Package | hl7.cda.us.ccdar2dot2 |
Type | StructureDefinition |
Id | 2.16.840.1.113883.10.20.22.1.5 |
FHIR Version | R4 |
Source | http://hl7.org/cda/us/ccda/https://build.fhir.org/ig/HL7/CDA-ccda-2.2/StructureDefinition-2.16.840.1.113883.10.20.22.1.5.html |
URL | http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.5 |
Version | 2.2 |
Status | active |
Date | 2022-05-13T15:50:12+00:00 |
Name | DiagnosticImagingReport |
Title | Diagnostic Imaging Report |
Realm | us |
Authority | hl7 |
Description | A Diagnostic Imaging Report (DIR) is a document that contains a consulting specialists interpretation of image data. It conveys the interpretation to the referring (ordering) physician and becomes part of the patients medical record. It is for use in Radiology, Endoscopy, Cardiology, and other imaging specialties. |
Type | ClinicalDocument |
Kind | resource |
No resources found
StructureDefinition | |
2.16.840.1.113883.10.20.22.1.1 | US Realm Header |
2.16.840.1.113883.10.20.22.5.1.1 | US Realm Person Name (PN.US.FIELDED) |
2.16.840.1.113883.10.20.22.5.3 | US Realm Date and Time (DT.US.FIELDED) |
2.16.840.1.113883.10.20.6.1.1 | DICOM Object Catalog Section - DCM 121181 |
2.16.840.1.113883.10.20.6.1.2 | Findings Section (DIR) |
2.16.840.1.113883.10.20.6.2.1 | Physician Reading Study Performer |
2.16.840.1.113883.10.20.6.2.12 | Text Observation |
2.16.840.1.113883.10.20.6.2.13 | Code Observations |
2.16.840.1.113883.10.20.6.2.14 | Quantity Measurement Observation |
2.16.840.1.113883.10.20.6.2.2 | Physician of Record Participant |
2.16.840.1.113883.10.20.6.2.3 | Fetus Subject Context |
2.16.840.1.113883.10.20.6.2.4 | Observer Context |
2.16.840.1.113883.10.20.6.2.5 | Procedure Context |
2.16.840.1.113883.10.20.6.2.8 | SOP Instance Observation |
Note: links and images are rebased to the (stated) source
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() | 1..1 | USRealmHeader | ||
![]() ![]() ![]() | 0..* | II | Slice: Unordered, Open by value:root, value:extension | |
![]() ![]() ![]() ![]() | I | 1..1 | II | 1198-32937: When asserting this templateId, all C-CDA 2.1 section and entry templates that had a previous version in C-CDA R1.1 **SHALL** include both the C-CDA 2.1 templateId and the C-CDA R1.1 templateId root without an extension. See C-CDA R2.1 Volume 1 - Design Considerations for additional detail (CONF:1198-32937). |
![]() ![]() ![]() ![]() ![]() | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.1.5 | |
![]() ![]() ![]() ![]() ![]() | 1..1 | string | Required Pattern: 2014-06-09 | |
![]() ![]() ![]() | 1..1 | II | ||
![]() ![]() ![]() ![]() | I | 1..1 | string | 1198-30934: The ClinicalDocument/id/@root attribute SHALL be a syntactically correct OID, and SHALL NOT be a UUID (CONF:1198-30934).
OIDs SHALL be represented in dotted decimal notation, where each decimal number is either 0 or starts with a nonzero digit. More formally, an OID SHALL be in the form of the regular expression: ([0-2])(.([1-9][0-9]*|0))+ 1198-30935: OIDs SHALL be no more than 64 characters in length (CONF:1198-30935). |
![]() ![]() ![]() | 1..1 | CE | Preferred code is 18748-4 LOINC Diagnostic Imaging Report | |
![]() ![]() ![]() ![]() | 1..1 | string | Binding: http://hl7.org/fhir/ccda/ValueSet/1.3.6.1.4.1.12009.10.2.5 (preferred) | |
![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | I | 0..* | InformationRecipient | The informationRecipient element records the intended recipient of the information at the time the document was created. In cases where the intended recipient of the document is the patient's health chart, set the receivedOrganization to the scoping organization for that chart. 1198-8412: The physician requesting the imaging procedure (ClinicalDocument/participant[@typeCode=REF]/associatedEntity), if present, **SHOULD** also be recorded as an informationRecipient, unless in the local setting another physician (such as the attending physician for an inpatient) is known to be the appropriate recipient of the report (CONF:1198-8412). 1198-8413: When no referring physician is present, as in the case of self-referred screening examinations allowed by law, the intendedRecipient **MAY** be absent. The intendedRecipient **MAY** also be the health chart of the patient, in which case the receivedOrganization **SHALL** be the scoping organization of that chart (CONF:1198-8413). |
![]() ![]() ![]() | 0..* | Participant1 | If participant is present, the associatedEntity/associatedPerson element SHALL be present and SHALL represent the physician requesting the imaging procedure (the referring physician AssociatedEntity that is the target of ClincalDocument/participant@typeCode=REF). Slice: Unordered, Open by value:ClinicalDocument.associatedEntity | |
![]() ![]() ![]() ![]() | 0..1 | Participant1 | ||
![]() ![]() ![]() ![]() ![]() | 1..1 | AssociatedEntity | ||
![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | Person | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | USRealmPersonNamePNUSFIELDED | ||
![]() ![]() ![]() | 0..* | InFulfillmentOf | An inFulfillmentOf element represents the Placer Order that is either a group of orders (modeled as PlacerGroup in the Placer Order RMIM of the Orders & Observations domain) or a single order item (modeled as ObservationRequest in the same RMIM). This optionality reflects two major approaches to the grouping of procedures as implemented in the installed base of imaging information systems. These approaches differ in their handling of grouped procedures and how they are mapped to identifiers in the Digital Imaging and Communications in Medicine (DICOM) image and structured reporting data. The example of a CT examination covering chest, abdomen, and pelvis will be used in the discussion below. In the IHE Scheduled Workflow model, the Chest CT, Abdomen CT, and Pelvis CT each represent a Requested Procedure, and all three procedures are grouped under a single Filler Order. The Filler Order number maps directly to the DICOM Accession Number in the DICOM imaging and report data. A widely deployed alternative approach maps the requested procedure identifiers directly to the DICOM Accession Number. The Requested Procedure ID in such implementations may or may not be different from the Accession Number, but is of little identifying importance because there is only one Requested Procedure per Accession Number. There is no identifier that formally connects the requested procedures ordered in this group. | |
![]() ![]() ![]() ![]() | 1..1 | Order | ||
![]() ![]() ![]() ![]() ![]() | 1..* | II | DICOM Accession Number in the DICOM imaging and report data | |
![]() ![]() ![]() | 0..* | DocumentationOf | Each serviceEvent indicates an imaging procedure that the provider describes and interprets in the content of the DIR. The main activity being described by this document is the interpretation of the imaging procedure. This is shown by setting the value of the @classCode attribute of the serviceEvent element to ACT, and indicating the duration over which care was provided in the effectiveTime element. Within each documentationOf element, there is one serviceEvent element. This event is the unit imaging procedure corresponding to a billable item. The type of imaging procedure may be further described in the serviceEvent/code element. This guide makes no specific recommendations about the vocabulary to use for describing this event. In IHE Scheduled Workflow environments, one serviceEvent/id element contains the DICOM Study Instance UID from the Modality Worklist, and the second serviceEvent/id element contains the DICOM Requested Procedure ID from the Modality Worklist. These two ids are in a single serviceEvent. The effectiveTime for the serviceEvent covers the duration of the imaging procedure being reported. This event should have one or more performers, which may participate at the same or different periods of time. Service events map to DICOM Requested Procedures. That is, serviceEvent/id is the ID of the Requested Procedure. Slice: Unordered, Open by value:ClinicalDocument.serviceEvent | |
![]() ![]() ![]() ![]() | 1..1 | DocumentationOf | ||
![]() ![]() ![]() ![]() ![]() | 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. | |
![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | code | Required Pattern: ACT | |
![]() ![]() ![]() ![]() ![]() ![]() | 0..* | II | ||
![]() ![]() ![]() ![]() ![]() ![]() | I | 1..1 | CE | 1198-8420: The value of serviceEvent/code **SHALL NOT** conflict with the ClininicalDocument/code. When transforming from DICOM SR documents that do not contain a procedure code, an appropriate nullFlavor **SHALL** be used on serviceEvent/code (CONF:1198-8420). |
![]() ![]() ![]() ![]() ![]() ![]() | 0..* | PhysicianReadingStudyPerformer | The performer is the Physician Reading Study Performer defined in serviceEvent and is usually different from the attending physician. The reading physician interprets the images and evidence of the study (DICOM Definition). | |
![]() ![]() ![]() | I | 0..1 | RelatedDocument | A DIR may have three types of parent document: ? A superseded version that the present document wholly replaces (typeCode = RPLC). DIRs may go through stages of revision prior to being legally authenticated. Such early stages may be drafts from transcription, those created by residents, or other preliminary versions. Policies not covered by this specification may govern requirements for retention of such earlier versions. Except for forensic purposes, the latest version in a chain of revisions represents the complete and current report. ? An original version that the present document appends (typeCode = APND). When a DIR is legally authenticated, it can be amended by a separate addendum document that references the original. ? A source document from which the present document is transformed (typeCode = XFRM). A DIR may be created by transformation from a DICOM Structured Report (SR) document or from another DIR. An example of the latter case is the creation of a derived document for inclusion of imaging results in a clinical document. 1198-8433: When a Diagnostic Imaging Report has been transformed from a DICOM SR document, relatedDocument/@typeCode **SHALL** be XFRM, and relatedDocument/parentDocument/id **SHALL** contain the SOP Instance UID of the original DICOM SR document (CONF:1198-8433). |
![]() ![]() ![]() ![]() | 1..1 | ParentDocument | ||
![]() ![]() ![]() ![]() ![]() | I | 1..1 | II | 1198-10031: OIDs **SHALL** be represented in dotted decimal notation, where each decimal number is either 0 or starts with a nonzero digit. More formally, an OID **SHALL** be in the form of the regular expression: ([0-2])(.([1-9][0-9][*]|0))+ (CONF:1198-10031). 1198-10032: OIDs **SHALL** be no more than 64 characters in length (CONF:1198-10032). |
![]() ![]() ![]() | 0..1 | ComponentOf | The id element of the encompassingEncounter represents the identifier for the encounter. When the diagnostic imaging procedure is performed in the context of a hospital stay or an outpatient visit for which there is an Encounter Number, that number should be present as the ID of the encompassingEncounter. The effectiveTime represents the time interval or point in time in which the encounter took place. The encompassing encounter might be that of the hospital or office visit in which the diagnostic imaging procedure was performed. If the effective time is unknown, a nullFlavor attribute can be used. | |
![]() ![]() ![]() ![]() | 1..1 | EncompassingEncounter | The id element of the encompassingEncounter represents the identifier for the encounter. When the diagnostic imaging procedure is performed in the context of a hospital stay or an outpatient visit for which there is an Encounter Number, that number should be present as the ID of the encompassingEncounter. The effectiveTime represents the time interval or point in time in which the encounter took place. The encompassing encounter might be that of the hospital or office visit in which the diagnostic imaging procedure was performed. If the effective time is unknown, a nullFlavor attribute can be used. | |
![]() ![]() ![]() ![]() ![]() | I | 1..* | II | 1198-30942: In the case of transformed DICOM SR documents, an appropriate null flavor **MAY** be used if the id is unavailable (CONF:1198-30942). |
![]() ![]() ![]() ![]() ![]() | 1..1 | USRealmDateandTimeDTUSFIELDED | ||
![]() ![]() ![]() ![]() ![]() | 0..1 | Element | ||
![]() ![]() ![]() ![]() ![]() ![]() | I | 1..1 | AssignedEntity | 1198-30947: **SHOULD** contain zero or one [0..1] assignedPerson *OR* contain zero or one [0..1] representedOrganization (CONF:1198-30947). |
![]() ![]() ![]() ![]() ![]() | 0..1 | PhysicianofRecordParticipant | ||
![]() ![]() ![]() | 1..1 | Component2 | ||
![]() ![]() ![]() ![]() | 1..1 | StructuredBody | ||
![]() ![]() ![]() ![]() ![]() | 1..* | Element | Slice: Unordered, Open by value:ClinicalDocument.section | |
![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | Element | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | FindingsSectionDIR | ||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | Element | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | I | 1..1 | DICOMObjectCatalogSectionDCM121181 | 1198-31206: The DICOM Object Catalog section (templateId 2.16.840.1.113883.10.20.6.1.1), if present, **SHALL** be the first section in the document Body (CONF:1198-31206). |
![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Element | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | I | 1..1 | Section | 1198-31211: All sections defined in the DIR Section Type Codes table **SHALL** be top-level sections (CONF:1198-31211). 1198-31212: **SHALL** contain at least one text element or one or more component elements (CONF:1198-31212). |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | CE | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | string | The section/code SHOULD be selected from LOINC or DICOM for sections not listed in the DIR Section Type Codes table
undefined Binding: http://hl7.org/fhir/ccda/ValueSet/2.16.840.1.113883.11.20.9.59 (preferred) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | ED | There is no equivalent to section/title in DICOM SR, so for a CDA to SR transformation, the section/code will be transferred and the title element will be dropped. | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | I | 0..1 | xhtml | 1198-31060: If clinical statements are present, the section/text **SHALL** represent faithfully all such statements and **MAY** contain additional text (CONF:1198-31060). 1198-31061: All text elements **SHALL** contain content. Text elements **SHALL** contain PCDATA or child elements (CONF:1198-31061). 1198-31062: The text elements (and their children) **MAY** contain Web Access to DICOM Persistent Object (WADO) references to DICOM objects by including a linkHtml element where @href is a valid WADO URL and the text content of linkHtml is the visible text of the hyperlink (CONF:1198-31062). |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Element | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | FetusSubjectContext | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Author | This author element is used when the author of a section is different from the author(s) listed in the Header Slice: Unordered, Open by value:assignedAuthor | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Author | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | ObserverContext | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Element | Slice: Unordered, Open by value:ClinicalDocument.section.structuredBody.component.section.entry | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Element | If the service context of a section is different from the value specified in documentationOf/serviceEvent, then the section SHALL contain one or more entries containing Procedure Context (templateId 2.16.840.1.113883.10.20.6.2.5), which will reset the context for any clinical statements nested within those elements | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | ProcedureContext | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Element | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | TextObservation | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Element | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | CodeObservations | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Element | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | QuantityMeasurementObservation | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Element | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | SOPInstanceObservation | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | I | 0..* | Element | 1198-31210: **SHALL** contain child elements (CONF:1198-31210). |
![]() |
{ "resourceType": "StructureDefinition", "id": "2.16.840.1.113883.10.20.22.1.5", "text": { "status": "extensions", "div": "<!-- snip (see above) -->" }, "url": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.5", "identifier": [ { "value": "urn:hl7ii:2.16.840.1.113883.10.20.22.1.5:2015-08-01" } ], "version": "2.2", "name": "DiagnosticImagingReport", "title": "Diagnostic Imaging Report", "status": "active", "date": "2022-05-13T15:50:12+00:00", "publisher": "Health Level Seven", "contact": [ { "name": "HL7 International - Structured Documents", "telecom": [ { "system": "url", "value": "http://www.hl7.org/Special/committees/structure" } ] } ], "description": "A Diagnostic Imaging Report (DIR) is a document that contains a consulting specialists interpretation of image data. It conveys the interpretation to the referring (ordering) physician and becomes part of the patients medical record. It is for use in Radiology, Endoscopy, Cardiology, and other imaging specialties.", "jurisdiction": [ { "coding": [ { "system": "urn:iso:std:iso:3166", "code": "US" } ] } ], "fhirVersion": "4.0.1", "kind": "resource", "abstract": false, "type": "ClinicalDocument", "baseDefinition": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1", "derivation": "constraint", "snapshot": { "element": [ { "id": "ClinicalDocument", "path": "ClinicalDocument", "min": 1, "max": "1", "base": { "path": "Base", "min": 0, "max": "*" }, "isModifier": false }, { "id": "ClinicalDocument.classCode", "path": "ClinicalDocument.classCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "ClinicalDocument.classCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "DOCCLIN", "fixedCode": "DOCCLIN", "binding": { "strength": "extensible", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActClass" } }, { "id": "ClinicalDocument.moodCode", "path": "ClinicalDocument.moodCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "ClinicalDocument.moodCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "EVN", "fixedCode": "EVN", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActMood" } }, { "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", "requirements": "SHALL contain exactly one [1..1] realmCode=\"US\" (CONF:1198-16791).", "min": 1, "max": "1", "base": { "path": "ClinicalDocument.realmCode", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CS" } ], "patternString": "US" }, { "id": "ClinicalDocument.typeId", "path": "ClinicalDocument.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.", "requirements": "SHALL contain exactly one [1..1] typeId (CONF:1198-5361).", "min": 1, "max": "1", "base": { "path": "ClinicalDocument.typeId", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "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" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "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" } ] }, { "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" } ] }, { "id": "ClinicalDocument.typeId.root", "path": "ClinicalDocument.typeId.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.", "requirements": "This typeId SHALL contain exactly one [1..1] @root=\"2.16.840.1.113883.1.3\" (CONF:1198-5250).", "min": 1, "max": "1", "base": { "path": "II.root", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "patternString": "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.", "requirements": "This typeId SHALL contain exactly one [1..1] @extension=\"POCD_HD000040\" (CONF:1198-5251).", "min": 1, "max": "1", "base": { "path": "II.extension", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "patternString": "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": 0, "max": "*", "base": { "path": "ClinicalDocument.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.templateId:primary", "path": "ClinicalDocument.templateId", "sliceName": "primary", "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", "requirements": "SHALL contain exactly one [1..1] templateId (CONF:1198-5252) such that it", "min": 1, "max": "1", "base": { "path": "ClinicalDocument.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.templateId:primary.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" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.templateId:primary.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" } ] }, { "id": "ClinicalDocument.templateId:primary.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" } ] }, { "id": "ClinicalDocument.templateId:primary.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.", "requirements": "SHALL contain exactly one [1..1] @root=\"2.16.840.1.113883.10.20.22.1.1\" (CONF:1198-10036).", "min": 1, "max": "1", "base": { "path": "II.root", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "patternString": "2.16.840.1.113883.10.20.22.1.1" }, { "id": "ClinicalDocument.templateId:primary.extension", "path": "ClinicalDocument.templateId.extension", "representation": [ "xmlAttr" ], "label": "Extension", "definition": "A character string as a unique identifier within the scope of the identifier root.", "requirements": "SHALL contain exactly one [1..1] @extension=\"2015-08-01\" (CONF:1198-32503).", "min": 1, "max": "1", "base": { "path": "II.extension", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "patternString": "2015-08-01" }, { "id": "ClinicalDocument.templateId:secondary", "path": "ClinicalDocument.templateId", "sliceName": "secondary", "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", "requirements": "SHALL contain exactly one [1..1] templateId (CONF:1198-8404) such that it", "min": 1, "max": "1", "base": { "path": "ClinicalDocument.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ], "constraint": [ { "key": "1198-32937", "severity": "error", "human": "When asserting this templateId, all C-CDA 2.1 section and entry templates that had a previous version in C-CDA R1.1 **SHALL** include both the C-CDA 2.1 templateId and the C-CDA R1.1 templateId root without an extension. See C-CDA R2.1 Volume 1 - Design Considerations for additional detail (CONF:1198-32937)." } ] }, { "id": "ClinicalDocument.templateId:secondary.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" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.templateId:secondary.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" } ] }, { "id": "ClinicalDocument.templateId:secondary.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" } ] }, { "id": "ClinicalDocument.templateId:secondary.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.", "requirements": "SHALL contain exactly one [1..1] @root=\"2.16.840.1.113883.10.20.22.1.5\" (CONF:1198-10042).", "min": 1, "max": "1", "base": { "path": "II.root", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "patternString": "2.16.840.1.113883.10.20.22.1.5" }, { "id": "ClinicalDocument.templateId:secondary.extension", "path": "ClinicalDocument.templateId.extension", "representation": [ "xmlAttr" ], "label": "Extension", "definition": "A character string as a unique identifier within the scope of the identifier root.", "requirements": "SHALL contain exactly one [1..1] @extension=\"2014-06-09\" (CONF:1198-32515).", "min": 1, "max": "1", "base": { "path": "II.extension", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "patternString": "2014-06-09" }, { "id": "ClinicalDocument.id", "path": "ClinicalDocument.id", "requirements": "SHALL contain exactly one [1..1] id (CONF:1198-30932).", "min": 1, "max": "1", "base": { "path": "ClinicalDocument.id", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ], "constraint": [ { "key": "1198-9991", "severity": "warning", "human": "This id **SHALL** be a globally unique identifier for the document (CONF:1198-9991).", "source": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1" } ] }, { "id": "ClinicalDocument.id.nullFlavor", "path": "ClinicalDocument.id.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" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.id.assigningAuthorityName", "path": "ClinicalDocument.id.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" } ] }, { "id": "ClinicalDocument.id.displayable", "path": "ClinicalDocument.id.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" } ] }, { "id": "ClinicalDocument.id.root", "path": "ClinicalDocument.id.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.", "requirements": "This id SHALL contain exactly one [1..1] @root (CONF:1198-30933).", "min": 1, "max": "1", "base": { "path": "II.root", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "constraint": [ { "key": "1198-30934", "severity": "error", "human": "The ClinicalDocument/id/@root attribute SHALL be a syntactically correct OID, and SHALL NOT be a UUID (CONF:1198-30934).\nOIDs SHALL be represented in dotted decimal notation, where each decimal number is either 0 or starts with a nonzero digit. More formally, an OID SHALL be in the form of the regular expression: ([0-2])(.([1-9][0-9]*|0))+" }, { "key": "1198-30935", "severity": "error", "human": "OIDs SHALL be no more than 64 characters in length (CONF:1198-30935)." } ] }, { "id": "ClinicalDocument.id.extension", "path": "ClinicalDocument.id.extension", "representation": [ "xmlAttr" ], "label": "Extension", "definition": "A character string as a unique identifier within the scope of the identifier root.", "min": 0, "max": "1", "base": { "path": "II.extension", "min": 0, "max": "1" }, "type": [ { "code": "string" } ] }, { "id": "ClinicalDocument.code", "path": "ClinicalDocument.code", "short": "Preferred code is 18748-4 LOINC Diagnostic Imaging Report", "requirements": "SHALL contain exactly one [1..1] code (CONF:1198-14833).", "min": 1, "max": "1", "base": { "path": "ClinicalDocument.code", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CE" } ], "constraint": [ { "key": "1198-9992", "severity": "error", "human": "This code **SHALL** specify the particular kind of document (e.g., History and Physical, Discharge Summary, Progress Note) (CONF:1198-9992).", "source": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1" }, { "key": "1198-32948", "severity": "error", "human": "This code **SHALL** be drawn from the LOINC document type ontology (LOINC codes where SCALE = DOC) (CONF:1198-32948).", "source": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1" } ], "binding": { "strength": "extensible", "valueSet": "http://terminology.hl7.org/ValueSet/v3-DocumentType" } }, { "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": "1", "base": { "path": "ANY.nullFlavor", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "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.", "requirements": "This code SHALL contain exactly one [1..1] @code, which SHOULD be selected from ValueSet LOINC Imaging Document Codes http://hl7.org/fhir/ccda/ValueSet/1.3.6.1.4.1.12009.10.2.5 DYNAMIC (CONF:1198-14834).", "min": 1, "max": "1", "base": { "path": "CD.code", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "binding": { "strength": "preferred", "valueSet": "http://hl7.org/fhir/ccda/ValueSet/1.3.6.1.4.1.12009.10.2.5" } }, { "id": "ClinicalDocument.code.codeSystem", "path": "ClinicalDocument.code.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" } ] }, { "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" } ] }, { "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" } ] }, { "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" } ] }, { "id": "ClinicalDocument.code.sdtcValueSet", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-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" } ] }, { "id": "ClinicalDocument.code.sdtcValueSetVersion", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-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" } ] }, { "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/fhir/cda/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/fhir/cda/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/fhir/cda/StructureDefinition/CD" } ] }, { "id": "ClinicalDocument.title", "path": "ClinicalDocument.title", "label": "The title can either be a locally defined name or the displayName corresponding to clinicalDocument/code", "short": "The title can either be a locally defined name or the displayName corresponding to clinicalDocument/code", "requirements": "SHALL contain exactly one [1..1] title (CONF:1198-5254).", "min": 1, "max": "1", "base": { "path": "ClinicalDocument.title", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ST" } ] }, { "id": "ClinicalDocument.effectiveTime", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-timeformat", "valueCode": "YYYYMMDDHHMMSS.UUUU[+|-ZZzz]" } ], "path": "ClinicalDocument.effectiveTime", "definition": "A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.", "requirements": "SHALL contain exactly one [1..1] US Realm Date and Time (DTM.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.4) (CONF:1198-5256).", "min": 1, "max": "1", "base": { "path": "ClinicalDocument.effectiveTime", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/TS", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.4" ] } ], "constraint": [ { "key": "81-10127", "severity": "error", "human": "**SHALL** be precise to the day (CONF:81-10127).", "source": "http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument" }, { "key": "81-10128", "severity": "warning", "human": "**SHOULD** be precise to the minute (CONF:81-10128).", "source": "http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument" }, { "key": "81-10129", "severity": "warning", "human": "**MAY** be precise to the second (CONF:81-10129).", "source": "http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument" }, { "key": "81-10130", "severity": "warning", "human": "If more precise than day, **SHOULD** include time-zone offset (CONF:81-10130).", "source": "http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument" } ], "isModifier": false }, { "id": "ClinicalDocument.confidentialityCode", "path": "ClinicalDocument.confidentialityCode", "requirements": "SHALL contain exactly one [1..1] confidentialityCode, which SHOULD be selected from ValueSet HL7 BasicConfidentialityKind urn:oid:2.16.840.1.113883.1.11.16926 DYNAMIC (CONF:1198-5259).", "min": 1, "max": "1", "base": { "path": "ClinicalDocument.confidentialityCode", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CE" } ], "binding": { "strength": "preferred", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.16926" } }, { "id": "ClinicalDocument.languageCode", "path": "ClinicalDocument.languageCode", "requirements": "SHALL contain exactly one [1..1] languageCode, which SHALL be selected from ValueSet Language urn:oid:2.16.840.1.113883.1.11.11526 DYNAMIC (CONF:1198-5372).", "min": 1, "max": "1", "base": { "path": "ClinicalDocument.languageCode", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CS" } ], "binding": { "strength": "required", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.11526" } }, { "id": "ClinicalDocument.setId", "path": "ClinicalDocument.setId", "requirements": "MAY contain zero or one [0..1] setId (CONF:1198-5261).", "min": 0, "max": "1", "base": { "path": "ClinicalDocument.setId", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ], "constraint": [ { "key": "1198-6380", "severity": "error", "human": "If setId is present versionNumber **SHALL** be present (CONF:1198-6380).", "source": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1" } ] }, { "id": "ClinicalDocument.versionNumber", "path": "ClinicalDocument.versionNumber", "requirements": "MAY contain zero or one [0..1] versionNumber (CONF:1198-5264).", "min": 0, "max": "1", "base": { "path": "ClinicalDocument.versionNumber", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/INT" } ], "constraint": [ { "key": "1198-6387", "severity": "error", "human": "If versionNumber is present setId **SHALL** be present (CONF:1198-6387).", "source": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1" } ] }, { "id": "ClinicalDocument.copyTime", "path": "ClinicalDocument.copyTime", "min": 0, "max": "1", "base": { "path": "ClinicalDocument.copyTime", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/TS" } ] }, { "id": "ClinicalDocument.recordTarget", "path": "ClinicalDocument.recordTarget", "short": "The recordTarget records the administrative and demographic data of the patient whose health information is described by the clinical document; each recordTarget must contain at least one patientRole element", "requirements": "SHALL contain at least one [1..*] recordTarget (CONF:1198-5266).", "min": 1, "max": "*", "base": { "path": "ClinicalDocument.recordTarget", "min": 1, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/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": "RecordTarget.nullFlavor", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "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" } ], "fixedCode": "RCT", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ParticipationType" } }, { "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" } ], "fixedCode": "OP", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ContextControl" } }, { "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": "RecordTarget.realmCode", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/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": "RecordTarget.typeId", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "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": "RecordTarget.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole", "path": "ClinicalDocument.recordTarget.patientRole", "requirements": "Such recordTargets SHALL contain exactly one [1..1] patientRole (CONF:1198-5267).", "min": 1, "max": "1", "base": { "path": "RecordTarget.patientRole", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/PatientRole" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.classCode", "path": "ClinicalDocument.recordTarget.patientRole.classCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "PatientRole.classCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "PAT", "fixedCode": "PAT", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-RoleClassRelationshipFormal" } }, { "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": "PatientRole.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.id", "path": "ClinicalDocument.recordTarget.patientRole.id", "requirements": "This patientRole SHALL contain at least one [1..*] id (CONF:1198-5268).", "min": 1, "max": "*", "base": { "path": "PatientRole.id", "min": 1, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.sdtcIdentifiedBy", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name", "valueString": "identifiedBy" } ], "path": "ClinicalDocument.recordTarget.patientRole.sdtcIdentifiedBy", "min": 0, "max": "*", "base": { "path": "PatientRole.sdtcIdentifiedBy", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/IdentifiedBy" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.addr", "path": "ClinicalDocument.recordTarget.patientRole.addr", "definition": "Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.", "requirements": "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:1198-5271).", "min": 1, "max": "*", "base": { "path": "PatientRole.addr", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/AD", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.2" ] } ], "constraint": [ { "key": "81-7296", "severity": "error", "human": "**SHALL NOT** have mixed content except for white space (CONF:81-7296).", "source": "http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument" } ], "isModifier": false }, { "id": "ClinicalDocument.recordTarget.patientRole.telecom", "path": "ClinicalDocument.recordTarget.patientRole.telecom", "requirements": "This patientRole SHALL contain at least one [1..*] telecom (CONF:1198-5280).", "min": 1, "max": "*", "base": { "path": "PatientRole.telecom", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/TEL" } ] }, { "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" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "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": "uri" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.telecom.useablePeriod", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-defaulttype", "valueString": "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/fhir/cda/StructureDefinition/IVL-TS" }, { "code": "http://hl7.org/fhir/cda/StructureDefinition/EIVL-TS" }, { "code": "http://hl7.org/fhir/cda/StructureDefinition/PIVL-TS" }, { "code": "http://hl7.org/fhir/cda/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.", "requirements": "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:1198-5375).", "min": 0, "max": "1", "base": { "path": "TEL.use", "min": 0, "max": "*" }, "type": [ { "code": "code" } ], "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", "requirements": "This patientRole SHALL contain exactly one [1..1] patient (CONF:1198-5283).", "min": 1, "max": "1", "base": { "path": "PatientRole.patient", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Patient" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.classCode", "path": "ClinicalDocument.recordTarget.patientRole.patient.classCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Patient.classCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "PSN", "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": 1, "max": "1", "base": { "path": "Patient.determinerCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "INSTANCE", "fixedCode": "INSTANCE", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-EntityDeterminer" } }, { "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": "Patient.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "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/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.name", "path": "ClinicalDocument.recordTarget.patientRole.patient.name", "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).", "requirements": "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:1198-5284).", "min": 1, "max": "*", "base": { "path": "Patient.name", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/PN", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.1" ] } ], "constraint": [ { "key": "81-7278", "severity": "error", "human": "**SHALL NOT** have mixed content except for white space (CONF:81-7278).", "source": "http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument" } ], "isModifier": false }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.sdtcDesc", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name", "valueString": "desc" } ], "path": "ClinicalDocument.recordTarget.patientRole.patient.sdtcDesc", "min": 0, "max": "1", "base": { "path": "Patient.sdtcDesc", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ED" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.administrativeGenderCode", "path": "ClinicalDocument.recordTarget.patientRole.patient.administrativeGenderCode", "requirements": "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:1198-6394).", "min": 1, "max": "1", "base": { "path": "Patient.administrativeGenderCode", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/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", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthTime", "requirements": "This patient SHALL contain exactly one [1..1] birthTime (CONF:1198-5298).", "min": 1, "max": "1", "base": { "path": "Patient.birthTime", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/TS" } ], "constraint": [ { "key": "1198-5299", "severity": "error", "human": "**SHALL** be precise to year (CONF:1198-5299).", "source": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1" }, { "key": "1198-5300", "severity": "warning", "human": "**SHOULD** be precise to day (CONF:1198-5300).", "source": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1" }, { "key": "1198-32418", "severity": "warning", "human": "**MAY** be precise to the minute (CONF:1198-32418).\nFor cases where information about newborn's time of birth needs to be captured.", "source": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedInd", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name", "valueString": "deceasedInd" } ], "path": "ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedInd", "min": 0, "max": "1", "base": { "path": "Patient.sdtcDeceasedInd", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/BL" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name", "valueString": "deceasedTime" } ], "path": "ClinicalDocument.recordTarget.patientRole.patient.sdtcDeceasedTime", "min": 0, "max": "1", "base": { "path": "Patient.sdtcDeceasedTime", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/TS" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.sdtcMultipleBirthInd", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-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/fhir/cda/StructureDefinition/BL" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.sdtcMultipleBirthOrderNumber", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-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/fhir/cda/StructureDefinition/INT-POS" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.maritalStatusCode", "path": "ClinicalDocument.recordTarget.patientRole.patient.maritalStatusCode", "requirements": "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:1198-5303).", "min": 0, "max": "1", "base": { "path": "Patient.maritalStatusCode", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/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", "requirements": "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:1198-5317).", "min": 0, "max": "1", "base": { "path": "Patient.religiousAffiliationCode", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/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", "path": "ClinicalDocument.recordTarget.patientRole.patient.raceCode", "requirements": "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:1198-5322).", "min": 1, "max": "1", "base": { "path": "Patient.raceCode", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/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/StructureDefinition/elementdefinition-xml-name", "valueString": "raceCode" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" } ], "path": "ClinicalDocument.recordTarget.patientRole.patient.sdtcRaceCode", "requirements": "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:1198-7263).", "min": 0, "max": "*", "base": { "path": "Patient.sdtcRaceCode", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CE" } ], "binding": { "strength": "extensible", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.14914" } }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.ethnicGroupCode", "path": "ClinicalDocument.recordTarget.patientRole.patient.ethnicGroupCode", "requirements": "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:1198-5323).", "min": 1, "max": "1", "base": { "path": "Patient.ethnicGroupCode", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/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/StructureDefinition/elementdefinition-xml-name", "valueString": "ethnicGroupCode" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" } ], "path": "ClinicalDocument.recordTarget.patientRole.patient.sdtcEthnicGroupCode", "requirements": "This patient MAY contain zero or more [0..