html\">effectiveTime</a>, <a href=\"StructureDefinition-USRealmHeader.html\">languageCode</a>, <a href=\"StructureDefinition-USRealmHeader.html\">setId</a>, <a href=\"StructureDefinition-USRealmHeader.html\">versionNumber</a>, <a href=\"StructureDefinition-USRealmHeader.html\">recordTarget</a>, <a href=\"StructureDefinition-USRealmHeader.html\">author</a>, <a href=\"StructureDefinition-USRealmHeader.html\">dataEnterer</a>, <a href=\"StructureDefinition-USRealmHeader.html\">informant</a>, <a href=\"StructureDefinition-USRealmHeader.html\">informant</a>, <a href=\"StructureDefinition-USRealmHeader.html\">informant</a>, <a href=\"StructureDefinition-USRealmHeader.html\">custodian</a>, <a href=\"StructureDefinition-USRealmHeader.html\">informationRecipient</a>, <a href=\"StructureDefinition-USRealmHeader.html\">legalAuthenticator</a>, <a href=\"StructureDefinition-USRealmHeader.html\">authenticator</a>, <a href=\"StructureDefinition-USRealmHeader.html\">participant</a>, <a href=\"StructureDefinition-USRealmHeader.html\">inFulfillmentOf</a>, <a href=\"StructureDefinition-USRealmHeader.html\">documentationOf</a>, <a href=\"StructureDefinition-USRealmHeader.html\">authorization</a>, <a href=\"StructureDefinition-USRealmHeader.html\">componentOf</a><br/><span style=\"opacity: 0.5\">Base for all types and resources</span><br/><span style=\"font-weight:bold\">Instance of this type are validated by templateId</span><br/><span style=\"font-weight:bold\" title=\"The root class that contains instances of this class\">Logical Container: </span><a href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-ClinicalDocument.html\">ClinicalDocument (CDA Class)</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.templateId\">templateId</a><a name=\"ClinicalDocument.templateId\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">2..<span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-II.html\">II</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> Slices for templateId<a name=\"ClinicalDocument.templateId.2\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Content/Rules for all slices</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck125.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.templateId:us-patient-gen-doc\" title=\"Slice us-patient-gen-doc\">templateId:us-patient-gen-doc</a><a name=\"ClinicalDocument.templateId.3\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-II.html\">II</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1250.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.templateId:us-patient-gen-doc.root\">@root</a><a name=\"ClinicalDocument.templateId.root\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-oid.html\" title=\"string\">oid</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-uuid.html\" title=\"string\">uuid</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-ruid.html\" title=\"string\">ruid</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">2.16.840.1.113883.10.20.29.1</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1240.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_extension_simple.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Simple Extension\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.templateId:us-patient-gen-doc.extension\">@extension</a><a name=\"ClinicalDocument.templateId.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-st-simple.html\" title=\"string\">st</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">2024-05-01</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.recordTarget\">recordTarget</a><a name=\"ClinicalDocument.recordTarget\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span>..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-RecordTarget.html\">RecordTarget</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The recordTarget records the patient whose health information is described by the clinical document; each recordTarget must contain at least one patientRole element. \n\nIf the document receiver is interested in setting up a translator for the encounter with the patient, the receiver of the document will have to infer the need for a translator, based upon the language skills identified for the patient, the patient's language of preference and the predominant language used by the organization receiving the CDA.\n\nHL7 Vocabulary simply describes guardian as a relationship to a ward. This need not be a formal legal relationship. When a guardian relationship exists for the patient, it can be represented, regardless of who is present at the time the document is generated. This need not be a formal legal relationship. A child's parent can be represented in the guardian role. In this case, the guardian/code element would encode the personal relationship of "mother" for the child's mom or "father" for the child's dad. An elderly person's child can be represented in the guardian role. In this case, the guardian/code element would encode the personal relationship of "daughter" or "son", or if a legal relationship existed, the relationship of "legal guardian" could be encoded.</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.recordTarget.patientRole\">patientRole</a><a name=\"ClinicalDocument.recordTarget.patientRole\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-PatientRole.html\">PatientRole</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.recordTarget.patientRole.id\">id</a><a name=\"ClinicalDocument.recordTarget.patientRole.id\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-II.html\">II</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1011.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.recordTarget.patientRole.patient\">patient</a><a name=\"ClinicalDocument.recordTarget.patientRole.patient\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R5/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( should-languageCommunication )\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Patient.html\">Patient</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">should-languageCommunication: </span>SHOULD contain languageCommunication</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10111.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.recordTarget.patientRole.patient.guardian\">guardian</a><a name=\"ClinicalDocument.recordTarget.patientRole.patient.guardian\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R5/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( should-id, should-code )\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Guardian.html\">Guardian</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">should-id: </span>SHOULD contain id<br/><span style=\"font-weight:bold\">should-code: </span>SHOULD contain code</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.recordTarget.patientRole.patient.guardian.id\">id</a><a name=\"ClinicalDocument.recordTarget.patientRole.patient.guardian.id\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-II.html\">II</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.recordTarget.patientRole.patient.guardian.code\">code</a><a name=\"ClinicalDocument.recordTarget.patientRole.patient.guardian.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-CE.html\">CE</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10101.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.recordTarget.patientRole.patient.languageCommunication\">languageCommunication</a><a name=\"ClinicalDocument.recordTarget.patientRole.patient.languageCommunication\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-LanguageCommunication.html\">LanguageCommunication</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">𝗨𝗦𝗖𝗗𝗜: Preferred Language</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.languageCode\">languageCode</a><a name=\"ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.languageCode\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-CS.html\">CS</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"http://hl7.org/fhir/R5/valueset-all-languages.html\" title=\"http://hl7.org/fhir/ValueSet/all-languages\">AllLanguages</a> (<a href=\"http://hl7.org/fhir/R5/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.preferenceInd\">preferenceInd</a><a name=\"ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.preferenceInd\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-BL.html\">BL</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Indicates a preference for information about care delivery and treatments be communicated (or translated if needed) into this language.\n\nIf more than one languageCommunication is present, only one languageCommunication element SHALL have a preferenceInd with a value of 1.</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.recordTarget.patientRole.providerOrganization\">providerOrganization</a><a name=\"ClinicalDocument.recordTarget.patientRole.providerOrganization\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Organization.html\">Organization</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">If present, this organization represents the provider organization where the person is claiming to be a patient.</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.author\">author</a><a name=\"ClinicalDocument.author\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Author.html\">Author</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The author element represents the creator of the clinical document. The author may be a device, or a person. The person is the patient or the patient's advocate.</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.author.assignedAuthor\">assignedAuthor</a><a name=\"ClinicalDocument.author.assignedAuthor\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R5/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( should-code )\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-AssignedAuthor.html\">AssignedAuthor</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">should-code: </span>SHOULD contain code</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.author.assignedAuthor.id\">id</a><a name=\"ClinicalDocument.author.assignedAuthor.id\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-II.html\">II</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1001.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.author.assignedAuthor.code\">code</a><a name=\"ClinicalDocument.author.assignedAuthor.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-CE.html\">CE</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">When the author is a person who is not acting in the role of a clinician, this code encodes the personal or legal relationship between author and the patient.</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.author.assignedAuthor.code.code\">@code</a><a name=\"ClinicalDocument.author.assignedAuthor.code.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-cs-simple.html\" title=\"code\">cs</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.11.20.12.1/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1\">Personal And Legal Relationship Role Type <img src=\"external.png\" alt=\".\"/></a> (<a href=\"http://hl7.org/fhir/R5/terminologies.html#preferred\" title=\"Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.\">preferred</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.dataEnterer\">dataEnterer</a><a name=\"ClinicalDocument.dataEnterer\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-DataEnterer.html\">DataEnterer</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The dataEnterer element represents the person who transferred the content, written or dictated by someone else, into the clinical document. The guiding rule of thumb is that an author provides the content found within the header or body of the document, subject to their own interpretation, and the dataEnterer adds that information to the electronic system. In other words, a dataEnterer transfers information from one source to another (e.g., transcription from paper form to electronic system). If the dataEnterer is missing, this role is assumed to be played by the author.</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.dataEnterer.assignedEntity\">assignedEntity</a><a name=\"ClinicalDocument.dataEnterer.assignedEntity\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-AssignedEntity.html\">AssignedEntity</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.dataEnterer.assignedEntity.code\">code</a><a name=\"ClinicalDocument.dataEnterer.assignedEntity.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-CE.html\">CE</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.11.20.12.1/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1\">Personal And Legal Relationship Role Type <img src=\"external.png\" alt=\".\"/></a> (<a href=\"http://hl7.org/fhir/R5/terminologies.html#preferred\" title=\"Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.\">preferred</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> Slices for informant<a name=\"ClinicalDocument.informant\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Content/Rules for all slices</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck125.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.informant:non-provider\" title=\"Slice non-provider\">informant:non-provider</a><a name=\"ClinicalDocument.informant.2\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Informant.html\">Informant</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">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.</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1241.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.informant:non-provider.relatedEntity\">relatedEntity</a><a name=\"ClinicalDocument.informant.relatedEntity\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-RelatedEntity.html\">RelatedEntity</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck12401.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.informant:non-provider.relatedEntity.code\">code</a><a name=\"ClinicalDocument.informant.relatedEntity.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R5/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( should-us-code-attr )\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-CE.html\">CE</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">should-us-code-attr: </span>SHOULD contain @code</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck124000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.informant:non-provider.relatedEntity.code.code\">@code</a><a name=\"ClinicalDocument.informant.relatedEntity.code.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-cs-simple.html\" title=\"code\">cs</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.11.20.12.1/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1\">Personal And Legal Relationship Role Type <img src=\"external.png\" alt=\".\"/></a> (<a href=\"http://hl7.org/fhir/R5/terminologies.html#preferred\" title=\"Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.\">preferred</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.custodian\">custodian</a><a name=\"ClinicalDocument.custodian\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Custodian.html\">Custodian</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The custodian element represents the organization or person that is in charge of maintaining the document. The custodian is the steward that is entrusted with the care of the document. Every CDA document has exactly one custodian. The custodian participation satisfies the CDA definition of Stewardship. Because CDA is an exchange standard and may not represent the original form of the authenticated document (e.g., CDA could include scanned copy of original), 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. Also, the custodian may be the patient or an organization acting on behalf of the patient, such as a PHR organization.