| Package | hl7.cda.us.ccda |
| Type | StructureDefinition |
| Id | ResultsSection |
| FHIR Version | R5 |
| Source | http://hl7.org/cda/us/ccda/https://build.fhir.org/ig/HL7/CDA-ccda/StructureDefinition-ResultsSection.html |
| URL | http://hl7.org/cda/us/ccda/StructureDefinition/ResultsSection |
| Version | 4.0.0 |
| Status | draft |
| Date | 2025-06-26T21:09:45+00:00 |
| Name | ResultsSection |
| Title | Results Section |
| Realm | us |
| Authority | hl7 |
| Description | The Results Section contains observations of results generated by laboratories, imaging procedures, and other procedures. These coded result observations are contained within a Results Organizer in the Results Section. The scope includes observations such as hematology, chemistry, serology, virology, toxicology, microbiology, plain x-ray, ultrasound, CT, MRI, angiography, echocardiography, nuclear medicine, pathology, and procedure observations. The section often includes notable results such as abnormal values or relevant trends, and could contain all results for the period of time being documented. Laboratory results are typically generated by laboratories providing analytic services in areas such as chemistry, hematology, serology, histology, cytology, anatomic pathology, microbiology, and/or virology. These observations are based on analysis of specimens obtained from the patient and submitted to the laboratory. Imaging results are typically generated by a clinician reviewing the output of an imaging procedure, such as where a cardiologist reports the left ventricular ejection fraction based on the review of a cardiac echocardiogram. Procedure results are typically generated by a clinician to provide more granular information about component observations made during a procedure, such as where a gastroenterologist reports the size of a polyp observed during a colonoscopy. Subsections MAY be used to partition the entries into different categories. For example, a subsection with the LOINC code of 18748-4 (Diagnostic Imaging) MAY be used to group DI procedures and/or results. Similarly, 11502-2 (Clinical Laboratory) MAY be used to group laboratory results. #### Templates Used Although open templates may contain any valid CDA content, the following templates are specifically called out by this template: **Required Entries**: [ResultOrganizer](StructureDefinition-ResultOrganizer.html) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Section |
| Kind | logical |
| StructureDefinition | |
| ConsultationNote | Consultation Note |
| ContinuityofCareDocumentCCD | Continuity of Care Document (CCD) |
| DischargeSummary | Discharge Summary |
| HistoryandPhysical | History and Physical |
| ProgressNote | Progress Note |
| ReferralNote | Referral Note |
| TransferSummary | Transfer Summary |
| StructureDefinition | |
| Organizer | Organizer (CDA Class) |
| Section | Section (CDA Class) |
| ResultOrganizer | Result Organizer |
Note: links and images are rebased to the (stated) source
Generated Narrative: StructureDefinition ResultsSection
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Section | C | 1..1 | Section | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @ID, @classCode, @moodCode, id, code, title, text, confidentialityCode, languageCode, subject, author, informant, entry, component Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: shall-result-org |
 @nullFlavor | 0..1 | cs | If a required section contains no information, the @nullFlavor MAY be set to NI | |
 Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root, value:extension | |
   templateId:section | 1..1 | II | ||
  @root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.2.3.1 | |
  @extension | 1..1 | st | Required Pattern: 2015-08-01 | |
| code | 1..1 | CE | Relevant diagnostic tests/laboratory data Narrative | |
| @code | 1..1 | cs | Required Pattern: 30954-2 | |
 @codeSystem | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
| title | 1..1 | ST | ||
| text | 1..1 | xhtml | ||
| Slices for entry | 0..* | Entry | If section/@nullFlavor is not present: Slice: Unordered, Open by profile:organizer | |
| entry:organizer | 0..* | Entry | ||
 organizer | 1..1 | ResultOrganizer | ||
| Documentation for this format | ||||
FHIR{
"resourceType": "StructureDefinition",
"id": "ResultsSection",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"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": "section"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/logical-container",
"valueUri": "http://hl7.org/cda/stds/core/StructureDefinition/ClinicalDocument"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/type-profile-style",