*] sdtc:ethnicGroupCode, which SHALL be selected from ValueSet Detailed Ethnicity urn:oid:2.16.840.1.114222.4.11.877 DYNAMIC (CONF:1198-32901).", "min": 0, "max": "*", "base": { "path": "Patient.sdtcEthnicGroupCode", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CE" } ], "binding": { "strength": "extensible", "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", "requirements": "This patient MAY contain zero or more [0..*] guardian (CONF:1198-5325).", "min": 0, "max": "*", "base": { "path": "Patient.guardian", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Guardian" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.guardian.classCode", "path": "ClinicalDocument.recordTarget.patientRole.patient.guardian.classCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Guardian.classCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "GUARD", "fixedCode": "GUARD", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-RoleClassAgent" } }, { "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": "Guardian.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.guardian.id", "path": "ClinicalDocument.recordTarget.patientRole.patient.guardian.id", "min": 0, "max": "*", "base": { "path": "Guardian.id", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.guardian.sdtcIdentifiedBy", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-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/fhir/cda/StructureDefinition/IdentifiedBy" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.guardian.code", "path": "ClinicalDocument.recordTarget.patientRole.patient.guardian.code", "requirements": "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:1198-5326).", "min": 0, "max": "1", "base": { "path": "Guardian.code", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/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", "definition": "Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.", "requirements": "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:1198-5359).", "min": 0, "max": "*", "base": { "path": "Guardian.addr", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/AD", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.2" ] } ], "constraint": [ { "key": "81-7296", "severity": "error", "human": "**SHALL NOT** have mixed content except for white space (CONF:81-7296).", "source": "http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument" } ], "isModifier": false }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom", "path": "ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom", "requirements": "The guardian, if present, SHOULD contain zero or more [0..*] telecom (CONF:1198-5382).", "min": 0, "max": "*", "base": { "path": "Guardian.telecom", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/TEL" } ] }, { "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" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "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": "uri" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.guardian.telecom.useablePeriod", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-defaulttype", "valueString": "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/fhir/cda/StructureDefinition/IVL-TS" }, { "code": "http://hl7.org/fhir/cda/StructureDefinition/EIVL-TS" }, { "code": "http://hl7.org/fhir/cda/StructureDefinition/PIVL-TS" }, { "code": "http://hl7.org/fhir/cda/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.", "requirements": "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:1198-7993).", "min": 0, "max": "1", "base": { "path": "TEL.use", "min": 0, "max": "*" }, "type": [ { "code": "code" } ], "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", "requirements": "The guardian, if present, SHALL contain exactly one [1..1] guardianPerson (CONF:1198-5385).", "min": 1, "max": "1", "base": { "path": "Guardian.guardianPerson", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Person" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.classCode", "path": "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.classCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Person.classCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "PSN", "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": 1, "max": "1", "base": { "path": "Person.determinerCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "INSTANCE", "fixedCode": "INSTANCE", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-EntityDeterminer" } }, { "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": "Person.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.name", "path": "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.name", "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).", "requirements": "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:1198-5386).", "min": 1, "max": "*", "base": { "path": "Person.name", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/PN", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.1.1" ] } ], "constraint": [ { "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).", "source": "http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument" }, { "key": "81-9372", "severity": "error", "human": "The string **SHALL NOT** contain name parts (CONF:81-9372).", "source": "http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument" } ], "isModifier": false }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name", "valueString": "asPatientRelationship" } ], "path": "ClinicalDocument.recordTarget.patientRole.patient.guardian.guardianPerson.sdtcAsPatientRelationship", "min": 0, "max": "*", "base": { "path": "Person.sdtcAsPatientRelationship", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/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/fhir/cda/StructureDefinition/Organization" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace", "requirements": "This patient MAY contain zero or one [0..1] birthplace (CONF:1198-5395).", "min": 0, "max": "1", "base": { "path": "Patient.birthplace", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Birthplace" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.classCode", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.classCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Birthplace.classCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "BIRTHPL", "fixedCode": "BIRTHPL", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-RoleClassPassive" } }, { "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": "Birthplace.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place", "requirements": "The birthplace, if present, SHALL contain exactly one [1..1] place (CONF:1198-5396).", "min": 1, "max": "1", "base": { "path": "Birthplace.place", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Place" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.classCode", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.classCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Place.classCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "PLC", "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": 1, "max": "1", "base": { "path": "Place.determinerCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "INSTANCE", "fixedCode": "INSTANCE", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-EntityDeterminer" } }, { "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": "Place.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "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/fhir/cda/StructureDefinition/EN" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr", "requirements": "This place SHALL contain exactly one [1..1] addr (CONF:1198-5397).", "min": 1, "max": "1", "base": { "path": "Place.addr", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/AD" } ], "constraint": [ { "key": "1198-5402", "severity": "warning", "human": "If country is US, this addr **SHALL** contain exactly one [1..1] state, which **SHALL** be selected from ValueSet StateValueSet 2.16.840.1.113883.3.88.12.80.1 *DYNAMIC* (CONF:1198-5402).", "source": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1" }, { "key": "1198-5403", "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:1198-5403).", "source": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1" } ] }, { "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" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "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" } ] }, { "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" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.delimiter", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.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": "*", "base": { "path": "AD.delimiter", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ADXP" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.delimiter.partType", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.delimiter.partType", "representation": [ "xmlAttr" ], "definition": "Specifies the type of the address part", "min": 0, "max": "1", "base": { "path": "AD.delimiter.partType", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "DEL" }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.country", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.country", "definition": "Country", "requirements": "This addr SHOULD contain zero or one [0..1] country, which SHALL be selected from ValueSet Country urn:oid:2.16.840.1.113883.3.88.12.80.63 DYNAMIC (CONF:1198-5404).", "min": 0, "max": "1", "base": { "path": "AD.country", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ADXP" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.country.partType", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.country.partType", "representation": [ "xmlAttr" ], "definition": "Specifies the type of the address part", "min": 0, "max": "1", "base": { "path": "AD.country.partType", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "CNT" }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.state", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.state", "definition": "A sub-unit of a country with limited sovereignty in a federally organized country.", "min": 0, "max": "*", "base": { "path": "AD.state", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ADXP" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.state.partType", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.state.partType", "representation": [ "xmlAttr" ], "definition": "Specifies the type of the address part", "min": 0, "max": "1", "base": { "path": "AD.state.partType", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "STA" }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.county", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.county", "definition": "A sub-unit of a state or province. (49 of the United States of America use the term \"county;\" Louisiana uses the term \"parish\".)", "min": 0, "max": "*", "base": { "path": "AD.county", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ADXP" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.county.partType", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.county.partType", "representation": [ "xmlAttr" ], "definition": "Specifies the type of the address part", "min": 0, "max": "1", "base": { "path": "AD.county.partType", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "CPA" }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.city", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.city", "definition": "The name of the city, town, village, or other community or delivery center", "min": 0, "max": "*", "base": { "path": "AD.city", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ADXP" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.city.partType", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.city.partType", "representation": [ "xmlAttr" ], "definition": "Specifies the type of the address part", "min": 0, "max": "1", "base": { "path": "AD.city.partType", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "CTY" }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.postalCode", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.postalCode", "definition": "A postal code designating a region defined by the postal service.", "min": 0, "max": "*", "base": { "path": "AD.postalCode", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ADXP" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.postalCode.partType", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.postalCode.partType", "representation": [ "xmlAttr" ], "definition": "Specifies the type of the address part", "min": 0, "max": "1", "base": { "path": "AD.postalCode.partType", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "ZIP" }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.streetAddressLine", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.streetAddressLine", "definition": "Street address line", "min": 0, "max": "*", "base": { "path": "AD.streetAddressLine", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ADXP" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.streetAddressLine.partType", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.streetAddressLine.partType", "representation": [ "xmlAttr" ], "definition": "Specifies the type of the address part", "min": 0, "max": "1", "base": { "path": "AD.streetAddressLine.partType", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "SAL" }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.houseNumber", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.houseNumber", "definition": "The number of a building, house or lot alongside the street. Also known as \"primary street number\". This does not number the street but rather the building.", "min": 0, "max": "*", "base": { "path": "AD.houseNumber", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ADXP" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.houseNumber.partType", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.houseNumber.partType", "representation": [ "xmlAttr" ], "definition": "Specifies the type of the address part", "min": 0, "max": "1", "base": { "path": "AD.houseNumber.partType", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "BNR" }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.houseNumberNumeric", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.houseNumberNumeric", "definition": "The numeric portion of a building number", "min": 0, "max": "*", "base": { "path": "AD.houseNumberNumeric", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ADXP" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.houseNumberNumeric.partType", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.houseNumberNumeric.partType", "representation": [ "xmlAttr" ], "definition": "Specifies the type of the address part", "min": 0, "max": "1", "base": { "path": "AD.houseNumberNumeric.partType", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "BNN" }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.direction", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.direction", "definition": "Direction (e.g., N, S, W, E)", "min": 0, "max": "*", "base": { "path": "AD.direction", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ADXP" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.direction.partType", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.direction.partType", "representation": [ "xmlAttr" ], "definition": "Specifies the type of the address part", "min": 0, "max": "1", "base": { "path": "AD.direction.partType", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "DIR" }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.streetName", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.streetName", "definition": "Name of a roadway or artery recognized by a municipality (including street type and direction)", "min": 0, "max": "*", "base": { "path": "AD.streetName", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ADXP" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.streetName.partType", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.streetName.partType", "representation": [ "xmlAttr" ], "definition": "Specifies the type of the address part", "min": 0, "max": "1", "base": { "path": "AD.streetName.partType", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "STR" }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.streetNameBase", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.streetNameBase", "definition": "The base name of a roadway or artery recognized by a municipality (excluding street type and direction)", "min": 0, "max": "*", "base": { "path": "AD.streetNameBase", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ADXP" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.streetNameBase.partType", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.streetNameBase.partType", "representation": [ "xmlAttr" ], "definition": "Specifies the type of the address part", "min": 0, "max": "1", "base": { "path": "AD.streetNameBase.partType", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "STB" }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.streetNameType", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.streetNameType", "definition": "The designation given to the street. (e.g. Street, Avenue, Crescent, etc.)", "min": 0, "max": "*", "base": { "path": "AD.streetNameType", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ADXP" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.streetNameType.partType", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.streetNameType.partType", "representation": [ "xmlAttr" ], "definition": "Specifies the type of the address part", "min": 0, "max": "1", "base": { "path": "AD.streetNameType.partType", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "STTYP" }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.additionalLocator", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.additionalLocator", "definition": "This can be a unit designator, such as apartment number, suite number, or floor. There may be several unit designators in an address (e.g., \"3rd floor, Appt. 342\"). This can also be a designator pointing away from the location, rather than specifying a smaller location within some larger one (e.g., Dutch \"t.o.\" means \"opposite to\" for house boats located across the street facing houses).", "min": 0, "max": "*", "base": { "path": "AD.additionalLocator", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ADXP" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.additionalLocator.partType", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.additionalLocator.partType", "representation": [ "xmlAttr" ], "definition": "Specifies the type of the address part", "min": 0, "max": "1", "base": { "path": "AD.additionalLocator.partType", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "ADL" }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.unitID", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.unitID", "definition": "The number or name of a specific unit contained within a building or complex, as assigned by that building or complex.", "min": 0, "max": "*", "base": { "path": "AD.unitID", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ADXP" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.unitID.partType", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.unitID.partType", "representation": [ "xmlAttr" ], "definition": "Specifies the type of the address part", "min": 0, "max": "1", "base": { "path": "AD.unitID.partType", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "UNID" }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.unitType", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.unitType", "definition": "Indicates the type of specific unit contained within a building or complex. E.g. Appartment, Floor", "min": 0, "max": "*", "base": { "path": "AD.unitType", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ADXP" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.unitType.partType", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.unitType.partType", "representation": [ "xmlAttr" ], "definition": "Specifies the type of the address part", "min": 0, "max": "1", "base": { "path": "AD.unitType.partType", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "UNIT" }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.careOf", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.careOf", "definition": "The name of the party who will take receipt at the specified address, and will take on responsibility for ensuring delivery to the target recipient", "min": 0, "max": "*", "base": { "path": "AD.careOf", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ADXP" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.careOf.partType", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.careOf.partType", "representation": [ "xmlAttr" ], "definition": "Specifies the type of the address part", "min": 0, "max": "1", "base": { "path": "AD.careOf.partType", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "CAR" }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.censusTract", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.censusTract", "definition": "A geographic sub-unit delineated for demographic purposes.", "min": 0, "max": "*", "base": { "path": "AD.censusTract", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ADXP" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.censusTract.partType", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.censusTract.partType", "representation": [ "xmlAttr" ], "definition": "Specifies the type of the address part", "min": 0, "max": "1", "base": { "path": "AD.censusTract.partType", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "CEN" }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryAddressLine", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryAddressLine", "definition": "A delivery address line is frequently used instead of breaking out delivery mode, delivery installation, etc. An address generally has only a delivery address line or a street address line, but not both.", "min": 0, "max": "*", "base": { "path": "AD.deliveryAddressLine", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ADXP" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryAddressLine.partType", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryAddressLine.partType", "representation": [ "xmlAttr" ], "definition": "Specifies the type of the address part", "min": 0, "max": "1", "base": { "path": "AD.deliveryAddressLine.partType", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "DAL" }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryInstallationType", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryInstallationType", "definition": "Indicates the type of delivery installation (the facility to which the mail will be delivered prior to final shipping via the delivery mode.) Example: post office, letter carrier depot, community mail center, station, etc.", "min": 0, "max": "*", "base": { "path": "AD.deliveryInstallationType", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ADXP" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryInstallationType.partType", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryInstallationType.partType", "representation": [ "xmlAttr" ], "definition": "Specifies the type of the address part", "min": 0, "max": "1", "base": { "path": "AD.deliveryInstallationType.partType", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "DINST" }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryInstallationArea", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryInstallationArea", "definition": "The location of the delivery installation, usually a town or city, and is only required if the area is different from the municipality. Area to which mail delivery service is provided from any postal facility or service such as an individual letter carrier, rural route, or postal route.", "min": 0, "max": "*", "base": { "path": "AD.deliveryInstallationArea", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ADXP" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryInstallationArea.partType", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryInstallationArea.partType", "representation": [ "xmlAttr" ], "definition": "Specifies the type of the address part", "min": 0, "max": "1", "base": { "path": "AD.deliveryInstallationArea.partType", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "DINSTA" }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryInstallationQualifier", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryInstallationQualifier", "definition": "A number, letter or name identifying a delivery installation. E.g., for Station A, the delivery installation qualifier would be 'A'.", "min": 0, "max": "*", "base": { "path": "AD.deliveryInstallationQualifier", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ADXP" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryInstallationQualifier.partType", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryInstallationQualifier.partType", "representation": [ "xmlAttr" ], "definition": "Specifies the type of the address part", "min": 0, "max": "1", "base": { "path": "AD.deliveryInstallationQualifier.partType", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "DINSTQ" }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryMode", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryMode", "definition": "Indicates the type of service offered, method of delivery. For example: post office box, rural route, general delivery, etc.", "min": 0, "max": "*", "base": { "path": "AD.deliveryMode", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ADXP" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryMode.partType", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryMode.partType", "representation": [ "xmlAttr" ], "definition": "Specifies the type of the address part", "min": 0, "max": "1", "base": { "path": "AD.deliveryMode.partType", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "DMOD" }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryModeIdentifier", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryModeIdentifier", "definition": "Represents the routing information such as a letter carrier route number. It is the identifying number of the designator (the box number or rural route number).", "min": 0, "max": "*", "base": { "path": "AD.deliveryModeIdentifier", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ADXP" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryModeIdentifier.partType", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.deliveryModeIdentifier.partType", "representation": [ "xmlAttr" ], "definition": "Specifies the type of the address part", "min": 0, "max": "1", "base": { "path": "AD.deliveryModeIdentifier.partType", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "DMODID" }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.buildingNumberSuffix", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.buildingNumberSuffix", "definition": "Any alphabetic character, fraction or other text that may appear after the numeric portion of a building number", "min": 0, "max": "*", "base": { "path": "AD.buildingNumberSuffix", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ADXP" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.buildingNumberSuffix.partType", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.buildingNumberSuffix.partType", "representation": [ "xmlAttr" ], "definition": "Specifies the type of the address part", "min": 0, "max": "1", "base": { "path": "AD.buildingNumberSuffix.partType", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "BNS" }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.postBox", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.postBox", "definition": "A numbered box located in a post station.", "min": 0, "max": "*", "base": { "path": "AD.postBox", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ADXP" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.postBox.partType", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.postBox.partType", "representation": [ "xmlAttr" ], "definition": "Specifies the type of the address part", "min": 0, "max": "1", "base": { "path": "AD.postBox.partType", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "POB" }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.precinct", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.precinct", "definition": "A subsection of a municipality", "min": 0, "max": "*", "base": { "path": "AD.precinct", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ADXP" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.precinct.partType", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.precinct.partType", "representation": [ "xmlAttr" ], "definition": "Specifies the type of the address part", "min": 0, "max": "1", "base": { "path": "AD.precinct.partType", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "PRE" }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.other", "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.other", "representation": [ "xmlText" ], "definition": "Textual representation of (part of) the address", "min": 0, "max": "1", "base": { "path": "AD.other", "min": 0, "max": "1" }, "type": [ { "code": "string" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.useablePeriod[x]", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-defaulttype", "valueString": "SXPR-TS" } ], "path": "ClinicalDocument.recordTarget.patientRole.patient.birthplace.place.addr.useablePeriod[x]", "representation": [ "typeAttr" ], "label": "Useable Period", "definition": "A General Timing Specification (GTS) specifying the periods of time during which the address can be used. This is used to specify different addresses for different times of the week or year.", "min": 0, "max": "*", "base": { "path": "AD.useablePeriod[x]", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/IVL-TS" }, { "code": "http://hl7.org/fhir/cda/StructureDefinition/EIVL-TS" }, { "code": "http://hl7.org/fhir/cda/StructureDefinition/PIVL-TS" }, { "code": "http://hl7.org/fhir/cda/StructureDefinition/SXPR-TS" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.languageCommunication", "path": "ClinicalDocument.recordTarget.patientRole.patient.languageCommunication", "requirements": "This patient SHOULD contain zero or more [0..*] languageCommunication (CONF:1198-5406).", "min": 0, "max": "*", "base": { "path": "Patient.languageCommunication", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/LanguageCommunication" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.templateId", "path": "ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.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": "LanguageCommunication.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.languageCode", "path": "ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.languageCode", "requirements": "The languageCommunication, if present, SHALL contain exactly one [1..1] languageCode, which SHALL be selected from ValueSet Language urn:oid:2.16.840.1.113883.1.11.11526 DYNAMIC (CONF:1198-5407).", "min": 1, "max": "1", "base": { "path": "LanguageCommunication.languageCode", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CS" } ], "binding": { "strength": "required", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.11526" } }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.modeCode", "path": "ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.modeCode", "requirements": "The languageCommunication, if present, MAY contain zero or one [0..1] modeCode, which SHALL be selected from ValueSet LanguageAbilityMode urn:oid:2.16.840.1.113883.1.11.12249 DYNAMIC (CONF:1198-5409).", "min": 0, "max": "1", "base": { "path": "LanguageCommunication.modeCode", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CE" } ], "binding": { "strength": "required", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12249" } }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.proficiencyLevelCode", "path": "ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.proficiencyLevelCode", "requirements": "The languageCommunication, if present, SHOULD contain zero or one [0..1] proficiencyLevelCode, which SHALL be selected from ValueSet LanguageAbilityProficiency urn:oid:2.16.840.1.113883.1.11.12199 DYNAMIC (CONF:1198-9965).", "min": 0, "max": "1", "base": { "path": "LanguageCommunication.proficiencyLevelCode", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CE" } ], "binding": { "strength": "required", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.12199" } }, { "id": "ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.preferenceInd", "path": "ClinicalDocument.recordTarget.patientRole.patient.languageCommunication.preferenceInd", "requirements": "The languageCommunication, if present, SHOULD contain zero or one [0..1] preferenceInd (CONF:1198-5414).", "min": 0, "max": "1", "base": { "path": "LanguageCommunication.preferenceInd", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/BL" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.providerOrganization", "path": "ClinicalDocument.recordTarget.patientRole.providerOrganization", "requirements": "This patientRole MAY contain zero or one [0..1] providerOrganization (CONF:1198-5416).", "min": 0, "max": "1", "base": { "path": "PatientRole.providerOrganization", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Organization" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.providerOrganization.classCode", "path": "ClinicalDocument.recordTarget.patientRole.providerOrganization.classCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Organization.classCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "ORG", "fixedCode": "ORG", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization" } }, { "id": "ClinicalDocument.recordTarget.patientRole.providerOrganization.determinerCode", "path": "ClinicalDocument.recordTarget.patientRole.providerOrganization.determinerCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Organization.determinerCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "INSTANCE", "fixedCode": "INSTANCE", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-EntityDeterminer" } }, { "id": "ClinicalDocument.recordTarget.patientRole.providerOrganization.templateId", "path": "ClinicalDocument.recordTarget.patientRole.providerOrganization.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": "Organization.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.providerOrganization.id", "path": "ClinicalDocument.recordTarget.patientRole.providerOrganization.id", "requirements": "The providerOrganization, if present, SHALL contain at least one [1..*] id (CONF:1198-5417).", "min": 1, "max": "*", "base": { "path": "Organization.id", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.providerOrganization.id.nullFlavor", "path": "ClinicalDocument.recordTarget.patientRole.providerOrganization.id.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" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.recordTarget.patientRole.providerOrganization.id.assigningAuthorityName", "path": "ClinicalDocument.recordTarget.patientRole.providerOrganization.id.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" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.providerOrganization.id.displayable", "path": "ClinicalDocument.recordTarget.patientRole.providerOrganization.id.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" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.providerOrganization.id.root", "path": "ClinicalDocument.recordTarget.patientRole.providerOrganization.id.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.", "requirements": "Such ids SHOULD contain zero or one [0..1] @root=\"2.16.840.1.113883.4.6\" National Provider Identifier (CONF:1198-16820).", "min": 0, "max": "1", "base": { "path": "II.root", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "patternString": "2.16.840.1.113883.4.6" }, { "id": "ClinicalDocument.recordTarget.patientRole.providerOrganization.id.extension", "path": "ClinicalDocument.recordTarget.patientRole.providerOrganization.id.extension", "representation": [ "xmlAttr" ], "label": "Extension", "definition": "A character string as a unique identifier within the scope of the identifier root.", "min": 0, "max": "1", "base": { "path": "II.extension", "min": 0, "max": "1" }, "type": [ { "code": "string" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.providerOrganization.name", "path": "ClinicalDocument.recordTarget.patientRole.providerOrganization.name", "requirements": "The providerOrganization, if present, SHALL contain at least one [1..*] name (CONF:1198-5419).", "min": 1, "max": "*", "base": { "path": "Organization.name", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ON" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom", "path": "ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom", "requirements": "The providerOrganization, if present, SHALL contain at least one [1..*] telecom (CONF:1198-5420).", "min": 1, "max": "*", "base": { "path": "Organization.telecom", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/TEL" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.nullFlavor", "path": "ClinicalDocument.recordTarget.patientRole.providerOrganization.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" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.value", "path": "ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.value", "representation": [ "xmlAttr" ], "min": 0, "max": "1", "base": { "path": "TEL.value", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.useablePeriod", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-defaulttype", "valueString": "SXPR-TS" } ], "path": "ClinicalDocument.recordTarget.patientRole.providerOrganization.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/fhir/cda/StructureDefinition/IVL-TS" }, { "code": "http://hl7.org/fhir/cda/StructureDefinition/EIVL-TS" }, { "code": "http://hl7.org/fhir/cda/StructureDefinition/PIVL-TS" }, { "code": "http://hl7.org/fhir/cda/StructureDefinition/SXPR-TS" } ] }, { "id": "ClinicalDocument.recordTarget.patientRole.providerOrganization.telecom.use", "path": "ClinicalDocument.recordTarget.patientRole.providerOrganization.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.", "requirements": "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:1198-7994).", "min": 0, "max": "1", "base": { "path": "TEL.use", "min": 0, "max": "*" }, "type": [ { "code": "code" } ], "binding": { "strength": "required", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20" } }, { "id": "ClinicalDocument.recordTarget.patientRole.providerOrganization.addr", "path": "ClinicalDocument.recordTarget.patientRole.providerOrganization.addr", "definition": "Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.", "requirements": "The providerOrganization, if present, 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:1198-5422).", "min": 1, "max": "*", "base": { "path": "Organization.addr", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/AD", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.2" ] } ], "constraint": [ { "key": "81-7296", "severity": "error", "human": "**SHALL NOT** have mixed content except for white space (CONF:81-7296).", "source": "http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument" } ], "isModifier": false }, { "id": "ClinicalDocument.recordTarget.patientRole.providerOrganization.standardIndustryClassCode", "path": "ClinicalDocument.recordTarget.patientRole.providerOrganization.standardIndustryClassCode", "min": 0, "max": "1", "base": { "path": "Organization.standardIndustryClassCode", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CE" } ], "binding": { "strength": "extensible", "valueSet": "http://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS" } }, { "id": "ClinicalDocument.recordTarget.patientRole.providerOrganization.asOrganizationPartOf", "path": "ClinicalDocument.recordTarget.patientRole.providerOrganization.asOrganizationPartOf", "min": 0, "max": "1", "base": { "path": "Organization.asOrganizationPartOf", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/OrganizationPartOf" } ] }, { "id": "ClinicalDocument.author", "path": "ClinicalDocument.author", "short": "The author element represents the creator of the clinical document. The author may be a device or a person.", "requirements": "SHALL contain at least one [1..*] author (CONF:1198-5444).", "min": 1, "max": "*", "base": { "path": "ClinicalDocument.author", "min": 1, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Author" } ] }, { "id": "ClinicalDocument.author.nullFlavor", "path": "ClinicalDocument.author.