</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.custodian.assignedCustodian\">assignedCustodian</a><a name=\"ClinicalDocument.custodian.assignedCustodian\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-AssignedCustodian.html\">AssignedCustodian</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1001.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization\">representedCustodianOrganization</a><a name=\"ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-CustodianOrganization.html\">CustodianOrganization</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The representedCustodianOrganization may be the person when the document is not maintained by an organization.</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id\">id</a><a name=\"ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-II.html\">II</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The combined @root and @extension attributes record the custodian organization's identity in a secure, trusted, and unique way.</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.informationRecipient\">informationRecipient</a><a name=\"ClinicalDocument.informationRecipient\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-InformationRecipient.html\">InformationRecipient</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The informationRecipient element records the intended recipient of the information at the time the document is created. For example, in cases where the intended recipient of the document is the patient's health chart, set the receivedOrganization to be the scoping organization for that chart.</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.informationRecipient.intendedRecipient\">intendedRecipient</a><a name=\"ClinicalDocument.informationRecipient.intendedRecipient\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R5/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( should-id )\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-IntendedRecipient.html\">IntendedRecipient</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">should-id: </span>SHOULD contain id</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1001.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.informationRecipient.intendedRecipient.id\">id</a><a name=\"ClinicalDocument.informationRecipient.intendedRecipient.id\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R5/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( should-root )\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-II.html\">II</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The combined @root and @extension attributes to record the information recipient's identity in a secure, trusted, and unique way.<br/><span style=\"font-weight:bold\">should-root: </span>SHOULD contain @root</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.informationRecipient.intendedRecipient.id.root\">@root</a><a name=\"ClinicalDocument.informationRecipient.intendedRecipient.id.root\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-oid.html\" title=\"string\">oid</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-uuid.html\" title=\"string\">uuid</a><span style=\"opacity: 0.5\">, </span><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-ruid.html\" title=\"string\">ruid</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">For a provider, the id/@root ="2.16.840.1.113883.4.6" indicates the National Provider Identifier where id/@extension is the NPI number for the provider.\n\nThe ids MAY reference the id of a person or organization entity specified elsewhere in the document.</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.legalAuthenticator\">legalAuthenticator</a><a name=\"ClinicalDocument.legalAuthenticator\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-LegalAuthenticator.html\">LegalAuthenticator</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">In a patient authored document, the legalAuthenticator identifies the single person legally responsible for the document and must be present if the document has been legally authenticated. (Note that per the following section, there may also be one or more document authenticators.) \n\nBased on local practice, patient authored documents may be provided without legal authentication. This implies that a patient authored document that does not contain this element has not been legally authenticated.\n\nThe act of legal authentication requires a certain privilege be granted to the legal authenticator depending upon local policy. All patient documents have the potential for legal authentication, given the appropriate legal authority.\n\nLocal policies MAY choose to delegate the function of legal authentication to a device or system that generates the document. In these cases, the legal authenticator is the person accepting responsibility for the document, not the generating device or system.\n\nNote that the legal authenticator, if present, must be a person.</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.legalAuthenticator.assignedEntity\">assignedEntity</a><a name=\"ClinicalDocument.legalAuthenticator.assignedEntity\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-AssignedEntity.html\">AssignedEntity</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.legalAuthenticator.assignedEntity.id\">id</a><a name=\"ClinicalDocument.legalAuthenticator.assignedEntity.id\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-II.html\">II</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The combined @root and @extension attributes to record the information recipient's identity in a secure, trusted, and unique way.</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1001.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.legalAuthenticator.assignedEntity.code\">code</a><a name=\"ClinicalDocument.legalAuthenticator.assignedEntity.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-CE.html\">CE</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.legalAuthenticator.assignedEntity.code.code\">@code</a><a name=\"ClinicalDocument.legalAuthenticator.assignedEntity.code.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-cs-simple.html\" title=\"code\">cs</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.11.20.12.1/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1\">Personal And Legal Relationship Role Type <img src=\"external.png\" alt=\".\"/></a> (<a href=\"http://hl7.org/fhir/R5/terminologies.html#preferred\" title=\"Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.\">preferred</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.authenticator\">authenticator</a><a name=\"ClinicalDocument.authenticator\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Authenticator.html\">Authenticator</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">The authenticator identifies a participant or participants who attest to the accuracy of the information in the document.</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.authenticator.assignedEntity\">assignedEntity</a><a name=\"ClinicalDocument.authenticator.assignedEntity\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R5/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( should-code )\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-AssignedEntity.html\">AssignedEntity</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">should-code: </span>SHOULD contain code</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.authenticator.assignedEntity.id\">id</a><a name=\"ClinicalDocument.authenticator.assignedEntity.id\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-II.html\">II</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The combined @root and @extension attributes to record the authenticator's identity in a secure, trusted, and unique way.</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.authenticator.assignedEntity.code\">code</a><a name=\"ClinicalDocument.authenticator.assignedEntity.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-CE.html\">CE</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.11.20.12.1/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1\">Personal And Legal Relationship Role Type <img src=\"external.png\" alt=\".\"/></a> (<a href=\"http://hl7.org/fhir/R5/terminologies.html#preferred\" title=\"Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.\">preferred</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.participant\">participant</a><a name=\"ClinicalDocument.participant\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Participant1.html\">Participant1</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The participant element identifies other supporting participants, including parents, relatives, caregivers, insurance policyholders, guarantors, and other participants related in some way to the patient. \n\nA 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)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.participant.typeCode\">@typeCode</a><a name=\"ClinicalDocument.participant.typeCode\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-cs-simple.html\" title=\"code\">cs</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Unless otherwise specified by the document specific header constraints, when participant/@typeCode is IND, associatedEntity/@classCode SHALL be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes STATIC 2011-09-30</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.participant.associatedEntity\">associatedEntity</a><a name=\"ClinicalDocument.participant.associatedEntity\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R5/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( should-code )\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-AssociatedEntity.html\">AssociatedEntity</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">should-code: </span>SHOULD contain code</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.participant.associatedEntity.code\">code</a><a name=\"ClinicalDocument.participant.associatedEntity.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-CE.html\">CE</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.11.20.12.1/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1\">Personal And Legal Relationship Role Type <img src=\"external.png\" alt=\".\"/></a> (<a href=\"http://hl7.org/fhir/R5/terminologies.html#preferred\" title=\"Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.\">preferred</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.inFulfillmentOf\">inFulfillmentOf</a><a name=\"ClinicalDocument.inFulfillmentOf\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-InFulfillmentOf.html\">InFulfillmentOf</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">The inFulfillmentOf element represents orders that are fulfilled by this document such as a radiologists' report of an x-ray.</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.inFulfillmentOf.order\">order</a><a name=\"ClinicalDocument.inFulfillmentOf.order\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Order.html\">Order</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.inFulfillmentOf.order.id\">id</a><a name=\"ClinicalDocument.inFulfillmentOf.order.id\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-II.html\">II</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">A scheduled appointment or service event in a practice management system may be represented using this id element.</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.documentationOf\">documentationOf</a><a name=\"ClinicalDocument.documentationOf\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-DocumentationOf.html\">DocumentationOf</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck001.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.documentationOf.serviceEvent\">serviceEvent</a><a name=\"ClinicalDocument.documentationOf.serviceEvent\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R5/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( should-code, should-performer )\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-ServiceEvent.html\">ServiceEvent</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">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.</span><br/><span style=\"font-weight:bold\">should-code: </span>SHOULD contain code<br/><span style=\"font-weight:bold\">should-performer: </span>SHOULD contain performer</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.documentationOf.serviceEvent.code\">code</a><a name=\"ClinicalDocument.documentationOf.serviceEvent.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-CE.html\">CE</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The code should be selected from a value set established by the document-level template for a specific type of Patient Generated Document.</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0001.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.documentationOf.serviceEvent.performer\">performer</a><a name=\"ClinicalDocument.documentationOf.serviceEvent.performer\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-Performer1.html\">Performer1</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">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.</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00011.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.documentationOf.serviceEvent.performer.functionCode\">functionCode</a><a name=\"ClinicalDocument.documentationOf.serviceEvent.performer.functionCode\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-CE.html\">CE</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">When indicating the performer was the primary care physician, implementers should indicate "PCP" as the functionCode</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.code\">@code</a><a name=\"ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-cs-simple.html\" title=\"code\">cs</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.1.11.10267/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.10267\">ParticipationFunction <img src=\"external.png\" alt=\".\"/></a> (<a href=\"http://hl7.org/fhir/R5/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00001.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity\">assignedEntity</a><a name=\"ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-AssignedEntity.html\">AssignedEntity</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id\">id</a><a name=\"ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-II.html\">II</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The combined @root and @extension attributes record the performer's identity in a secure, trusted, and unique way.</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-USRealmHeaderforPatientGeneratedDocument-definitions.html#ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.code\">code</a><a name=\"ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://build.fhir.org/ig/HL7/CDA-core-sd/StructureDefinition-CE.html\">CE</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">If the assignedEntity is an individual, the code SHOULD be selected from value set PersonalandLegalRelationshipRoleType value set<br/><span style=\"font-weight:bold\">Binding: </span><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.11.20.12.1/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1\">Personal And Legal Relationship Role Type <img src=\"external.png\" alt=\".\"/></a> (<a href=\"http://hl7.org/fhir/R5/terminologies.html#preferred\" title=\"Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.\">preferred</a>)</td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3goXBCwdPqAP0wAAAldJREFUOMuNk0tIlFEYhp9z/vE2jHkhxXA0zJCMitrUQlq4lnSltEqCFhFG2MJFhIvIFpkEWaTQqjaWZRkp0g26URZkTpbaaOJkDqk10szoODP//7XIMUe0elcfnPd9zsfLOYplGrpRwZaqTtw3K7PtGem7Q6FoidbGgqHVy/HRb669R+56zx7eRV1L31JGxYbBtjKK93cxeqfyQHbehkZbUkK20goELEuIzEd+dHS+qz/Y8PTSif0FnGkbiwcAjHaU1+QWOptFiyCLp/LnKptpqIuXHx6rbR26kJcBX3yLgBfnd7CxwJmflpP2wUg0HIAoUUpZBmKzELGWcN8nAr6Gpu7tLU/CkwAaoKTWRSQyt89Q8w6J+oVQkKnBoblH7V0PPvUOvDYXfopE/SJmALsxnVm6LbkotrUtNowMeIrVrBcBpaMmdS0j9df7abpSuy7HWehwJdt1lhVwi/J58U5beXGAF6c3UXLycw1wdFklArBn87xdh0ZsZtArghBdAA3+OEDVubG4UEzP6x1FOWneHh2VDAHBAt80IbdXDcesNoCvs3E5AFyNSU5nbrDPZpcUEQQTFZiEVx+51fxMhhyJEAgvlriadIJZZksRuwBYMOPBbO3hePVVqgEJhFeUuFLhIPkRP6BQLIBrmMenujm/3g4zc398awIe90Zb5A1vREALqneMcYgP/xVQWlG+Ncu5vgwwlaUNx+3799rfe96u9K0JSDXcOzOTJg4B6IgmXfsygc7/Bvg9g9E58/cDVmGIBOP/zT8Bz1zqWqpbXIsd0O9hajXfL6u4BaOS6SeWAAAAAElFTkSuQmCC\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/logical-target",