"valueCode": "cda"
}
],
"url": "http://hl7.org/cda/us/ccda/StructureDefinition/ResultsSection",
"identifier": [
{
"system": "urn:ietf:rfc:3986",
"value": "urn:hl7ii:2.16.840.1.113883.10.20.22.2.3.1:2015-08-01"
}
],
"version": "4.0.0",
"name": "ResultsSection",
"title": "Results Section",
"status": "draft",
"date": "2025-06-26T21:09:45+00:00",
"publisher": "Health Level Seven",
"contact": [
{
"name": "HL7 International - Structured Documents",
"telecom": [
{
"system": "url",
"value": "http://www.hl7.org/Special/committees/structure"
}
]
}
],
"description": "The Results Section contains observations of results generated by laboratories, imaging procedures, and other procedures. These coded result observations are contained within a Results Organizer in the Results Section. The scope includes observations such as hematology, chemistry, serology, virology, toxicology, microbiology, plain x-ray, ultrasound, CT, MRI, angiography, echocardiography, nuclear medicine, pathology, and procedure observations. The section often includes notable results such as abnormal values or relevant trends, and could contain all results for the period of time being documented.\n\nLaboratory results are typically generated by laboratories providing analytic services in areas such as chemistry, hematology, serology, histology, cytology, anatomic pathology, microbiology, and/or virology. These observations are based on analysis of specimens obtained from the patient and submitted to the laboratory.\n\nImaging results are typically generated by a clinician reviewing the output of an imaging procedure, such as where a cardiologist reports the left ventricular ejection fraction based on the review of a cardiac echocardiogram.\n\nProcedure results are typically generated by a clinician to provide more granular information about component observations made during a procedure, such as where a gastroenterologist reports the size of a polyp observed during a colonoscopy.\n\nSubsections MAY be used to partition the entries into different categories. For example, a subsection with the LOINC code of 18748-4 (Diagnostic Imaging) MAY be used to group DI procedures and/or results. Similarly, 11502-2 (Clinical Laboratory) MAY be used to group laboratory results.\n\n#### Templates Used\nAlthough open templates may contain any valid CDA content, the following templates are specifically called out by this template:\n\n**Required Entries**: [ResultOrganizer](StructureDefinition-ResultOrganizer.html)",
"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/Section",
"baseDefinition": "http://hl7.org/cda/stds/core/StructureDefinition/Section",
"derivation": "constraint",
"snapshot": {
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
"valueString": "2.0.1-sd"
}
],
"element": [
{
"id": "Section",
"path": "Section",
"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": "shall-result-org",
"severity": "error",
"human": "If section/@nullFlavor is not present, SHALL contain at least one Result Organizer",
"expression": "nullFlavor.exists() or entry.where(organizer.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/ResultOrganizer')).exists()",
"source": "http://hl7.org/cda/us/ccda/StructureDefinition/ResultsSection"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Section.nullFlavor",
"path": "Section.nullFlavor",
"representation": [
"xmlAttr"
],
"label": "Exceptional Value Detail",
"short": "If a required section contains no information, the @nullFlavor MAY be set to NI",
"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": "Section.realmCode",
"path": "Section.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": "Section.typeId",
"path": "Section.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": "Section.typeId.nullFlavor",
"path": "Section.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": "Section.typeId.assigningAuthorityName",
"path": "Section.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": "Section.typeId.displayable",
"path": "Section.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": "Section.typeId.root",
"path": "Section.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": "Section.typeId.extension",
"path": "Section.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": "Section.templateId",
"path": "Section.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": 1,
"max": "*",
"base": {
"path": "InfrastructureRoot.templateId",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
]
},
{
"id": "Section.templateId:section",
"path": "Section.templateId",
"sliceName": "section",