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": "Author.nullFlavor", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.author.typeCode", "path": "ClinicalDocument.author.typeCode", "representation": [ "xmlAttr" ], "min": 0, "max": "1", "base": { "path": "Author.typeCode", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "AUT", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ParticipationType" } }, { "id": "ClinicalDocument.author.contextControlCode", "path": "ClinicalDocument.author.contextControlCode", "representation": [ "xmlAttr" ], "min": 0, "max": "1", "base": { "path": "Author.contextControlCode", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "OP", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ContextControl" } }, { "id": "ClinicalDocument.author.realmCode", "path": "ClinicalDocument.author.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": "Author.realmCode", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CS" } ] }, { "id": "ClinicalDocument.author.typeId", "path": "ClinicalDocument.author.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": "Author.typeId", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.author.templateId", "path": "ClinicalDocument.author.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": "Author.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.author.functionCode", "path": "ClinicalDocument.author.functionCode", "min": 0, "max": "1", "base": { "path": "Author.functionCode", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CE" } ] }, { "id": "ClinicalDocument.author.time", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-timeformat", "valueCode": "YYYYMMDDHHMMSS.UUUU[+|-ZZzz]" } ], "path": "ClinicalDocument.author.time", "definition": "A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.", "requirements": "Such authors SHALL contain exactly one [1..1] US Realm Date and Time (DTM.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.4) (CONF:1198-5445).", "min": 1, "max": "1", "base": { "path": "Author.time", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/TS", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.4" ] } ], "constraint": [ { "key": "81-10127", "severity": "error", "human": "**SHALL** be precise to the day (CONF:81-10127).", "source": "http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument" }, { "key": "81-10128", "severity": "warning", "human": "**SHOULD** be precise to the minute (CONF:81-10128).", "source": "http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument" }, { "key": "81-10129", "severity": "warning", "human": "**MAY** be precise to the second (CONF:81-10129).", "source": "http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument" }, { "key": "81-10130", "severity": "warning", "human": "If more precise than day, **SHOULD** include time-zone offset (CONF:81-10130).", "source": "http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument" } ], "isModifier": false }, { "id": "ClinicalDocument.author.assignedAuthor", "path": "ClinicalDocument.author.assignedAuthor", "requirements": "Such authors SHALL contain exactly one [1..1] assignedAuthor (CONF:1198-5448).", "min": 1, "max": "1", "base": { "path": "Author.assignedAuthor", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/AssignedAuthor" } ], "constraint": [ { "key": "1198-16790", "severity": "error", "human": "There **SHALL** be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice (CONF:1198-16790).", "source": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1" } ] }, { "id": "ClinicalDocument.author.assignedAuthor.classCode", "path": "ClinicalDocument.author.assignedAuthor.classCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "AssignedAuthor.classCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "ASSIGNED", "fixedCode": "ASSIGNED", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity" } }, { "id": "ClinicalDocument.author.assignedAuthor.templateId", "path": "ClinicalDocument.author.assignedAuthor.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": "AssignedAuthor.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.author.assignedAuthor.id", "path": "ClinicalDocument.author.assignedAuthor.id", "slicing": { "discriminator": [ { "type": "value", "path": "root" } ], "rules": "open" }, "min": 1, "max": "*", "base": { "path": "AssignedAuthor.id", "min": 1, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ], "constraint": [ { "key": "1198-5449", "human": "If this assignedAuthor is not an assignedPerson, this assignedAuthor SHALL contain at least one [1..*] id (CONF:1198-5449)." } ] }, { "id": "ClinicalDocument.author.assignedAuthor.id:id1", "path": "ClinicalDocument.author.assignedAuthor.id", "sliceName": "id1", "requirements": "This assignedAuthor SHOULD contain zero or one [0..1] id (CONF:1198-32882) such that it", "min": 0, "max": "1", "base": { "path": "AssignedAuthor.id", "min": 1, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.author.assignedAuthor.id:id1.nullFlavor", "path": "ClinicalDocument.author.assignedAuthor.id.nullFlavor", "representation": [ "xmlAttr" ], "label": "Exceptional Value Detail", "short": "If id with @root=\"2.16.840.1.113883.4.6\" National Provider Identifier is unknown then", "definition": "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.", "requirements": "MAY contain zero or one [0..1] @nullFlavor=\"UNK\" Unknown (CodeSystem: HL7NullFlavor urn:oid:2.16.840.1.113883.5.1008) (CONF:1198-32883).", "min": 0, "max": "1", "base": { "path": "ANY.nullFlavor", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "patternCode": "UNK", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.author.assignedAuthor.id:id1.assigningAuthorityName", "path": "ClinicalDocument.author.assignedAuthor.id.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" } ] }, { "id": "ClinicalDocument.author.assignedAuthor.id:id1.displayable", "path": "ClinicalDocument.author.assignedAuthor.id.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" } ] }, { "id": "ClinicalDocument.author.assignedAuthor.id:id1.root", "path": "ClinicalDocument.author.assignedAuthor.id.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.", "requirements": "SHALL contain exactly one [1..1] @root=\"2.16.840.1.113883.4.6\" National Provider Identifier (CONF:1198-32884).", "min": 1, "max": "1", "base": { "path": "II.root", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "patternString": "2.16.840.1.113883.4.6" }, { "id": "ClinicalDocument.author.assignedAuthor.id:id1.extension", "path": "ClinicalDocument.author.assignedAuthor.id.extension", "representation": [ "xmlAttr" ], "label": "Extension", "definition": "A character string as a unique identifier within the scope of the identifier root.", "requirements": "SHOULD contain zero or one [0..1] @extension (CONF:1198-32885).", "min": 0, "max": "1", "base": { "path": "II.extension", "min": 0, "max": "1" }, "type": [ { "code": "string" } ] }, { "id": "ClinicalDocument.author.assignedAuthor.sdtcIdentifiedBy", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name", "valueString": "identifiedBy" } ], "path": "ClinicalDocument.author.assignedAuthor.sdtcIdentifiedBy", "min": 0, "max": "*", "base": { "path": "AssignedAuthor.sdtcIdentifiedBy", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/IdentifiedBy" } ] }, { "id": "ClinicalDocument.author.assignedAuthor.code", "path": "ClinicalDocument.author.assignedAuthor.code", "short": "Only if this assignedAuthor is an assignedPerson should the assignedAuthor contain a code.", "requirements": "This assignedAuthor SHOULD contain zero or one [0..1] code (CONF:1198-16787).", "min": 0, "max": "1", "base": { "path": "AssignedAuthor.code", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CE" } ], "binding": { "strength": "extensible", "valueSet": "http://terminology.hl7.org/ValueSet/v3-RoleCode" } }, { "id": "ClinicalDocument.author.assignedAuthor.code.nullFlavor", "path": "ClinicalDocument.author.assignedAuthor.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" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.author.assignedAuthor.code.code", "path": "ClinicalDocument.author.assignedAuthor.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.", "requirements": "The code, if present, SHALL contain exactly one [1..1] @code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1198-16788).", "min": 1, "max": "1", "base": { "path": "CD.code", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "binding": { "strength": "preferred", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066" } }, { "id": "ClinicalDocument.author.assignedAuthor.code.codeSystem", "path": "ClinicalDocument.author.assignedAuthor.code.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" } ] }, { "id": "ClinicalDocument.author.assignedAuthor.code.codeSystemName", "path": "ClinicalDocument.author.assignedAuthor.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" } ] }, { "id": "ClinicalDocument.author.assignedAuthor.code.codeSystemVersion", "path": "ClinicalDocument.author.assignedAuthor.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" } ] }, { "id": "ClinicalDocument.author.assignedAuthor.code.displayName", "path": "ClinicalDocument.author.assignedAuthor.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" } ] }, { "id": "ClinicalDocument.author.assignedAuthor.code.sdtcValueSet", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name", "valueString": "valueSet" } ], "path": "ClinicalDocument.author.assignedAuthor.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" } ] }, { "id": "ClinicalDocument.author.assignedAuthor.code.sdtcValueSetVersion", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name", "valueString": "valueSetVersion" } ], "path": "ClinicalDocument.author.assignedAuthor.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" } ] }, { "id": "ClinicalDocument.author.assignedAuthor.code.originalText", "path": "ClinicalDocument.author.assignedAuthor.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/fhir/cda/StructureDefinition/ED" } ] }, { "id": "ClinicalDocument.author.assignedAuthor.code.qualifier", "path": "ClinicalDocument.author.assignedAuthor.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/fhir/cda/StructureDefinition/CR" } ] }, { "id": "ClinicalDocument.author.assignedAuthor.code.translation", "path": "ClinicalDocument.author.assignedAuthor.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/fhir/cda/StructureDefinition/CD" } ] }, { "id": "ClinicalDocument.author.assignedAuthor.addr", "path": "ClinicalDocument.author.assignedAuthor.addr", "definition": "Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.", "requirements": "This assignedAuthor 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:1198-5452).", "min": 1, "max": "*", "base": { "path": "AssignedAuthor.addr", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/AD", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.2" ] } ], "constraint": [ { "key": "81-7296", "severity": "error", "human": "**SHALL NOT** have mixed content except for white space (CONF:81-7296).", "source": "http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument" } ], "isModifier": false }, { "id": "ClinicalDocument.author.assignedAuthor.telecom", "path": "ClinicalDocument.author.assignedAuthor.telecom", "requirements": "This assignedAuthor SHALL contain at least one [1..*] telecom (CONF:1198-5428).", "min": 1, "max": "*", "base": { "path": "AssignedAuthor.telecom", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/TEL" } ] }, { "id": "ClinicalDocument.author.assignedAuthor.telecom.nullFlavor", "path": "ClinicalDocument.author.assignedAuthor.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" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.author.assignedAuthor.telecom.value", "path": "ClinicalDocument.author.assignedAuthor.telecom.value", "representation": [ "xmlAttr" ], "min": 0, "max": "1", "base": { "path": "TEL.value", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ] }, { "id": "ClinicalDocument.author.assignedAuthor.telecom.useablePeriod", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-defaulttype", "valueString": "SXPR-TS" } ], "path": "ClinicalDocument.author.assignedAuthor.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/fhir/cda/StructureDefinition/IVL-TS" }, { "code": "http://hl7.org/fhir/cda/StructureDefinition/EIVL-TS" }, { "code": "http://hl7.org/fhir/cda/StructureDefinition/PIVL-TS" }, { "code": "http://hl7.org/fhir/cda/StructureDefinition/SXPR-TS" } ] }, { "id": "ClinicalDocument.author.assignedAuthor.telecom.use", "path": "ClinicalDocument.author.assignedAuthor.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.", "requirements": "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:1198-7995).", "min": 0, "max": "1", "base": { "path": "TEL.use", "min": 0, "max": "*" }, "type": [ { "code": "code" } ], "binding": { "strength": "required", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20" } }, { "id": "ClinicalDocument.author.assignedAuthor.assignedPerson", "path": "ClinicalDocument.author.assignedAuthor.assignedPerson", "requirements": "This assignedAuthor SHOULD contain zero or one [0..1] assignedPerson (CONF:1198-5430).", "min": 0, "max": "1", "base": { "path": "AssignedAuthor.assignedPerson", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Person" } ] }, { "id": "ClinicalDocument.author.assignedAuthor.assignedPerson.classCode", "path": "ClinicalDocument.author.assignedAuthor.assignedPerson.classCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Person.classCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "PSN", "fixedCode": "PSN", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject" } }, { "id": "ClinicalDocument.author.assignedAuthor.assignedPerson.determinerCode", "path": "ClinicalDocument.author.assignedAuthor.assignedPerson.determinerCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Person.determinerCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "INSTANCE", "fixedCode": "INSTANCE", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-EntityDeterminer" } }, { "id": "ClinicalDocument.author.assignedAuthor.assignedPerson.templateId", "path": "ClinicalDocument.author.assignedAuthor.assignedPerson.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": "Person.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.author.assignedAuthor.assignedPerson.name", "path": "ClinicalDocument.author.assignedAuthor.assignedPerson.name", "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).", "requirements": "The assignedPerson, if present, 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:1198-16789).", "min": 1, "max": "*", "base": { "path": "Person.name", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/PN", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.1.1" ] } ], "constraint": [ { "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).", "source": "http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument" }, { "key": "81-9372", "severity": "error", "human": "The string **SHALL NOT** contain name parts (CONF:81-9372).", "source": "http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument" } ], "isModifier": false }, { "id": "ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name", "valueString": "asPatientRelationship" } ], "path": "ClinicalDocument.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship", "min": 0, "max": "*", "base": { "path": "Person.sdtcAsPatientRelationship", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CE" } ] }, { "id": "ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice", "path": "ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice", "requirements": "This assignedAuthor SHOULD contain zero or one [0..1] assignedAuthoringDevice (CONF:1198-16783).", "min": 0, "max": "1", "base": { "path": "AssignedAuthor.assignedAuthoringDevice", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/AuthoringDevice" } ] }, { "id": "ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.classCode", "path": "ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.classCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "AuthoringDevice.classCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "DEV", "fixedCode": "DEV", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-EntityClassDevice" } }, { "id": "ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.determinerCode", "path": "ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.determinerCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "AuthoringDevice.determinerCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "INSTANCE", "fixedCode": "INSTANCE", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-EntityDeterminer" } }, { "id": "ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.templateId", "path": "ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.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": "AuthoringDevice.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.code", "path": "ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.code", "min": 0, "max": "1", "base": { "path": "AuthoringDevice.code", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CE" } ], "binding": { "strength": "extensible", "valueSet": "http://terminology.hl7.org/ValueSet/v3-EntityCode" } }, { "id": "ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.manufacturerModelName", "path": "ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.manufacturerModelName", "requirements": "The assignedAuthoringDevice, if present, SHALL contain exactly one [1..1] manufacturerModelName (CONF:1198-16784).", "min": 1, "max": "1", "base": { "path": "AuthoringDevice.manufacturerModelName", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/SC" } ] }, { "id": "ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.softwareName", "path": "ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.softwareName", "requirements": "The assignedAuthoringDevice, if present, SHALL contain exactly one [1..1] softwareName (CONF:1198-16785).", "min": 1, "max": "1", "base": { "path": "AuthoringDevice.softwareName", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/SC" } ] }, { "id": "ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.asMaintainedEntity", "path": "ClinicalDocument.author.assignedAuthor.assignedAuthoringDevice.asMaintainedEntity", "min": 0, "max": "*", "base": { "path": "AuthoringDevice.asMaintainedEntity", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/MaintainedEntity" } ] }, { "id": "ClinicalDocument.author.assignedAuthor.representedOrganization", "path": "ClinicalDocument.author.assignedAuthor.representedOrganization", "min": 0, "max": "1", "base": { "path": "AssignedAuthor.representedOrganization", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Organization" } ] }, { "id": "ClinicalDocument.dataEnterer", "path": "ClinicalDocument.dataEnterer", "short": "The dataEnterer element represents the person who transferred the content, written or dictated, into the clinical document. To clarify, an author provides the content found within the header or body of a document, subject to their own interpretation; a dataEnterer adds an author's information to the electronic system.", "requirements": "MAY contain zero or one [0..1] dataEnterer (CONF:1198-5441).", "min": 0, "max": "1", "base": { "path": "ClinicalDocument.dataEnterer", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/DataEnterer" } ] }, { "id": "ClinicalDocument.dataEnterer.nullFlavor", "path": "ClinicalDocument.dataEnterer.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": "DataEnterer.nullFlavor", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.dataEnterer.typeCode", "path": "ClinicalDocument.dataEnterer.typeCode", "representation": [ "xmlAttr" ], "min": 0, "max": "1", "base": { "path": "DataEnterer.typeCode", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "ENT", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ParticipationType" } }, { "id": "ClinicalDocument.dataEnterer.contextControlCode", "path": "ClinicalDocument.dataEnterer.contextControlCode", "representation": [ "xmlAttr" ], "min": 0, "max": "1", "base": { "path": "DataEnterer.contextControlCode", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "OP", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ContextControl" } }, { "id": "ClinicalDocument.dataEnterer.realmCode", "path": "ClinicalDocument.dataEnterer.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": "DataEnterer.realmCode", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CS" } ] }, { "id": "ClinicalDocument.dataEnterer.typeId", "path": "ClinicalDocument.dataEnterer.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": "DataEnterer.typeId", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.dataEnterer.templateId", "path": "ClinicalDocument.dataEnterer.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": "DataEnterer.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.dataEnterer.time", "path": "ClinicalDocument.dataEnterer.time", "min": 1, "max": "1", "base": { "path": "DataEnterer.time", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/TS" } ] }, { "id": "ClinicalDocument.dataEnterer.assignedEntity", "path": "ClinicalDocument.dataEnterer.assignedEntity", "requirements": "The dataEnterer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1198-5442).", "min": 1, "max": "1", "base": { "path": "DataEnterer.assignedEntity", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity" } ] }, { "id": "ClinicalDocument.dataEnterer.assignedEntity.classCode", "path": "ClinicalDocument.dataEnterer.assignedEntity.classCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "AssignedEntity.classCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "ASSIGNED", "fixedCode": "ASSIGNED", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity" } }, { "id": "ClinicalDocument.dataEnterer.assignedEntity.templateId", "path": "ClinicalDocument.dataEnterer.assignedEntity.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": "AssignedEntity.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.dataEnterer.assignedEntity.id", "path": "ClinicalDocument.dataEnterer.assignedEntity.id", "requirements": "This assignedEntity SHALL contain at least one [1..*] id (CONF:1198-5443).", "min": 1, "max": "*", "base": { "path": "AssignedEntity.id", "min": 1, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.dataEnterer.assignedEntity.id.nullFlavor", "path": "ClinicalDocument.dataEnterer.assignedEntity.id.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" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.dataEnterer.assignedEntity.id.assigningAuthorityName", "path": "ClinicalDocument.dataEnterer.assignedEntity.id.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" } ] }, { "id": "ClinicalDocument.dataEnterer.assignedEntity.id.displayable", "path": "ClinicalDocument.dataEnterer.assignedEntity.id.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" } ] }, { "id": "ClinicalDocument.dataEnterer.assignedEntity.id.root", "path": "ClinicalDocument.dataEnterer.assignedEntity.id.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.", "requirements": "Such ids SHOULD contain zero or one [0..1] @root=\"2.16.840.1.113883.4.6\" National Provider Identifier (CONF:1198-16821).", "min": 0, "max": "1", "base": { "path": "II.root", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "patternString": "2.16.840.1.113883.4.6" }, { "id": "ClinicalDocument.dataEnterer.assignedEntity.id.extension", "path": "ClinicalDocument.dataEnterer.assignedEntity.id.extension", "representation": [ "xmlAttr" ], "label": "Extension", "definition": "A character string as a unique identifier within the scope of the identifier root.", "min": 0, "max": "1", "base": { "path": "II.extension", "min": 0, "max": "1" }, "type": [ { "code": "string" } ] }, { "id": "ClinicalDocument.dataEnterer.assignedEntity.sdtcIdentifiedBy", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name", "valueString": "identifiedBy" } ], "path": "ClinicalDocument.dataEnterer.assignedEntity.sdtcIdentifiedBy", "min": 0, "max": "*", "base": { "path": "AssignedEntity.sdtcIdentifiedBy", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/IdentifiedBy" } ] }, { "id": "ClinicalDocument.dataEnterer.assignedEntity.code", "path": "ClinicalDocument.dataEnterer.assignedEntity.code", "requirements": "This assignedEntity MAY contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1198-32173).", "min": 0, "max": "1", "base": { "path": "AssignedEntity.code", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CE" } ], "binding": { "strength": "preferred", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066" } }, { "id": "ClinicalDocument.dataEnterer.assignedEntity.addr", "path": "ClinicalDocument.dataEnterer.assignedEntity.addr", "definition": "Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.", "requirements": "This assignedEntity 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:1198-5460).", "min": 1, "max": "*", "base": { "path": "AssignedEntity.addr", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/AD", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.2" ] } ], "constraint": [ { "key": "81-7296", "severity": "error", "human": "**SHALL NOT** have mixed content except for white space (CONF:81-7296).", "source": "http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument" } ], "isModifier": false }, { "id": "ClinicalDocument.dataEnterer.assignedEntity.telecom", "path": "ClinicalDocument.dataEnterer.assignedEntity.telecom", "requirements": "This assignedEntity SHALL contain at least one [1..*] telecom (CONF:1198-5466).", "min": 1, "max": "*", "base": { "path": "AssignedEntity.telecom", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/TEL" } ] }, { "id": "ClinicalDocument.dataEnterer.assignedEntity.telecom.nullFlavor", "path": "ClinicalDocument.dataEnterer.assignedEntity.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" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.dataEnterer.assignedEntity.telecom.value", "path": "ClinicalDocument.dataEnterer.assignedEntity.telecom.value", "representation": [ "xmlAttr" ], "min": 0, "max": "1", "base": { "path": "TEL.value", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ] }, { "id": "ClinicalDocument.dataEnterer.assignedEntity.telecom.useablePeriod", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-defaulttype", "valueString": "SXPR-TS" } ], "path": "ClinicalDocument.dataEnterer.assignedEntity.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/fhir/cda/StructureDefinition/IVL-TS" }, { "code": "http://hl7.org/fhir/cda/StructureDefinition/EIVL-TS" }, { "code": "http://hl7.org/fhir/cda/StructureDefinition/PIVL-TS" }, { "code": "http://hl7.org/fhir/cda/StructureDefinition/SXPR-TS" } ] }, { "id": "ClinicalDocument.dataEnterer.assignedEntity.telecom.use", "path": "ClinicalDocument.dataEnterer.assignedEntity.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.", "requirements": "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:1198-7996).", "min": 0, "max": "1", "base": { "path": "TEL.use", "min": 0, "max": "*" }, "type": [ { "code": "code" } ], "binding": { "strength": "required", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20" } }, { "id": "ClinicalDocument.dataEnterer.assignedEntity.assignedPerson", "path": "ClinicalDocument.dataEnterer.assignedEntity.assignedPerson", "requirements": "This assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:1198-5469).", "min": 1, "max": "1", "base": { "path": "AssignedEntity.assignedPerson", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Person" } ] }, { "id": "ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.classCode", "path": "ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.classCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Person.classCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "PSN", "fixedCode": "PSN", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject" } }, { "id": "ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.determinerCode", "path": "ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.determinerCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Person.determinerCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "INSTANCE", "fixedCode": "INSTANCE", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-EntityDeterminer" } }, { "id": "ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.templateId", "path": "ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.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": "Person.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.name", "path": "ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.name", "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).", "requirements": "This assignedPerson 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:1198-5470).", "min": 1, "max": "*", "base": { "path": "Person.name", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/PN", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.1.1" ] } ], "constraint": [ { "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).", "source": "http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument" }, { "key": "81-9372", "severity": "error", "human": "The string **SHALL NOT** contain name parts (CONF:81-9372).", "source": "http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument" } ], "isModifier": false }, { "id": "ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name", "valueString": "asPatientRelationship" } ], "path": "ClinicalDocument.dataEnterer.assignedEntity.assignedPerson.sdtcAsPatientRelationship", "min": 0, "max": "*", "base": { "path": "Person.sdtcAsPatientRelationship", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CE" } ] }, { "id": "ClinicalDocument.dataEnterer.assignedEntity.representedOrganization", "path": "ClinicalDocument.dataEnterer.assignedEntity.representedOrganization", "min": 0, "max": "1", "base": { "path": "AssignedEntity.representedOrganization", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Organization" } ] }, { "id": "ClinicalDocument.informant", "path": "ClinicalDocument.informant", "slicing": { "discriminator": [ { "type": "value", "path": "relatedEntity" } ], "rules": "open" }, "short": "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.", "requirements": "SHALL NOT contain [0..0] informant (CONF:1198-8410).", "min": 0, "max": "0", "base": { "path": "ClinicalDocument.informant", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Informant" } ] }, { "id": "ClinicalDocument.informant:informant1", "path": "ClinicalDocument.informant", "sliceName": "informant1", "short": "The informant element describes an information source for any content within the clinical document. This informant is constrained for use when the source of information is an assigned health care provider for the patient.", "requirements": "MAY contain zero or more [0..*] informant (CONF:1198-8001) such that it", "min": 0, "max": "*", "base": { "path": "ClinicalDocument.informant", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Informant" } ] }, { "id": "ClinicalDocument.informant:informant1.nullFlavor", "path": "ClinicalDocument.informant.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": "Informant.nullFlavor", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.informant:informant1.typeCode", "path": "ClinicalDocument.informant.typeCode", "representation": [ "xmlAttr" ], "min": 0, "max": "1", "base": { "path": "Informant.typeCode", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "INF", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ParticipationType" } }, { "id": "ClinicalDocument.informant:informant1.contextControlCode", "path": "ClinicalDocument.informant.contextControlCode", "representation": [ "xmlAttr" ], "min": 0, "max": "1", "base": { "path": "Informant.contextControlCode", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "OP", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ContextControl" } }, { "id": "ClinicalDocument.informant:informant1.realmCode", "path": "ClinicalDocument.informant.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": "Informant.realmCode", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CS" } ] }, { "id": "ClinicalDocument.informant:informant1.typeId", "path": "ClinicalDocument.informant.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": "Informant.typeId", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.informant:informant1.templateId", "path": "ClinicalDocument.informant.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": "Informant.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.informant:informant1.assignedEntity", "path": "ClinicalDocument.informant.assignedEntity", "requirements": "SHALL contain exactly one [1..1] assignedEntity (CONF:1198-8002).", "min": 1, "max": "1", "base": { "path": "Informant.assignedEntity", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity" } ] }, { "id": "ClinicalDocument.informant:informant1.assignedEntity.classCode", "path": "ClinicalDocument.informant.assignedEntity.classCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "AssignedEntity.classCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "ASSIGNED", "fixedCode": "ASSIGNED", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity" } }, { "id": "ClinicalDocument.informant:informant1.assignedEntity.templateId", "path": "ClinicalDocument.informant.assignedEntity.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": "AssignedEntity.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.informant:informant1.assignedEntity.id", "path": "ClinicalDocument.informant.assignedEntity.id", "requirements": "This assignedEntity SHALL contain at least one [1..*] id (CONF:1198-9945).", "min": 1, "max": "*", "base": { "path": "AssignedEntity.id", "min": 1, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ], "constraint": [ { "key": "1198-9946", "severity": "warning", "human": "If assignedEntity/id is a provider then this id, **SHOULD** include zero or one [0..1] id where id/@root =\"2.16.840.1.113883.4.6\" National Provider Identifier (CONF:1198-9946)." } ] }, { "id": "ClinicalDocument.informant:informant1.assignedEntity.sdtcIdentifiedBy", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name", "valueString": "identifiedBy" } ], "path": "ClinicalDocument.informant.assignedEntity.sdtcIdentifiedBy", "min": 0, "max": "*", "base": { "path": "AssignedEntity.sdtcIdentifiedBy", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/IdentifiedBy" } ] }, { "id": "ClinicalDocument.informant:informant1.assignedEntity.code", "path": "ClinicalDocument.informant.assignedEntity.code", "requirements": "This assignedEntity MAY contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1198-32174).", "min": 0, "max": "1", "base": { "path": "AssignedEntity.code", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CE" } ], "binding": { "strength": "preferred", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066" } }, { "id": "ClinicalDocument.informant:informant1.assignedEntity.addr", "path": "ClinicalDocument.informant.assignedEntity.addr", "definition": "Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.", "requirements": "This assignedEntity 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:1198-8220).", "min": 1, "max": "*", "base": { "path": "AssignedEntity.addr", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/AD", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.2" ] } ], "constraint": [ { "key": "81-7296", "severity": "error", "human": "**SHALL NOT** have mixed content except for white space (CONF:81-7296).", "source": "http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument" } ], "isModifier": false }, { "id": "ClinicalDocument.informant:informant1.assignedEntity.telecom", "path": "ClinicalDocument.informant.assignedEntity.telecom", "min": 0, "max": "*", "base": { "path": "AssignedEntity.telecom", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/TEL" } ] }, { "id": "ClinicalDocument.informant:informant1.assignedEntity.assignedPerson", "path": "ClinicalDocument.informant.assignedEntity.assignedPerson", "requirements": "This assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:1198-8221).", "min": 1, "max": "1", "base": { "path": "AssignedEntity.assignedPerson", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Person" } ] }, { "id": "ClinicalDocument.informant:informant1.assignedEntity.assignedPerson.classCode", "path": "ClinicalDocument.informant.assignedEntity.assignedPerson.classCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Person.classCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "PSN", "fixedCode": "PSN", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject" } }, { "id": "ClinicalDocument.informant:informant1.assignedEntity.assignedPerson.determinerCode", "path": "ClinicalDocument.informant.assignedEntity.assignedPerson.determinerCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Person.determinerCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "INSTANCE", "fixedCode": "INSTANCE", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-EntityDeterminer" } }, { "id": "ClinicalDocument.informant:informant1.assignedEntity.assignedPerson.templateId", "path": "ClinicalDocument.informant.assignedEntity.assignedPerson.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": "Person.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.informant:informant1.assignedEntity.assignedPerson.name", "path": "ClinicalDocument.informant.assignedEntity.assignedPerson.name", "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).", "requirements": "This assignedPerson 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:1198-8222).", "min": 1, "max": "*", "base": { "path": "Person.name", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/PN", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.1.1" ] } ], "constraint": [ { "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).", "source": "http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument" }, { "key": "81-9372", "severity": "error", "human": "The string **SHALL NOT** contain name parts (CONF:81-9372).", "source": "http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument" } ], "isModifier": false }, { "id": "ClinicalDocument.informant:informant1.assignedEntity.assignedPerson.sdtcAsPatientRelationship", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name", "valueString": "asPatientRelationship" } ], "path": "ClinicalDocument.informant.assignedEntity.assignedPerson.sdtcAsPatientRelationship", "min": 0, "max": "*", "base": { "path": "Person.sdtcAsPatientRelationship", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CE" } ] }, { "id": "ClinicalDocument.informant:informant1.assignedEntity.representedOrganization", "path": "ClinicalDocument.informant.assignedEntity.representedOrganization", "min": 0, "max": "1", "base": { "path": "AssignedEntity.representedOrganization", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Organization" } ] }, { "id": "ClinicalDocument.informant:informant1.relatedEntity", "path": "ClinicalDocument.informant.relatedEntity", "min": 0, "max": "1", "base": { "path": "Informant.relatedEntity", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/RelatedEntity" } ] }, { "id": "ClinicalDocument.informant:informant2", "path": "ClinicalDocument.informant", "sliceName": "informant2", "requirements": "MAY contain zero or more [0..*] informant (CONF:1198-31355) such that it", "min": 0, "max": "*", "base": { "path": "ClinicalDocument.informant", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Informant" } ] }, { "id": "ClinicalDocument.informant:informant2.nullFlavor", "path": "ClinicalDocument.informant.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": "Informant.nullFlavor", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.informant:informant2.typeCode", "path": "ClinicalDocument.informant.typeCode", "representation": [ "xmlAttr" ], "min": 0, "max": "1", "base": { "path": "Informant.typeCode", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "INF", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ParticipationType" } }, { "id": "ClinicalDocument.informant:informant2.contextControlCode", "path": "ClinicalDocument.informant.contextControlCode", "representation": [ "xmlAttr" ], "min": 0, "max": "1", "base": { "path": "Informant.contextControlCode", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "OP", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ContextControl" } }, { "id": "ClinicalDocument.informant:informant2.realmCode", "path": "ClinicalDocument.informant.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": "Informant.realmCode", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CS" } ] }, { "id": "ClinicalDocument.informant:informant2.typeId", "path": "ClinicalDocument.informant.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": "Informant.typeId", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.informant:informant2.templateId", "path": "ClinicalDocument.informant.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": "Informant.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.informant:informant2.assignedEntity", "path": "ClinicalDocument.informant.assignedEntity", "min": 0, "max": "1", "base": { "path": "Informant.assignedEntity", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity" } ] }, { "id": "ClinicalDocument.informant:informant2.relatedEntity", "path": "ClinicalDocument.informant.relatedEntity", "requirements": "SHALL contain exactly one [1..1] relatedEntity (CONF:1198-31356).", "min": 1, "max": "1", "base": { "path": "Informant.relatedEntity", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/RelatedEntity" } ] }, { "id": "ClinicalDocument.custodian", "path": "ClinicalDocument.custodian", "short": "The custodian element represents the organization that is in charge of maintaining and is entrusted with the care of the document.\n\nThere is only one custodian per CDA document. Allowing that a CDA document may not represent the original form of the authenticated document, the custodian represents the steward of the original source document. The custodian may be the document originator, a health information exchange, or other responsible party.", "requirements": "SHALL contain exactly one [1..1] custodian (CONF:1198-5519).", "min": 1, "max": "1", "base": { "path": "ClinicalDocument.custodian", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Custodian" } ] }, { "id": "ClinicalDocument.custodian.nullFlavor", "path": "ClinicalDocument.custodian.