"_valueBoolean" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "not-applicable"
}
]
}
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
"valueUri" : "urn:hl7-org:v3"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
"valueString" : "ClinicalDocument"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/type-profile-style",
"valueUri" : "cda"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/logical-container",
"valueUri" : "http://hl7.org/cda/stds/core/StructureDefinition/ClinicalDocument"
}
],
"url" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeaderforPatientGeneratedDocument",
"identifier" : [
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:hl7ii:2.16.840.1.113883.10.20.29.1:2024-05-01"
}
],
"version" : "4.0.0-ballot",
"name" : "USRealmHeaderforPatientGeneratedDocument",
"title" : "US Realm Header for Patient Generated Document",
"status" : "active",
"date" : "2024-12-11T22:59:59+00:00",
"publisher" : "Health Level Seven",
"contact" : [
{
"name" : "HL7 International - Structured Documents",
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/structure"
}
]
}
],
"description" : "This template focuses on the patient or related person in the roles of author and other participants and is designed to be used in conjunction with the US Realm Header. It includes additional conformances which further constrain the US Realm Header. \nThe Patient Generated Document Header template is not a separate document type. The document body may contain any structured or unstructured content from C-CDA.",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "US"
}
]
}
],
"fhirVersion" : "5.0.0",
"mapping" : [
{
"identity" : "rim",
"uri" : "http://hl7.org/v3",
"name" : "RIM Mapping"
}
],
"kind" : "logical",
"abstract" : false,
"type" : "http://hl7.org/cda/stds/core/StructureDefinition/ClinicalDocument",
"baseDefinition" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader",
"derivation" : "constraint",
"snapshot" : {
"element" : [
{
"id" : "ClinicalDocument",
"path" : "ClinicalDocument",
"short" : "Base for all types and resources",
"definition" : "Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Base",
"min" : 0,
"max" : "*"
},
"constraint" : [
{
"key" : "4537-6380",
"severity" : "error",
"human" : "If setId is present versionNumber **SHALL** be present (CONF:4537-6380).",
"expression" : "setId.exists() implies versionNumber.exists()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"
},
{
"key" : "4537-6387",
"severity" : "error",
"human" : "If versionNumber is present setId **SHALL** be present (CONF:4537-6387).",
"expression" : "versionNumber.exists() implies setId.exists()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"
},
{
"key" : "should-legalAuthenticator",
"severity" : "warning",
"human" : "SHOULD contain legalAuthenticator",
"expression" : "legalAuthenticator.exists()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"
},
{
"key" : "should-relatedParticipant",
"severity" : "warning",
"human" : "Documents SHOULD contain a RelatedPerson participant",
"expression" : "participant.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/RelatedPersonRelationshipAndNameParticipant').exists()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"
}
],
"isModifier" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "ClinicalDocument.nullFlavor",
"path" : "ClinicalDocument.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "ClinicalDocument.classCode",
"path" : "ClinicalDocument.classCode",
"representation" : [
"xmlAttr"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "ClinicalDocument.classCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"fixedCode" : "DOCCLIN",
"binding" : {
"strength" : "example",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDAActClass"
}
},
{
"id" : "ClinicalDocument.moodCode",
"path" : "ClinicalDocument.moodCode",
"representation" : [
"xmlAttr"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "ClinicalDocument.moodCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"fixedCode" : "EVN",
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDAActMood"
}
},
{
"id" : "ClinicalDocument.realmCode",
"path" : "ClinicalDocument.realmCode",
"definition" : "When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question",
"comment" : "SHALL contain exactly one [1..1] realmCode=\"US\" (CONF:4537-16791).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "ClinicalDocument.realmCode",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
}
]
},
{
"id" : "ClinicalDocument.realmCode.nullFlavor",
"path" : "ClinicalDocument.realmCode.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "ClinicalDocument.realmCode.code",
"path" : "ClinicalDocument.realmCode.code",
"representation" : [
"xmlAttr"
],
"label" : "Code",
"definition" : "The plain code symbol defined by the code system. For example, \"784.0\" is the code symbol of the ICD-9 code \"784.0\" for headache.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "CD.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"patternCode" : "US"
},
{
"id" : "ClinicalDocument.realmCode.codeSystem",
"path" : "ClinicalDocument.realmCode.codeSystem",
"representation" : [
"xmlAttr"
],
"label" : "Code System",
"definition" : "Specifies the code system that defines the code.",
"min" : 0,
"max" : "0",
"base" : {
"path" : "CD.codeSystem",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/oid",
"http://hl7.org/cda/stds/core/StructureDefinition/uuid",
"http://hl7.org/cda/stds/core/StructureDefinition/ruid"
]
}
]
},
{
"id" : "ClinicalDocument.realmCode.codeSystemName",
"path" : "ClinicalDocument.realmCode.codeSystemName",
"representation" : [
"xmlAttr"
],
"label" : "Code System Name",
"definition" : "The common name of the coding system.",
"min" : 0,
"max" : "0",
"base" : {
"path" : "CD.codeSystemName",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "ClinicalDocument.realmCode.codeSystemVersion",
"path" : "ClinicalDocument.realmCode.codeSystemVersion",
"representation" : [
"xmlAttr"
],
"label" : "Code System Version",
"definition" : "If applicable, a version descriptor defined specifically for the given code system.",
"min" : 0,
"max" : "0",
"base" : {
"path" : "CD.codeSystemVersion",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "ClinicalDocument.realmCode.displayName",
"path" : "ClinicalDocument.realmCode.displayName",
"representation" : [
"xmlAttr"
],
"label" : "Display Name",
"definition" : "A name or title for the code, under which the sending system shows the code value to its users.",
"min" : 0,
"max" : "0",
"base" : {
"path" : "CD.displayName",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "ClinicalDocument.realmCode.sdtcValueSet",
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
"valueString" : "valueSet"
}
],
"path" : "ClinicalDocument.realmCode.sdtcValueSet",
"representation" : [
"xmlAttr"
],
"definition" : "The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CD.valueSet",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/oid"
]
}
]
},
{
"id" : "ClinicalDocument.realmCode.sdtcValueSetVersion",
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
"valueString" : "valueSetVersion"
}
],
"path" : "ClinicalDocument.realmCode.sdtcValueSetVersion",
"representation" : [
"xmlAttr"
],
"definition" : "The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CD.sdtcValueSetVersion",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "ClinicalDocument.realmCode.originalText",
"path" : "ClinicalDocument.realmCode.originalText",
"label" : "Original Text",
"definition" : "The text or phrase used as the basis for the coding.",
"min" : 0,
"max" : "0",
"base" : {
"path" : "CD.originalText",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/ED"
}
]
},
{
"id" : "ClinicalDocument.realmCode.qualifier",
"path" : "ClinicalDocument.realmCode.qualifier",
"label" : "Qualifier",
"definition" : "Specifies additional codes that increase the specificity of the the primary code.",
"min" : 0,
"max" : "0",
"base" : {
"path" : "CD.qualifier",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CR"
}
]
},
{
"id" : "ClinicalDocument.realmCode.translation",
"path" : "ClinicalDocument.realmCode.translation",
"representation" : [
"typeAttr"
],
"label" : "Translation",
"definition" : "A set of other concept descriptors that translate this concept descriptor into other code systems.",
"min" : 0,
"max" : "0",
"base" : {
"path" : "CD.translation",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CD"
}
]
},
{
"id" : "ClinicalDocument.typeId",
"path" : "ClinicalDocument.typeId",
"definition" : "ClinicalDocument.typeId is a technology-neutral explicit reference to this CDA, Release Two specification, and must be valued as follows: ClinicalDocument.typeId.root = \"2.16.840.1.113883.1.3\" (which is the OID for HL7 Registered models); ClinicalDocument.typeId.extension = \"POCD_HD000040\" (which is the unique identifier for the CDA, Release Two Hierarchical Description).",
"comment" : "SHALL contain exactly one [1..1] typeId (CONF:4537-5361).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "ClinicalDocument.typeId",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
],
"constraint" : [
{
"key" : "II-1",
"severity" : "error",
"human" : "An II instance must have either a root or an nullFlavor.",
"expression" : "root.exists() or nullFlavor.exists()",
"source" : "http://hl7.org/cda/stds/core/StructureDefinition/ClinicalDocument"
}
]
},
{
"id" : "ClinicalDocument.typeId.nullFlavor",
"path" : "ClinicalDocument.typeId.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "ClinicalDocument.typeId.assigningAuthorityName",
"path" : "ClinicalDocument.typeId.assigningAuthorityName",
"representation" : [
"xmlAttr"
],
"label" : "Assigning Authority Name",
"definition" : "A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "II.assigningAuthorityName",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "ClinicalDocument.typeId.displayable",
"path" : "ClinicalDocument.typeId.displayable",
"representation" : [
"xmlAttr"
],
"label" : "Displayable",
"definition" : "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "II.displayable",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
]
}
]
},
{
"id" : "ClinicalDocument.typeId.root",
"path" : "ClinicalDocument.typeId.root",
"representation" : [
"xmlAttr"
],
"label" : "Root",
"definition" : "Identifies the type as an HL7 Registered model",
"comment" : "This typeId SHALL contain exactly one [1..1] @root=\"2.16.840.1.113883.1.3\" (CONF:4537-5250).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.root",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/oid",
"http://hl7.org/cda/stds/core/StructureDefinition/uuid",
"http://hl7.org/cda/stds/core/StructureDefinition/ruid"
]
}
],
"fixedString" : "2.16.840.1.113883.1.3"
},
{
"id" : "ClinicalDocument.typeId.extension",
"path" : "ClinicalDocument.typeId.extension",
"representation" : [
"xmlAttr"
],
"label" : "Extension",
"definition" : "A character string as a unique identifier within the scope of the identifier root.",
"comment" : "This typeId SHALL contain exactly one [1..1] @extension=\"POCD_HD000040\" (CONF:4537-5251).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.extension",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
],
"fixedString" : "POCD_HD000040"
},
{
"id" : "ClinicalDocument.templateId",
"path" : "ClinicalDocument.templateId",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "root"
},
{
"type" : "value",
"path" : "extension"
}
],
"rules" : "open"
},
"definition" : "When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question",
"min" : 2,
"max" : "*",
"base" : {
"path" : "ClinicalDocument.templateId",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
]
},
{
"id" : "ClinicalDocument.templateId:us-realm",
"path" : "ClinicalDocument.templateId",
"sliceName" : "us-realm",
"definition" : "When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question",
"min" : 1,
"max" : "1",
"base" : {
"path" : "ClinicalDocument.templateId",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
]
},
{
"id" : "ClinicalDocument.templateId:us-realm.nullFlavor",
"path" : "ClinicalDocument.templateId.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "ClinicalDocument.templateId:us-realm.assigningAuthorityName",
"path" : "ClinicalDocument.templateId.assigningAuthorityName",
"representation" : [
"xmlAttr"
],
"label" : "Assigning Authority Name",
"definition" : "A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "II.assigningAuthorityName",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "ClinicalDocument.templateId:us-realm.displayable",
"path" : "ClinicalDocument.templateId.displayable",
"representation" : [
"xmlAttr"
],
"label" : "Displayable",
"definition" : "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "II.displayable",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
]
}
]
},
{
"id" : "ClinicalDocument.templateId:us-realm.root",
"path" : "ClinicalDocument.templateId.root",
"representation" : [
"xmlAttr"
],
"label" : "Root",
"definition" : "A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.root",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/oid",
"http://hl7.org/cda/stds/core/StructureDefinition/uuid",
"http://hl7.org/cda/stds/core/StructureDefinition/ruid"
]
}
],
"patternString" : "2.16.840.1.113883.10.20.22.1.1"
},
{
"id" : "ClinicalDocument.templateId:us-realm.extension",
"path" : "ClinicalDocument.templateId.extension",
"representation" : [
"xmlAttr"
],
"label" : "Extension",
"definition" : "A character string as a unique identifier within the scope of the identifier root.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.extension",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
],
"patternString" : "2024-05-01"
},
{
"id" : "ClinicalDocument.templateId:us-patient-gen-doc",
"path" : "ClinicalDocument.templateId",
"sliceName" : "us-patient-gen-doc",
"definition" : "When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question",
"min" : 1,
"max" : "1",
"base" : {
"path" : "ClinicalDocument.templateId",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
]
},
{
"id" : "ClinicalDocument.templateId:us-patient-gen-doc.nullFlavor",
"path" : "ClinicalDocument.templateId.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "ClinicalDocument.templateId:us-patient-gen-doc.assigningAuthorityName",
"path" : "ClinicalDocument.templateId.assigningAuthorityName",
"representation" : [
"xmlAttr"
],
"label" : "Assigning Authority Name",
"definition" : "A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "II.assigningAuthorityName",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "ClinicalDocument.templateId:us-patient-gen-doc.displayable",
"path" : "ClinicalDocument.templateId.displayable",
"representation" : [
"xmlAttr"
],
"label" : "Displayable",
"definition" : "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "II.displayable",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
]
}
]
},
{
"id" : "ClinicalDocument.templateId:us-patient-gen-doc.root",
"path" : "ClinicalDocument.templateId.root",
"representation" : [
"xmlAttr"
],
"label" : "Root",
"definition" : "A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.root",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/oid",