"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": "InfrastructureRoot.templateId",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
]
},
{
"id": "Section.templateId:section.nullFlavor",
"path": "Section.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": "Section.templateId:section.assigningAuthorityName",
"path": "Section.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": "Section.templateId:section.displayable",
"path": "Section.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": "Section.templateId:section.root",
"path": "Section.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": "2.16.840.1.113883.10.20.22.2.3.1"
},
{
"id": "Section.templateId:section.extension",
"path": "Section.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": "2015-08-01"
},
{
"id": "Section.ID",
"path": "Section.ID",
"representation": [
"xmlAttr"
],
"min": 0,
"max": "1",
"base": {
"path": "Section.ID",
"min": 0,
"max": "1"
},
"type": [
{
"code": "id",
"profile": [
"http://hl7.org/cda/stds/core/StructureDefinition/xs-ID"
]
}
]
},
{
"id": "Section.classCode",
"path": "Section.classCode",
"representation": [
"xmlAttr"
],
"min": 0,
"max": "1",
"base": {
"path": "Section.classCode",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code",
"profile": [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"fixedCode": "DOCSECT",
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-ActClassRecordOrganizer"
}
},
{
"id": "Section.moodCode",
"path": "Section.moodCode",
"representation": [
"xmlAttr"
],
"min": 0,
"max": "1",
"base": {
"path": "Section.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": "Section.id",
"path": "Section.id",
"min": 0,
"max": "1",
"base": {
"path": "Section.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
]
},
{
"id": "Section.code",
"path": "Section.code",
"short": "Relevant diagnostic tests/laboratory data Narrative",
"min": 1,
"max": "1",
"base": {
"path": "Section.code",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/CE"
}
]
},
{
"id": "Section.code.nullFlavor",
"path": "Section.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": "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": "Section.code.code",
"path": "Section.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"
]
}
],
"patternCode": "30954-2"
},
{
"id": "Section.code.codeSystem",
"path": "Section.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": "Section.code.codeSystemName",
"path": "Section.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": "Section.code.codeSystemVersion",
"path": "Section.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": "Section.code.displayName",
"path": "Section.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": "Section.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": "Section.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": "Section.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": "Section.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": "Section.code.originalText",
"path": "Section.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": "Section.code.qualifier",
"path": "Section.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": "Section.code.translation",
"path": "Section.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": "Section.title",
"path": "Section.title",
"min": 1,
"max": "1",
"base": {
"path": "Section.title",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/ST"
}
]
},
{
"id": "Section.text",
"path": "Section.text",
"representation": [
"cdaText"
],
"min": 1,
"max": "1",
"base": {
"path": "Section.text",
"min": 0,
"max": "1"
},
"type": [
{
"code": "xhtml"
}
]
},
{
"id": "Section.confidentialityCode",
"path": "Section.confidentialityCode",
"min": 0,
"max": "1",
"base": {
"path": "Section.confidentialityCode",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/CE"
}
]
},
{
"id": "Section.languageCode",
"path": "Section.languageCode",
"min": 0,
"max": "1",
"base": {
"path": "Section.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": "Section.subject",
"path": "Section.subject",
"min": 0,
"max": "1",
"base": {
"path": "Section.subject",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Subject"
}
]
},
{
"id": "Section.author",
"path": "Section.author",
"min": 0,
"max": "*",
"base": {
"path": "Section.author",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Author"
}
]
},
{
"id": "Section.informant",
"path": "Section.informant",
"min": 0,
"max": "*",
"base": {
"path": "Section.informant",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Informant"
}
]
},
{
"id": "Section.entry",
"path": "Section.entry",
"slicing": {
"discriminator": [