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": "Custodian.nullFlavor", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.custodian.typeCode", "path": "ClinicalDocument.custodian.typeCode", "representation": [ "xmlAttr" ], "min": 0, "max": "1", "base": { "path": "Custodian.typeCode", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "ENT", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ParticipationType" } }, { "id": "ClinicalDocument.custodian.realmCode", "path": "ClinicalDocument.custodian.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": "Custodian.realmCode", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CS" } ] }, { "id": "ClinicalDocument.custodian.typeId", "path": "ClinicalDocument.custodian.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": "Custodian.typeId", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.custodian.templateId", "path": "ClinicalDocument.custodian.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": "Custodian.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.custodian.assignedCustodian", "path": "ClinicalDocument.custodian.assignedCustodian", "requirements": "This custodian SHALL contain exactly one [1..1] assignedCustodian (CONF:1198-5520).", "min": 1, "max": "1", "base": { "path": "Custodian.assignedCustodian", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/AssignedCustodian" } ] }, { "id": "ClinicalDocument.custodian.assignedCustodian.classCode", "path": "ClinicalDocument.custodian.assignedCustodian.classCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "AssignedCustodian.classCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "ASSIGNED", "fixedCode": "ASSIGNED", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity" } }, { "id": "ClinicalDocument.custodian.assignedCustodian.templateId", "path": "ClinicalDocument.custodian.assignedCustodian.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": "AssignedCustodian.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization", "path": "ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization", "requirements": "This assignedCustodian SHALL contain exactly one [1..1] representedCustodianOrganization (CONF:1198-5521).", "min": 1, "max": "1", "base": { "path": "AssignedCustodian.representedCustodianOrganization", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CustodianOrganization" } ] }, { "id": "ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.classCode", "path": "ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.classCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "CustodianOrganization.classCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "ORG", "fixedCode": "ORG", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization" } }, { "id": "ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.determinerCode", "path": "ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.determinerCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "CustodianOrganization.determinerCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "INSTANCE", "fixedCode": "INSTANCE", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-EntityDeterminer" } }, { "id": "ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.templateId", "path": "ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.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": "CustodianOrganization.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id", "path": "ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id", "requirements": "This representedCustodianOrganization SHALL contain at least one [1..*] id (CONF:1198-5522).", "min": 1, "max": "*", "base": { "path": "CustodianOrganization.id", "min": 1, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.nullFlavor", "path": "ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.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" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.assigningAuthorityName", "path": "ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.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" } ] }, { "id": "ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.displayable", "path": "ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.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" } ] }, { "id": "ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.root", "path": "ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.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.", "requirements": "Such ids SHOULD contain zero or one [0..1] @root=\"2.16.840.1.113883.4.6\" National Provider Identifier (CONF:1198-16822).", "min": 0, "max": "1", "base": { "path": "II.root", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "patternString": "2.16.840.1.113883.4.6" }, { "id": "ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.extension", "path": "ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id.extension", "representation": [ "xmlAttr" ], "label": "Extension", "definition": "A character string as a unique identifier within the scope of the identifier root.", "min": 0, "max": "1", "base": { "path": "II.extension", "min": 0, "max": "1" }, "type": [ { "code": "string" } ] }, { "id": "ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.name", "path": "ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.name", "requirements": "This representedCustodianOrganization SHALL contain exactly one [1..1] name (CONF:1198-5524).", "min": 1, "max": "1", "base": { "path": "CustodianOrganization.name", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ON" } ] }, { "id": "ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom", "path": "ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom", "requirements": "This representedCustodianOrganization SHALL contain exactly one [1..1] telecom (CONF:1198-5525).", "min": 1, "max": "1", "base": { "path": "CustodianOrganization.telecom", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/TEL" } ] }, { "id": "ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.nullFlavor", "path": "ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.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" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.value", "path": "ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.value", "representation": [ "xmlAttr" ], "min": 0, "max": "1", "base": { "path": "TEL.value", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ] }, { "id": "ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.useablePeriod", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-defaulttype", "valueString": "SXPR-TS" } ], "path": "ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.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/fhir/cda/StructureDefinition/IVL-TS" }, { "code": "http://hl7.org/fhir/cda/StructureDefinition/EIVL-TS" }, { "code": "http://hl7.org/fhir/cda/StructureDefinition/PIVL-TS" }, { "code": "http://hl7.org/fhir/cda/StructureDefinition/SXPR-TS" } ] }, { "id": "ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.telecom.use", "path": "ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.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.", "requirements": "This telecom 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:1198-7998).", "min": 0, "max": "1", "base": { "path": "TEL.use", "min": 0, "max": "*" }, "type": [ { "code": "code" } ], "binding": { "strength": "required", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20" } }, { "id": "ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr", "path": "ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.addr", "definition": "Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.", "requirements": "This representedCustodianOrganization SHALL contain exactly one [1..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:1198-5559).", "min": 1, "max": "1", "base": { "path": "CustodianOrganization.addr", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/AD", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.2" ] } ], "constraint": [ { "key": "81-7296", "severity": "error", "human": "**SHALL NOT** have mixed content except for white space (CONF:81-7296).", "source": "http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument" } ], "isModifier": false }, { "id": "ClinicalDocument.informationRecipient", "path": "ClinicalDocument.informationRecipient", "short": "The informationRecipient element records the intended recipient of the information at the time the document was created. In cases where the intended recipient of the document is the patient's health chart, set the receivedOrganization to the scoping organization for that chart.", "requirements": "MAY contain zero or more [0..*] informationRecipient (CONF:1198-8411).", "min": 0, "max": "*", "base": { "path": "ClinicalDocument.informationRecipient", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/InformationRecipient" } ], "constraint": [ { "key": "1198-8412", "severity": "warning", "human": "The physician requesting the imaging procedure (ClinicalDocument/participant[@typeCode=REF]/associatedEntity), if present, **SHOULD** also be recorded as an informationRecipient, unless in the local setting another physician (such as the attending physician for an inpatient) is known to be the appropriate recipient of the report (CONF:1198-8412)." }, { "key": "1198-8413", "severity": "warning", "human": "When no referring physician is present, as in the case of self-referred screening examinations allowed by law, the intendedRecipient **MAY** be absent. The intendedRecipient **MAY** also be the health chart of the patient, in which case the receivedOrganization **SHALL** be the scoping organization of that chart (CONF:1198-8413)." } ] }, { "id": "ClinicalDocument.informationRecipient.nullFlavor", "path": "ClinicalDocument.informationRecipient.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": "InformationRecipient.nullFlavor", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.informationRecipient.typeCode", "path": "ClinicalDocument.informationRecipient.typeCode", "representation": [ "xmlAttr" ], "min": 0, "max": "1", "base": { "path": "InformationRecipient.typeCode", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "PRCP", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ParticipationType" } }, { "id": "ClinicalDocument.informationRecipient.realmCode", "path": "ClinicalDocument.informationRecipient.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": "InformationRecipient.realmCode", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CS" } ] }, { "id": "ClinicalDocument.informationRecipient.typeId", "path": "ClinicalDocument.informationRecipient.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": "InformationRecipient.typeId", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.informationRecipient.templateId", "path": "ClinicalDocument.informationRecipient.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": "InformationRecipient.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.informationRecipient.intendedRecipient", "path": "ClinicalDocument.informationRecipient.intendedRecipient", "requirements": "The informationRecipient, if present, SHALL contain exactly one [1..1] intendedRecipient (CONF:1198-5566).", "min": 1, "max": "1", "base": { "path": "InformationRecipient.intendedRecipient", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/IntendedRecipient" } ] }, { "id": "ClinicalDocument.informationRecipient.intendedRecipient.classCode", "path": "ClinicalDocument.informationRecipient.intendedRecipient.classCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "IntendedRecipient.classCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "ASSIGNED" }, { "id": "ClinicalDocument.informationRecipient.intendedRecipient.templateId", "path": "ClinicalDocument.informationRecipient.intendedRecipient.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": "IntendedRecipient.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.informationRecipient.intendedRecipient.id", "path": "ClinicalDocument.informationRecipient.intendedRecipient.id", "requirements": "This intendedRecipient MAY contain zero or more [0..*] id (CONF:1198-32399).", "min": 0, "max": "*", "base": { "path": "IntendedRecipient.id", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.informationRecipient.intendedRecipient.sdtcIdentifiedBy", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name", "valueString": "identifiedBy" } ], "path": "ClinicalDocument.informationRecipient.intendedRecipient.sdtcIdentifiedBy", "min": 0, "max": "*", "base": { "path": "IntendedRecipient.sdtcIdentifiedBy", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/IdentifiedBy" } ] }, { "id": "ClinicalDocument.informationRecipient.intendedRecipient.addr", "path": "ClinicalDocument.informationRecipient.intendedRecipient.addr", "min": 0, "max": "*", "base": { "path": "IntendedRecipient.addr", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/AD" } ] }, { "id": "ClinicalDocument.informationRecipient.intendedRecipient.telecom", "path": "ClinicalDocument.informationRecipient.intendedRecipient.telecom", "min": 0, "max": "*", "base": { "path": "IntendedRecipient.telecom", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/TEL" } ] }, { "id": "ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient", "path": "ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient", "requirements": "This intendedRecipient MAY contain zero or one [0..1] informationRecipient (CONF:1198-5567).", "min": 0, "max": "1", "base": { "path": "IntendedRecipient.informationRecipient", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Person" } ] }, { "id": "ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.classCode", "path": "ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.classCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Person.classCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "PSN", "fixedCode": "PSN", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject" } }, { "id": "ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.determinerCode", "path": "ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.determinerCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Person.determinerCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "INSTANCE", "fixedCode": "INSTANCE", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-EntityDeterminer" } }, { "id": "ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.templateId", "path": "ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.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": "Person.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.name", "path": "ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.name", "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).", "requirements": "The informationRecipient, if present, 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:1198-5568).", "min": 1, "max": "*", "base": { "path": "Person.name", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/PN", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.1.1" ] } ], "constraint": [ { "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).", "source": "http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument" }, { "key": "81-9372", "severity": "error", "human": "The string **SHALL NOT** contain name parts (CONF:81-9372).", "source": "http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument" } ], "isModifier": false }, { "id": "ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name", "valueString": "asPatientRelationship" } ], "path": "ClinicalDocument.informationRecipient.intendedRecipient.informationRecipient.sdtcAsPatientRelationship", "min": 0, "max": "*", "base": { "path": "Person.sdtcAsPatientRelationship", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CE" } ] }, { "id": "ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization", "path": "ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization", "requirements": "This intendedRecipient MAY contain zero or one [0..1] receivedOrganization (CONF:1198-5577).", "min": 0, "max": "1", "base": { "path": "IntendedRecipient.receivedOrganization", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Organization" } ] }, { "id": "ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.classCode", "path": "ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.classCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Organization.classCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "ORG", "fixedCode": "ORG", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization" } }, { "id": "ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.determinerCode", "path": "ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.determinerCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Organization.determinerCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "INSTANCE", "fixedCode": "INSTANCE", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-EntityDeterminer" } }, { "id": "ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.templateId", "path": "ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.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": "Organization.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.id", "path": "ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.id", "min": 0, "max": "*", "base": { "path": "Organization.id", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.name", "path": "ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.name", "requirements": "The receivedOrganization, if present, SHALL contain exactly one [1..1] name (CONF:1198-5578).", "min": 1, "max": "1", "base": { "path": "Organization.name", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ON" } ] }, { "id": "ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.telecom", "path": "ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.telecom", "min": 0, "max": "*", "base": { "path": "Organization.telecom", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/TEL" } ] }, { "id": "ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.addr", "path": "ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.addr", "min": 0, "max": "*", "base": { "path": "Organization.addr", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/AD" } ] }, { "id": "ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.standardIndustryClassCode", "path": "ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.standardIndustryClassCode", "min": 0, "max": "1", "base": { "path": "Organization.standardIndustryClassCode", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CE" } ], "binding": { "strength": "extensible", "valueSet": "http://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS" } }, { "id": "ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.asOrganizationPartOf", "path": "ClinicalDocument.informationRecipient.intendedRecipient.receivedOrganization.asOrganizationPartOf", "min": 0, "max": "1", "base": { "path": "Organization.asOrganizationPartOf", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/OrganizationPartOf" } ] }, { "id": "ClinicalDocument.legalAuthenticator", "path": "ClinicalDocument.legalAuthenticator", "short": "The legalAuthenticator identifies the single person legally responsible for the document and must be present if the document has been legally authenticated. A clinical document that does not contain this element has not been legally authenticated.\n\nThe act of legal authentication requires a certain privilege be granted to the legal authenticator depending upon local policy. Based on local practice, clinical documents may be released before legal authentication. \n\nAll clinical documents have the potential for legal authentication, given the appropriate credentials.\n\nLocal policies MAY choose to delegate the function of legal authentication to a device or system that generates the clinical document. In these cases, the legal authenticator is a person accepting responsibility for the document, not the generating device or system.\n\nNote that the legal authenticator, if present, must be a person.", "requirements": "SHOULD contain zero or one [0..1] legalAuthenticator (CONF:1198-5579).", "min": 0, "max": "1", "base": { "path": "ClinicalDocument.legalAuthenticator", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/LegalAuthenticator" } ] }, { "id": "ClinicalDocument.legalAuthenticator.nullFlavor", "path": "ClinicalDocument.legalAuthenticator.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": "LegalAuthenticator.nullFlavor", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.legalAuthenticator.typeCode", "path": "ClinicalDocument.legalAuthenticator.typeCode", "representation": [ "xmlAttr" ], "min": 0, "max": "1", "base": { "path": "LegalAuthenticator.typeCode", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "LA", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ParticipationType" } }, { "id": "ClinicalDocument.legalAuthenticator.contextControlCode", "path": "ClinicalDocument.legalAuthenticator.contextControlCode", "representation": [ "xmlAttr" ], "min": 0, "max": "1", "base": { "path": "LegalAuthenticator.contextControlCode", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "OP", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ContextControl" } }, { "id": "ClinicalDocument.legalAuthenticator.realmCode", "path": "ClinicalDocument.legalAuthenticator.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": "LegalAuthenticator.realmCode", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CS" } ] }, { "id": "ClinicalDocument.legalAuthenticator.typeId", "path": "ClinicalDocument.legalAuthenticator.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": "LegalAuthenticator.typeId", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.legalAuthenticator.templateId", "path": "ClinicalDocument.legalAuthenticator.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": "LegalAuthenticator.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.legalAuthenticator.time", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-timeformat", "valueCode": "YYYYMMDDHHMMSS.UUUU[+|-ZZzz]" } ], "path": "ClinicalDocument.legalAuthenticator.time", "definition": "A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.", "requirements": "The legalAuthenticator, if present, SHALL contain exactly one [1..1] US Realm Date and Time (DTM.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.4) (CONF:1198-5580).", "min": 1, "max": "1", "base": { "path": "LegalAuthenticator.time", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/TS", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.4" ] } ], "constraint": [ { "key": "81-10127", "severity": "error", "human": "**SHALL** be precise to the day (CONF:81-10127).", "source": "http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument" }, { "key": "81-10128", "severity": "warning", "human": "**SHOULD** be precise to the minute (CONF:81-10128).", "source": "http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument" }, { "key": "81-10129", "severity": "warning", "human": "**MAY** be precise to the second (CONF:81-10129).", "source": "http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument" }, { "key": "81-10130", "severity": "warning", "human": "If more precise than day, **SHOULD** include time-zone offset (CONF:81-10130).", "source": "http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument" } ], "isModifier": false }, { "id": "ClinicalDocument.legalAuthenticator.signatureCode", "path": "ClinicalDocument.legalAuthenticator.signatureCode", "requirements": "The legalAuthenticator, if present, SHALL contain exactly one [1..1] signatureCode (CONF:1198-5583).", "min": 1, "max": "1", "base": { "path": "LegalAuthenticator.signatureCode", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CS" } ] }, { "id": "ClinicalDocument.legalAuthenticator.signatureCode.nullFlavor", "path": "ClinicalDocument.legalAuthenticator.signatureCode.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" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.legalAuthenticator.signatureCode.code", "path": "ClinicalDocument.legalAuthenticator.signatureCode.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.", "requirements": "This signatureCode SHALL contain exactly one [1..1] @code=\"S\" (CodeSystem: HL7ParticipationSignature urn:oid:2.16.840.1.113883.5.89 STATIC) (CONF:1198-5584).", "min": 1, "max": "1", "base": { "path": "CD.code", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "patternString": "S" }, { "id": "ClinicalDocument.legalAuthenticator.signatureCode.codeSystem", "path": "ClinicalDocument.legalAuthenticator.signatureCode.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" } ] }, { "id": "ClinicalDocument.legalAuthenticator.signatureCode.codeSystemName", "path": "ClinicalDocument.legalAuthenticator.signatureCode.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" } ] }, { "id": "ClinicalDocument.legalAuthenticator.signatureCode.codeSystemVersion", "path": "ClinicalDocument.legalAuthenticator.signatureCode.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" } ] }, { "id": "ClinicalDocument.legalAuthenticator.signatureCode.displayName", "path": "ClinicalDocument.legalAuthenticator.signatureCode.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" } ] }, { "id": "ClinicalDocument.legalAuthenticator.signatureCode.sdtcValueSet", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name", "valueString": "valueSet" } ], "path": "ClinicalDocument.legalAuthenticator.signatureCode.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" } ] }, { "id": "ClinicalDocument.legalAuthenticator.signatureCode.sdtcValueSetVersion", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name", "valueString": "valueSetVersion" } ], "path": "ClinicalDocument.legalAuthenticator.signatureCode.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" } ] }, { "id": "ClinicalDocument.legalAuthenticator.signatureCode.originalText", "path": "ClinicalDocument.legalAuthenticator.signatureCode.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/fhir/cda/StructureDefinition/ED" } ] }, { "id": "ClinicalDocument.legalAuthenticator.signatureCode.qualifier", "path": "ClinicalDocument.legalAuthenticator.signatureCode.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/fhir/cda/StructureDefinition/CR" } ] }, { "id": "ClinicalDocument.legalAuthenticator.signatureCode.translation", "path": "ClinicalDocument.legalAuthenticator.signatureCode.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/fhir/cda/StructureDefinition/CD" } ] }, { "id": "ClinicalDocument.legalAuthenticator.sdtcSignatureText", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name", "valueString": "signatureText" } ], "path": "ClinicalDocument.legalAuthenticator.sdtcSignatureText", "min": 0, "max": "1", "base": { "path": "LegalAuthenticator.sdtcSignatureText", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ED" } ] }, { "id": "ClinicalDocument.legalAuthenticator.assignedEntity", "path": "ClinicalDocument.legalAuthenticator.assignedEntity", "requirements": "The legalAuthenticator, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1198-5585).", "min": 1, "max": "1", "base": { "path": "LegalAuthenticator.assignedEntity", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity" } ] }, { "id": "ClinicalDocument.legalAuthenticator.assignedEntity.classCode", "path": "ClinicalDocument.legalAuthenticator.assignedEntity.classCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "AssignedEntity.classCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "ASSIGNED", "fixedCode": "ASSIGNED", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity" } }, { "id": "ClinicalDocument.legalAuthenticator.assignedEntity.templateId", "path": "ClinicalDocument.legalAuthenticator.assignedEntity.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": "AssignedEntity.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.legalAuthenticator.assignedEntity.id", "path": "ClinicalDocument.legalAuthenticator.assignedEntity.id", "requirements": "This assignedEntity SHALL contain at least one [1..*] id (CONF:1198-5586).", "min": 1, "max": "*", "base": { "path": "AssignedEntity.id", "min": 1, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.legalAuthenticator.assignedEntity.id.nullFlavor", "path": "ClinicalDocument.legalAuthenticator.assignedEntity.id.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" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.legalAuthenticator.assignedEntity.id.assigningAuthorityName", "path": "ClinicalDocument.legalAuthenticator.assignedEntity.id.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" } ] }, { "id": "ClinicalDocument.legalAuthenticator.assignedEntity.id.displayable", "path": "ClinicalDocument.legalAuthenticator.assignedEntity.id.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" } ] }, { "id": "ClinicalDocument.legalAuthenticator.assignedEntity.id.root", "path": "ClinicalDocument.legalAuthenticator.assignedEntity.id.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.", "requirements": "Such ids MAY contain zero or one [0..1] @root=\"2.16.840.1.113883.4.6\" National Provider Identifier (CONF:1198-16823).", "min": 0, "max": "1", "base": { "path": "II.root", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "patternString": "2.16.840.1.113883.4.6" }, { "id": "ClinicalDocument.legalAuthenticator.assignedEntity.id.extension", "path": "ClinicalDocument.legalAuthenticator.assignedEntity.id.extension", "representation": [ "xmlAttr" ], "label": "Extension", "definition": "A character string as a unique identifier within the scope of the identifier root.", "min": 0, "max": "1", "base": { "path": "II.extension", "min": 0, "max": "1" }, "type": [ { "code": "string" } ] }, { "id": "ClinicalDocument.legalAuthenticator.assignedEntity.sdtcIdentifiedBy", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name", "valueString": "identifiedBy" } ], "path": "ClinicalDocument.legalAuthenticator.assignedEntity.sdtcIdentifiedBy", "min": 0, "max": "*", "base": { "path": "AssignedEntity.sdtcIdentifiedBy", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/IdentifiedBy" } ] }, { "id": "ClinicalDocument.legalAuthenticator.assignedEntity.code", "path": "ClinicalDocument.legalAuthenticator.assignedEntity.code", "requirements": "This assignedEntity MAY contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1198-17000).", "min": 0, "max": "1", "base": { "path": "AssignedEntity.code", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CE" } ], "binding": { "strength": "preferred", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066" } }, { "id": "ClinicalDocument.legalAuthenticator.assignedEntity.addr", "path": "ClinicalDocument.legalAuthenticator.assignedEntity.addr", "definition": "Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.", "requirements": "This assignedEntity 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:1198-5589).", "min": 1, "max": "*", "base": { "path": "AssignedEntity.addr", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/AD", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.2" ] } ], "constraint": [ { "key": "81-7296", "severity": "error", "human": "**SHALL NOT** have mixed content except for white space (CONF:81-7296).", "source": "http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument" } ], "isModifier": false }, { "id": "ClinicalDocument.legalAuthenticator.assignedEntity.telecom", "path": "ClinicalDocument.legalAuthenticator.assignedEntity.telecom", "requirements": "This assignedEntity SHALL contain at least one [1..*] telecom (CONF:1198-5595).", "min": 1, "max": "*", "base": { "path": "AssignedEntity.telecom", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/TEL" } ] }, { "id": "ClinicalDocument.legalAuthenticator.assignedEntity.telecom.nullFlavor", "path": "ClinicalDocument.legalAuthenticator.assignedEntity.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" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.legalAuthenticator.assignedEntity.telecom.value", "path": "ClinicalDocument.legalAuthenticator.assignedEntity.telecom.value", "representation": [ "xmlAttr" ], "min": 0, "max": "1", "base": { "path": "TEL.value", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ] }, { "id": "ClinicalDocument.legalAuthenticator.assignedEntity.telecom.useablePeriod", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-defaulttype", "valueString": "SXPR-TS" } ], "path": "ClinicalDocument.legalAuthenticator.assignedEntity.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/fhir/cda/StructureDefinition/IVL-TS" }, { "code": "http://hl7.org/fhir/cda/StructureDefinition/EIVL-TS" }, { "code": "http://hl7.org/fhir/cda/StructureDefinition/PIVL-TS" }, { "code": "http://hl7.org/fhir/cda/StructureDefinition/SXPR-TS" } ] }, { "id": "ClinicalDocument.legalAuthenticator.assignedEntity.telecom.use", "path": "ClinicalDocument.legalAuthenticator.assignedEntity.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.", "requirements": "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:1198-7999).", "min": 0, "max": "1", "base": { "path": "TEL.use", "min": 0, "max": "*" }, "type": [ { "code": "code" } ], "binding": { "strength": "required", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20" } }, { "id": "ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson", "path": "ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson", "requirements": "This assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:1198-5597).", "min": 1, "max": "1", "base": { "path": "AssignedEntity.assignedPerson", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Person" } ] }, { "id": "ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.classCode", "path": "ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.classCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Person.classCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "PSN", "fixedCode": "PSN", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject" } }, { "id": "ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.determinerCode", "path": "ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.determinerCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Person.determinerCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "INSTANCE", "fixedCode": "INSTANCE", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-EntityDeterminer" } }, { "id": "ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.templateId", "path": "ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.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": "Person.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.name", "path": "ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.name", "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).", "requirements": "This assignedPerson 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:1198-5598).", "min": 1, "max": "*", "base": { "path": "Person.name", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/PN", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.1.1" ] } ], "constraint": [ { "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).", "source": "http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument" }, { "key": "81-9372", "severity": "error", "human": "The string **SHALL NOT** contain name parts (CONF:81-9372).", "source": "http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument" } ], "isModifier": false }, { "id": "ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name", "valueString": "asPatientRelationship" } ], "path": "ClinicalDocument.legalAuthenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship", "min": 0, "max": "*", "base": { "path": "Person.sdtcAsPatientRelationship", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CE" } ] }, { "id": "ClinicalDocument.legalAuthenticator.assignedEntity.representedOrganization", "path": "ClinicalDocument.legalAuthenticator.assignedEntity.representedOrganization", "min": 0, "max": "1", "base": { "path": "AssignedEntity.representedOrganization", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Organization" } ] }, { "id": "ClinicalDocument.authenticator", "path": "ClinicalDocument.authenticator", "slicing": { "discriminator": [ { "type": "value", "path": "signatureCode" }, { "type": "value", "path": "assignedEntity" } ], "rules": "open" }, "short": "The authenticator identifies a participant or participants who attest to the accuracy of the information in the document.", "min": 0, "max": "*", "base": { "path": "ClinicalDocument.authenticator", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Authenticator" } ] }, { "id": "ClinicalDocument.authenticator:authenticator1", "path": "ClinicalDocument.authenticator", "sliceName": "authenticator1", "requirements": "MAY contain zero or more [0..*] authenticator (CONF:1198-5607) such that it", "min": 0, "max": "*", "base": { "path": "ClinicalDocument.authenticator", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Authenticator" } ] }, { "id": "ClinicalDocument.authenticator:authenticator1.nullFlavor", "path": "ClinicalDocument.authenticator.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": "Authenticator.nullFlavor", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.authenticator:authenticator1.typeCode", "path": "ClinicalDocument.authenticator.typeCode", "representation": [ "xmlAttr" ], "min": 0, "max": "1", "base": { "path": "Authenticator.typeCode", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "AUTHEN", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ParticipationType" } }, { "id": "ClinicalDocument.authenticator:authenticator1.realmCode", "path": "ClinicalDocument.authenticator.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": "Authenticator.realmCode", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CS" } ] }, { "id": "ClinicalDocument.authenticator:authenticator1.typeId", "path": "ClinicalDocument.authenticator.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": "Authenticator.typeId", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.authenticator:authenticator1.templateId", "path": "ClinicalDocument.authenticator.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": "Authenticator.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.authenticator:authenticator1.time", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-timeformat", "valueCode": "YYYYMMDDHHMMSS.UUUU[+|-ZZzz]" } ], "path": "ClinicalDocument.authenticator.time", "definition": "A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.", "requirements": "SHALL contain exactly one [1..1] US Realm Date and Time (DTM.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.4) (CONF:1198-5608).", "min": 1, "max": "1", "base": { "path": "Authenticator.time", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/TS", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.4" ] } ], "constraint": [ { "key": "81-10127", "severity": "error", "human": "**SHALL** be precise to the day (CONF:81-10127).", "source": "http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument" }, { "key": "81-10128", "severity": "warning", "human": "**SHOULD** be precise to the minute (CONF:81-10128).", "source": "http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument" }, { "key": "81-10129", "severity": "warning", "human": "**MAY** be precise to the second (CONF:81-10129).", "source": "http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument" }, { "key": "81-10130", "severity": "warning", "human": "If more precise than day, **SHOULD** include time-zone offset (CONF:81-10130).", "source": "http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument" } ], "isModifier": false }, { "id": "ClinicalDocument.authenticator:authenticator1.signatureCode", "path": "ClinicalDocument.authenticator.signatureCode", "requirements": "SHALL contain exactly one [1..1] signatureCode (CONF:1198-5610).", "min": 1, "max": "1", "base": { "path": "Authenticator.signatureCode", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CS" } ] }, { "id": "ClinicalDocument.authenticator:authenticator1.signatureCode.nullFlavor", "path": "ClinicalDocument.authenticator.signatureCode.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" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.authenticator:authenticator1.signatureCode.code", "path": "ClinicalDocument.authenticator.signatureCode.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.", "requirements": "This signatureCode SHALL contain exactly one [1..1] @code=\"S\" (CodeSystem: HL7ParticipationSignature urn:oid:2.16.840.1.113883.5.89 STATIC) (CONF:1198-5611).", "min": 1, "max": "1", "base": { "path": "CD.code", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "patternString": "S" }, { "id": "ClinicalDocument.authenticator:authenticator1.signatureCode.codeSystem", "path": "ClinicalDocument.authenticator.signatureCode.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" } ] }, { "id": "ClinicalDocument.authenticator:authenticator1.signatureCode.codeSystemName", "path": "ClinicalDocument.authenticator.signatureCode.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" } ] }, { "id": "ClinicalDocument.authenticator:authenticator1.signatureCode.codeSystemVersion", "path": "ClinicalDocument.authenticator.signatureCode.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" } ] }, { "id": "ClinicalDocument.authenticator:authenticator1.signatureCode.displayName", "path": "ClinicalDocument.authenticator.signatureCode.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" } ] }, { "id": "ClinicalDocument.authenticator:authenticator1.signatureCode.sdtcValueSet", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name", "valueString": "valueSet" } ], "path": "ClinicalDocument.authenticator.signatureCode.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" } ] }, { "id": "ClinicalDocument.authenticator:authenticator1.signatureCode.sdtcValueSetVersion", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name", "valueString": "valueSetVersion" } ], "path": "ClinicalDocument.authenticator.signatureCode.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" } ] }, { "id": "ClinicalDocument.authenticator:authenticator1.signatureCode.originalText", "path": "ClinicalDocument.authenticator.signatureCode.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/fhir/cda/StructureDefinition/ED" } ] }, { "id": "ClinicalDocument.authenticator:authenticator1.signatureCode.qualifier", "path": "ClinicalDocument.authenticator.signatureCode.