"http://hl7.org/cda/stds/core/StructureDefinition/uuid",
"http://hl7.org/cda/stds/core/StructureDefinition/ruid"
]
}
],
"patternString" : "2.16.840.1.113883.10.20.29.1"
},
{
"id" : "ClinicalDocument.templateId:us-patient-gen-doc.extension",
"path" : "ClinicalDocument.templateId.extension",
"representation" : [
"xmlAttr"
],
"label" : "Extension",
"definition" : "A character string as a unique identifier within the scope of the identifier root.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.extension",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
],
"patternString" : "2024-05-01"
},
{
"id" : "ClinicalDocument.id",
"path" : "ClinicalDocument.id",
"short" : "**SHALL** be a globally unique identifier for the document (CONF:4537-9991).",
"comment" : "SHALL contain exactly one [1..1] id (CONF:4537-5363).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "ClinicalDocument.id",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
]
},
{
"id" : "ClinicalDocument.sdtcCategory",
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
"valueString" : "category"
}
],
"path" : "ClinicalDocument.sdtcCategory",
"min" : 0,
"max" : "*",
"base" : {
"path" : "ClinicalDocument.sdtcCategory",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CD"
}
]
},
{
"id" : "ClinicalDocument.code",
"path" : "ClinicalDocument.code",
"short" : "**SHALL** specify the particular kind of document (e.g., History and Physical, Discharge Summary, Progress Note) (CONF:4537-9992).",
"comment" : "SHALL contain exactly one [1..1] code (CONF:4537-5253).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "ClinicalDocument.code",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CE"
}
],
"binding" : {
"strength" : "example",
"valueSet" : "http://hl7.org/fhir/ValueSet/doc-typecodes"
}
},
{
"id" : "ClinicalDocument.code.nullFlavor",
"path" : "ClinicalDocument.code.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "0",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "ClinicalDocument.code.code",
"path" : "ClinicalDocument.code.code",
"representation" : [
"xmlAttr"
],
"label" : "Code",
"definition" : "The plain code symbol defined by the code system. For example, \"784.0\" is the code symbol of the ICD-9 code \"784.0\" for headache.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "CD.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
]
},
{
"id" : "ClinicalDocument.code.codeSystem",
"path" : "ClinicalDocument.code.codeSystem",
"representation" : [
"xmlAttr"
],
"label" : "Code System",
"definition" : "Specifies the code system that defines the code.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "CD.codeSystem",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/oid",
"http://hl7.org/cda/stds/core/StructureDefinition/uuid",
"http://hl7.org/cda/stds/core/StructureDefinition/ruid"
]
}
],
"patternString" : "2.16.840.1.113883.6.1"
},
{
"id" : "ClinicalDocument.code.codeSystemName",
"path" : "ClinicalDocument.code.codeSystemName",
"representation" : [
"xmlAttr"
],
"label" : "Code System Name",
"definition" : "The common name of the coding system.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CD.codeSystemName",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "ClinicalDocument.code.codeSystemVersion",
"path" : "ClinicalDocument.code.codeSystemVersion",
"representation" : [
"xmlAttr"
],
"label" : "Code System Version",
"definition" : "If applicable, a version descriptor defined specifically for the given code system.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CD.codeSystemVersion",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "ClinicalDocument.code.displayName",
"path" : "ClinicalDocument.code.displayName",
"representation" : [
"xmlAttr"
],
"label" : "Display Name",
"definition" : "A name or title for the code, under which the sending system shows the code value to its users.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CD.displayName",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "ClinicalDocument.code.sdtcValueSet",
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
"valueString" : "valueSet"
}
],
"path" : "ClinicalDocument.code.sdtcValueSet",
"representation" : [
"xmlAttr"
],
"definition" : "The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CD.valueSet",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/oid"
]
}
]
},
{
"id" : "ClinicalDocument.code.sdtcValueSetVersion",
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
"valueString" : "valueSetVersion"
}
],
"path" : "ClinicalDocument.code.sdtcValueSetVersion",
"representation" : [
"xmlAttr"
],
"definition" : "The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CD.sdtcValueSetVersion",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "ClinicalDocument.code.originalText",
"path" : "ClinicalDocument.code.originalText",
"label" : "Original Text",
"definition" : "The text or phrase used as the basis for the coding.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CD.originalText",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/ED"
}
]
},
{
"id" : "ClinicalDocument.code.qualifier",
"path" : "ClinicalDocument.code.qualifier",
"label" : "Qualifier",
"definition" : "Specifies additional codes that increase the specificity of the the primary code.",
"min" : 0,
"max" : "0",
"base" : {
"path" : "CD.qualifier",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CR"
}
]
},
{
"id" : "ClinicalDocument.code.translation",
"path" : "ClinicalDocument.code.translation",
"representation" : [
"typeAttr"
],
"label" : "Translation",
"definition" : "A set of other concept descriptors that translate this concept descriptor into other code systems.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "CD.translation",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CD"
}
]
},
{
"id" : "ClinicalDocument.title",
"path" : "ClinicalDocument.title",
"short" : "The title can either be a locally defined name or the displayName corresponding to clinicalDocument/code",
"comment" : "SHALL contain exactly one [1..1] title (CONF:4537-5254).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "ClinicalDocument.title",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/ST"
}
]
},
{
"id" : "ClinicalDocument.sdtcStatusCode",
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
"valueString" : "statusCode"
}
],
"path" : "ClinicalDocument.sdtcStatusCode",
"definition" : "The statusCode extension attribute allows the implementer to identify a ClinicalDocument that is in other than the completed state. It was created to support the Structured Form Definition IG to identify that the document itself is an unfinished product currently being completed for a patient.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ClinicalDocument.sdtcStatusCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActStatus"
}
},
{
"id" : "ClinicalDocument.effectiveTime",
"path" : "ClinicalDocument.effectiveTime",
"short" : "Base for all types and resources",
"definition" : "A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.",
"comment" : "SHALL contain exactly one [1..1] US Realm Date and Time (Point in Time) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.4) (CONF:4537-5256).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "ClinicalDocument.effectiveTime",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/TS",
"profile" : [
"http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateTime"
]
}
],
"constraint" : [
{
"key" : "ts-shall-day",
"severity" : "error",
"human" : "**SHALL** be precise to at least the day",
"expression" : "nullFlavor.exists() or value.toString().length() >= 10",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateTime"
},
{
"key" : "ts-should-minute",
"severity" : "warning",
"human" : "**SHOULD** be precise to at least the minute",
"expression" : "nullFlavor.exists() or value.toString().length() > 10",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateTime"
}
],
"isModifier" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "ClinicalDocument.confidentialityCode",
"path" : "ClinicalDocument.confidentialityCode",
"min" : 1,
"max" : "1",
"base" : {
"path" : "ClinicalDocument.confidentialityCode",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CE"
}
]
},
{
"id" : "ClinicalDocument.confidentialityCode.nullFlavor",
"path" : "ClinicalDocument.confidentialityCode.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "0",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "ClinicalDocument.confidentialityCode.code",
"path" : "ClinicalDocument.confidentialityCode.code",
"representation" : [
"xmlAttr"
],
"label" : "Code",
"definition" : "The plain code symbol defined by the code system. For example, \"784.0\" is the code symbol of the ICD-9 code \"784.0\" for headache.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "CD.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "preferred",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.16926"
}
},
{
"id" : "ClinicalDocument.confidentialityCode.codeSystem",
"path" : "ClinicalDocument.confidentialityCode.codeSystem",
"representation" : [
"xmlAttr"
],
"label" : "Code System",
"definition" : "Specifies the code system that defines the code.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CD.codeSystem",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/oid",
"http://hl7.org/cda/stds/core/StructureDefinition/uuid",
"http://hl7.org/cda/stds/core/StructureDefinition/ruid"
]
}
]
},
{
"id" : "ClinicalDocument.confidentialityCode.codeSystemName",
"path" : "ClinicalDocument.confidentialityCode.codeSystemName",
"representation" : [
"xmlAttr"
],
"label" : "Code System Name",
"definition" : "The common name of the coding system.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CD.codeSystemName",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "ClinicalDocument.confidentialityCode.codeSystemVersion",
"path" : "ClinicalDocument.confidentialityCode.codeSystemVersion",
"representation" : [
"xmlAttr"
],
"label" : "Code System Version",
"definition" : "If applicable, a version descriptor defined specifically for the given code system.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CD.codeSystemVersion",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "ClinicalDocument.confidentialityCode.displayName",
"path" : "ClinicalDocument.confidentialityCode.displayName",
"representation" : [
"xmlAttr"
],
"label" : "Display Name",
"definition" : "A name or title for the code, under which the sending system shows the code value to its users.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CD.displayName",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "ClinicalDocument.confidentialityCode.sdtcValueSet",
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
"valueString" : "valueSet"
}
],
"path" : "ClinicalDocument.confidentialityCode.sdtcValueSet",
"representation" : [
"xmlAttr"
],
"definition" : "The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CD.valueSet",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/oid"
]
}
]
},
{
"id" : "ClinicalDocument.confidentialityCode.sdtcValueSetVersion",
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
"valueString" : "valueSetVersion"
}
],
"path" : "ClinicalDocument.confidentialityCode.sdtcValueSetVersion",
"representation" : [
"xmlAttr"
],
"definition" : "The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CD.sdtcValueSetVersion",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "ClinicalDocument.confidentialityCode.originalText",
"path" : "ClinicalDocument.confidentialityCode.originalText",
"label" : "Original Text",
"definition" : "The text or phrase used as the basis for the coding.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CD.originalText",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/ED"
}
]
},
{
"id" : "ClinicalDocument.confidentialityCode.qualifier",
"path" : "ClinicalDocument.confidentialityCode.qualifier",
"label" : "Qualifier",
"definition" : "Specifies additional codes that increase the specificity of the the primary code.",
"min" : 0,
"max" : "0",
"base" : {
"path" : "CD.qualifier",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CR"
}
]
},
{
"id" : "ClinicalDocument.confidentialityCode.translation",
"path" : "ClinicalDocument.confidentialityCode.translation",
"representation" : [
"typeAttr"
],
"label" : "Translation",
"definition" : "A set of other concept descriptors that translate this concept descriptor into other code systems.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "CD.translation",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CD"
}
]
},
{
"id" : "ClinicalDocument.languageCode",
"path" : "ClinicalDocument.languageCode",
"comment" : "SHALL contain exactly one [1..1] languageCode, which SHALL be selected from ValueSet AllLanguages https://www.hl7.org/fhir/valueset-all-languages.html (OID 2.16.840.1.113883.4.642.3.21) DYNAMIC.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "ClinicalDocument.languageCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/fhir/ValueSet/all-languages"
}
},
{
"id" : "ClinicalDocument.setId",
"path" : "ClinicalDocument.setId",
"comment" : "MAY contain zero or one [0..1] setId (CONF:4537-5261).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ClinicalDocument.setId",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
]
},
{
"id" : "ClinicalDocument.versionNumber",
"path" : "ClinicalDocument.versionNumber",
"comment" : "MAY contain zero or one [0..1] versionNumber (CONF:4537-5264).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ClinicalDocument.versionNumber",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/INT"
}
]
},
{
"id" : "ClinicalDocument.copyTime",
"path" : "ClinicalDocument.copyTime",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ClinicalDocument.copyTime",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/TS"
}
]
},
{
"id" : "ClinicalDocument.recordTarget",
"path" : "ClinicalDocument.recordTarget",
"short" : "The recordTarget records the patient whose health information is described by the clinical document; each recordTarget must contain at least one patientRole element. \n\nIf the document receiver is interested in setting up a translator for the encounter with the patient, the receiver of the document will have to infer the need for a translator, based upon the language skills identified for the patient, the patient's language of preference and the predominant language used by the organization receiving the CDA.\n\nHL7 Vocabulary simply describes guardian as a relationship to a ward. This need not be a formal legal relationship. When a guardian relationship exists for the patient, it can be represented, regardless of who is present at the time the document is generated. This need not be a formal legal relationship. A child's parent can be represented in the guardian role. In this case, the guardian/code element would encode the personal relationship of \"mother\" for the child's mom or \"father\" for the child's dad. An elderly person's child can be represented in the guardian role. In this case, the guardian/code element would encode the personal relationship of \"daughter\" or \"son\", or if a legal relationship existed, the relationship of \"legal guardian\" could be encoded.",
"comment" : "SHALL contain exactly one [1..1] recordTarget (CONF:1198-28460).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "ClinicalDocument.recordTarget",
"min" : 1,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/RecordTarget"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.nullFlavor",
"path" : "ClinicalDocument.recordTarget.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "ClinicalDocument.recordTarget.realmCode",
"path" : "ClinicalDocument.recordTarget.realmCode",
"definition" : "When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question",
"min" : 0,
"max" : "*",
"base" : {
"path" : "InfrastructureRoot.realmCode",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.typeId",