{
"type": "profile",
"path": "organizer"
}
],
"rules": "open"
},
"short": "If section/@nullFlavor is not present:",
"comment": "SHALL contain at least one [1..*] entry (CONF:1198-7112) such that it",
"min": 0,
"max": "*",
"base": {
"path": "Section.entry",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Entry"
}
]
},
{
"id": "Section.entry:organizer",
"path": "Section.entry",
"sliceName": "organizer",
"min": 0,
"max": "*",
"base": {
"path": "Section.entry",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Entry"
}
]
},
{
"id": "Section.entry:organizer.nullFlavor",
"path": "Section.entry.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": "Section.entry:organizer.realmCode",
"path": "Section.entry.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": "Section.entry:organizer.typeId",
"path": "Section.entry.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": "Section.entry:organizer.typeId.nullFlavor",
"path": "Section.entry.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": "Section.entry:organizer.typeId.assigningAuthorityName",
"path": "Section.entry.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": "Section.entry:organizer.typeId.displayable",
"path": "Section.entry.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": "Section.entry:organizer.typeId.root",
"path": "Section.entry.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": "Section.entry:organizer.typeId.extension",
"path": "Section.entry.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": "Section.entry:organizer.templateId",
"path": "Section.entry.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": "Section.entry:organizer.typeCode",
"path": "Section.entry.typeCode",
"representation": [
"xmlAttr"
],
"min": 0,
"max": "1",
"base": {
"path": "Entry.typeCode",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code",
"profile": [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"defaultValueCode": "COMP",
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntry"
}
},
{
"id": "Section.entry:organizer.contextConductionInd",
"path": "Section.entry.contextConductionInd",
"representation": [
"xmlAttr"
],
"min": 0,
"max": "1",
"base": {
"path": "Entry.contextConductionInd",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean",
"profile": [
"http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
]
}
],
"fixedBoolean": true
},
{
"id": "Section.entry:organizer.act",
"path": "Section.entry.act",
"min": 0,
"max": "1",
"base": {
"path": "Entry.act",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Act"
}
]
},
{
"id": "Section.entry:organizer.encounter",
"path": "Section.entry.encounter",
"min": 0,
"max": "1",
"base": {
"path": "Entry.encounter",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Encounter"
}
]
},
{
"id": "Section.entry:organizer.observation",
"path": "Section.entry.observation",
"min": 0,
"max": "1",
"base": {
"path": "Entry.observation",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Observation"
}
]
},
{
"id": "Section.entry:organizer.observationMedia",
"path": "Section.entry.observationMedia",
"min": 0,
"max": "1",
"base": {
"path": "Entry.observationMedia",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia"
}
]
},
{
"id": "Section.entry:organizer.organizer",
"path": "Section.entry.organizer",
"comment": "SHALL contain exactly one [1..1] Result Organizer (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.1:2015-08-01) (CONF:1198-15515).",
"min": 1,
"max": "1",
"base": {
"path": "Entry.organizer",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Organizer",
"profile": [
"http://hl7.org/cda/us/ccda/StructureDefinition/ResultOrganizer"
]
}
]
},
{
"id": "Section.entry:organizer.procedure",
"path": "Section.entry.procedure",
"min": 0,
"max": "1",
"base": {
"path": "Entry.procedure",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Procedure"
}
]
},
{
"id": "Section.entry:organizer.regionOfInterest",
"path": "Section.entry.regionOfInterest",
"min": 0,
"max": "1",
"base": {
"path": "Entry.regionOfInterest",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest"
}
]
},
{
"id": "Section.entry:organizer.substanceAdministration",
"path": "Section.entry.substanceAdministration",
"min": 0,
"max": "1",
"base": {
"path": "Entry.substanceAdministration",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration"
}
]
},
{
"id": "Section.entry:organizer.supply",
"path": "Section.entry.supply",
"min": 0,
"max": "1",
"base": {
"path": "Entry.supply",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Supply"
}
]
},
{
"id": "Section.component",
"path": "Section.component",
"min": 0,
"max": "*",
"base": {