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/fhir/cda/StructureDefinition/CR" } ] }, { "id": "ClinicalDocument.authenticator:authenticator1.signatureCode.translation", "path": "ClinicalDocument.authenticator.signatureCode.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/fhir/cda/StructureDefinition/CD" } ] }, { "id": "ClinicalDocument.authenticator:authenticator1.sdtcSignatureText", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name", "valueString": "signatureText" } ], "path": "ClinicalDocument.authenticator.sdtcSignatureText", "min": 0, "max": "1", "base": { "path": "Authenticator.sdtcSignatureText", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ED" } ] }, { "id": "ClinicalDocument.authenticator:authenticator1.assignedEntity", "path": "ClinicalDocument.authenticator.assignedEntity", "requirements": "SHALL contain exactly one [1..1] assignedEntity (CONF:1198-5612).", "min": 1, "max": "1", "base": { "path": "Authenticator.assignedEntity", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity" } ] }, { "id": "ClinicalDocument.authenticator:authenticator1.assignedEntity.classCode", "path": "ClinicalDocument.authenticator.assignedEntity.classCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "AssignedEntity.classCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "ASSIGNED", "fixedCode": "ASSIGNED", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity" } }, { "id": "ClinicalDocument.authenticator:authenticator1.assignedEntity.templateId", "path": "ClinicalDocument.authenticator.assignedEntity.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": "AssignedEntity.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.authenticator:authenticator1.assignedEntity.id", "path": "ClinicalDocument.authenticator.assignedEntity.id", "requirements": "This assignedEntity SHALL contain at least one [1..*] id (CONF:1198-5613).", "min": 1, "max": "*", "base": { "path": "AssignedEntity.id", "min": 1, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.authenticator:authenticator1.assignedEntity.id.nullFlavor", "path": "ClinicalDocument.authenticator.assignedEntity.id.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" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.authenticator:authenticator1.assignedEntity.id.assigningAuthorityName", "path": "ClinicalDocument.authenticator.assignedEntity.id.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" } ] }, { "id": "ClinicalDocument.authenticator:authenticator1.assignedEntity.id.displayable", "path": "ClinicalDocument.authenticator.assignedEntity.id.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" } ] }, { "id": "ClinicalDocument.authenticator:authenticator1.assignedEntity.id.root", "path": "ClinicalDocument.authenticator.assignedEntity.id.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.", "requirements": "Such ids SHOULD contain zero or one [0..1] @root=\"2.16.840.1.113883.4.6\" National Provider Identifier (CONF:1198-16824).", "min": 0, "max": "1", "base": { "path": "II.root", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "patternString": "2.16.840.1.113883.4.6" }, { "id": "ClinicalDocument.authenticator:authenticator1.assignedEntity.id.extension", "path": "ClinicalDocument.authenticator.assignedEntity.id.extension", "representation": [ "xmlAttr" ], "label": "Extension", "definition": "A character string as a unique identifier within the scope of the identifier root.", "min": 0, "max": "1", "base": { "path": "II.extension", "min": 0, "max": "1" }, "type": [ { "code": "string" } ] }, { "id": "ClinicalDocument.authenticator:authenticator1.assignedEntity.sdtcIdentifiedBy", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name", "valueString": "identifiedBy" } ], "path": "ClinicalDocument.authenticator.assignedEntity.sdtcIdentifiedBy", "min": 0, "max": "*", "base": { "path": "AssignedEntity.sdtcIdentifiedBy", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/IdentifiedBy" } ] }, { "id": "ClinicalDocument.authenticator:authenticator1.assignedEntity.code", "path": "ClinicalDocument.authenticator.assignedEntity.code", "requirements": "This assignedEntity MAY contain zero or one [0..1] code (CONF:1198-16825).", "min": 0, "max": "1", "base": { "path": "AssignedEntity.code", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CE" } ], "binding": { "strength": "extensible", "valueSet": "http://terminology.hl7.org/ValueSet/v3-RoleCode" } }, { "id": "ClinicalDocument.authenticator:authenticator1.assignedEntity.code.nullFlavor", "path": "ClinicalDocument.authenticator.assignedEntity.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" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.authenticator:authenticator1.assignedEntity.code.code", "path": "ClinicalDocument.authenticator.assignedEntity.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.", "requirements": "The code, if present, MAY contain zero or one [0..1] @code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1198-16826).", "min": 0, "max": "1", "base": { "path": "CD.code", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "binding": { "strength": "preferred", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066" } }, { "id": "ClinicalDocument.authenticator:authenticator1.assignedEntity.code.codeSystem", "path": "ClinicalDocument.authenticator.assignedEntity.code.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" } ] }, { "id": "ClinicalDocument.authenticator:authenticator1.assignedEntity.code.codeSystemName", "path": "ClinicalDocument.authenticator.assignedEntity.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" } ] }, { "id": "ClinicalDocument.authenticator:authenticator1.assignedEntity.code.codeSystemVersion", "path": "ClinicalDocument.authenticator.assignedEntity.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" } ] }, { "id": "ClinicalDocument.authenticator:authenticator1.assignedEntity.code.displayName", "path": "ClinicalDocument.authenticator.assignedEntity.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" } ] }, { "id": "ClinicalDocument.authenticator:authenticator1.assignedEntity.code.sdtcValueSet", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name", "valueString": "valueSet" } ], "path": "ClinicalDocument.authenticator.assignedEntity.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" } ] }, { "id": "ClinicalDocument.authenticator:authenticator1.assignedEntity.code.sdtcValueSetVersion", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name", "valueString": "valueSetVersion" } ], "path": "ClinicalDocument.authenticator.assignedEntity.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" } ] }, { "id": "ClinicalDocument.authenticator:authenticator1.assignedEntity.code.originalText", "path": "ClinicalDocument.authenticator.assignedEntity.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/fhir/cda/StructureDefinition/ED" } ] }, { "id": "ClinicalDocument.authenticator:authenticator1.assignedEntity.code.qualifier", "path": "ClinicalDocument.authenticator.assignedEntity.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/fhir/cda/StructureDefinition/CR" } ] }, { "id": "ClinicalDocument.authenticator:authenticator1.assignedEntity.code.translation", "path": "ClinicalDocument.authenticator.assignedEntity.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/fhir/cda/StructureDefinition/CD" } ] }, { "id": "ClinicalDocument.authenticator:authenticator1.assignedEntity.addr", "path": "ClinicalDocument.authenticator.assignedEntity.addr", "definition": "Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.", "requirements": "This assignedEntity 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:1198-5616).", "min": 1, "max": "*", "base": { "path": "AssignedEntity.addr", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/AD", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.2" ] } ], "constraint": [ { "key": "81-7296", "severity": "error", "human": "**SHALL NOT** have mixed content except for white space (CONF:81-7296).", "source": "http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument" } ], "isModifier": false }, { "id": "ClinicalDocument.authenticator:authenticator1.assignedEntity.telecom", "path": "ClinicalDocument.authenticator.assignedEntity.telecom", "requirements": "This assignedEntity SHALL contain at least one [1..*] telecom (CONF:1198-5622).", "min": 1, "max": "*", "base": { "path": "AssignedEntity.telecom", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/TEL" } ] }, { "id": "ClinicalDocument.authenticator:authenticator1.assignedEntity.telecom.nullFlavor", "path": "ClinicalDocument.authenticator.assignedEntity.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" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.authenticator:authenticator1.assignedEntity.telecom.value", "path": "ClinicalDocument.authenticator.assignedEntity.telecom.value", "representation": [ "xmlAttr" ], "min": 0, "max": "1", "base": { "path": "TEL.value", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ] }, { "id": "ClinicalDocument.authenticator:authenticator1.assignedEntity.telecom.useablePeriod", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-defaulttype", "valueString": "SXPR-TS" } ], "path": "ClinicalDocument.authenticator.assignedEntity.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/fhir/cda/StructureDefinition/IVL-TS" }, { "code": "http://hl7.org/fhir/cda/StructureDefinition/EIVL-TS" }, { "code": "http://hl7.org/fhir/cda/StructureDefinition/PIVL-TS" }, { "code": "http://hl7.org/fhir/cda/StructureDefinition/SXPR-TS" } ] }, { "id": "ClinicalDocument.authenticator:authenticator1.assignedEntity.telecom.use", "path": "ClinicalDocument.authenticator.assignedEntity.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.", "requirements": "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:1198-8000).", "min": 0, "max": "1", "base": { "path": "TEL.use", "min": 0, "max": "*" }, "type": [ { "code": "code" } ], "binding": { "strength": "required", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.20" } }, { "id": "ClinicalDocument.authenticator:authenticator1.assignedEntity.assignedPerson", "path": "ClinicalDocument.authenticator.assignedEntity.assignedPerson", "requirements": "This assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:1198-5624).", "min": 1, "max": "1", "base": { "path": "AssignedEntity.assignedPerson", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Person" } ] }, { "id": "ClinicalDocument.authenticator:authenticator1.assignedEntity.assignedPerson.classCode", "path": "ClinicalDocument.authenticator.assignedEntity.assignedPerson.classCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Person.classCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "PSN", "fixedCode": "PSN", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject" } }, { "id": "ClinicalDocument.authenticator:authenticator1.assignedEntity.assignedPerson.determinerCode", "path": "ClinicalDocument.authenticator.assignedEntity.assignedPerson.determinerCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Person.determinerCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "INSTANCE", "fixedCode": "INSTANCE", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-EntityDeterminer" } }, { "id": "ClinicalDocument.authenticator:authenticator1.assignedEntity.assignedPerson.templateId", "path": "ClinicalDocument.authenticator.assignedEntity.assignedPerson.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": "Person.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.authenticator:authenticator1.assignedEntity.assignedPerson.name", "path": "ClinicalDocument.authenticator.assignedEntity.assignedPerson.name", "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).", "requirements": "This assignedPerson 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:1198-5625).", "min": 1, "max": "*", "base": { "path": "Person.name", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/PN", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.1.1" ] } ], "constraint": [ { "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).", "source": "http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument" }, { "key": "81-9372", "severity": "error", "human": "The string **SHALL NOT** contain name parts (CONF:81-9372).", "source": "http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument" } ], "isModifier": false }, { "id": "ClinicalDocument.authenticator:authenticator1.assignedEntity.assignedPerson.sdtcAsPatientRelationship", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name", "valueString": "asPatientRelationship" } ], "path": "ClinicalDocument.authenticator.assignedEntity.assignedPerson.sdtcAsPatientRelationship", "min": 0, "max": "*", "base": { "path": "Person.sdtcAsPatientRelationship", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CE" } ] }, { "id": "ClinicalDocument.authenticator:authenticator1.assignedEntity.representedOrganization", "path": "ClinicalDocument.authenticator.assignedEntity.representedOrganization", "min": 0, "max": "1", "base": { "path": "AssignedEntity.representedOrganization", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Organization" } ] }, { "id": "ClinicalDocument.participant", "path": "ClinicalDocument.participant", "slicing": { "discriminator": [ { "type": "value", "path": "ClinicalDocument.associatedEntity" } ], "rules": "open" }, "short": "If participant is present, the associatedEntity/associatedPerson element SHALL be present and SHALL represent the physician requesting the imaging procedure (the referring physician AssociatedEntity that is the target of ClincalDocument/participant@typeCode=REF).", "min": 0, "max": "*", "base": { "path": "ClinicalDocument.participant", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Participant1" } ] }, { "id": "ClinicalDocument.participant:participant1", "path": "ClinicalDocument.participant", "sliceName": "participant1", "requirements": "MAY contain zero or one [0..1] participant (CONF:1198-8414) such that it", "min": 0, "max": "1", "base": { "path": "ClinicalDocument.participant", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Participant1" } ], "constraint": [ { "key": "1198-10006", "severity": "error", "human": "**SHALL** contain associatedEntity/associatedPerson *AND/OR* associatedEntity/scopingOrganization (CONF:1198-10006).", "source": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1" }, { "key": "1198-10007", "severity": "warning", "human": "When participant/@typeCode is *IND*, associatedEntity/@classCode **SHOULD** be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes *STATIC 2011-09-30* (CONF:1198-10007).", "source": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1" } ] }, { "id": "ClinicalDocument.participant:participant1.nullFlavor", "path": "ClinicalDocument.participant.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": "Participant1.nullFlavor", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.participant:participant1.typeCode", "path": "ClinicalDocument.participant.typeCode", "representation": [ "xmlAttr" ], "min": 0, "max": "1", "base": { "path": "Participant1.typeCode", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ParticipationType" } }, { "id": "ClinicalDocument.participant:participant1.contextControlCode", "path": "ClinicalDocument.participant.contextControlCode", "representation": [ "xmlAttr" ], "min": 0, "max": "1", "base": { "path": "Participant1.contextControlCode", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "OP", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ContextControl" } }, { "id": "ClinicalDocument.participant:participant1.realmCode", "path": "ClinicalDocument.participant.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": "Participant1.realmCode", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CS" } ] }, { "id": "ClinicalDocument.participant:participant1.typeId", "path": "ClinicalDocument.participant.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": "Participant1.typeId", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.participant:participant1.templateId", "path": "ClinicalDocument.participant.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": "Participant1.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.participant:participant1.functionCode", "path": "ClinicalDocument.participant.functionCode", "min": 0, "max": "1", "base": { "path": "Participant1.functionCode", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CE" } ] }, { "id": "ClinicalDocument.participant:participant1.time", "path": "ClinicalDocument.participant.time", "requirements": "MAY contain zero or one [0..1] time (CONF:1198-10004).", "min": 0, "max": "1", "base": { "path": "Participant1.time", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/IVL-TS" } ] }, { "id": "ClinicalDocument.participant:participant1.associatedEntity", "path": "ClinicalDocument.participant.associatedEntity", "requirements": "SHALL contain exactly one [1..1] associatedEntity (CONF:1198-31198).", "min": 1, "max": "1", "base": { "path": "Participant1.associatedEntity", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/AssociatedEntity" } ] }, { "id": "ClinicalDocument.participant:participant1.associatedEntity.classCode", "path": "ClinicalDocument.participant.associatedEntity.classCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "AssociatedEntity.classCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-RoleClassAssociative" } }, { "id": "ClinicalDocument.participant:participant1.associatedEntity.templateId", "path": "ClinicalDocument.participant.associatedEntity.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": "AssociatedEntity.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.participant:participant1.associatedEntity.id", "path": "ClinicalDocument.participant.associatedEntity.id", "min": 0, "max": "*", "base": { "path": "AssociatedEntity.id", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.participant:participant1.associatedEntity.sdtcIdentifiedBy", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name", "valueString": "identifiedBy" } ], "path": "ClinicalDocument.participant.associatedEntity.sdtcIdentifiedBy", "min": 0, "max": "*", "base": { "path": "AssociatedEntity.sdtcIdentifiedBy", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/IdentifiedBy" } ] }, { "id": "ClinicalDocument.participant:participant1.associatedEntity.code", "path": "ClinicalDocument.participant.associatedEntity.code", "min": 0, "max": "1", "base": { "path": "AssociatedEntity.code", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CE" } ], "binding": { "strength": "extensible", "valueSet": "http://terminology.hl7.org/ValueSet/v3-RoleCode" } }, { "id": "ClinicalDocument.participant:participant1.associatedEntity.addr", "path": "ClinicalDocument.participant.associatedEntity.addr", "min": 0, "max": "*", "base": { "path": "AssociatedEntity.addr", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/AD" } ] }, { "id": "ClinicalDocument.participant:participant1.associatedEntity.telecom", "path": "ClinicalDocument.participant.associatedEntity.telecom", "min": 0, "max": "*", "base": { "path": "AssociatedEntity.telecom", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/TEL" } ] }, { "id": "ClinicalDocument.participant:participant1.associatedEntity.associatedPerson", "path": "ClinicalDocument.participant.associatedEntity.associatedPerson", "requirements": "This associatedEntity SHALL contain exactly one [1..1] associatedPerson (CONF:1198-31199).", "min": 1, "max": "1", "base": { "path": "AssociatedEntity.associatedPerson", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Person" } ] }, { "id": "ClinicalDocument.participant:participant1.associatedEntity.associatedPerson.classCode", "path": "ClinicalDocument.participant.associatedEntity.associatedPerson.classCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Person.classCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "PSN", "fixedCode": "PSN", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject" } }, { "id": "ClinicalDocument.participant:participant1.associatedEntity.associatedPerson.determinerCode", "path": "ClinicalDocument.participant.associatedEntity.associatedPerson.determinerCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Person.determinerCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "INSTANCE", "fixedCode": "INSTANCE", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-EntityDeterminer" } }, { "id": "ClinicalDocument.participant:participant1.associatedEntity.associatedPerson.templateId", "path": "ClinicalDocument.participant.associatedEntity.associatedPerson.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": "Person.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.participant:participant1.associatedEntity.associatedPerson.name", "path": "ClinicalDocument.participant.associatedEntity.associatedPerson.name", "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).", "requirements": "This associatedPerson SHALL contain exactly one [1..1] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:1198-31200).", "min": 1, "max": "1", "base": { "path": "Person.name", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/PN", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.1.1" ] } ], "constraint": [ { "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).", "source": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1" }, { "key": "81-9372", "severity": "error", "human": "The string **SHALL NOT** contain name parts (CONF:81-9372).", "source": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1" } ], "isModifier": false }, { "id": "ClinicalDocument.participant:participant1.associatedEntity.associatedPerson.sdtcAsPatientRelationship", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name", "valueString": "asPatientRelationship" } ], "path": "ClinicalDocument.participant.associatedEntity.associatedPerson.sdtcAsPatientRelationship", "min": 0, "max": "*", "base": { "path": "Person.sdtcAsPatientRelationship", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CE" } ] }, { "id": "ClinicalDocument.participant:participant1.associatedEntity.scopingOrganization", "path": "ClinicalDocument.participant.associatedEntity.scopingOrganization", "min": 0, "max": "1", "base": { "path": "AssociatedEntity.scopingOrganization", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Organization" } ] }, { "id": "ClinicalDocument.inFulfillmentOf", "path": "ClinicalDocument.inFulfillmentOf", "short": "An inFulfillmentOf element represents the Placer Order that is either a group of orders (modeled as PlacerGroup in the Placer Order RMIM of the Orders & Observations domain) or a single order item (modeled as ObservationRequest in the same RMIM). This optionality reflects two major approaches to the grouping of procedures as implemented in the installed base of imaging information systems. These approaches differ in their handling of grouped procedures and how they are mapped to identifiers in the Digital Imaging and Communications in Medicine (DICOM) image and structured reporting data. The example of a CT examination covering chest, abdomen, and pelvis will be used in the discussion below. In the IHE Scheduled Workflow model, the Chest CT, Abdomen CT, and Pelvis CT each represent a Requested Procedure, and all three procedures are grouped under a single Filler Order. The Filler Order number maps directly to the DICOM Accession Number in the DICOM imaging and report data. A widely deployed alternative approach maps the requested procedure identifiers directly to the DICOM Accession Number. The Requested Procedure ID in such implementations may or may not be different from the Accession Number, but is of little identifying importance because there is only one Requested Procedure per Accession Number. There is no identifier that formally connects the requested procedures ordered in this group.", "requirements": "MAY contain zero or more [0..*] inFulfillmentOf (CONF:1198-30936).", "min": 0, "max": "*", "base": { "path": "ClinicalDocument.inFulfillmentOf", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/InFulfillmentOf" } ] }, { "id": "ClinicalDocument.inFulfillmentOf.nullFlavor", "path": "ClinicalDocument.inFulfillmentOf.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": "InFulfillmentOf.nullFlavor", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.inFulfillmentOf.typeCode", "path": "ClinicalDocument.inFulfillmentOf.typeCode", "representation": [ "xmlAttr" ], "min": 0, "max": "1", "base": { "path": "InFulfillmentOf.typeCode", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "FLFS", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ParticipationType" } }, { "id": "ClinicalDocument.inFulfillmentOf.realmCode", "path": "ClinicalDocument.inFulfillmentOf.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": "InFulfillmentOf.realmCode", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CS" } ] }, { "id": "ClinicalDocument.inFulfillmentOf.typeId", "path": "ClinicalDocument.inFulfillmentOf.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": "InFulfillmentOf.typeId", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.inFulfillmentOf.templateId", "path": "ClinicalDocument.inFulfillmentOf.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": "InFulfillmentOf.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.inFulfillmentOf.order", "path": "ClinicalDocument.inFulfillmentOf.order", "requirements": "The inFulfillmentOf, if present, SHALL contain exactly one [1..1] order (CONF:1198-30937).", "min": 1, "max": "1", "base": { "path": "InFulfillmentOf.order", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Order" } ] }, { "id": "ClinicalDocument.inFulfillmentOf.order.classCode", "path": "ClinicalDocument.inFulfillmentOf.order.classCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Order.classCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "ACT", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActClass" } }, { "id": "ClinicalDocument.inFulfillmentOf.order.moodCode", "path": "ClinicalDocument.inFulfillmentOf.order.moodCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Order.moodCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "RQO", "fixedCode": "RQO", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActMoodIntent" } }, { "id": "ClinicalDocument.inFulfillmentOf.order.templateId", "path": "ClinicalDocument.inFulfillmentOf.order.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": "Order.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.inFulfillmentOf.order.id", "path": "ClinicalDocument.inFulfillmentOf.order.id", "label": "DICOM Accession Number in the DICOM imaging and report data", "short": "DICOM Accession Number in the DICOM imaging and report data", "requirements": "This order SHALL contain at least one [1..*] id (CONF:1198-30938).", "min": 1, "max": "*", "base": { "path": "Order.id", "min": 1, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.inFulfillmentOf.order.code", "path": "ClinicalDocument.inFulfillmentOf.order.code", "min": 0, "max": "1", "base": { "path": "Order.code", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CE" } ], "binding": { "strength": "extensible", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActCode" } }, { "id": "ClinicalDocument.inFulfillmentOf.order.priorityCode", "path": "ClinicalDocument.inFulfillmentOf.order.priorityCode", "min": 0, "max": "1", "base": { "path": "Order.priorityCode", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CE" } ], "binding": { "strength": "extensible", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActPriority" } }, { "id": "ClinicalDocument.documentationOf", "path": "ClinicalDocument.documentationOf", "slicing": { "discriminator": [ { "type": "value", "path": "ClinicalDocument.serviceEvent" } ], "rules": "open" }, "short": "Each serviceEvent indicates an imaging procedure that the provider describes and interprets in the content of the DIR. The main activity being described by this document is the interpretation of the imaging procedure. This is shown by setting the value of the @classCode attribute of the serviceEvent element to ACT, and indicating the duration over which care was provided in the effectiveTime element. Within each documentationOf element, there is one serviceEvent element. This event is the unit imaging procedure corresponding to a billable item. The type of imaging procedure may be further described in the serviceEvent/code element. This guide makes no specific recommendations about the vocabulary to use for describing this event. In IHE Scheduled Workflow environments, one serviceEvent/id element contains the DICOM Study Instance UID from the Modality Worklist, and the second serviceEvent/id element contains the DICOM Requested Procedure ID from the Modality Worklist. These two ids are in a single serviceEvent. The effectiveTime for the serviceEvent covers the duration of the imaging procedure being reported. This event should have one or more performers, which may participate at the same or different periods of time. Service events map to DICOM Requested Procedures. That is, serviceEvent/id is the ID of the Requested Procedure.", "requirements": "MAY contain zero or more [0..*] documentationOf (CONF:1198-14835).", "min": 0, "max": "*", "base": { "path": "ClinicalDocument.documentationOf", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/DocumentationOf" } ] }, { "id": "ClinicalDocument.documentationOf.nullFlavor", "path": "ClinicalDocument.documentationOf.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": "DocumentationOf.nullFlavor", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.documentationOf.typeCode", "path": "ClinicalDocument.documentationOf.typeCode", "representation": [ "xmlAttr" ], "min": 0, "max": "1", "base": { "path": "DocumentationOf.typeCode", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "DOC", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ParticipationType" } }, { "id": "ClinicalDocument.documentationOf.realmCode", "path": "ClinicalDocument.documentationOf.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": "DocumentationOf.realmCode", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CS" } ] }, { "id": "ClinicalDocument.documentationOf.typeId", "path": "ClinicalDocument.documentationOf.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": "DocumentationOf.typeId", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.documentationOf.templateId", "path": "ClinicalDocument.documentationOf.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": "DocumentationOf.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.documentationOf.serviceEvent", "path": "ClinicalDocument.documentationOf.serviceEvent", "short": "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.", "requirements": "The documentationOf, if present, SHALL contain exactly one [1..1] serviceEvent (CONF:1198-14836).", "min": 1, "max": "1", "base": { "path": "DocumentationOf.serviceEvent", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ServiceEvent" } ] }, { "id": "ClinicalDocument.documentationOf.serviceEvent.classCode", "path": "ClinicalDocument.documentationOf.serviceEvent.classCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "ServiceEvent.classCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "ACT", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActClass" } }, { "id": "ClinicalDocument.documentationOf.serviceEvent.moodCode", "path": "ClinicalDocument.documentationOf.serviceEvent.moodCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "ServiceEvent.moodCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "EVN", "fixedCode": "EVN", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActMood" } }, { "id": "ClinicalDocument.documentationOf.serviceEvent.templateId", "path": "ClinicalDocument.documentationOf.serviceEvent.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": "ServiceEvent.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.documentationOf.serviceEvent.id", "path": "ClinicalDocument.documentationOf.serviceEvent.id", "min": 0, "max": "*", "base": { "path": "ServiceEvent.id", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.documentationOf.serviceEvent.code", "path": "ClinicalDocument.documentationOf.serviceEvent.code", "definition": "Drawn from concept domain ActCode", "min": 0, "max": "1", "base": { "path": "ServiceEvent.code", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CE" } ] }, { "id": "ClinicalDocument.documentationOf.serviceEvent.effectiveTime", "path": "ClinicalDocument.documentationOf.serviceEvent.effectiveTime", "requirements": "This serviceEvent SHALL contain exactly one [1..1] effectiveTime (CONF:1198-14837).", "min": 1, "max": "1", "base": { "path": "ServiceEvent.effectiveTime", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/IVL-TS" } ] }, { "id": "ClinicalDocument.documentationOf.serviceEvent.effectiveTime.nullFlavor", "path": "ClinicalDocument.documentationOf.serviceEvent.effectiveTime.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" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.documentationOf.serviceEvent.effectiveTime.value", "extension": [ { "url": "http://www.healthintersections.com.au/fhir/StructureDefinition/elementdefinition-dateformat", "valueString": "v3" } ], "path": "ClinicalDocument.documentationOf.serviceEvent.effectiveTime.value", "representation": [ "xmlAttr" ], "definition": "A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.", "min": 0, "max": "1", "base": { "path": "TS.value", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ] }, { "id": "ClinicalDocument.documentationOf.serviceEvent.effectiveTime.inclusive", "path": "ClinicalDocument.documentationOf.serviceEvent.effectiveTime.inclusive", "representation": [ "xmlAttr" ], "definition": "Specifies whether the limit is included in the interval (interval is closed) or excluded from the interval (interval is open).", "min": 0, "max": "1", "base": { "path": "TS.inclusive", "min": 0, "max": "1" }, "type": [ { "code": "boolean" } ] }, { "id": "ClinicalDocument.documentationOf.serviceEvent.effectiveTime.operator", "path": "ClinicalDocument.documentationOf.serviceEvent.effectiveTime.operator", "representation": [ "xmlAttr" ], "definition": "A code specifying whether the set component is included (union) or excluded (set-difference) from the set, or other set operations with the current set component and the set as constructed from the representation stream up to the current point.", "min": 0, "max": "1", "base": { "path": "SXCM_TS.operator", "min": 0, "max": "1" }, "type": [ { "code": "code" } ] }, { "id": "ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low", "path": "ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low", "label": "Low Boundary", "definition": "This is the low limit of the interval.", "requirements": "This effectiveTime SHALL contain exactly one [1..1] low (CONF:1198-14838).", "min": 1, "max": "1", "base": { "path": "IVL_TS.low", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/TS" } ] }, { "id": "ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high", "path": "ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high", "label": "High Boundary", "definition": "This is the high limit of the interval.", "min": 0, "max": "1", "base": { "path": "IVL_TS.high", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/TS" } ] }, { "id": "ClinicalDocument.documentationOf.serviceEvent.effectiveTime.width", "path": "ClinicalDocument.documentationOf.serviceEvent.effectiveTime.width", "label": "Width", "definition": "The difference between high and low boundary. The purpose of distinguishing a width property is to handle all cases of incomplete information symmetrically. In any interval representation only two of the three properties high, low, and width need to be stated and the third can be derived.", "min": 0, "max": "1", "base": { "path": "IVL_TS.width", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/PQ" } ] }, { "id": "ClinicalDocument.documentationOf.serviceEvent.effectiveTime.center", "path": "ClinicalDocument.documentationOf.serviceEvent.effectiveTime.center", "label": "Central Value", "definition": "The arithmetic mean of the interval (low plus high divided by 2). The purpose of distinguishing the center as a semantic property is for conversions of intervals from and to point values.", "min": 0, "max": "1", "base": { "path": "IVL_TS.center", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/TS" } ] }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer", "path": "ClinicalDocument.documentationOf.serviceEvent.performer", "short": "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.", "requirements": "This serviceEvent SHOULD contain zero or more [0..*] performer (CONF:1198-14839).", "min": 0, "max": "*", "base": { "path": "ServiceEvent.performer", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Performer1" } ] }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer.nullFlavor", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.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": "Performer1.nullFlavor", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer.typeCode", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.typeCode", "representation": [ "xmlAttr" ], "requirements": "The performer, if present, SHALL contain exactly one [1..1] @typeCode, which SHALL be selected from ValueSet x_ServiceEventPerformer urn:oid:2.16.840.1.113883.1.11.19601 STATIC (CONF:1198-14840).", "min": 1, "max": "1", "base": { "path": "Performer1.typeCode", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "DOC", "binding": { "strength": "required", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19601" } }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer.realmCode", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.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": "Performer1.realmCode", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CS" } ] }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer.typeId", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.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": "Performer1.typeId", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer.templateId", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.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": "Performer1.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer.functionCode", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.functionCode", "requirements": "The performer, if present, MAY contain zero or one [0..1] functionCode (CONF:1198-16818).", "min": 0, "max": "1", "base": { "path": "Performer1.functionCode", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CE" } ] }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.nullFlavor", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.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" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.code", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.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.", "requirements": "The functionCode, if present, SHOULD contain zero or one [0..1] @code, which SHOULD be selected from ValueSet Care Team Member Function urn:oid:2.16.840.1.113762.1.4.1099.30 DYNAMIC (CONF:1198-32889).", "min": 0, "max": "1", "base": { "path": "CD.code", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "binding": { "strength": "preferred", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30" } }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.codeSystem", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.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" } ] }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.codeSystemName", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.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" } ] }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.codeSystemVersion", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.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" } ] }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.displayName", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.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" } ] }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.sdtcValueSet", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name", "valueString": "valueSet" } ], "path": "ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.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" } ] }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.sdtcValueSetVersion", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name", "valueString": "valueSetVersion" } ], "path": "ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.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" } ] }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.originalText", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.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/fhir/cda/StructureDefinition/ED" } ] }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.qualifier", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.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/fhir/cda/StructureDefinition/CR" } ] }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.translation", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.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/fhir/cda/StructureDefinition/CD" } ] }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer.time", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.time", "min": 0, "max": "1", "base": { "path": "Performer1.time", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/IVL-TS" } ] }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity", "requirements": "The performer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1198-14841).", "min": 1, "max": "1", "base": { "path": "Performer1.assignedEntity", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity" } ] }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.classCode", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.classCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "AssignedEntity.classCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "ASSIGNED", "fixedCode": "ASSIGNED", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity" } }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.templateId", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.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": "AssignedEntity.