"path" : "ClinicalDocument.recordTarget.typeId",
"definition" : "When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "InfrastructureRoot.typeId",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
],
"constraint" : [
{
"key" : "II-1",
"severity" : "error",
"human" : "An II instance must have either a root or an nullFlavor.",
"expression" : "root.exists() or nullFlavor.exists()",
"source" : "http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.typeId.nullFlavor",
"path" : "ClinicalDocument.recordTarget.typeId.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "ClinicalDocument.recordTarget.typeId.assigningAuthorityName",
"path" : "ClinicalDocument.recordTarget.typeId.assigningAuthorityName",
"representation" : [
"xmlAttr"
],
"label" : "Assigning Authority Name",
"definition" : "A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "II.assigningAuthorityName",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "ClinicalDocument.recordTarget.typeId.displayable",
"path" : "ClinicalDocument.recordTarget.typeId.displayable",
"representation" : [
"xmlAttr"
],
"label" : "Displayable",
"definition" : "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "II.displayable",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
]
}
]
},
{
"id" : "ClinicalDocument.recordTarget.typeId.root",
"path" : "ClinicalDocument.recordTarget.typeId.root",
"representation" : [
"xmlAttr"
],
"label" : "Root",
"definition" : "Identifies the type as an HL7 Registered model",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.root",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/oid",
"http://hl7.org/cda/stds/core/StructureDefinition/uuid",
"http://hl7.org/cda/stds/core/StructureDefinition/ruid"
]
}
],
"fixedString" : "2.16.840.1.113883.1.3"
},
{
"id" : "ClinicalDocument.recordTarget.typeId.extension",
"path" : "ClinicalDocument.recordTarget.typeId.extension",
"representation" : [
"xmlAttr"
],
"label" : "Extension",
"definition" : "A character string as a unique identifier within the scope of the identifier root.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.extension",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "ClinicalDocument.recordTarget.templateId",
"path" : "ClinicalDocument.recordTarget.templateId",
"definition" : "When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question",
"min" : 0,
"max" : "*",
"base" : {
"path" : "InfrastructureRoot.templateId",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.typeCode",
"path" : "ClinicalDocument.recordTarget.typeCode",
"representation" : [
"xmlAttr"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "RecordTarget.typeCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"fixedCode" : "RCT",
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType"
}
},
{
"id" : "ClinicalDocument.recordTarget.contextControlCode",
"path" : "ClinicalDocument.recordTarget.contextControlCode",
"representation" : [
"xmlAttr"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "RecordTarget.contextControlCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"fixedCode" : "OP",
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDAContextControl"
}
},
{
"id" : "ClinicalDocument.recordTarget.patientRole",
"path" : "ClinicalDocument.recordTarget.patientRole",
"comment" : "This recordTarget SHALL contain exactly one [1..1] patientRole (CONF:1198-28461).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "RecordTarget.patientRole",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/PatientRole"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.nullFlavor",
"path" : "ClinicalDocument.recordTarget.patientRole.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.realmCode",
"path" : "ClinicalDocument.recordTarget.patientRole.realmCode",
"definition" : "When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question",
"min" : 0,
"max" : "*",
"base" : {
"path" : "InfrastructureRoot.realmCode",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.typeId",
"path" : "ClinicalDocument.recordTarget.patientRole.typeId",
"definition" : "When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "InfrastructureRoot.typeId",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
],
"constraint" : [
{
"key" : "II-1",
"severity" : "error",
"human" : "An II instance must have either a root or an nullFlavor.",
"expression" : "root.exists() or nullFlavor.exists()",
"source" : "http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.typeId.nullFlavor",
"path" : "ClinicalDocument.recordTarget.patientRole.typeId.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.typeId.assigningAuthorityName",
"path" : "ClinicalDocument.recordTarget.patientRole.typeId.assigningAuthorityName",
"representation" : [
"xmlAttr"
],
"label" : "Assigning Authority Name",
"definition" : "A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "II.assigningAuthorityName",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.typeId.displayable",
"path" : "ClinicalDocument.recordTarget.patientRole.typeId.displayable",
"representation" : [
"xmlAttr"
],
"label" : "Displayable",
"definition" : "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "II.displayable",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
]
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.typeId.root",
"path" : "ClinicalDocument.recordTarget.patientRole.typeId.root",
"representation" : [
"xmlAttr"
],
"label" : "Root",
"definition" : "Identifies the type as an HL7 Registered model",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.root",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/oid",
"http://hl7.org/cda/stds/core/StructureDefinition/uuid",
"http://hl7.org/cda/stds/core/StructureDefinition/ruid"
]
}
],
"fixedString" : "2.16.840.1.113883.1.3"
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.typeId.extension",
"path" : "ClinicalDocument.recordTarget.patientRole.typeId.extension",
"representation" : [
"xmlAttr"
],
"label" : "Extension",
"definition" : "A character string as a unique identifier within the scope of the identifier root.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.extension",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.templateId",
"path" : "ClinicalDocument.recordTarget.patientRole.templateId",
"definition" : "When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question",
"min" : 0,
"max" : "*",
"base" : {
"path" : "InfrastructureRoot.templateId",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.classCode",
"path" : "ClinicalDocument.recordTarget.patientRole.classCode",
"representation" : [
"xmlAttr"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "PatientRole.classCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"fixedCode" : "PAT",
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-RoleClassRelationshipFormal"
}
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.id",
"path" : "ClinicalDocument.recordTarget.patientRole.id",
"comment" : "This patientRole SHALL contain at least one [1..*] id (CONF:1198-28462).",
"min" : 1,
"max" : "*",
"base" : {
"path" : "PatientRole.id",
"min" : 1,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.sdtcIdentifiedBy",
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
"valueString" : "identifiedBy"
}
],
"path" : "ClinicalDocument.recordTarget.patientRole.sdtcIdentifiedBy",
"min" : 0,
"max" : "*",
"base" : {
"path" : "PatientRole.sdtcIdentifiedBy",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.addr",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
"valueBoolean" : true
}
],
"path" : "ClinicalDocument.recordTarget.patientRole.addr",
"short" : "ð¨ð¦ððð: Address",
"definition" : "Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.",
"comment" : "This patientRole SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5271).",
"min" : 1,
"max" : "*",
"base" : {
"path" : "PatientRole.addr",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/AD",
"profile" : [
"http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"
]
}
],
"constraint" : [
{
"key" : "shall-city",
"severity" : "error",
"human" : "SHALL contain exactly one [1..1] city (CONF:81-7292).",
"expression" : "nullFlavor.exists() or item.city.count() = 1",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"
},
{
"key" : "shall-streetAddressLine",
"severity" : "error",
"human" : "SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291).",
"expression" : "nullFlavor.exists() or (item.streetAddressLine.count() >= 1 and item.streetAddressLine.count() <= 4)",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"
},
{
"key" : "should-use",
"severity" : "warning",
"human" : "SHOULD contain @use",
"expression" : "nullFlavor.exists() or use.exists()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"
},
{
"key" : "should-country",
"severity" : "warning",
"human" : "SHOULD contain country",
"expression" : "nullFlavor.exists() or item.country.exists()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"
},
{
"key" : "81-7296",
"severity" : "error",
"human" : "**SHALL NOT** have mixed content except for white space (CONF:81-7296)",
"expression" : "item.xmlText.empty()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"
},
{
"key" : "81-10024",
"severity" : "error",
"human" : "If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024).",
"expression" : "nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state'))",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"
},
{
"key" : "81-10025",
"severity" : "error",
"human" : "If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025).",
"expression" : "nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?'))",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"
},
{
"key" : "shall-max-ad-parts",
"severity" : "error",
"human" : "SHALL have at most one of each: state, city, postalCode, and country",
"expression" : "(item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1)",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"
}
],
"isModifier" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.telecom",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
"valueBoolean" : true
}
],
"path" : "ClinicalDocument.recordTarget.patientRole.telecom",
"short" : "ð¨ð¦ððð: Phone Number / Email",
"min" : 1,
"max" : "*",
"base" : {
"path" : "PatientRole.telecom",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/TEL"
}
],
"constraint" : [
{
"key" : "should-use",
"severity" : "warning",
"human" : "SHOULD contain @use",
"expression" : "nullFlavor.exists() or use.exists()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.telecom.nullFlavor",
"path" : "ClinicalDocument.recordTarget.patientRole.telecom.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.telecom.value",
"path" : "ClinicalDocument.recordTarget.patientRole.telecom.value",
"representation" : [
"xmlAttr"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "TEL.value",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "url",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/url"
]
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.telecom.useablePeriod",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-defaulttype",
"valueCanonical" : "http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS"
}
],
"path" : "ClinicalDocument.recordTarget.patientRole.telecom.useablePeriod",
"representation" : [
"typeAttr"
],
"label" : "Useable Period",
"definition" : "Specifies the periods of time during which the telecommunication address can be used. For a telephone number, this can indicate the time of day in which the party can be reached on that telephone. For a web address, it may specify a time range in which the web content is promised to be available under the given address.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "TEL.useablePeriod",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"
},
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS"
},
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS"
},
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.telecom.use",
"path" : "ClinicalDocument.recordTarget.patientRole.telecom.use",
"representation" : [
"xmlAttr"
],
"label" : "Use Code",
"definition" : "One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need.",
"comment" : "Such telecoms SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-5375).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "TEL.use",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20"
}
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient",
"path" : "ClinicalDocument.recordTarget.patientRole.patient",
"comment" : "This patientRole SHALL contain exactly one [1..1] patient (CONF:1198-28465).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "PatientRole.patient",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/Patient"
}
],
"constraint" : [
{
"key" : "4537-32993",
"severity" : "error",
"human" : "If sdtc:deceasedInd=\"true\", then sdtc:deceasedTime **SHALL** be present with either a @value or @nullFlavor=UNK (CONF:4537-32993).",
"expression" : "sdtcDeceasedInd.exists(value='true') implies sdtcDeceasedTime.exists()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"
},
{
"key" : "4537-21000",
"severity" : "error",
"human" : "If sdtc:deceasedTime/@value is present, then sdtc:deceasedInd SHALL be present with value=true",
"expression" : "sdtcDeceasedTime.value.exists() implies sdtcDeceasedInd.exists(value='true')",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"
},
{
"key" : "should-maritalStatusCode",
"severity" : "warning",
"human" : "SHOULD contain maritalStatusCode",
"expression" : "maritalStatusCode.exists()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"
},
{
"key" : "should-us-languageCommunication",
"severity" : "warning",
"human" : "SHOULD contain languageCommunication",
"expression" : "languageCommunication.exists()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"
},
{
"key" : "should-languageCommunication",
"severity" : "warning",
"human" : "SHOULD contain languageCommunication",
"expression" : "languageCommunication.exists()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeaderforPatientGeneratedDocument"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.nullFlavor",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.realmCode",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.realmCode",
"definition" : "When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question",
"min" : 0,
"max" : "*",
"base" : {
"path" : "InfrastructureRoot.realmCode",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.typeId",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.typeId",
"definition" : "When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "InfrastructureRoot.typeId",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
],
"constraint" : [
{
"key" : "II-1",
"severity" : "error",
"human" : "An II instance must have either a root or an nullFlavor.",
"expression" : "root.exists() or nullFlavor.exists()",
"source" : "http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.typeId.nullFlavor",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.typeId.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.typeId.assigningAuthorityName",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.typeId.assigningAuthorityName",
"representation" : [
"xmlAttr"
],
"label" : "Assigning Authority Name",
"definition" : "A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "II.assigningAuthorityName",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.typeId.displayable",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.typeId.displayable",
"representation" : [
"xmlAttr"
],
"label" : "Displayable",
"definition" : "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "II.displayable",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
]
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.typeId.root",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.typeId.root",
"representation" : [
"xmlAttr"