"path": "Section.component",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot"
}
]
},
{
"id": "Section.component.nullFlavor",
"path": "Section.component.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": "Section.component.realmCode",
"path": "Section.component.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": "Section.component.typeId",
"path": "Section.component.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/Section"
}
]
},
{
"id": "Section.component.typeId.nullFlavor",
"path": "Section.component.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": "Section.component.typeId.assigningAuthorityName",
"path": "Section.component.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": "Section.component.typeId.displayable",
"path": "Section.component.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": "Section.component.typeId.root",
"path": "Section.component.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": "Section.component.typeId.extension",
"path": "Section.component.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": "Section.component.templateId",
"path": "Section.component.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": "Section.component.typeCode",
"path": "Section.component.typeCode",
"representation": [
"xmlAttr"
],
"definition": "Drawn from concept domain DocumentSectionType",
"min": 0,
"max": "1",
"base": {
"path": "Section.component.typeCode",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code",
"profile": [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"fixedCode": "COMP"
},
{
"id": "Section.component.contextConductionInd",
"path": "Section.component.contextConductionInd",
"representation": [
"xmlAttr"
],
"min": 0,
"max": "1",
"base": {
"path": "Section.component.contextConductionInd",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean",
"profile": [
"http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
]
}
],
"fixedBoolean": true
},
{
"id": "Section.component.section",
"path": "Section.component.section",
"min": 1,
"max": "1",
"base": {
"path": "Section.component.section",
"min": 1,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Section"
}
]
}
]
},
"differential": {
"element": [
{
"id": "Section",
"path": "Section",
"constraint": [
{
"key": "shall-result-org",
"severity": "error",
"human": "If section/@nullFlavor is not present, SHALL contain at least one Result Organizer",
"expression": "nullFlavor.exists() or entry.where(organizer.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/ResultOrganizer')).exists()",
"source": "http://hl7.org/cda/us/ccda/StructureDefinition/ResultsSection"
}
]
},
{
"id": "Section.nullFlavor",
"path": "Section.nullFlavor",
"short": "If a required section contains no information, the @nullFlavor MAY be set to NI"
},
{
"id": "Section.templateId",
"path": "Section.templateId",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "root"
},
{
"type": "value",
"path": "extension"
}
],
"rules": "open"
},
"min": 1
},
{
"id": "Section.templateId:section",
"path": "Section.templateId",
"sliceName": "section",
"min": 1,
"max": "1"
},
{
"id": "Section.templateId:section.root",
"path": "Section.templateId.root",
"min": 1,
"patternString": "2.16.840.1.113883.10.20.22.2.3.1"
},
{
"id": "Section.templateId:section.extension",
"path": "Section.templateId.extension",
"min": 1,
"patternString": "2015-08-01"
},
{
"id": "Section.code",
"path": "Section.code",
"short": "Relevant diagnostic tests/laboratory data Narrative",
"min": 1
},
{
"id": "Section.code.code",
"path": "Section.code.code",
"min": 1,
"patternCode": "30954-2"
},
{
"id": "Section.code.codeSystem",
"path": "Section.code.codeSystem",
"min": 1,
"patternString": "2.16.840.1.113883.6.1"
},
{
"id": "Section.title",
"path": "Section.title",
"min": 1
},
{
"id": "Section.text",
"path": "Section.text",
"min": 1
},
{
"id": "Section.entry",
"path": "Section.entry",
"slicing": {
"discriminator": [
{
"type": "profile",
"path": "organizer"
}
],
"rules": "open"
},
"short": "If section/@nullFlavor is not present:",
"comment": "SHALL contain at least one [1..*] entry (CONF:1198-7112) such that it"
},
{
"id": "Section.entry:organizer",
"path": "Section.entry",
"sliceName": "organizer",
"min": 0,
"max": "*"
},
{
"id": "Section.entry:organizer.organizer",
"path": "Section.entry.organizer",
"comment": "SHALL contain exactly one [1..1] Result Organizer (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.1:2015-08-01) (CONF:1198-15515).",
"min": 1,
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Organizer",
"profile": [
"http://hl7.org/cda/us/ccda/StructureDefinition/ResultOrganizer"
]
}
]
}
]
}
}