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id", "requirements": "This assignedEntity SHALL contain at least one [1..*] id (CONF:1198-14846).", "min": 1, "max": "*", "base": { "path": "AssignedEntity.id", "min": 1, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.nullFlavor", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.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" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.assigningAuthorityName", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.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" } ] }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.displayable", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.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" } ] }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.root", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.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.", "requirements": "Such ids SHOULD contain zero or one [0..1] @root=\"2.16.840.1.113883.4.6\" National Provider Identifier (CONF:1198-14847).", "min": 0, "max": "1", "base": { "path": "II.root", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "patternString": "2.16.840.1.113883.4.6" }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.extension", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.extension", "representation": [ "xmlAttr" ], "label": "Extension", "definition": "A character string as a unique identifier within the scope of the identifier root.", "min": 0, "max": "1", "base": { "path": "II.extension", "min": 0, "max": "1" }, "type": [ { "code": "string" } ] }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.sdtcIdentifiedBy", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name", "valueString": "identifiedBy" } ], "path": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.sdtcIdentifiedBy", "min": 0, "max": "*", "base": { "path": "AssignedEntity.sdtcIdentifiedBy", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/IdentifiedBy" } ] }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.code", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.code", "requirements": "This assignedEntity SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1198-14842).", "min": 0, "max": "1", "base": { "path": "AssignedEntity.code", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CE" } ], "binding": { "strength": "preferred", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066" } }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.addr", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.addr", "min": 0, "max": "*", "base": { "path": "AssignedEntity.addr", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/AD" } ] }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.telecom", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.telecom", "min": 0, "max": "*", "base": { "path": "AssignedEntity.telecom", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/TEL" } ] }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.assignedPerson", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.assignedPerson", "min": 0, "max": "1", "base": { "path": "AssignedEntity.assignedPerson", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Person" } ] }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.representedOrganization", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.representedOrganization", "min": 0, "max": "1", "base": { "path": "AssignedEntity.representedOrganization", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Organization" } ] }, { "id": "ClinicalDocument.documentationOf:documentationOf1", "path": "ClinicalDocument.documentationOf", "sliceName": "documentationOf1", "requirements": "SHALL contain exactly one [1..1] documentationOf (CONF:1198-8416) such that it", "min": 1, "max": "1", "base": { "path": "ClinicalDocument.documentationOf", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/DocumentationOf" } ] }, { "id": "ClinicalDocument.documentationOf:documentationOf1.nullFlavor", "path": "ClinicalDocument.documentationOf.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": "DocumentationOf.nullFlavor", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.documentationOf:documentationOf1.typeCode", "path": "ClinicalDocument.documentationOf.typeCode", "representation": [ "xmlAttr" ], "min": 0, "max": "1", "base": { "path": "DocumentationOf.typeCode", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "DOC", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ParticipationType" } }, { "id": "ClinicalDocument.documentationOf:documentationOf1.realmCode", "path": "ClinicalDocument.documentationOf.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": "DocumentationOf.realmCode", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CS" } ] }, { "id": "ClinicalDocument.documentationOf:documentationOf1.typeId", "path": "ClinicalDocument.documentationOf.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": "DocumentationOf.typeId", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.documentationOf:documentationOf1.templateId", "path": "ClinicalDocument.documentationOf.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": "DocumentationOf.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent", "path": "ClinicalDocument.documentationOf.serviceEvent", "short": "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.", "requirements": "SHALL contain exactly one [1..1] serviceEvent (CONF:1198-8431) such that it", "min": 1, "max": "1", "base": { "path": "DocumentationOf.serviceEvent", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ServiceEvent" } ] }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.classCode", "path": "ClinicalDocument.documentationOf.serviceEvent.classCode", "representation": [ "xmlAttr" ], "requirements": "SHALL contain exactly one [1..1] @classCode=\"ACT\" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-8430).", "min": 1, "max": "1", "base": { "path": "ServiceEvent.classCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "ACT", "patternCode": "ACT", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActClass" } }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.moodCode", "path": "ClinicalDocument.documentationOf.serviceEvent.moodCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "ServiceEvent.moodCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "EVN", "fixedCode": "EVN", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActMood" } }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.templateId", "path": "ClinicalDocument.documentationOf.serviceEvent.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": "ServiceEvent.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.id", "path": "ClinicalDocument.documentationOf.serviceEvent.id", "requirements": "SHOULD contain zero or more [0..*] id (CONF:1198-8418).", "min": 0, "max": "*", "base": { "path": "ServiceEvent.id", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.code", "path": "ClinicalDocument.documentationOf.serviceEvent.code", "definition": "Drawn from concept domain ActCode", "requirements": "SHALL contain exactly one [1..1] code (CONF:1198-8419).", "min": 1, "max": "1", "base": { "path": "ServiceEvent.code", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CE" } ], "constraint": [ { "key": "1198-8420", "severity": "error", "human": "The value of serviceEvent/code **SHALL NOT** conflict with the ClininicalDocument/code. When transforming from DICOM SR documents that do not contain a procedure code, an appropriate nullFlavor **SHALL** be used on serviceEvent/code (CONF:1198-8420)." } ] }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.effectiveTime", "path": "ClinicalDocument.documentationOf.serviceEvent.effectiveTime", "requirements": "This serviceEvent SHALL contain exactly one [1..1] effectiveTime (CONF:1198-14837).", "min": 1, "max": "1", "base": { "path": "ServiceEvent.effectiveTime", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/IVL-TS" } ] }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.effectiveTime.nullFlavor", "path": "ClinicalDocument.documentationOf.serviceEvent.effectiveTime.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" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.effectiveTime.value", "extension": [ { "url": "http://www.healthintersections.com.au/fhir/StructureDefinition/elementdefinition-dateformat", "valueString": "v3" } ], "path": "ClinicalDocument.documentationOf.serviceEvent.effectiveTime.value", "representation": [ "xmlAttr" ], "definition": "A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.", "min": 0, "max": "1", "base": { "path": "TS.value", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ] }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.effectiveTime.inclusive", "path": "ClinicalDocument.documentationOf.serviceEvent.effectiveTime.inclusive", "representation": [ "xmlAttr" ], "definition": "Specifies whether the limit is included in the interval (interval is closed) or excluded from the interval (interval is open).", "min": 0, "max": "1", "base": { "path": "TS.inclusive", "min": 0, "max": "1" }, "type": [ { "code": "boolean" } ] }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.effectiveTime.operator", "path": "ClinicalDocument.documentationOf.serviceEvent.effectiveTime.operator", "representation": [ "xmlAttr" ], "definition": "A code specifying whether the set component is included (union) or excluded (set-difference) from the set, or other set operations with the current set component and the set as constructed from the representation stream up to the current point.", "min": 0, "max": "1", "base": { "path": "SXCM_TS.operator", "min": 0, "max": "1" }, "type": [ { "code": "code" } ] }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.effectiveTime.low", "path": "ClinicalDocument.documentationOf.serviceEvent.effectiveTime.low", "label": "Low Boundary", "definition": "This is the low limit of the interval.", "requirements": "This effectiveTime SHALL contain exactly one [1..1] low (CONF:1198-14838).", "min": 1, "max": "1", "base": { "path": "IVL_TS.low", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/TS" } ] }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.effectiveTime.high", "path": "ClinicalDocument.documentationOf.serviceEvent.effectiveTime.high", "label": "High Boundary", "definition": "This is the high limit of the interval.", "min": 0, "max": "1", "base": { "path": "IVL_TS.high", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/TS" } ] }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.effectiveTime.width", "path": "ClinicalDocument.documentationOf.serviceEvent.effectiveTime.width", "label": "Width", "definition": "The difference between high and low boundary. The purpose of distinguishing a width property is to handle all cases of incomplete information symmetrically. In any interval representation only two of the three properties high, low, and width need to be stated and the third can be derived.", "min": 0, "max": "1", "base": { "path": "IVL_TS.width", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/PQ" } ] }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.effectiveTime.center", "path": "ClinicalDocument.documentationOf.serviceEvent.effectiveTime.center", "label": "Central Value", "definition": "The arithmetic mean of the interval (low plus high divided by 2). The purpose of distinguishing the center as a semantic property is for conversions of intervals from and to point values.", "min": 0, "max": "1", "base": { "path": "IVL_TS.center", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/TS" } ] }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer", "path": "ClinicalDocument.documentationOf.serviceEvent.performer", "short": "The performer is the Physician Reading Study Performer defined in serviceEvent and is usually different from the attending physician. The reading physician interprets the images and evidence of the study (DICOM Definition).", "requirements": "SHOULD contain zero or more [0..*] Physician Reading Study Performer (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.6.2.1:2014-06-09) (CONF:1198-8422).", "min": 0, "max": "*", "base": { "path": "ServiceEvent.performer", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Performer1", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.2.1" ] } ], "isModifier": false }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer.nullFlavor", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.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": "Performer1.nullFlavor", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer.typeCode", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.typeCode", "representation": [ "xmlAttr" ], "requirements": "The performer, if present, SHALL contain exactly one [1..1] @typeCode, which SHALL be selected from ValueSet x_ServiceEventPerformer urn:oid:2.16.840.1.113883.1.11.19601 STATIC (CONF:1198-14840).", "min": 1, "max": "1", "base": { "path": "Performer1.typeCode", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "DOC", "binding": { "strength": "required", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19601" } }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer.realmCode", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.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": "Performer1.realmCode", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CS" } ] }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer.typeId", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.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": "Performer1.typeId", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer.templateId", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.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": "Performer1.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer.functionCode", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.functionCode", "requirements": "The performer, if present, MAY contain zero or one [0..1] functionCode (CONF:1198-16818).", "min": 0, "max": "1", "base": { "path": "Performer1.functionCode", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CE" } ] }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer.functionCode.nullFlavor", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.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" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer.functionCode.code", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.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.", "requirements": "The functionCode, if present, SHOULD contain zero or one [0..1] @code, which SHOULD be selected from ValueSet Care Team Member Function urn:oid:2.16.840.1.113762.1.4.1099.30 DYNAMIC (CONF:1198-32889).", "min": 0, "max": "1", "base": { "path": "CD.code", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "binding": { "strength": "preferred", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30" } }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer.functionCode.codeSystem", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.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" } ] }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer.functionCode.codeSystemName", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.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" } ] }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer.functionCode.codeSystemVersion", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.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" } ] }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer.functionCode.displayName", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.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" } ] }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer.functionCode.sdtcValueSet", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name", "valueString": "valueSet" } ], "path": "ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.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" } ] }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer.functionCode.sdtcValueSetVersion", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name", "valueString": "valueSetVersion" } ], "path": "ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.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" } ] }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer.functionCode.originalText", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.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/fhir/cda/StructureDefinition/ED" } ] }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer.functionCode.qualifier", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.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/fhir/cda/StructureDefinition/CR" } ] }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer.functionCode.translation", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.functionCode.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/fhir/cda/StructureDefinition/CD" } ] }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer.time", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.time", "min": 0, "max": "1", "base": { "path": "Performer1.time", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/IVL-TS" } ] }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer.assignedEntity", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity", "requirements": "The performer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1198-14841).", "min": 1, "max": "1", "base": { "path": "Performer1.assignedEntity", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity" } ] }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer.assignedEntity.classCode", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.classCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "AssignedEntity.classCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "ASSIGNED", "fixedCode": "ASSIGNED", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity" } }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer.assignedEntity.templateId", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.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": "AssignedEntity.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer.assignedEntity.id", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id", "requirements": "This assignedEntity SHALL contain at least one [1..*] id (CONF:1198-14846).", "min": 1, "max": "*", "base": { "path": "AssignedEntity.id", "min": 1, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer.assignedEntity.id.nullFlavor", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.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" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer.assignedEntity.id.assigningAuthorityName", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.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" } ] }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer.assignedEntity.id.displayable", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.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" } ] }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer.assignedEntity.id.root", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.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.", "requirements": "Such ids SHOULD contain zero or one [0..1] @root=\"2.16.840.1.113883.4.6\" National Provider Identifier (CONF:1198-14847).", "min": 0, "max": "1", "base": { "path": "II.root", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "patternString": "2.16.840.1.113883.4.6" }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer.assignedEntity.id.extension", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.id.extension", "representation": [ "xmlAttr" ], "label": "Extension", "definition": "A character string as a unique identifier within the scope of the identifier root.", "min": 0, "max": "1", "base": { "path": "II.extension", "min": 0, "max": "1" }, "type": [ { "code": "string" } ] }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer.assignedEntity.sdtcIdentifiedBy", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name", "valueString": "identifiedBy" } ], "path": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.sdtcIdentifiedBy", "min": 0, "max": "*", "base": { "path": "AssignedEntity.sdtcIdentifiedBy", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/IdentifiedBy" } ] }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer.assignedEntity.code", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.code", "requirements": "This assignedEntity SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1198-14842).", "min": 0, "max": "1", "base": { "path": "AssignedEntity.code", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CE" } ], "binding": { "strength": "preferred", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066" } }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer.assignedEntity.addr", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.addr", "min": 0, "max": "*", "base": { "path": "AssignedEntity.addr", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/AD" } ] }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer.assignedEntity.telecom", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.telecom", "min": 0, "max": "*", "base": { "path": "AssignedEntity.telecom", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/TEL" } ] }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer.assignedEntity.assignedPerson", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.assignedPerson", "min": 0, "max": "1", "base": { "path": "AssignedEntity.assignedPerson", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Person" } ] }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer.assignedEntity.representedOrganization", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.representedOrganization", "min": 0, "max": "1", "base": { "path": "AssignedEntity.representedOrganization", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Organization" } ] }, { "id": "ClinicalDocument.relatedDocument", "path": "ClinicalDocument.relatedDocument", "short": "A DIR may have three types of parent document: ? A superseded version that the present document wholly replaces (typeCode = RPLC). DIRs may go through stages of revision prior to being legally authenticated. Such early stages may be drafts from transcription, those created by residents, or other preliminary versions. Policies not covered by this specification may govern requirements for retention of such earlier versions. Except for forensic purposes, the latest version in a chain of revisions represents the complete and current report. ? An original version that the present document appends (typeCode = APND). When a DIR is legally authenticated, it can be amended by a separate addendum document that references the original. ? A source document from which the present document is transformed (typeCode = XFRM). A DIR may be created by transformation from a DICOM Structured Report (SR) document or from another DIR. An example of the latter case is the creation of a derived document for inclusion of imaging results in a clinical document.", "requirements": "MAY contain zero or one [0..1] relatedDocument (CONF:1198-8432).", "min": 0, "max": "1", "base": { "path": "ClinicalDocument.relatedDocument", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/RelatedDocument" } ], "constraint": [ { "key": "1198-8433", "severity": "warning", "human": "When a Diagnostic Imaging Report has been transformed from a DICOM SR document, relatedDocument/@typeCode **SHALL** be XFRM, and relatedDocument/parentDocument/id **SHALL** contain the SOP Instance UID of the original DICOM SR document (CONF:1198-8433)." } ] }, { "id": "ClinicalDocument.relatedDocument.nullFlavor", "path": "ClinicalDocument.relatedDocument.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": "RelatedDocument.nullFlavor", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.relatedDocument.typeCode", "path": "ClinicalDocument.relatedDocument.typeCode", "representation": [ "xmlAttr" ], "min": 0, "max": "1", "base": { "path": "RelatedDocument.typeCode", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ParticipationType" } }, { "id": "ClinicalDocument.relatedDocument.realmCode", "path": "ClinicalDocument.relatedDocument.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": "RelatedDocument.realmCode", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CS" } ] }, { "id": "ClinicalDocument.relatedDocument.typeId", "path": "ClinicalDocument.relatedDocument.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": "RelatedDocument.typeId", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.relatedDocument.templateId", "path": "ClinicalDocument.relatedDocument.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": "RelatedDocument.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.relatedDocument.parentDocument", "path": "ClinicalDocument.relatedDocument.parentDocument", "requirements": "The relatedDocument, if present, SHALL contain exactly one [1..1] parentDocument (CONF:1198-32089).", "min": 1, "max": "1", "base": { "path": "RelatedDocument.parentDocument", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ParentDocument" } ] }, { "id": "ClinicalDocument.relatedDocument.parentDocument.classCode", "path": "ClinicalDocument.relatedDocument.parentDocument.classCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "ParentDocument.classCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "DOCCLIN", "fixedCode": "DOCCLIN", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActClassClinicalDocument" } }, { "id": "ClinicalDocument.relatedDocument.parentDocument.moodCode", "path": "ClinicalDocument.relatedDocument.parentDocument.moodCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "ParentDocument.moodCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "EVN", "fixedCode": "EVN", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActMood" } }, { "id": "ClinicalDocument.relatedDocument.parentDocument.templateId", "path": "ClinicalDocument.relatedDocument.parentDocument.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": "ParentDocument.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.relatedDocument.parentDocument.id", "path": "ClinicalDocument.relatedDocument.parentDocument.id", "requirements": "This parentDocument SHALL contain exactly one [1..1] id (CONF:1198-32090).", "min": 1, "max": "1", "base": { "path": "ParentDocument.id", "min": 1, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ], "constraint": [ { "key": "1198-10031", "severity": "error", "human": "OIDs **SHALL** be represented in dotted decimal notation, where each decimal number is either 0 or starts with a nonzero digit. More formally, an OID **SHALL** be in the form of the regular expression: ([0-2])(.([1-9][0-9][*]|0))+ (CONF:1198-10031)." }, { "key": "1198-10032", "severity": "error", "human": "OIDs **SHALL** be no more than 64 characters in length (CONF:1198-10032)." } ] }, { "id": "ClinicalDocument.relatedDocument.parentDocument.code", "path": "ClinicalDocument.relatedDocument.parentDocument.code", "min": 0, "max": "1", "base": { "path": "ParentDocument.code", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CD" } ], "binding": { "strength": "extensible", "valueSet": "http://terminology.hl7.org/ValueSet/v3-DocumentType" } }, { "id": "ClinicalDocument.relatedDocument.parentDocument.text", "path": "ClinicalDocument.relatedDocument.parentDocument.text", "min": 0, "max": "1", "base": { "path": "ParentDocument.text", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ED" } ] }, { "id": "ClinicalDocument.relatedDocument.parentDocument.setId", "path": "ClinicalDocument.relatedDocument.parentDocument.setId", "min": 0, "max": "1", "base": { "path": "ParentDocument.setId", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.relatedDocument.parentDocument.versionNumber", "path": "ClinicalDocument.relatedDocument.parentDocument.versionNumber", "min": 0, "max": "1", "base": { "path": "ParentDocument.versionNumber", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/INT" } ] }, { "id": "ClinicalDocument.authorization", "path": "ClinicalDocument.authorization", "slicing": { "discriminator": [ { "type": "value", "path": "consent" } ], "rules": "open" }, "short": "The authorization element represents information about the patient?s consent.\n\nThe type of consent is conveyed in consent/code. Consents in the header have been finalized (consent/statusCode must equal Completed) and should be on file. This specification does not address how 'Privacy Consent' is represented, but does not preclude the inclusion of ?Privacy Consent?.\n\nThe authorization consent is used for referring to consents that are documented elsewhere in the EHR or medical record for a health condition and/or treatment that is described in the CDA document.", "min": 0, "max": "*", "base": { "path": "ClinicalDocument.authorization", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Authorization" } ] }, { "id": "ClinicalDocument.authorization:authorization1", "path": "ClinicalDocument.authorization", "sliceName": "authorization1", "requirements": "MAY contain zero or more [0..*] authorization (CONF:1198-16792) such that it", "min": 0, "max": "*", "base": { "path": "ClinicalDocument.authorization", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Authorization" } ] }, { "id": "ClinicalDocument.authorization:authorization1.nullFlavor", "path": "ClinicalDocument.authorization.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": "Authorization.nullFlavor", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.authorization:authorization1.typeCode", "path": "ClinicalDocument.authorization.typeCode", "representation": [ "xmlAttr" ], "min": 0, "max": "1", "base": { "path": "Authorization.typeCode", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "AUT", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ParticipationType" } }, { "id": "ClinicalDocument.authorization:authorization1.realmCode", "path": "ClinicalDocument.authorization.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": "Authorization.realmCode", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CS" } ] }, { "id": "ClinicalDocument.authorization:authorization1.typeId", "path": "ClinicalDocument.authorization.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": "Authorization.typeId", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.authorization:authorization1.templateId", "path": "ClinicalDocument.authorization.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": "Authorization.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.authorization:authorization1.consent", "path": "ClinicalDocument.authorization.consent", "requirements": "SHALL contain exactly one [1..1] consent (CONF:1198-16793).", "min": 1, "max": "1", "base": { "path": "Authorization.consent", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Consent" } ] }, { "id": "ClinicalDocument.authorization:authorization1.consent.classCode", "path": "ClinicalDocument.authorization.consent.classCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Consent.classCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "CONS", "fixedCode": "CONS", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActClass" } }, { "id": "ClinicalDocument.authorization:authorization1.consent.moodCode", "path": "ClinicalDocument.authorization.consent.moodCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Consent.moodCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "EVN", "fixedCode": "EVN", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActMood" } }, { "id": "ClinicalDocument.authorization:authorization1.consent.templateId", "path": "ClinicalDocument.authorization.consent.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": "Consent.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.authorization:authorization1.consent.id", "path": "ClinicalDocument.authorization.consent.id", "requirements": "This consent MAY contain zero or more [0..*] id (CONF:1198-16794).", "min": 0, "max": "*", "base": { "path": "Consent.id", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.authorization:authorization1.consent.code", "path": "ClinicalDocument.authorization.consent.code", "label": "The type of consent (e.g., a consent to perform the related serviceEvent) is conveyed in consent/code.", "short": "The type of consent (e.g., a consent to perform the related serviceEvent) is conveyed in consent/code.", "requirements": "This consent MAY contain zero or one [0..1] code (CONF:1198-16795).", "min": 0, "max": "1", "base": { "path": "Consent.code", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CE" } ], "binding": { "strength": "extensible", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActCode" } }, { "id": "ClinicalDocument.authorization:authorization1.consent.statusCode", "path": "ClinicalDocument.authorization.consent.statusCode", "requirements": "This consent SHALL contain exactly one [1..1] statusCode (CONF:1198-16797).", "min": 1, "max": "1", "base": { "path": "Consent.statusCode", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CS" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActStatus" } }, { "id": "ClinicalDocument.authorization:authorization1.consent.statusCode.code", "path": "ClinicalDocument.authorization.consent.statusCode.code", "representation": [ "xmlAttr" ], "requirements": "This statusCode SHALL contain exactly one [1..1] @code=\"completed\" Completed (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1198-16798).", "min": 1, "max": "1", "base": { "path": "Consent.statusCode.code", "min": 1, "max": "1" }, "defaultValueCode": "completed", "fixedString": "completed" }, { "id": "ClinicalDocument.componentOf", "path": "ClinicalDocument.componentOf", "short": "The id element of the encompassingEncounter represents the identifier for the encounter. When the diagnostic imaging procedure is performed in the context of a hospital stay or an outpatient visit for which there is an Encounter Number, that number should be present as the ID of the encompassingEncounter. The effectiveTime represents the time interval or point in time in which the encounter took place. The encompassing encounter might be that of the hospital or office visit in which the diagnostic imaging procedure was performed. If the effective time is unknown, a nullFlavor attribute can be used.", "requirements": "MAY contain zero or one [0..1] componentOf (CONF:1198-30939).", "min": 0, "max": "1", "base": { "path": "ClinicalDocument.componentOf", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ComponentOf" } ] }, { "id": "ClinicalDocument.componentOf.nullFlavor", "path": "ClinicalDocument.componentOf.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": "ComponentOf.nullFlavor", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.componentOf.typeCode", "path": "ClinicalDocument.componentOf.typeCode", "representation": [ "xmlAttr" ], "min": 0, "max": "1", "base": { "path": "ComponentOf.typeCode", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "AUT", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ParticipationType" } }, { "id": "ClinicalDocument.componentOf.realmCode", "path": "ClinicalDocument.componentOf.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": "ComponentOf.realmCode", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CS" } ] }, { "id": "ClinicalDocument.componentOf.typeId", "path": "ClinicalDocument.componentOf.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": "ComponentOf.typeId", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.componentOf.templateId", "path": "ClinicalDocument.componentOf.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": "ComponentOf.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.componentOf.encompassingEncounter", "path": "ClinicalDocument.componentOf.encompassingEncounter", "short": "The id element of the encompassingEncounter represents the identifier for the encounter. When the diagnostic imaging procedure is performed in the context of a hospital stay or an outpatient visit for which there is an Encounter Number, that number should be present as the ID of the encompassingEncounter.\n\nThe effectiveTime represents the time interval or point in time in which the encounter took place. The encompassing encounter might be that of the hospital or office visit in which the diagnostic imaging procedure was performed. If the effective time is unknown, a nullFlavor attribute can be used.", "requirements": "The componentOf, if present, SHALL contain exactly one [1..1] encompassingEncounter (CONF:1198-30940).", "min": 1, "max": "1", "base": { "path": "ComponentOf.encompassingEncounter", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/EncompassingEncounter" } ] }, { "id": "ClinicalDocument.componentOf.encompassingEncounter.classCode", "path": "ClinicalDocument.componentOf.encompassingEncounter.classCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "EncompassingEncounter.classCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "ENC", "fixedCode": "ENC", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActClass" } }, { "id": "ClinicalDocument.componentOf.encompassingEncounter.moodCode", "path": "ClinicalDocument.componentOf.encompassingEncounter.moodCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "EncompassingEncounter.moodCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "EVN", "fixedCode": "EVN", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActMood" } }, { "id": "ClinicalDocument.componentOf.encompassingEncounter.templateId", "path": "ClinicalDocument.componentOf.encompassingEncounter.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": "EncompassingEncounter.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.componentOf.encompassingEncounter.id", "path": "ClinicalDocument.componentOf.encompassingEncounter.id", "requirements": "This encompassingEncounter SHALL contain at least one [1..*] id (CONF:1198-30941).", "min": 1, "max": "*", "base": { "path": "EncompassingEncounter.id", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ], "constraint": [ { "key": "1198-30942", "severity": "warning", "human": "In the case of transformed DICOM SR documents, an appropriate null flavor **MAY** be used if the id is unavailable (CONF:1198-30942)." } ] }, { "id": "ClinicalDocument.componentOf.encompassingEncounter.code", "path": "ClinicalDocument.componentOf.encompassingEncounter.code", "min": 0, "max": "1", "base": { "path": "EncompassingEncounter.code", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CE" } ], "binding": { "strength": "extensible", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActEncounterCode" } }, { "id": "ClinicalDocument.componentOf.encompassingEncounter.effectiveTime", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-timeformat", "valueCode": "YYYYMMDDHHMMSS.UUUU[+|-ZZzz]" } ], "path": "ClinicalDocument.componentOf.encompassingEncounter.effectiveTime", "definition": "A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.", "requirements": "This encompassingEncounter SHALL contain exactly one [1..1] US Realm Date and Time (DT.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.3) (CONF:1198-30943).", "min": 1, "max": "1", "base": { "path": "EncompassingEncounter.effectiveTime", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/IVL-TS", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.3" ] } ], "constraint": [ { "key": "81-10078", "severity": "error", "human": "**SHALL** be precise to the day (CONF:81-10078).", "source": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1" }, { "key": "81-10079", "severity": "warning", "human": "**SHOULD** be precise to the minute (CONF:81-10079).", "source": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1" }, { "key": "81-10080", "severity": "warning", "human": "**MAY** be precise to the second (CONF:81-10080).", "source": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1" }, { "key": "81-10081", "severity": "warning", "human": "If more precise than day, **SHOULD** include time-zone offset (CONF:81-10081).", "source": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1" } ], "isModifier": false }, { "id": "ClinicalDocument.componentOf.encompassingEncounter.sdtcAdmissionReferralSourceCode", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name", "valueString": "admissionReferralSourceCode" } ], "path": "ClinicalDocument.componentOf.encompassingEncounter.sdtcAdmissionReferralSourceCode", "min": 0, "max": "1", "base": { "path": "EncompassingEncounter.sdtcAdmissionReferralSourceCode", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CE" } ] }, { "id": "ClinicalDocument.componentOf.encompassingEncounter.dischargeDispositionCode", "path": "ClinicalDocument.componentOf.encompassingEncounter.dischargeDispositionCode", "min": 0, "max": "1", "base": { "path": "EncompassingEncounter.dischargeDispositionCode", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CE" } ], "binding": { "strength": "extensible", "valueSet": "http://terminology.hl7.org/ValueSet/v3-EncounterDischargeDisposition" } }, { "id": "ClinicalDocument.componentOf.encompassingEncounter.responsibleParty", "path": "ClinicalDocument.componentOf.encompassingEncounter.responsibleParty", "requirements": "This encompassingEncounter MAY contain zero or one [0..1] responsibleParty (CONF:1198-30945).", "min": 0, "max": "1", "base": { "path": "EncompassingEncounter.responsibleParty", "min": 0, "max": "1" }, "type": [ { "code": "Element" } ] }, { "id": "ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeCode", "path": "ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.typeCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "EncompassingEncounter.responsibleParty.typeCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "RESP", "fixedCode": "RESP", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ParticipationType" } }, { "id": "ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntity", "path": "ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntity", "requirements": "The responsibleParty, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1198-30946).", "min": 1, "max": "1", "base": { "path": "EncompassingEncounter.responsibleParty.assignedEntity", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity" } ], "constraint": [ { "key": "1198-30947", "severity": "warning", "human": "**SHOULD** contain zero or one [0..1] assignedPerson *OR* contain zero or one [0..1] representedOrganization (CONF:1198-30947)." } ] }, { "id": "ClinicalDocument.componentOf.encompassingEncounter.encounterParticipant", "path": "ClinicalDocument.componentOf.encompassingEncounter.encounterParticipant", "requirements": "This encompassingEncounter SHOULD contain zero or one [0..1] Physician of Record Participant (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.6.2.2:2014-06-09) (CONF:1198-30948).", "min": 0, "max": "1", "base": { "path": "EncompassingEncounter.encounterParticipant", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/EncounterParticipant", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.2.2" ] } ], "isModifier": false }, { "id": "ClinicalDocument.componentOf.encompassingEncounter.location", "path": "ClinicalDocument.componentOf.encompassingEncounter.location", "min": 0, "max": "1", "base": { "path": "EncompassingEncounter.location", "min": 0, "max": "1" }, "type": [ { "code": "Element" } ] }, { "id": "ClinicalDocument.componentOf.encompassingEncounter.location.typeCode", "path": "ClinicalDocument.componentOf.encompassingEncounter.location.typeCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "EncompassingEncounter.location.typeCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "LOC", "fixedCode": "LOC", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ParticipationTargetLocation" } }, { "id": "ClinicalDocument.componentOf.encompassingEncounter.location.healthCareFacility", "path": "ClinicalDocument.componentOf.encompassingEncounter.location.healthCareFacility", "min": 1, "max": "1", "base": { "path": "EncompassingEncounter.location.healthCareFacility", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/HealthCareFacility" } ] }, { "id": "ClinicalDocument.component", "path": "ClinicalDocument.component", "requirements": "SHALL contain exactly one [1..1] component (CONF:1198-14907).", "min": 1, "max": "1", "base": { "path": "ClinicalDocument.component", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Component2" } ] }, { "id": "ClinicalDocument.component.nullFlavor", "path": "ClinicalDocument.