],
"label" : "Root",
"definition" : "Identifies the type as an HL7 Registered model",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.root",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/oid",
"http://hl7.org/cda/stds/core/StructureDefinition/uuid",
"http://hl7.org/cda/stds/core/StructureDefinition/ruid"
]
}
],
"fixedString" : "2.16.840.1.113883.1.3"
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.typeId.extension",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.typeId.extension",
"representation" : [
"xmlAttr"
],
"label" : "Extension",
"definition" : "A character string as a unique identifier within the scope of the identifier root.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.extension",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.templateId",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.templateId",
"definition" : "When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question",
"min" : 0,
"max" : "*",
"base" : {
"path" : "InfrastructureRoot.templateId",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.classCode",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.classCode",
"representation" : [
"xmlAttr"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "Patient.classCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"fixedCode" : "PSN",
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject"
}
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.determinerCode",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.determinerCode",
"representation" : [
"xmlAttr"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "Patient.determinerCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"fixedCode" : "INSTANCE",
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-EntityDeterminer"
}
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.id",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.id",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Patient.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.name",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.name",
"short" : "Base for all types and resources",
"definition" : "A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are \"Jim Bob Walton, Jr.\", \"Adam Everyman\", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, \"Jim\", \"Bob\", \"Walton\", and \"Jr.\". PN differs from EN because the qualifier type cannot include LS (Legal Status).",
"comment" : "This patient SHALL contain at least one [1..*] US Realm Patient Name (PTN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1) (CONF:4537-5284).",
"min" : 1,
"max" : "*",
"base" : {
"path" : "Patient.name",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/PN",
"profile" : [
"http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPatientNamePTNUSFIELDED"
]
}
],
"constraint" : [
{
"key" : "pn-no-ls",
"severity" : "error",
"human" : "No PN name part may have a qualifier of LS.",
"expression" : "(item.delimiter | item.family | item.given | item.prefix | item.suffix).where(qualifier.where($this = 'LS').exists()).empty()",
"source" : "http://hl7.org/cda/stds/core/StructureDefinition/PN"
},
{
"key" : "shall-family",
"severity" : "error",
"human" : "SHALL contain exactly one [1..1] family (CONF:81-7159).",
"expression" : "nullFlavor.exists() or item.family.count() = 1",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPatientNamePTNUSFIELDED"
},
{
"key" : "shall-given",
"severity" : "error",
"human" : "SHALL contain at least one [1..*] given (CONF:81-7157).",
"expression" : "nullFlavor.exists() or item.given.exists()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPatientNamePTNUSFIELDED"
},
{
"key" : "shall-max-suffix",
"severity" : "error",
"human" : "There may be at most one suffix",
"expression" : "(item.suffix.empty() or item.suffix.count() = 1)",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPatientNamePTNUSFIELDED"
},
{
"key" : "81-7278",
"severity" : "error",
"human" : "**SHALL NOT** have mixed content except for white space (CONF:81-7278).",
"expression" : "item.xmlText.empty()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPatientNamePTNUSFIELDED"
}
],
"isModifier" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.sdtcDesc",
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
"valueString" : "desc"
}
],
"path" : "ClinicalDocument.recordTarget.patientRole.patient.sdtcDesc",
"definition" : "The desc extension allows multimedia depictions of patients, healthcare providers, or other individuals to be included in a CDA document.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Patient.sdtcDesc",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/ED"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.administrativeGenderCode",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.administrativeGenderCode",
"comment" : "This patient SHALL contain exactly one [1..1] administrativeGenderCode, which SHALL be selected from ValueSet Administrative Gender (HL7 V3) urn:oid:2.16.840.1.113883.1.11.1 DYNAMIC (CONF:4537-6394).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Patient.administrativeGenderCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CE"
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.1"
}
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.birthTime",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
"valueBoolean" : true
}
],
"path" : "ClinicalDocument.recordTarget.patientRole.patient.birthTime",
"short" : "ð¨ð¦ððð: 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)",
"comment" : "This patient SHALL contain exactly one [1..1] birthTime (CONF:4537-5298).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Patient.birthTime",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/TS"
}
],
"constraint" : [
{
"key" : "ts-shall-year",
"severity" : "error",
"human" : "**SHALL** be precise to at least the year",
"expression" : "nullFlavor.exists() or value.toString().length() >= 4",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"
},
{
"key" : "ts-should-day",
"severity" : "warning",
"human" : "**SHOULD** be precise to at least the day",
"expression" : "nullFlavor.exists() or value.toString().length() >= 10",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedInd",
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
"valueString" : "deceasedInd"
}
],
"path" : "ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedInd",
"short" : "sdtc:deceasedInd",
"comment" : "This patient MAY contain zero or one [0..1] sdtc:deceasedInd (CONF:4537-32990).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Patient.sdtcDeceasedInd",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/BL"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime",
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
"valueString" : "deceasedTime"
},
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
"valueBoolean" : true
}
],
"path" : "ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime",
"short" : "ð¨ð¦ððð: Date of Death",
"comment" : "This patient MAY contain zero or one [0..1] sdtc:deceasedTime (CONF:4537-32988).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Patient.sdtcDeceasedTime",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/TS"
}
],
"constraint" : [
{
"key" : "should-value-att",
"severity" : "warning",
"human" : "SHOULD contain @value",
"expression" : "value.exists()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"
},
{
"key" : "ts-shall-year",
"severity" : "error",
"human" : "**SHALL** be precise to at least the year",
"expression" : "nullFlavor.exists() or value.toString().length() >= 4",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"
},
{
"key" : "ts-should-day",
"severity" : "warning",
"human" : "**SHOULD** be precise to at least the day",
"expression" : "nullFlavor.exists() or value.toString().length() >= 10",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.sdtcMultipleBirthInd",
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
"valueString" : "multipleBirthInd"
}
],
"path" : "ClinicalDocument.recordTarget.patientRole.patient.sdtcMultipleBirthInd",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Patient.sdtcMultipleBirthInd",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/BL"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.sdtcMultipleBirthOrderNumber",
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
"valueString" : "multipleBirthOrderNumber"
}
],
"path" : "ClinicalDocument.recordTarget.patientRole.patient.sdtcMultipleBirthOrderNumber",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Patient.sdtcMultipleBirthOrderNumber",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/INT-POS"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.maritalStatusCode",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.maritalStatusCode",
"comment" : "This patient SHOULD contain zero or one [0..1] maritalStatusCode, which SHALL be selected from ValueSet Marital Status urn:oid:2.16.840.1.113883.1.11.12212 DYNAMIC (CONF:4537-5303).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Patient.maritalStatusCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CE"
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12212"
}
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.religiousAffiliationCode",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.religiousAffiliationCode",
"comment" : "This patient MAY contain zero or one [0..1] religiousAffiliationCode, which SHALL be selected from ValueSet Religious Affiliation urn:oid:2.16.840.1.113883.1.11.19185 DYNAMIC (CONF:4537-5317).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Patient.religiousAffiliationCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CE"
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19185"
}
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.raceCode",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
"valueBoolean" : true
}
],
"path" : "ClinicalDocument.recordTarget.patientRole.patient.raceCode",
"short" : "ð¨ð¦ððð: Race",
"comment" : "This patient SHALL contain exactly one [1..1] raceCode, which SHALL be selected from ValueSet Race Category Excluding Nulls urn:oid:2.16.840.1.113883.3.2074.1.1.3 DYNAMIC (CONF:4537-5322).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Patient.raceCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CE"
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.2074.1.1.3"
}
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCode",
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
"valueString" : "raceCode"
},
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
"valueBoolean" : true
}
],
"path" : "ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCode",
"short" : "ð¨ð¦ððð: 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 âurn:hl7-org:sdtcâ. The use of the namespace provides a necessary extension to CDA R2 for the use of the additional raceCode elements.",
"comment" : "This patient MAY contain zero or more [0..*] sdtc:raceCode, which SHALL be selected from ValueSet Race Value Set urn:oid:2.16.840.1.113883.1.11.14914 DYNAMIC (CONF:4537-7263).",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Patient.sdtcRaceCode",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CE"
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.14914"
}
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.ethnicGroupCode",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
"valueBoolean" : true
}
],
"path" : "ClinicalDocument.recordTarget.patientRole.patient.ethnicGroupCode",
"short" : "ð¨ð¦ððð: Ethnicity",
"comment" : "This patient SHALL contain exactly one [1..1] ethnicGroupCode, which SHALL be selected from ValueSet Ethnicity urn:oid:2.16.840.1.114222.4.11.837 DYNAMIC (CONF:4537-5323).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Patient.ethnicGroupCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CE"
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837"
}
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.sdtcEthnicGroupCode",
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
"valueString" : "ethnicGroupCode"
},
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
"valueBoolean" : true
}
],
"path" : "ClinicalDocument.recordTarget.patientRole.patient.sdtcEthnicGroupCode",
"short" : "ð¨ð¦ððð: Ethnicity",
"comment" : "This patient MAY contain zero or more [0..*] ethnicGroupCode, which SHALL be selected from ValueSet Detailed Ethnicity urn:oid:2.16.840.1.114222.4.11.877 DYNAMIC (CONF:4537-32901).",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Patient.sdtcEthnicGroupCode",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CE"
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.877"
}
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian",
"comment" : "This patient MAY contain zero or more [0..*] guardian (CONF:1198-28469).",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Patient.guardian",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/Guardian"
}
],
"constraint" : [
{
"key" : "should-us-code",
"severity" : "warning",
"human" : "SHOULD contain code",
"expression" : "code.exists()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"
},
{
"key" : "should-us-addr",
"severity" : "warning",
"human" : "SHOULD contain addr",
"expression" : "addr.exists()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"
},
{
"key" : "should-us-telecom",
"severity" : "warning",
"human" : "SHOULD contain telecom",
"expression" : "telecom.exists()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"
},
{
"key" : "should-id",
"severity" : "warning",
"human" : "SHOULD contain id",
"expression" : "id.exists()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeaderforPatientGeneratedDocument"
},
{
"key" : "should-code",
"severity" : "warning",
"human" : "SHOULD contain code",
"expression" : "code.exists()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeaderforPatientGeneratedDocument"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.nullFlavor",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.realmCode",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.realmCode",
"definition" : "When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question",
"min" : 0,
"max" : "*",
"base" : {
"path" : "InfrastructureRoot.realmCode",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId",
"definition" : "When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "InfrastructureRoot.typeId",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
],
"constraint" : [
{
"key" : "II-1",
"severity" : "error",
"human" : "An II instance must have either a root or an nullFlavor.",
"expression" : "root.exists() or nullFlavor.exists()",
"source" : "http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId.nullFlavor",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId.assigningAuthorityName",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId.assigningAuthorityName",
"representation" : [
"xmlAttr"
],
"label" : "Assigning Authority Name",
"definition" : "A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "II.assigningAuthorityName",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId.displayable",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId.displayable",
"representation" : [
"xmlAttr"
],
"label" : "Displayable",
"definition" : "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "II.displayable",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
]
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId.root",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId.root",
"representation" : [
"xmlAttr"
],
"label" : "Root",
"definition" : "Identifies the type as an HL7 Registered model",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.root",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/oid",
"http://hl7.org/cda/stds/core/StructureDefinition/uuid",
"http://hl7.org/cda/stds/core/StructureDefinition/ruid"
]
}
],
"fixedString" : "2.16.840.1.113883.1.3"
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId.extension",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.typeId.extension",
"representation" : [
"xmlAttr"
],
"label" : "Extension",
"definition" : "A character string as a unique identifier within the scope of the identifier root.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.extension",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.templateId",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.templateId",
"definition" : "When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question",
"min" : 0,
"max" : "*",
"base" : {
"path" : "InfrastructureRoot.templateId",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.classCode",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.classCode",
"representation" : [
"xmlAttr"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "Guardian.classCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"fixedCode" : "GUARD",
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-RoleClassAgent"
}
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.id",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.id",
"comment" : "The guardian, if present, SHOULD contain zero or more [0..*] id (CONF:1198-28470).",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Guardian.id",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.sdtcIdentifiedBy",
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
"valueString" : "identifiedBy"
}
],
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.sdtcIdentifiedBy",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Guardian.sdtcIdentifiedBy",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.code",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.code",
"comment" : "The guardian, if present, SHOULD contain zero or one [0..1] code, which SHALL be selected from ValueSet Personal And Legal Relationship Role Type urn:oid:2.16.840.1.113883.11.20.12.1 DYNAMIC (CONF:1198-28473).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Guardian.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CE"
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1"
}
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.addr",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.addr",
"short" : "Base for all types and resources",
"definition" : "Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.",
"comment" : "The guardian, if present, SHOULD contain zero or more [0..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-5359).",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Guardian.addr",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/AD",
"profile" : [
"http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"
]
}
],
"constraint" : [
{
"key" : "shall-city",
"severity" : "error",
"human" : "SHALL contain exactly one [1..1] city (CONF:81-7292).",
"expression" : "nullFlavor.exists() or item.city.count() = 1",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"
},
{
"key" : "shall-streetAddressLine",
"severity" : "error",
"human" : "SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291).",
"expression" : "nullFlavor.exists() or (item.streetAddressLine.count() >= 1 and item.streetAddressLine.count() <= 4)",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"
},
{
"key" : "should-use",
"severity" : "warning",
"human" : "SHOULD contain @use",
"expression" : "nullFlavor.exists() or use.exists()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"
},
{
"key" : "should-country",
"severity" : "warning",
"human" : "SHOULD contain country",
"expression" : "nullFlavor.exists() or item.country.exists()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"
},
{
"key" : "81-7296",
"severity" : "error",
"human" : "**SHALL NOT** have mixed content except for white space (CONF:81-7296)",
"expression" : "item.xmlText.empty()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"
},
{
"key" : "81-10024",
"severity" : "error",
"human" : "If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024).",
"expression" : "nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state'))",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"
},
{
"key" : "81-10025",
"severity" : "error",
"human" : "If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025).",
"expression" : "nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?'))",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"
},
{
"key" : "shall-max-ad-parts",
"severity" : "error",
"human" : "SHALL have at most one of each: state, city, postalCode, and country",
"expression" : "(item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1)",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress"
}
],
"isModifier" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom",
"comment" : "The guardian, if present, SHOULD contain zero or more [0..*] telecom (CONF:4537-5382).",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Guardian.telecom",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/TEL"
}
],
"constraint" : [
{
"key" : "should-use",
"severity" : "warning",
"human" : "SHOULD contain @use",
"expression" : "nullFlavor.exists() or use.exists()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.nullFlavor",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.value",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.value",
"representation" : [
"xmlAttr"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "TEL.value",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "url",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/url"
]
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.useablePeriod",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-defaulttype",
"valueCanonical" : "http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS"
}
],
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.useablePeriod",
"representation" : [
"typeAttr"
],
"label" : "Useable Period",
"definition" : "Specifies the periods of time during which the telecommunication address can be used. For a telephone number, this can indicate the time of day in which the party can be reached on that telephone. For a web address, it may specify a time range in which the web content is promised to be available under the given address.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "TEL.useablePeriod",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"
},
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS"
},
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS"
},
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.use",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.use",
"representation" : [
"xmlAttr"
],
"label" : "Use Code",
"definition" : "One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need.",
"comment" : "The telecom, if present, SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) urn:oid:2.16.840.1.113883.11.20.9.20 DYNAMIC (CONF:4537-7993).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "TEL.use",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20"
}
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson",
"comment" : "The guardian, if present, SHALL contain exactly one [1..1] guardianPerson (CONF:4537-5385).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Guardian.guardianPerson",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/Person"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.nullFlavor",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.realmCode",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.realmCode",
"definition" : "When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question",
"min" : 0,
"max" : "*",
"base" : {
"path" : "InfrastructureRoot.realmCode",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId",
"definition" : "When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "InfrastructureRoot.typeId",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
],
"constraint" : [
{
"key" : "II-1",
"severity" : "error",
"human" : "An II instance must have either a root or an nullFlavor.",
"expression" : "root.exists() or nullFlavor.exists()",
"source" : "http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId.nullFlavor",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId.assigningAuthorityName",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId.assigningAuthorityName",
"representation" : [
"xmlAttr"
],
"label" : "Assigning Authority Name",
"definition" : "A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "II.assigningAuthorityName",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId.displayable",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId.displayable",
"representation" : [
"xmlAttr"
],
"label" : "Displayable",
"definition" : "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "II.displayable",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
]
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId.root",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId.root",
"representation" : [
"xmlAttr"
],
"label" : "Root",
"definition" : "Identifies the type as an HL7 Registered model",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.root",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/oid",
"http://hl7.org/cda/stds/core/StructureDefinition/uuid",
"http://hl7.org/cda/stds/core/StructureDefinition/ruid"
]
}
],
"fixedString" : "2.16.840.1.113883.1.3"
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId.extension",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.typeId.extension",
"representation" : [
"xmlAttr"
],
"label" : "Extension",
"definition" : "A character string as a unique identifier within the scope of the identifier root.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.extension",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.templateId",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.templateId",
"definition" : "When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question",
"min" : 0,
"max" : "*",
"base" : {
"path" : "InfrastructureRoot.templateId",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.classCode",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.classCode",
"representation" : [
"xmlAttr"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "Person.classCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"fixedCode" : "PSN",
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject"
}
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.determinerCode",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.determinerCode",
"representation" : [
"xmlAttr"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "Person.determinerCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"fixedCode" : "INSTANCE",
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-EntityDeterminer"
}
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.name",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.name",
"short" : "Base for all types and resources",
"definition" : "A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are \"Jim Bob Walton, Jr.\", \"Adam Everyman\", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, \"Jim\", \"Bob\", \"Walton\", and \"Jr.\". PN differs from EN because the qualifier type cannot include LS (Legal Status).",
"comment" : "This guardianPerson SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4537-5386).",
"min" : 1,
"max" : "*",
"base" : {
"path" : "Person.name",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/PN",
"profile" : [
"http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPersonNamePNUSFIELDED"
]
}
],
"constraint" : [
{
"key" : "pn-no-ls",
"severity" : "error",
"human" : "No PN name part may have a qualifier of LS.",
"expression" : "(item.delimiter | item.family | item.given | item.prefix | item.suffix).where(qualifier.where($this = 'LS').exists()).empty()",
"source" : "http://hl7.org/cda/stds/core/StructureDefinition/PN"
},
{
"key" : "81-9371",
"severity" : "error",
"human" : "The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371).",
"expression" : "conformsTo('http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPatientNamePTNUSFIELDED') or item.xmlText.exists()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPersonNamePNUSFIELDED"
},
{
"key" : "81-9372",
"severity" : "error",
"human" : "The string **SHALL NOT** contain name parts (CONF:81-9372).",
"expression" : "item.xmlText.exists() implies (item.delimiter | item.family | item.given | item.prefix | item.suffix).empty()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPersonNamePNUSFIELDED"
}
],
"isModifier" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcDesc",
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
"valueString" : "desc"
}
],
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcDesc",
"definition" : "The desc extension allows multimedia depictions of patients, healthcare providers, or other individuals to be included in a CDA document.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Person.sdtcDesc",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/ED"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship",
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
"valueUri" : "urn:hl7-org:sdtc"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
"valueString" : "asPatientRelationship"
}
],
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship",
"definition" : "Each participant role other than an informant/relatedEntity may have zero or more relationship roles with the patient. Each of these roles can be expressed with an asPatientRelationship element which further describes the type of role using a code element.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Person.sdtcAsPatientRelationship",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.nullFlavor",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.realmCode",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.realmCode",
"definition" : "When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question",
"min" : 0,
"max" : "*",
"base" : {
"path" : "InfrastructureRoot.realmCode",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId",
"definition" : "When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "InfrastructureRoot.typeId",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
],
"constraint" : [
{
"key" : "II-1",
"severity" : "error",
"human" : "An II instance must have either a root or an nullFlavor.",
"expression" : "root.exists() or nullFlavor.exists()",
"source" : "http://hl7.org/cda/stds/core/StructureDefinition/ClinicalDocument"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId.nullFlavor",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId.assigningAuthorityName",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId.assigningAuthorityName",
"representation" : [
"xmlAttr"
],
"label" : "Assigning Authority Name",
"definition" : "A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "II.assigningAuthorityName",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId.displayable",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId.displayable",
"representation" : [
"xmlAttr"
],
"label" : "Displayable",
"definition" : "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "II.displayable",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
]
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId.root",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId.root",
"representation" : [
"xmlAttr"
],
"label" : "Root",
"definition" : "Identifies the type as an HL7 Registered model",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.root",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/oid",
"http://hl7.org/cda/stds/core/StructureDefinition/uuid",
"http://hl7.org/cda/stds/core/StructureDefinition/ruid"
]
}
],
"fixedString" : "2.16.840.1.113883.1.3"
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId.extension",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.typeId.extension",