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": "Component2.nullFlavor", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.component.typeCode", "path": "ClinicalDocument.component.typeCode", "representation": [ "xmlAttr" ], "min": 0, "max": "1", "base": { "path": "Component2.typeCode", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "AUT", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ParticipationType" } }, { "id": "ClinicalDocument.component.contextConductionInd", "path": "ClinicalDocument.component.contextConductionInd", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Component2.contextConductionInd", "min": 1, "max": "1" }, "type": [ { "code": "boolean" } ], "defaultValueBoolean": true }, { "id": "ClinicalDocument.component.realmCode", "path": "ClinicalDocument.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": "Component2.realmCode", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CS" } ] }, { "id": "ClinicalDocument.component.typeId", "path": "ClinicalDocument.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": "Component2.typeId", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.component.templateId", "path": "ClinicalDocument.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": "Component2.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.component.nonXMLBody", "path": "ClinicalDocument.component.nonXMLBody", "min": 0, "max": "1", "base": { "path": "Component2.nonXMLBody", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/NonXMLBody" } ] }, { "id": "ClinicalDocument.component.structuredBody", "path": "ClinicalDocument.component.structuredBody", "requirements": "This component SHALL contain exactly one [1..1] structuredBody (CONF:1198-30695).", "min": 1, "max": "1", "base": { "path": "Component2.structuredBody", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/StructuredBody" } ] }, { "id": "ClinicalDocument.component.structuredBody.classCode", "path": "ClinicalDocument.component.structuredBody.classCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "StructuredBody.classCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "DOCBODY", "fixedCode": "DOCBODY", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActClassOrganizer" } }, { "id": "ClinicalDocument.component.structuredBody.moodCode", "path": "ClinicalDocument.component.structuredBody.moodCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "StructuredBody.moodCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "EVN", "fixedCode": "EVN", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActMood" } }, { "id": "ClinicalDocument.component.structuredBody.confidentialityCode", "path": "ClinicalDocument.component.structuredBody.confidentialityCode", "min": 0, "max": "1", "base": { "path": "StructuredBody.confidentialityCode", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CE" } ] }, { "id": "ClinicalDocument.component.structuredBody.languageCode", "path": "ClinicalDocument.component.structuredBody.languageCode", "min": 0, "max": "1", "base": { "path": "StructuredBody.languageCode", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CS" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-HumanLanguage" } }, { "id": "ClinicalDocument.component.structuredBody.component", "path": "ClinicalDocument.component.structuredBody.component", "slicing": { "discriminator": [ { "type": "value", "path": "ClinicalDocument.section" } ], "rules": "open" }, "min": 1, "max": "*", "base": { "path": "StructuredBody.component", "min": 1, "max": "*" }, "type": [ { "code": "Element" } ] }, { "id": "ClinicalDocument.component.structuredBody.component.typeCode", "path": "ClinicalDocument.component.structuredBody.component.typeCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "StructuredBody.component.typeCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "COMP", "fixedCode": "COMP" }, { "id": "ClinicalDocument.component.structuredBody.component.contextConductionInd", "path": "ClinicalDocument.component.structuredBody.component.contextConductionInd", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "StructuredBody.component.contextConductionInd", "min": 1, "max": "1" }, "type": [ { "code": "boolean" } ], "defaultValueBoolean": true }, { "id": "ClinicalDocument.component.structuredBody.component.section", "path": "ClinicalDocument.component.structuredBody.component.section", "min": 1, "max": "1", "base": { "path": "StructuredBody.component.section", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Section" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component1", "path": "ClinicalDocument.component.structuredBody.component", "sliceName": "component1", "requirements": "This structuredBody SHALL contain exactly one [1..1] component (CONF:1198-30696) such that it", "min": 1, "max": "1", "base": { "path": "StructuredBody.component", "min": 1, "max": "*" }, "type": [ { "code": "Element" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component1.typeCode", "path": "ClinicalDocument.component.structuredBody.component.typeCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "StructuredBody.component.typeCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "COMP", "fixedCode": "COMP" }, { "id": "ClinicalDocument.component.structuredBody.component:component1.contextConductionInd", "path": "ClinicalDocument.component.structuredBody.component.contextConductionInd", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "StructuredBody.component.contextConductionInd", "min": 1, "max": "1" }, "type": [ { "code": "boolean" } ], "defaultValueBoolean": true }, { "id": "ClinicalDocument.component.structuredBody.component:component1.section", "path": "ClinicalDocument.component.structuredBody.component.section", "requirements": "SHALL contain exactly one [1..1] Findings Section (DIR) (identifier: urn:oid:2.16.840.1.113883.10.20.6.1.2) (CONF:1198-30697).", "min": 1, "max": "1", "base": { "path": "StructuredBody.component.section", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Section", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.1.2" ] } ], "constraint": [ { "key": "81-8532", "severity": "warning", "human": "This section SHOULD contain only the direct observations in the report, with topics such as Reason for Study, History, and Impression placed in separate sections. However, in cases where the source of report content provides a single block of text not separated into these sections, that text SHALL be placed in the Findings section (CONF:81-8532).", "source": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1" } ], "isModifier": false }, { "id": "ClinicalDocument.component.structuredBody.component:component2", "path": "ClinicalDocument.component.structuredBody.component", "sliceName": "component2", "requirements": "This structuredBody SHOULD contain zero or one [0..1] component (CONF:1198-30698) such that it", "min": 0, "max": "1", "base": { "path": "StructuredBody.component", "min": 1, "max": "*" }, "type": [ { "code": "Element" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component2.typeCode", "path": "ClinicalDocument.component.structuredBody.component.typeCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "StructuredBody.component.typeCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "COMP", "fixedCode": "COMP" }, { "id": "ClinicalDocument.component.structuredBody.component:component2.contextConductionInd", "path": "ClinicalDocument.component.structuredBody.component.contextConductionInd", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "StructuredBody.component.contextConductionInd", "min": 1, "max": "1" }, "type": [ { "code": "boolean" } ], "defaultValueBoolean": true }, { "id": "ClinicalDocument.component.structuredBody.component:component2.section", "path": "ClinicalDocument.component.structuredBody.component.section", "requirements": "SHALL contain exactly one [1..1] DICOM Object Catalog Section - DCM 121181 (identifier: urn:oid:2.16.840.1.113883.10.20.6.1.1) (CONF:1198-30699).", "min": 1, "max": "1", "base": { "path": "StructuredBody.component.section", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Section", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.1.1" ] } ], "constraint": [ { "key": "81-8527", "severity": "warning", "human": "A DICOM Object Catalog SHALL be present if the document contains references to DICOM Images. If present, it SHALL be the first section in the document (CONF:81-8527).", "source": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1" }, { "key": "1198-31206", "severity": "error", "human": "The DICOM Object Catalog section (templateId 2.16.840.1.113883.10.20.6.1.1), if present, **SHALL** be the first section in the document Body (CONF:1198-31206)." } ], "isModifier": false }, { "id": "ClinicalDocument.component.structuredBody.component:component3", "path": "ClinicalDocument.component.structuredBody.component", "sliceName": "component3", "requirements": "This structuredBody MAY contain zero or more [0..*] component (CONF:1198-31055) such that it", "min": 0, "max": "*", "base": { "path": "StructuredBody.component", "min": 1, "max": "*" }, "type": [ { "code": "Element" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.typeCode", "path": "ClinicalDocument.component.structuredBody.component.typeCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "StructuredBody.component.typeCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "COMP", "fixedCode": "COMP" }, { "id": "ClinicalDocument.component.structuredBody.component:component3.contextConductionInd", "path": "ClinicalDocument.component.structuredBody.component.contextConductionInd", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "StructuredBody.component.contextConductionInd", "min": 1, "max": "1" }, "type": [ { "code": "boolean" } ], "defaultValueBoolean": true }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section", "path": "ClinicalDocument.component.structuredBody.component.section", "requirements": "SHALL contain exactly one [1..1] section (CONF:1198-31056).", "min": 1, "max": "1", "base": { "path": "StructuredBody.component.section", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Section" } ], "constraint": [ { "key": "1198-31211", "severity": "error", "human": "All sections defined in the DIR Section Type Codes table **SHALL** be top-level sections (CONF:1198-31211)." }, { "key": "1198-31212", "severity": "error", "human": "**SHALL** contain at least one text element or one or more component elements (CONF:1198-31212)." } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.ID", "path": "ClinicalDocument.component.structuredBody.component.section.ID", "representation": [ "xmlAttr" ], "min": 0, "max": "1", "base": { "path": "Section.ID", "min": 0, "max": "1" }, "type": [ { "code": "string" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.nullFlavor", "path": "ClinicalDocument.component.structuredBody.component.section.nullFlavor", "representation": [ "xmlAttr" ], "min": 0, "max": "1", "base": { "path": "ANY.nullFlavor", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.classCode", "path": "ClinicalDocument.component.structuredBody.component.section.classCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Section.classCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "DOCSECT", "fixedCode": "DOCSECT", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActClassOrganizer" } }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.moodCode", "path": "ClinicalDocument.component.structuredBody.component.section.moodCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Section.moodCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "EVN", "fixedCode": "EVN", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActMood" } }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.templateId", "path": "ClinicalDocument.component.structuredBody.component.section.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": "Section.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.id", "path": "ClinicalDocument.component.structuredBody.component.section.id", "min": 0, "max": "1", "base": { "path": "Section.id", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.code", "path": "ClinicalDocument.component.structuredBody.component.section.code", "requirements": "This section SHALL contain exactly one [1..1] code (CONF:1198-31057).", "min": 1, "max": "1", "base": { "path": "Section.code", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CE" } ], "binding": { "strength": "extensible", "valueSet": "http://terminology.hl7.org/ValueSet/v3-DocumentSectionType" } }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.code.nullFlavor", "path": "ClinicalDocument.component.structuredBody.component.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" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.code.code", "path": "ClinicalDocument.component.structuredBody.component.section.code.code", "representation": [ "xmlAttr" ], "label": "The section/code SHOULD be selected from LOINC or DICOM for sections not listed in the DIR Section Type Codes table", "short": "The section/code SHOULD be selected from LOINC or DICOM for sections not listed in the DIR Section Type Codes table\n\nundefined", "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.", "requirements": "This code SHALL contain exactly one [1..1] @code, which SHOULD be selected from ValueSet DIRSectionTypeCodes http://hl7.org/fhir/ccda/ValueSet/2.16.840.1.113883.11.20.9.59 DYNAMIC (CONF:1198-31207).", "min": 1, "max": "1", "base": { "path": "CD.code", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "binding": { "strength": "preferred", "valueSet": "http://hl7.org/fhir/ccda/ValueSet/2.16.840.1.113883.11.20.9.59" } }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.code.codeSystem", "path": "ClinicalDocument.component.structuredBody.component.section.code.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" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.code.codeSystemName", "path": "ClinicalDocument.component.structuredBody.component.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" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.code.codeSystemVersion", "path": "ClinicalDocument.component.structuredBody.component.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" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.code.displayName", "path": "ClinicalDocument.component.structuredBody.component.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" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.code.sdtcValueSet", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name", "valueString": "valueSet" } ], "path": "ClinicalDocument.component.structuredBody.component.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" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.code.sdtcValueSetVersion", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace", "valueUri": "urn:hl7-org:sdtc" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name", "valueString": "valueSetVersion" } ], "path": "ClinicalDocument.component.structuredBody.component.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" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.code.originalText", "path": "ClinicalDocument.component.structuredBody.component.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/fhir/cda/StructureDefinition/ED" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.code.qualifier", "path": "ClinicalDocument.component.structuredBody.component.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/fhir/cda/StructureDefinition/CR" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.code.translation", "path": "ClinicalDocument.component.structuredBody.component.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/fhir/cda/StructureDefinition/CD" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.title", "path": "ClinicalDocument.component.structuredBody.component.section.title", "short": "There is no equivalent to section/title in DICOM SR, so for a CDA to SR transformation, the section/code will be transferred and the title element will be dropped.", "requirements": "This section SHOULD contain zero or one [0..1] title (CONF:1198-31058).", "min": 0, "max": "1", "base": { "path": "Section.title", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ST" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.text", "path": "ClinicalDocument.component.structuredBody.component.section.text", "representation": [ "cdaText" ], "requirements": "This section SHOULD contain zero or one [0..1] text (CONF:1198-31059).", "min": 0, "max": "1", "base": { "path": "Section.text", "min": 0, "max": "1" }, "type": [ { "code": "xhtml" } ], "constraint": [ { "key": "1198-31060", "severity": "error", "human": "If clinical statements are present, the section/text **SHALL** represent faithfully all such statements and **MAY** contain additional text (CONF:1198-31060)." }, { "key": "1198-31061", "severity": "error", "human": "All text elements **SHALL** contain content. Text elements **SHALL** contain PCDATA or child elements (CONF:1198-31061)." }, { "key": "1198-31062", "severity": "warning", "human": "The text elements (and their children) **MAY** contain Web Access to DICOM Persistent Object (WADO) references to DICOM objects by including a linkHtml element where @href is a valid WADO URL and the text content of linkHtml is the visible text of the hyperlink (CONF:1198-31062)." } ], "mustSupport": true }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.confidentialityCode", "path": "ClinicalDocument.component.structuredBody.component.section.confidentialityCode", "min": 0, "max": "1", "base": { "path": "Section.confidentialityCode", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CE" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.languageCode", "path": "ClinicalDocument.component.structuredBody.component.section.languageCode", "min": 0, "max": "1", "base": { "path": "Section.languageCode", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CS" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-HumanLanguage" } }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.subject", "path": "ClinicalDocument.component.structuredBody.component.section.subject", "requirements": "This section MAY contain zero or more [0..*] subject (CONF:1198-31215) such that it", "min": 0, "max": "*", "base": { "path": "Section.subject", "min": 0, "max": "1" }, "type": [ { "code": "Element" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.subject.typeCode", "path": "ClinicalDocument.component.structuredBody.component.section.subject.typeCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Section.subject.typeCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "SBJ", "fixedCode": "SBJ", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ParticipationTargetSubject" } }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.subject.contextControlCode", "path": "ClinicalDocument.component.structuredBody.component.section.subject.contextControlCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Section.subject.contextControlCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "OP", "fixedCode": "OP", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ContextControl" } }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.subject.awarenessCode", "path": "ClinicalDocument.component.structuredBody.component.section.subject.awarenessCode", "min": 0, "max": "1", "base": { "path": "Section.subject.awarenessCode", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CE" } ], "binding": { "strength": "extensible", "valueSet": "http://terminology.hl7.org/ValueSet/v3-TargetAwareness" } }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.subject.relatedSubject", "path": "ClinicalDocument.component.structuredBody.component.section.subject.relatedSubject", "requirements": "SHALL contain exactly one [1..1] Fetus Subject Context (identifier: urn:oid:2.16.840.1.113883.10.20.6.2.3) (CONF:1198-31216).", "min": 1, "max": "1", "base": { "path": "Section.subject.relatedSubject", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/RelatedSubject", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.2.3" ] } ], "isModifier": false }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.author", "path": "ClinicalDocument.component.structuredBody.component.section.author", "slicing": { "discriminator": [ { "type": "value", "path": "assignedAuthor" } ], "rules": "open" }, "short": "This author element is used when the author of a section is different from the author(s) listed in the Header", "min": 0, "max": "*", "base": { "path": "Section.author", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Author" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.author:author1", "path": "ClinicalDocument.component.structuredBody.component.section.author", "sliceName": "author1", "requirements": "This section MAY contain zero or more [0..*] author (CONF:1198-31217) such that it", "min": 0, "max": "*", "base": { "path": "Section.author", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Author" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.author:author1.nullFlavor", "path": "ClinicalDocument.component.structuredBody.component.section.author.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": "Author.nullFlavor", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor" } }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.author:author1.typeCode", "path": "ClinicalDocument.component.structuredBody.component.section.author.typeCode", "representation": [ "xmlAttr" ], "min": 0, "max": "1", "base": { "path": "Author.typeCode", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "AUT", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ParticipationType" } }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.author:author1.contextControlCode", "path": "ClinicalDocument.component.structuredBody.component.section.author.contextControlCode", "representation": [ "xmlAttr" ], "min": 0, "max": "1", "base": { "path": "Author.contextControlCode", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "OP", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ContextControl" } }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.author:author1.realmCode", "path": "ClinicalDocument.component.structuredBody.component.section.author.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": "Author.realmCode", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CS" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.author:author1.typeId", "path": "ClinicalDocument.component.structuredBody.component.section.author.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": "Author.typeId", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.author:author1.templateId", "path": "ClinicalDocument.component.structuredBody.component.section.author.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": "Author.templateId", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.author:author1.functionCode", "path": "ClinicalDocument.component.structuredBody.component.section.author.functionCode", "min": 0, "max": "1", "base": { "path": "Author.functionCode", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CE" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.author:author1.time", "path": "ClinicalDocument.component.structuredBody.component.section.author.time", "min": 1, "max": "1", "base": { "path": "Author.time", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/TS" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.author:author1.assignedAuthor", "path": "ClinicalDocument.component.structuredBody.component.section.author.assignedAuthor", "requirements": "SHALL contain exactly one [1..1] Observer Context (identifier: urn:oid:2.16.840.1.113883.10.20.6.2.4) (CONF:1198-31218).", "min": 1, "max": "1", "base": { "path": "Author.assignedAuthor", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/AssignedAuthor", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.2.4" ] } ], "constraint": [ { "key": "81-9198", "severity": "error", "human": "Either assignedPerson or assignedAuthoringDevice SHALL be present (CONF:81-9198).", "source": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1" } ], "isModifier": false }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.informant", "path": "ClinicalDocument.component.structuredBody.component.section.informant", "min": 0, "max": "*", "base": { "path": "Section.informant", "min": 0, "max": "*" }, "type": [ { "code": "Element" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.informant.typeCode", "path": "ClinicalDocument.component.structuredBody.component.section.informant.typeCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Section.informant.typeCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "INF", "fixedCode": "INF", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ParticipationInformationGenerator" } }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.informant.contextControlCode", "path": "ClinicalDocument.component.structuredBody.component.section.informant.contextControlCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Section.informant.contextControlCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "OP", "fixedCode": "OP", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ContextControl" } }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.informant.assignedEntity", "path": "ClinicalDocument.component.structuredBody.component.section.informant.assignedEntity", "min": 0, "max": "1", "base": { "path": "Section.informant.assignedEntity", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.informant.relatedEntity", "path": "ClinicalDocument.component.structuredBody.component.section.informant.relatedEntity", "min": 0, "max": "1", "base": { "path": "Section.informant.relatedEntity", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/RelatedEntity" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry", "path": "ClinicalDocument.component.structuredBody.component.section.entry", "slicing": { "discriminator": [ { "type": "value", "path": "ClinicalDocument.section.structuredBody.component.section.entry" } ], "rules": "open" }, "min": 0, "max": "*", "base": { "path": "Section.entry", "min": 0, "max": "*" }, "type": [ { "code": "Element" } ], "constraint": [ { "key": "only-one-statement", "severity": "error", "human": "SHALL have no more than one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer or act.", "expression": "(observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1", "source": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry.typeCode", "path": "ClinicalDocument.component.structuredBody.component.section.entry.typeCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Section.entry.typeCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "COMP" }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry.contextConductionInd", "path": "ClinicalDocument.component.structuredBody.component.section.entry.contextConductionInd", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Section.entry.contextConductionInd", "min": 1, "max": "1" }, "type": [ { "code": "boolean" } ], "defaultValueBoolean": true }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry.observation", "path": "ClinicalDocument.component.structuredBody.component.section.entry.observation", "min": 0, "max": "1", "base": { "path": "Section.entry.observation", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Observation" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry.regionOfInterest", "path": "ClinicalDocument.component.structuredBody.component.section.entry.regionOfInterest", "min": 0, "max": "1", "base": { "path": "Section.entry.regionOfInterest", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry.observationMedia", "path": "ClinicalDocument.component.structuredBody.component.section.entry.observationMedia", "min": 0, "max": "1", "base": { "path": "Section.entry.observationMedia", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry.substanceAdministration", "path": "ClinicalDocument.component.structuredBody.component.section.entry.substanceAdministration", "min": 0, "max": "1", "base": { "path": "Section.entry.substanceAdministration", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry.supply", "path": "ClinicalDocument.component.structuredBody.component.section.entry.supply", "min": 0, "max": "1", "base": { "path": "Section.entry.supply", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Supply" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry.procedure", "path": "ClinicalDocument.component.structuredBody.component.section.entry.procedure", "min": 0, "max": "1", "base": { "path": "Section.entry.procedure", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Procedure" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry.encounter", "path": "ClinicalDocument.component.structuredBody.component.section.entry.encounter", "min": 0, "max": "1", "base": { "path": "Section.entry.encounter", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Encounter" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry.organizer", "path": "ClinicalDocument.component.structuredBody.component.section.entry.organizer", "min": 0, "max": "1", "base": { "path": "Section.entry.organizer", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Organizer" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry.act", "path": "ClinicalDocument.component.structuredBody.component.section.entry.act", "min": 0, "max": "1", "base": { "path": "Section.entry.act", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Act" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry", "path": "ClinicalDocument.component.structuredBody.component.section.entry", "short": "If the service context of a section is different from the value specified in documentationOf/serviceEvent, then the section SHALL contain one or more entries containing Procedure Context (templateId 2.16.840.1.113883.10.20.6.2.5), which will reset the context for any clinical statements nested within those elements", "requirements": "This section MAY contain zero or more [0..*] entry (CONF:1198-31213).", "min": 0, "max": "*", "base": { "path": "Section.entry", "min": 0, "max": "*" }, "type": [ { "code": "Element" } ], "constraint": [ { "key": "only-one-statement", "severity": "error", "human": "SHALL have no more than one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer or act.", "expression": "(observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1", "source": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry.typeCode", "path": "ClinicalDocument.component.structuredBody.component.section.entry.typeCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Section.entry.typeCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "COMP" }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry.contextConductionInd", "path": "ClinicalDocument.component.structuredBody.component.section.entry.contextConductionInd", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Section.entry.contextConductionInd", "min": 1, "max": "1" }, "type": [ { "code": "boolean" } ], "defaultValueBoolean": true }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry.observation", "path": "ClinicalDocument.component.structuredBody.component.section.entry.observation", "min": 0, "max": "0", "base": { "path": "Section.entry.observation", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Observation" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry.regionOfInterest", "path": "ClinicalDocument.component.structuredBody.component.section.entry.regionOfInterest", "min": 0, "max": "0", "base": { "path": "Section.entry.regionOfInterest", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry.observationMedia", "path": "ClinicalDocument.component.structuredBody.component.section.entry.observationMedia", "min": 0, "max": "0", "base": { "path": "Section.entry.observationMedia", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry.substanceAdministration", "path": "ClinicalDocument.component.structuredBody.component.section.entry.substanceAdministration", "min": 0, "max": "0", "base": { "path": "Section.entry.substanceAdministration", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry.supply", "path": "ClinicalDocument.component.structuredBody.component.section.entry.supply", "min": 0, "max": "0", "base": { "path": "Section.entry.supply", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Supply" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry.procedure", "path": "ClinicalDocument.component.structuredBody.component.section.entry.procedure", "min": 0, "max": "0", "base": { "path": "Section.entry.procedure", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Procedure" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry.encounter", "path": "ClinicalDocument.component.structuredBody.component.section.entry.encounter", "min": 0, "max": "0", "base": { "path": "Section.entry.encounter", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Encounter" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry.organizer", "path": "ClinicalDocument.component.structuredBody.component.section.entry.organizer", "min": 0, "max": "0", "base": { "path": "Section.entry.organizer", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Organizer" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry.act", "path": "ClinicalDocument.component.structuredBody.component.section.entry.act", "requirements": "The entry, if present, SHALL contain exactly one [1..1] Procedure Context (identifier: urn:oid:2.16.840.1.113883.10.20.6.2.5) (CONF:1198-31214).", "min": 1, "max": "1", "base": { "path": "Section.entry.act", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Act", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.2.5" ] } ], "constraint": [ { "key": "81-9199", "severity": "warning", "human": "Procedure Context SHALL be represented with the procedure or act elements depending on the nature of the procedure (CONF:81-9199).", "source": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1" } ], "isModifier": false }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:textObs", "path": "ClinicalDocument.component.structuredBody.component.section.entry", "sliceName": "textObs", "requirements": "This section MAY contain zero or more [0..*] entry (CONF:1198-31357) such that it", "min": 0, "max": "*", "base": { "path": "Section.entry", "min": 0, "max": "*" }, "type": [ { "code": "Element" } ], "constraint": [ { "key": "only-one-statement", "severity": "error", "human": "SHALL have no more than one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer or act.", "expression": "(observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1", "source": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:textObs.typeCode", "path": "ClinicalDocument.component.structuredBody.component.section.entry.typeCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Section.entry.typeCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "COMP" }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:textObs.contextConductionInd", "path": "ClinicalDocument.component.structuredBody.component.section.entry.contextConductionInd", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Section.entry.contextConductionInd", "min": 1, "max": "1" }, "type": [ { "code": "boolean" } ], "defaultValueBoolean": true }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:textObs.observation", "path": "ClinicalDocument.component.structuredBody.component.section.entry.observation", "requirements": "SHALL contain exactly one [1..1] Text Observation (identifier: urn:oid:2.16.840.1.113883.10.20.6.2.12) (CONF:1198-31358).", "min": 1, "max": "1", "base": { "path": "Section.entry.observation", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Observation", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.2.12" ] } ], "isModifier": false }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:textObs.regionOfInterest", "path": "ClinicalDocument.component.structuredBody.component.section.entry.regionOfInterest", "min": 0, "max": "0", "base": { "path": "Section.entry.regionOfInterest", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:textObs.observationMedia", "path": "ClinicalDocument.component.structuredBody.component.section.entry.observationMedia", "min": 0, "max": "0", "base": { "path": "Section.entry.observationMedia", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:textObs.substanceAdministration", "path": "ClinicalDocument.component.structuredBody.component.section.entry.substanceAdministration", "min": 0, "max": "0", "base": { "path": "Section.entry.substanceAdministration", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:textObs.supply", "path": "ClinicalDocument.component.structuredBody.component.section.entry.supply", "min": 0, "max": "0", "base": { "path": "Section.entry.supply", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Supply" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:textObs.procedure", "path": "ClinicalDocument.component.structuredBody.component.section.entry.procedure", "min": 0, "max": "0", "base": { "path": "Section.entry.procedure", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Procedure" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:textObs.encounter", "path": "ClinicalDocument.component.structuredBody.component.section.entry.encounter", "min": 0, "max": "0", "base": { "path": "Section.entry.encounter", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Encounter" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:textObs.organizer", "path": "ClinicalDocument.component.structuredBody.component.section.entry.organizer", "min": 0, "max": "0", "base": { "path": "Section.entry.organizer", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Organizer" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:textObs.act", "path": "ClinicalDocument.component.structuredBody.component.section.entry.act", "min": 0, "max": "0", "base": { "path": "Section.entry.act", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Act" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:entry3", "path": "ClinicalDocument.component.structuredBody.component.section.entry", "sliceName": "entry3", "requirements": "This section MAY contain zero or more [0..