"representation" : [
"xmlAttr"
],
"label" : "Extension",
"definition" : "A character string as a unique identifier within the scope of the identifier root.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.extension",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.templateId",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.templateId",
"definition" : "When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question",
"min" : 0,
"max" : "*",
"base" : {
"path" : "InfrastructureRoot.templateId",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.classCode",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.classCode",
"representation" : [
"xmlAttr"
],
"min" : 1,
"max" : "1",
"base" : {
"path" : "Person.sdtcAsPatientRelationship.classCode",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"fixedCode" : "PRS"
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.determinerCode",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.determinerCode",
"representation" : [
"xmlAttr"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "Person.sdtcAsPatientRelationship.determinerCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"fixedCode" : "INSTANCE"
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.code",
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
"valueUri" : "urn:hl7-org:sdtc"
}
],
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship.code",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Person.sdtcAsPatientRelationship.code",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CE"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianOrganization",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianOrganization",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Guardian.guardianOrganization",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/Organization"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace",
"comment" : "This patient MAY contain zero or one [0..1] birthplace (CONF:4537-5395).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Patient.birthplace",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/Birthplace"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.nullFlavor",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.realmCode",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.realmCode",
"definition" : "When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question",
"min" : 0,
"max" : "*",
"base" : {
"path" : "InfrastructureRoot.realmCode",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId",
"definition" : "When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "InfrastructureRoot.typeId",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
],
"constraint" : [
{
"key" : "II-1",
"severity" : "error",
"human" : "An II instance must have either a root or an nullFlavor.",
"expression" : "root.exists() or nullFlavor.exists()",
"source" : "http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId.nullFlavor",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId.assigningAuthorityName",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId.assigningAuthorityName",
"representation" : [
"xmlAttr"
],
"label" : "Assigning Authority Name",
"definition" : "A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "II.assigningAuthorityName",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId.displayable",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId.displayable",
"representation" : [
"xmlAttr"
],
"label" : "Displayable",
"definition" : "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "II.displayable",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
]
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId.root",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId.root",
"representation" : [
"xmlAttr"
],
"label" : "Root",
"definition" : "Identifies the type as an HL7 Registered model",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.root",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/oid",
"http://hl7.org/cda/stds/core/StructureDefinition/uuid",
"http://hl7.org/cda/stds/core/StructureDefinition/ruid"
]
}
],
"fixedString" : "2.16.840.1.113883.1.3"
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId.extension",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.typeId.extension",
"representation" : [
"xmlAttr"
],
"label" : "Extension",
"definition" : "A character string as a unique identifier within the scope of the identifier root.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.extension",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.templateId",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.templateId",
"definition" : "When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question",
"min" : 0,
"max" : "*",
"base" : {
"path" : "InfrastructureRoot.templateId",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.classCode",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.classCode",
"representation" : [
"xmlAttr"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "Birthplace.classCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"fixedCode" : "BIRTHPL",
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-RoleClassPassive"
}
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place",
"comment" : "The birthplace, if present, SHALL contain exactly one [1..1] place (CONF:4537-5396).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Birthplace.place",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/Place"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.nullFlavor",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.realmCode",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.realmCode",
"definition" : "When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question",
"min" : 0,
"max" : "*",
"base" : {
"path" : "InfrastructureRoot.realmCode",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId",
"definition" : "When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "InfrastructureRoot.typeId",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
],
"constraint" : [
{
"key" : "II-1",
"severity" : "error",
"human" : "An II instance must have either a root or an nullFlavor.",
"expression" : "root.exists() or nullFlavor.exists()",
"source" : "http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId.nullFlavor",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId.assigningAuthorityName",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId.assigningAuthorityName",
"representation" : [
"xmlAttr"
],
"label" : "Assigning Authority Name",
"definition" : "A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "II.assigningAuthorityName",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId.displayable",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId.displayable",
"representation" : [
"xmlAttr"
],
"label" : "Displayable",
"definition" : "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "II.displayable",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
]
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId.root",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId.root",
"representation" : [
"xmlAttr"
],
"label" : "Root",
"definition" : "Identifies the type as an HL7 Registered model",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.root",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/oid",
"http://hl7.org/cda/stds/core/StructureDefinition/uuid",
"http://hl7.org/cda/stds/core/StructureDefinition/ruid"
]
}
],
"fixedString" : "2.16.840.1.113883.1.3"
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId.extension",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.typeId.extension",
"representation" : [
"xmlAttr"
],
"label" : "Extension",
"definition" : "A character string as a unique identifier within the scope of the identifier root.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "II.extension",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.templateId",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.templateId",
"definition" : "When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question",
"min" : 0,
"max" : "*",
"base" : {
"path" : "InfrastructureRoot.templateId",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.classCode",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.classCode",
"representation" : [
"xmlAttr"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "Place.classCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"fixedCode" : "PLC",
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-EntityClassPlace"
}
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.determinerCode",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.determinerCode",
"representation" : [
"xmlAttr"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "Place.determinerCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"fixedCode" : "INSTANCE",
"binding" : {
"strength" : "required",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-EntityDeterminer"
}
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.name",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.name",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Place.name",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/EN"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr",
"comment" : "This place SHALL contain exactly one [1..1] addr (CONF:4537-5397).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Place.addr",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/AD"
}
],
"constraint" : [
{
"key" : "4537-5402",
"severity" : "error",
"human" : "If country is US, this addr **SHALL** contain exactly one [1..1] state, which **SHALL** be selected from ValueSet US Core USPS State *DYNAMIC* (CONF:4537-5402).",
"expression" : "nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state'))",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"
},
{
"key" : "4537-5403",
"severity" : "warning",
"human" : "If country is US, this addr **MAY** contain zero or one [0..1] postalCode, which **SHALL** be selected from ValueSet PostalCode urn:oid:2.16.840.1.113883.3.88.12.80.2 *DYNAMIC* (CONF:4537-5403).",
"expression" : "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})?'))",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"
},
{
"key" : "should-country",
"severity" : "warning",
"human" : "SHOULD contain country",
"expression" : "nullFlavor.exists() or item.country.exists()",
"source" : "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmHeader"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.nullFlavor",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.isNotOrdered",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.isNotOrdered",
"representation" : [
"xmlAttr"
],
"label" : "Is Not Ordered",
"definition" : "A boolean value specifying whether the order of the address parts is known or not. While the address parts are always a Sequence, the order in which they are presented may or may not be known. Where this matters, the isNotOrdered property can be used to convey this information.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "AD.isNotOrdered",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
]
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.use",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.use",
"representation" : [
"xmlAttr"
],
"label" : "Use Code",
"definition" : "A set of codes advising a system or user which address in a set of like addresses to select for a given purpose.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "AD.use",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDAPostalAddressUse"
}
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item",
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-choice-group",
"valueBoolean" : true
}
],
"path" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item",
"definition" : "A series of items that constitute the address.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "AD.item",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/fhir/StructureDefinition/Base"
}
],
"constraint" : [
{
"key" : "AD-1",
"severity" : "error",
"human" : "Can only have only one of the possible item elements in each choice",
"expression" : "(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",
"source" : "http://hl7.org/cda/stds/core/StructureDefinition/ClinicalDocument"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter",
"definition" : "Delimiters are printed without framing white space. If no value component is provided, the delimiter appears as a line break.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "AD.item.delimiter",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/ADXP"
}
],
"constraint" : [
{
"key" : "text-null",
"severity" : "error",
"human" : "xmlText and nullFlavor are mutually exclusive (one must be present)",
"expression" : "(xmlText | nullFlavor).count() = 1",
"source" : "http://hl7.org/cda/stds/core/StructureDefinition/ST"
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.nullFlavor",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.nullFlavor",
"representation" : [
"xmlAttr"
],
"label" : "Exceptional Value Detail",
"definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ANY.nullFlavor",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.representation",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.representation",
"representation" : [
"xmlAttr"
],
"definition" : "Specifies the representation of the binary data that is the content of the binary data value",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ST.representation",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"fixedCode" : "TXT"
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.mediaType",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.mediaType",
"representation" : [
"xmlAttr"
],
"label" : "Media Type",
"definition" : "Identifies the type of the encapsulated data and identifies a method to interpret or render the data.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ST.mediaType",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"fixedCode" : "text/plain"
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.language",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.language",
"representation" : [
"xmlAttr"
],
"label" : "Language",
"definition" : "For character based information the language property specifies the human language of the text.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ST.language",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.xmlText",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.xmlText",
"representation" : [
"xmlText"
],
"short" : "Allows for mixed text content",
"comment" : "This element is represented in XML as textual content. The actual name \"xmlText\" will not appear in a CDA instance.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ST.xmlText",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.partType",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.delimiter.partType",
"representation" : [
"xmlAttr"
],
"definition" : "Specifies the type of the address part",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ADXP.partType",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code",
"profile" : [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"fixedCode" : "DEL"
},
{
"id" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country",
"path" : "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.item.country",
"definition" : "Country",
"min" : 0,
"max" : "1",
"base" : {
"path" : "AD.item.country",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/cda/stds/core/StructureDefinition/ADXP"
}
],
"constraint" : [
{
"key" : "text-null",
"severity" : "error",
"human" : "xmlText and nullFlavor are mutually exclusive (one must be present)",
"expression" : "(xmlText | nullFlavor).count() = 1",
"source" : "http://hl7.org/cda/stds/core/StructureDefinition/ST"
&n