*] entry (CONF:1198-31359) such that it", "min": 0, "max": "*", "base": { "path": "Section.entry", "min": 0, "max": "*" }, "type": [ { "code": "Element" } ], "constraint": [ { "key": "only-one-statement", "severity": "error", "human": "SHALL have no more than one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer or act.", "expression": "(observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1", "source": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:entry3.typeCode", "path": "ClinicalDocument.component.structuredBody.component.section.entry.typeCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Section.entry.typeCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "COMP" }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:entry3.contextConductionInd", "path": "ClinicalDocument.component.structuredBody.component.section.entry.contextConductionInd", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Section.entry.contextConductionInd", "min": 1, "max": "1" }, "type": [ { "code": "boolean" } ], "defaultValueBoolean": true }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:entry3.observation", "path": "ClinicalDocument.component.structuredBody.component.section.entry.observation", "requirements": "SHALL contain exactly one [1..1] Code Observations (identifier: urn:oid:2.16.840.1.113883.10.20.6.2.13) (CONF:1198-31360).", "min": 1, "max": "1", "base": { "path": "Section.entry.observation", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Observation", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.2.13" ] } ], "constraint": [ { "key": "81-9310", "severity": "warning", "human": "Code Observations SHALL be rendered into section/text in separate paragraphs (CONF:81-9310).", "source": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1" } ], "isModifier": false }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:entry3.regionOfInterest", "path": "ClinicalDocument.component.structuredBody.component.section.entry.regionOfInterest", "min": 0, "max": "0", "base": { "path": "Section.entry.regionOfInterest", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:entry3.observationMedia", "path": "ClinicalDocument.component.structuredBody.component.section.entry.observationMedia", "min": 0, "max": "0", "base": { "path": "Section.entry.observationMedia", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:entry3.substanceAdministration", "path": "ClinicalDocument.component.structuredBody.component.section.entry.substanceAdministration", "min": 0, "max": "0", "base": { "path": "Section.entry.substanceAdministration", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:entry3.supply", "path": "ClinicalDocument.component.structuredBody.component.section.entry.supply", "min": 0, "max": "0", "base": { "path": "Section.entry.supply", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Supply" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:entry3.procedure", "path": "ClinicalDocument.component.structuredBody.component.section.entry.procedure", "min": 0, "max": "0", "base": { "path": "Section.entry.procedure", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Procedure" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:entry3.encounter", "path": "ClinicalDocument.component.structuredBody.component.section.entry.encounter", "min": 0, "max": "0", "base": { "path": "Section.entry.encounter", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Encounter" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:entry3.organizer", "path": "ClinicalDocument.component.structuredBody.component.section.entry.organizer", "min": 0, "max": "0", "base": { "path": "Section.entry.organizer", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Organizer" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:entry3.act", "path": "ClinicalDocument.component.structuredBody.component.section.entry.act", "min": 0, "max": "0", "base": { "path": "Section.entry.act", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Act" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:entry4", "path": "ClinicalDocument.component.structuredBody.component.section.entry", "sliceName": "entry4", "requirements": "This section MAY contain zero or more [0..*] entry (CONF:1198-31361) such that it", "min": 0, "max": "*", "base": { "path": "Section.entry", "min": 0, "max": "*" }, "type": [ { "code": "Element" } ], "constraint": [ { "key": "only-one-statement", "severity": "error", "human": "SHALL have no more than one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer or act.", "expression": "(observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1", "source": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:entry4.typeCode", "path": "ClinicalDocument.component.structuredBody.component.section.entry.typeCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Section.entry.typeCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "COMP" }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:entry4.contextConductionInd", "path": "ClinicalDocument.component.structuredBody.component.section.entry.contextConductionInd", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Section.entry.contextConductionInd", "min": 1, "max": "1" }, "type": [ { "code": "boolean" } ], "defaultValueBoolean": true }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:entry4.observation", "path": "ClinicalDocument.component.structuredBody.component.section.entry.observation", "requirements": "SHALL contain exactly one [1..1] Quantity Measurement Observation (identifier: urn:oid:2.16.840.1.113883.10.20.6.2.14) (CONF:1198-31362).", "min": 1, "max": "1", "base": { "path": "Section.entry.observation", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Observation", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.2.14" ] } ], "isModifier": false }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:entry4.regionOfInterest", "path": "ClinicalDocument.component.structuredBody.component.section.entry.regionOfInterest", "min": 0, "max": "0", "base": { "path": "Section.entry.regionOfInterest", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:entry4.observationMedia", "path": "ClinicalDocument.component.structuredBody.component.section.entry.observationMedia", "min": 0, "max": "0", "base": { "path": "Section.entry.observationMedia", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:entry4.substanceAdministration", "path": "ClinicalDocument.component.structuredBody.component.section.entry.substanceAdministration", "min": 0, "max": "0", "base": { "path": "Section.entry.substanceAdministration", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:entry4.supply", "path": "ClinicalDocument.component.structuredBody.component.section.entry.supply", "min": 0, "max": "0", "base": { "path": "Section.entry.supply", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Supply" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:entry4.procedure", "path": "ClinicalDocument.component.structuredBody.component.section.entry.procedure", "min": 0, "max": "0", "base": { "path": "Section.entry.procedure", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Procedure" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:entry4.encounter", "path": "ClinicalDocument.component.structuredBody.component.section.entry.encounter", "min": 0, "max": "0", "base": { "path": "Section.entry.encounter", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Encounter" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:entry4.organizer", "path": "ClinicalDocument.component.structuredBody.component.section.entry.organizer", "min": 0, "max": "0", "base": { "path": "Section.entry.organizer", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Organizer" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:entry4.act", "path": "ClinicalDocument.component.structuredBody.component.section.entry.act", "min": 0, "max": "0", "base": { "path": "Section.entry.act", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Act" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:entry5", "path": "ClinicalDocument.component.structuredBody.component.section.entry", "sliceName": "entry5", "requirements": "This section MAY contain zero or more [0..*] entry (CONF:1198-31363) such that it", "min": 0, "max": "*", "base": { "path": "Section.entry", "min": 0, "max": "*" }, "type": [ { "code": "Element" } ], "constraint": [ { "key": "only-one-statement", "severity": "error", "human": "SHALL have no more than one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer or act.", "expression": "(observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1", "source": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:entry5.typeCode", "path": "ClinicalDocument.component.structuredBody.component.section.entry.typeCode", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Section.entry.typeCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "COMP" }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:entry5.contextConductionInd", "path": "ClinicalDocument.component.structuredBody.component.section.entry.contextConductionInd", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Section.entry.contextConductionInd", "min": 1, "max": "1" }, "type": [ { "code": "boolean" } ], "defaultValueBoolean": true }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:entry5.observation", "path": "ClinicalDocument.component.structuredBody.component.section.entry.observation", "requirements": "SHALL contain exactly one [1..1] SOP Instance Observation (identifier: urn:oid:2.16.840.1.113883.10.20.6.2.8) (CONF:1198-31364).", "min": 1, "max": "1", "base": { "path": "Section.entry.observation", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Observation", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.2.8" ] } ], "isModifier": false }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:entry5.regionOfInterest", "path": "ClinicalDocument.component.structuredBody.component.section.entry.regionOfInterest", "min": 0, "max": "0", "base": { "path": "Section.entry.regionOfInterest", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:entry5.observationMedia", "path": "ClinicalDocument.component.structuredBody.component.section.entry.observationMedia", "min": 0, "max": "0", "base": { "path": "Section.entry.observationMedia", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:entry5.substanceAdministration", "path": "ClinicalDocument.component.structuredBody.component.section.entry.substanceAdministration", "min": 0, "max": "0", "base": { "path": "Section.entry.substanceAdministration", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:entry5.supply", "path": "ClinicalDocument.component.structuredBody.component.section.entry.supply", "min": 0, "max": "0", "base": { "path": "Section.entry.supply", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Supply" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:entry5.procedure", "path": "ClinicalDocument.component.structuredBody.component.section.entry.procedure", "min": 0, "max": "0", "base": { "path": "Section.entry.procedure", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Procedure" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:entry5.encounter", "path": "ClinicalDocument.component.structuredBody.component.section.entry.encounter", "min": 0, "max": "0", "base": { "path": "Section.entry.encounter", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Encounter" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:entry5.organizer", "path": "ClinicalDocument.component.structuredBody.component.section.entry.organizer", "min": 0, "max": "0", "base": { "path": "Section.entry.organizer", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Organizer" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:entry5.act", "path": "ClinicalDocument.component.structuredBody.component.section.entry.act", "min": 0, "max": "0", "base": { "path": "Section.entry.act", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Act" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.component", "path": "ClinicalDocument.component.structuredBody.component.section.component", "requirements": "This section MAY contain zero or more [0..*] component (CONF:1198-31208).", "min": 0, "max": "*", "base": { "path": "Section.component", "min": 0, "max": "*" }, "type": [ { "code": "Element" } ], "constraint": [ { "key": "1198-31210", "severity": "error", "human": "**SHALL** contain child elements (CONF:1198-31210)." } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.component.typeCode", "path": "ClinicalDocument.component.structuredBody.component.section.component.typeCode", "representation": [ "xmlAttr" ], "definition": "Drawn from concept domain DocumentSectionType", "min": 1, "max": "1", "base": { "path": "Section.component.typeCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "COMP", "fixedCode": "COMP" }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.component.contextConductionInd", "path": "ClinicalDocument.component.structuredBody.component.section.component.contextConductionInd", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Section.component.contextConductionInd", "min": 1, "max": "1" }, "type": [ { "code": "boolean" } ], "defaultValueBoolean": true }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.component.section", "path": "ClinicalDocument.component.structuredBody.component.section.component.section", "min": 1, "max": "1", "base": { "path": "Section.component.section", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Section" } ] } ] }, "differential": { "element": [ { "id": "ClinicalDocument", "path": "ClinicalDocument" }, { "id": "ClinicalDocument.templateId", "path": "ClinicalDocument.templateId", "slicing": { "discriminator": [ { "type": "value", "path": "root" }, { "type": "value", "path": "extension" } ], "rules": "open" } }, { "id": "ClinicalDocument.templateId:secondary", "path": "ClinicalDocument.templateId", "sliceName": "secondary", "requirements": "SHALL contain exactly one [1..1] templateId (CONF:1198-8404) such that it", "min": 1, "max": "1", "constraint": [ { "key": "1198-32937", "severity": "error", "human": "When asserting this templateId, all C-CDA 2.1 section and entry templates that had a previous version in C-CDA R1.1 **SHALL** include both the C-CDA 2.1 templateId and the C-CDA R1.1 templateId root without an extension. See C-CDA R2.1 Volume 1 - Design Considerations for additional detail (CONF:1198-32937)." } ] }, { "id": "ClinicalDocument.templateId:secondary.root", "path": "ClinicalDocument.templateId.root", "requirements": "SHALL contain exactly one [1..1] @root=\"2.16.840.1.113883.10.20.22.1.5\" (CONF:1198-10042).", "min": 1, "max": "1", "patternString": "2.16.840.1.113883.10.20.22.1.5" }, { "id": "ClinicalDocument.templateId:secondary.extension", "path": "ClinicalDocument.templateId.extension", "requirements": "SHALL contain exactly one [1..1] @extension=\"2014-06-09\" (CONF:1198-32515).", "min": 1, "max": "1", "patternString": "2014-06-09" }, { "id": "ClinicalDocument.id", "path": "ClinicalDocument.id", "requirements": "SHALL contain exactly one [1..1] id (CONF:1198-30932).", "min": 1, "max": "1" }, { "id": "ClinicalDocument.id.root", "path": "ClinicalDocument.id.root", "requirements": "This id SHALL contain exactly one [1..1] @root (CONF:1198-30933).", "min": 1, "max": "1", "constraint": [ { "key": "1198-30934", "severity": "error", "human": "The ClinicalDocument/id/@root attribute SHALL be a syntactically correct OID, and SHALL NOT be a UUID (CONF:1198-30934).\nOIDs SHALL be represented in dotted decimal notation, where each decimal number is either 0 or starts with a nonzero digit. More formally, an OID SHALL be in the form of the regular expression: ([0-2])(.([1-9][0-9]*|0))+" }, { "key": "1198-30935", "severity": "error", "human": "OIDs SHALL be no more than 64 characters in length (CONF:1198-30935)." } ] }, { "id": "ClinicalDocument.code", "path": "ClinicalDocument.code", "short": "Preferred code is 18748-4 LOINC Diagnostic Imaging Report", "requirements": "SHALL contain exactly one [1..1] code (CONF:1198-14833).", "min": 1, "max": "1" }, { "id": "ClinicalDocument.code.code", "path": "ClinicalDocument.code.code", "requirements": "This code SHALL contain exactly one [1..1] @code, which SHOULD be selected from ValueSet LOINC Imaging Document Codes http://hl7.org/fhir/ccda/ValueSet/1.3.6.1.4.1.12009.10.2.5 DYNAMIC (CONF:1198-14834).", "min": 1, "max": "1", "binding": { "strength": "preferred", "valueSet": "http://hl7.org/fhir/ccda/ValueSet/1.3.6.1.4.1.12009.10.2.5" } }, { "id": "ClinicalDocument.informant", "path": "ClinicalDocument.informant", "requirements": "SHALL NOT contain [0..0] informant (CONF:1198-8410).", "min": 0, "max": "0" }, { "id": "ClinicalDocument.informationRecipient", "path": "ClinicalDocument.informationRecipient", "requirements": "MAY contain zero or more [0..*] informationRecipient (CONF:1198-8411).", "min": 0, "max": "*", "constraint": [ { "key": "1198-8412", "severity": "warning", "human": "The physician requesting the imaging procedure (ClinicalDocument/participant[@typeCode=REF]/associatedEntity), if present, **SHOULD** also be recorded as an informationRecipient, unless in the local setting another physician (such as the attending physician for an inpatient) is known to be the appropriate recipient of the report (CONF:1198-8412)." }, { "key": "1198-8413", "severity": "warning", "human": "When no referring physician is present, as in the case of self-referred screening examinations allowed by law, the intendedRecipient **MAY** be absent. The intendedRecipient **MAY** also be the health chart of the patient, in which case the receivedOrganization **SHALL** be the scoping organization of that chart (CONF:1198-8413)." } ] }, { "id": "ClinicalDocument.participant", "path": "ClinicalDocument.participant", "slicing": { "discriminator": [ { "type": "value", "path": "ClinicalDocument.associatedEntity" } ], "rules": "open" }, "short": "If participant is present, the associatedEntity/associatedPerson element SHALL be present and SHALL represent the physician requesting the imaging procedure (the referring physician AssociatedEntity that is the target of ClincalDocument/participant@typeCode=REF)." }, { "id": "ClinicalDocument.participant:participant1", "path": "ClinicalDocument.participant", "sliceName": "participant1", "requirements": "MAY contain zero or one [0..1] participant (CONF:1198-8414) such that it", "min": 0, "max": "1" }, { "id": "ClinicalDocument.participant:participant1.associatedEntity", "path": "ClinicalDocument.participant.associatedEntity", "requirements": "SHALL contain exactly one [1..1] associatedEntity (CONF:1198-31198).", "min": 1, "max": "1" }, { "id": "ClinicalDocument.participant:participant1.associatedEntity.associatedPerson", "path": "ClinicalDocument.participant.associatedEntity.associatedPerson", "requirements": "This associatedEntity SHALL contain exactly one [1..1] associatedPerson (CONF:1198-31199).", "min": 1, "max": "1" }, { "id": "ClinicalDocument.participant:participant1.associatedEntity.associatedPerson.name", "path": "ClinicalDocument.participant.associatedEntity.associatedPerson.name", "requirements": "This associatedPerson SHALL contain exactly one [1..1] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:1198-31200).", "min": 1, "max": "1", "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/PN", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.1.1" ] } ] }, { "id": "ClinicalDocument.inFulfillmentOf", "path": "ClinicalDocument.inFulfillmentOf", "short": "An inFulfillmentOf element represents the Placer Order that is either a group of orders (modeled as PlacerGroup in the Placer Order RMIM of the Orders & Observations domain) or a single order item (modeled as ObservationRequest in the same RMIM). This optionality reflects two major approaches to the grouping of procedures as implemented in the installed base of imaging information systems. These approaches differ in their handling of grouped procedures and how they are mapped to identifiers in the Digital Imaging and Communications in Medicine (DICOM) image and structured reporting data. The example of a CT examination covering chest, abdomen, and pelvis will be used in the discussion below. In the IHE Scheduled Workflow model, the Chest CT, Abdomen CT, and Pelvis CT each represent a Requested Procedure, and all three procedures are grouped under a single Filler Order. The Filler Order number maps directly to the DICOM Accession Number in the DICOM imaging and report data. A widely deployed alternative approach maps the requested procedure identifiers directly to the DICOM Accession Number. The Requested Procedure ID in such implementations may or may not be different from the Accession Number, but is of little identifying importance because there is only one Requested Procedure per Accession Number. There is no identifier that formally connects the requested procedures ordered in this group.", "requirements": "MAY contain zero or more [0..*] inFulfillmentOf (CONF:1198-30936).", "min": 0, "max": "*" }, { "id": "ClinicalDocument.inFulfillmentOf.order", "path": "ClinicalDocument.inFulfillmentOf.order", "requirements": "The inFulfillmentOf, if present, SHALL contain exactly one [1..1] order (CONF:1198-30937).", "min": 1, "max": "1" }, { "id": "ClinicalDocument.inFulfillmentOf.order.id", "path": "ClinicalDocument.inFulfillmentOf.order.id", "label": "DICOM Accession Number in the DICOM imaging and report data", "short": "DICOM Accession Number in the DICOM imaging and report data", "requirements": "This order SHALL contain at least one [1..*] id (CONF:1198-30938).", "min": 1, "max": "*" }, { "id": "ClinicalDocument.documentationOf", "path": "ClinicalDocument.documentationOf", "slicing": { "discriminator": [ { "type": "value", "path": "ClinicalDocument.serviceEvent" } ], "rules": "open" }, "short": "Each serviceEvent indicates an imaging procedure that the provider describes and interprets in the content of the DIR. The main activity being described by this document is the interpretation of the imaging procedure. This is shown by setting the value of the @classCode attribute of the serviceEvent element to ACT, and indicating the duration over which care was provided in the effectiveTime element. Within each documentationOf element, there is one serviceEvent element. This event is the unit imaging procedure corresponding to a billable item. The type of imaging procedure may be further described in the serviceEvent/code element. This guide makes no specific recommendations about the vocabulary to use for describing this event. In IHE Scheduled Workflow environments, one serviceEvent/id element contains the DICOM Study Instance UID from the Modality Worklist, and the second serviceEvent/id element contains the DICOM Requested Procedure ID from the Modality Worklist. These two ids are in a single serviceEvent. The effectiveTime for the serviceEvent covers the duration of the imaging procedure being reported. This event should have one or more performers, which may participate at the same or different periods of time. Service events map to DICOM Requested Procedures. That is, serviceEvent/id is the ID of the Requested Procedure." }, { "id": "ClinicalDocument.documentationOf:documentationOf1", "path": "ClinicalDocument.documentationOf", "sliceName": "documentationOf1", "requirements": "SHALL contain exactly one [1..1] documentationOf (CONF:1198-8416) such that it", "min": 1, "max": "1" }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent", "path": "ClinicalDocument.documentationOf.serviceEvent", "requirements": "SHALL contain exactly one [1..1] serviceEvent (CONF:1198-8431) such that it", "min": 1, "max": "1" }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.classCode", "path": "ClinicalDocument.documentationOf.serviceEvent.classCode", "requirements": "SHALL contain exactly one [1..1] @classCode=\"ACT\" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-8430).", "min": 1, "max": "1", "patternCode": "ACT" }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.id", "path": "ClinicalDocument.documentationOf.serviceEvent.id", "requirements": "SHOULD contain zero or more [0..*] id (CONF:1198-8418).", "min": 0, "max": "*" }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.code", "path": "ClinicalDocument.documentationOf.serviceEvent.code", "requirements": "SHALL contain exactly one [1..1] code (CONF:1198-8419).", "min": 1, "max": "1", "constraint": [ { "key": "1198-8420", "severity": "error", "human": "The value of serviceEvent/code **SHALL NOT** conflict with the ClininicalDocument/code. When transforming from DICOM SR documents that do not contain a procedure code, an appropriate nullFlavor **SHALL** be used on serviceEvent/code (CONF:1198-8420)." } ] }, { "id": "ClinicalDocument.documentationOf:documentationOf1.serviceEvent.performer", "path": "ClinicalDocument.documentationOf.serviceEvent.performer", "short": "The performer is the Physician Reading Study Performer defined in serviceEvent and is usually different from the attending physician. The reading physician interprets the images and evidence of the study (DICOM Definition).", "requirements": "SHOULD contain zero or more [0..*] Physician Reading Study Performer (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.6.2.1:2014-06-09) (CONF:1198-8422).", "min": 0, "max": "*", "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Performer1", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.2.1" ] } ] }, { "id": "ClinicalDocument.relatedDocument", "path": "ClinicalDocument.relatedDocument", "short": "A DIR may have three types of parent document: ? A superseded version that the present document wholly replaces (typeCode = RPLC). DIRs may go through stages of revision prior to being legally authenticated. Such early stages may be drafts from transcription, those created by residents, or other preliminary versions. Policies not covered by this specification may govern requirements for retention of such earlier versions. Except for forensic purposes, the latest version in a chain of revisions represents the complete and current report. ? An original version that the present document appends (typeCode = APND). When a DIR is legally authenticated, it can be amended by a separate addendum document that references the original. ? A source document from which the present document is transformed (typeCode = XFRM). A DIR may be created by transformation from a DICOM Structured Report (SR) document or from another DIR. An example of the latter case is the creation of a derived document for inclusion of imaging results in a clinical document.", "requirements": "MAY contain zero or one [0..1] relatedDocument (CONF:1198-8432).", "min": 0, "max": "1", "constraint": [ { "key": "1198-8433", "severity": "warning", "human": "When a Diagnostic Imaging Report has been transformed from a DICOM SR document, relatedDocument/@typeCode **SHALL** be XFRM, and relatedDocument/parentDocument/id **SHALL** contain the SOP Instance UID of the original DICOM SR document (CONF:1198-8433)." } ] }, { "id": "ClinicalDocument.relatedDocument.parentDocument", "path": "ClinicalDocument.relatedDocument.parentDocument", "requirements": "The relatedDocument, if present, SHALL contain exactly one [1..1] parentDocument (CONF:1198-32089).", "min": 1, "max": "1" }, { "id": "ClinicalDocument.relatedDocument.parentDocument.id", "path": "ClinicalDocument.relatedDocument.parentDocument.id", "requirements": "This parentDocument SHALL contain exactly one [1..1] id (CONF:1198-32090).", "min": 1, "max": "1", "constraint": [ { "key": "1198-10031", "severity": "error", "human": "OIDs **SHALL** be represented in dotted decimal notation, where each decimal number is either 0 or starts with a nonzero digit. More formally, an OID **SHALL** be in the form of the regular expression: ([0-2])(.([1-9][0-9][*]|0))+ (CONF:1198-10031)." }, { "key": "1198-10032", "severity": "error", "human": "OIDs **SHALL** be no more than 64 characters in length (CONF:1198-10032)." } ] }, { "id": "ClinicalDocument.componentOf", "path": "ClinicalDocument.componentOf", "short": "The id element of the encompassingEncounter represents the identifier for the encounter. When the diagnostic imaging procedure is performed in the context of a hospital stay or an outpatient visit for which there is an Encounter Number, that number should be present as the ID of the encompassingEncounter. The effectiveTime represents the time interval or point in time in which the encounter took place. The encompassing encounter might be that of the hospital or office visit in which the diagnostic imaging procedure was performed. If the effective time is unknown, a nullFlavor attribute can be used.", "requirements": "MAY contain zero or one [0..1] componentOf (CONF:1198-30939).", "min": 0, "max": "1" }, { "id": "ClinicalDocument.componentOf.encompassingEncounter", "path": "ClinicalDocument.componentOf.encompassingEncounter", "short": "The id element of the encompassingEncounter represents the identifier for the encounter. When the diagnostic imaging procedure is performed in the context of a hospital stay or an outpatient visit for which there is an Encounter Number, that number should be present as the ID of the encompassingEncounter.\n\nThe effectiveTime represents the time interval or point in time in which the encounter took place. The encompassing encounter might be that of the hospital or office visit in which the diagnostic imaging procedure was performed. If the effective time is unknown, a nullFlavor attribute can be used.", "requirements": "The componentOf, if present, SHALL contain exactly one [1..1] encompassingEncounter (CONF:1198-30940).", "min": 1, "max": "1" }, { "id": "ClinicalDocument.componentOf.encompassingEncounter.id", "path": "ClinicalDocument.componentOf.encompassingEncounter.id", "requirements": "This encompassingEncounter SHALL contain at least one [1..*] id (CONF:1198-30941).", "min": 1, "max": "*", "constraint": [ { "key": "1198-30942", "severity": "warning", "human": "In the case of transformed DICOM SR documents, an appropriate null flavor **MAY** be used if the id is unavailable (CONF:1198-30942)." } ] }, { "id": "ClinicalDocument.componentOf.encompassingEncounter.effectiveTime", "path": "ClinicalDocument.componentOf.encompassingEncounter.effectiveTime", "requirements": "This encompassingEncounter SHALL contain exactly one [1..1] US Realm Date and Time (DT.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.3) (CONF:1198-30943).", "min": 1, "max": "1", "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/IVL-TS", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.5.3" ] } ] }, { "id": "ClinicalDocument.componentOf.encompassingEncounter.responsibleParty", "path": "ClinicalDocument.componentOf.encompassingEncounter.responsibleParty", "requirements": "This encompassingEncounter MAY contain zero or one [0..1] responsibleParty (CONF:1198-30945).", "min": 0, "max": "1" }, { "id": "ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntity", "path": "ClinicalDocument.componentOf.encompassingEncounter.responsibleParty.assignedEntity", "requirements": "The responsibleParty, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1198-30946).", "min": 1, "max": "1", "constraint": [ { "key": "1198-30947", "severity": "warning", "human": "**SHOULD** contain zero or one [0..1] assignedPerson *OR* contain zero or one [0..1] representedOrganization (CONF:1198-30947)." } ] }, { "id": "ClinicalDocument.componentOf.encompassingEncounter.encounterParticipant", "path": "ClinicalDocument.componentOf.encompassingEncounter.encounterParticipant", "requirements": "This encompassingEncounter SHOULD contain zero or one [0..1] Physician of Record Participant (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.6.2.2:2014-06-09) (CONF:1198-30948).", "min": 0, "max": "1", "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/EncounterParticipant", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.2.2" ] } ] }, { "id": "ClinicalDocument.component", "path": "ClinicalDocument.component", "requirements": "SHALL contain exactly one [1..1] component (CONF:1198-14907).", "min": 1, "max": "1" }, { "id": "ClinicalDocument.component.structuredBody", "path": "ClinicalDocument.component.structuredBody", "requirements": "This component SHALL contain exactly one [1..1] structuredBody (CONF:1198-30695).", "min": 1, "max": "1" }, { "id": "ClinicalDocument.component.structuredBody.component", "path": "ClinicalDocument.component.structuredBody.component", "slicing": { "discriminator": [ { "type": "value", "path": "ClinicalDocument.section" } ], "rules": "open" } }, { "id": "ClinicalDocument.component.structuredBody.component:component1", "path": "ClinicalDocument.component.structuredBody.component", "sliceName": "component1", "requirements": "This structuredBody SHALL contain exactly one [1..1] component (CONF:1198-30696) such that it", "min": 1, "max": "1" }, { "id": "ClinicalDocument.component.structuredBody.component:component1.section", "path": "ClinicalDocument.component.structuredBody.component.section", "requirements": "SHALL contain exactly one [1..1] Findings Section (DIR) (identifier: urn:oid:2.16.840.1.113883.10.20.6.1.2) (CONF:1198-30697).", "min": 1, "max": "1", "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Section", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.1.2" ] } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component2", "path": "ClinicalDocument.component.structuredBody.component", "sliceName": "component2", "requirements": "This structuredBody SHOULD contain zero or one [0..1] component (CONF:1198-30698) such that it", "min": 0, "max": "1" }, { "id": "ClinicalDocument.component.structuredBody.component:component2.section", "path": "ClinicalDocument.component.structuredBody.component.section", "requirements": "SHALL contain exactly one [1..1] DICOM Object Catalog Section - DCM 121181 (identifier: urn:oid:2.16.840.1.113883.10.20.6.1.1) (CONF:1198-30699).", "min": 1, "max": "1", "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Section", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.1.1" ] } ], "constraint": [ { "key": "1198-31206", "severity": "error", "human": "The DICOM Object Catalog section (templateId 2.16.840.1.113883.10.20.6.1.1), if present, **SHALL** be the first section in the document Body (CONF:1198-31206)." } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3", "path": "ClinicalDocument.component.structuredBody.component", "sliceName": "component3", "requirements": "This structuredBody MAY contain zero or more [0..*] component (CONF:1198-31055) such that it", "min": 0, "max": "*" }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section", "path": "ClinicalDocument.component.structuredBody.component.section", "requirements": "SHALL contain exactly one [1..1] section (CONF:1198-31056).", "min": 1, "max": "1", "constraint": [ { "key": "1198-31211", "severity": "error", "human": "All sections defined in the DIR Section Type Codes table **SHALL** be top-level sections (CONF:1198-31211)." }, { "key": "1198-31212", "severity": "error", "human": "**SHALL** contain at least one text element or one or more component elements (CONF:1198-31212)." } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.code", "path": "ClinicalDocument.component.structuredBody.component.section.code", "requirements": "This section SHALL contain exactly one [1..1] code (CONF:1198-31057).", "min": 1, "max": "1" }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.code.code", "path": "ClinicalDocument.component.structuredBody.component.section.code.code", "label": "The section/code SHOULD be selected from LOINC or DICOM for sections not listed in the DIR Section Type Codes table", "short": "The section/code SHOULD be selected from LOINC or DICOM for sections not listed in the DIR Section Type Codes table\n\nundefined", "requirements": "This code SHALL contain exactly one [1..1] @code, which SHOULD be selected from ValueSet DIRSectionTypeCodes http://hl7.org/fhir/ccda/ValueSet/2.16.840.1.113883.11.20.9.59 DYNAMIC (CONF:1198-31207).", "min": 1, "max": "1", "binding": { "strength": "preferred", "valueSet": "http://hl7.org/fhir/ccda/ValueSet/2.16.840.1.113883.11.20.9.59" } }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.title", "path": "ClinicalDocument.component.structuredBody.component.section.title", "short": "There is no equivalent to section/title in DICOM SR, so for a CDA to SR transformation, the section/code will be transferred and the title element will be dropped.", "requirements": "This section SHOULD contain zero or one [0..1] title (CONF:1198-31058).", "min": 0, "max": "1" }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.text", "path": "ClinicalDocument.component.structuredBody.component.section.text", "requirements": "This section SHOULD contain zero or one [0..1] text (CONF:1198-31059).", "min": 0, "max": "1", "constraint": [ { "key": "1198-31060", "severity": "error", "human": "If clinical statements are present, the section/text **SHALL** represent faithfully all such statements and **MAY** contain additional text (CONF:1198-31060)." }, { "key": "1198-31061", "severity": "error", "human": "All text elements **SHALL** contain content. Text elements **SHALL** contain PCDATA or child elements (CONF:1198-31061)." }, { "key": "1198-31062", "severity": "warning", "human": "The text elements (and their children) **MAY** contain Web Access to DICOM Persistent Object (WADO) references to DICOM objects by including a linkHtml element where @href is a valid WADO URL and the text content of linkHtml is the visible text of the hyperlink (CONF:1198-31062)." } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.subject", "path": "ClinicalDocument.component.structuredBody.component.section.subject", "requirements": "This section MAY contain zero or more [0..*] subject (CONF:1198-31215) such that it", "min": 0, "max": "*" }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.subject.relatedSubject", "path": "ClinicalDocument.component.structuredBody.component.section.subject.relatedSubject", "requirements": "SHALL contain exactly one [1..1] Fetus Subject Context (identifier: urn:oid:2.16.840.1.113883.10.20.6.2.3) (CONF:1198-31216).", "min": 1, "max": "1", "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/RelatedSubject", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.2.3" ] } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.author", "path": "ClinicalDocument.component.structuredBody.component.section.author", "slicing": { "discriminator": [ { "type": "value", "path": "assignedAuthor" } ], "rules": "open" }, "short": "This author element is used when the author of a section is different from the author(s) listed in the Header" }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.author:author1", "path": "ClinicalDocument.component.structuredBody.component.section.author", "sliceName": "author1", "requirements": "This section MAY contain zero or more [0..*] author (CONF:1198-31217) such that it", "min": 0, "max": "*" }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.author:author1.assignedAuthor", "path": "ClinicalDocument.component.structuredBody.component.section.author.assignedAuthor", "requirements": "SHALL contain exactly one [1..1] Observer Context (identifier: urn:oid:2.16.840.1.113883.10.20.6.2.4) (CONF:1198-31218).", "min": 1, "max": "1", "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/AssignedAuthor", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.2.4" ] } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry", "path": "ClinicalDocument.component.structuredBody.component.section.entry", "slicing": { "discriminator": [ { "type": "value", "path": "ClinicalDocument.section.structuredBody.component.section.entry" } ], "rules": "open" } }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry", "path": "ClinicalDocument.component.structuredBody.component.section.entry", "short": "If the service context of a section is different from the value specified in documentationOf/serviceEvent, then the section SHALL contain one or more entries containing Procedure Context (templateId 2.16.840.1.113883.10.20.6.2.5), which will reset the context for any clinical statements nested within those elements", "requirements": "This section MAY contain zero or more [0..*] entry (CONF:1198-31213).", "min": 0, "max": "*" }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry.act", "path": "ClinicalDocument.component.structuredBody.component.section.entry.act", "requirements": "The entry, if present, SHALL contain exactly one [1..1] Procedure Context (identifier: urn:oid:2.16.840.1.113883.10.20.6.2.5) (CONF:1198-31214).", "min": 1, "max": "1", "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Act", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.2.5" ] } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:textObs", "path": "ClinicalDocument.component.structuredBody.component.section.entry", "sliceName": "textObs", "requirements": "This section MAY contain zero or more [0..*] entry (CONF:1198-31357) such that it", "min": 0, "max": "*" }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:textObs.observation", "path": "ClinicalDocument.component.structuredBody.component.section.entry.observation", "requirements": "SHALL contain exactly one [1..1] Text Observation (identifier: urn:oid:2.16.840.1.113883.10.20.6.2.12) (CONF:1198-31358).", "min": 1, "max": "1", "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Observation", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.2.12" ] } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:entry3", "path": "ClinicalDocument.component.structuredBody.component.section.entry", "sliceName": "entry3", "requirements": "This section MAY contain zero or more [0..*] entry (CONF:1198-31359) such that it", "min": 0, "max": "*" }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:entry3.observation", "path": "ClinicalDocument.component.structuredBody.component.section.entry.observation", "requirements": "SHALL contain exactly one [1..1] Code Observations (identifier: urn:oid:2.16.840.1.113883.10.20.6.2.13) (CONF:1198-31360).", "min": 1, "max": "1", "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Observation", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.2.13" ] } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:entry4", "path": "ClinicalDocument.component.structuredBody.component.section.entry", "sliceName": "entry4", "requirements": "This section MAY contain zero or more [0..*] entry (CONF:1198-31361) such that it", "min": 0, "max": "*" }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:entry4.observation", "path": "ClinicalDocument.component.structuredBody.component.section.entry.observation", "requirements": "SHALL contain exactly one [1..1] Quantity Measurement Observation (identifier: urn:oid:2.16.840.1.113883.10.20.6.2.14) (CONF:1198-31362).", "min": 1, "max": "1", "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Observation", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.2.14" ] } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:entry5", "path": "ClinicalDocument.component.structuredBody.component.section.entry", "sliceName": "entry5", "requirements": "This section MAY contain zero or more [0..*] entry (CONF:1198-31363) such that it", "min": 0, "max": "*" }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.entry:entry5.observation", "path": "ClinicalDocument.component.structuredBody.component.section.entry.observation", "requirements": "SHALL contain exactly one [1..1] SOP Instance Observation (identifier: urn:oid:2.16.840.1.113883.10.20.6.2.8) (CONF:1198-31364).", "min": 1, "max": "1", "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Observation", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.6.2.8" ] } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section.component", "path": "ClinicalDocument.component.structuredBody.component.section.component", "requirements": "This section MAY contain zero or more [0..*] component (CONF:1198-31208).", "min": 0, "max": "*", "constraint": [ { "key": "1198-31210", "severity": "error", "human": "**SHALL** contain child elements (CONF:1198-31210)." } ] } ] } }