Package | hl7.cda.us.ccdar2dot2 |
Type | StructureDefinition |
Id | 2.16.840.1.113883.10.20.22.1.7 |
FHIR Version | R4 |
Source | http://hl7.org/cda/us/ccda/https://build.fhir.org/ig/HL7/CDA-ccda-2.2/StructureDefinition-2.16.840.1.113883.10.20.22.1.7.html |
URL | http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.7 |
Version | 2.2 |
Status | active |
Date | 2022-05-13T15:50:12+00:00 |
Name | OperativeNote |
Title | Operative Note |
Realm | us |
Authority | hl7 |
Description | The Operative Note is a frequently used type of procedure note with specific requirements set forth by regulatory agencies. The Operative Note is created immediately following a surgical or other high-risk procedure. It records the pre- and post-surgical diagnosis, pertinent events of the procedure, as well as the condition of the patient following the procedure. The report should be sufficiently detailed to support the diagnoses, justify the treatment, document the course of the procedure, and provide continuity of care. |
Type | ClinicalDocument |
Kind | resource |
No resources found
ValueSet | |
2.16.840.1.113762.1.4.1099.30 | Care Team Member Function |
2.16.840.1.114222.4.11.1066 | Healthcare Provider Taxonomy |
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 | 1198-32940: 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:1198-32940). |
![]() ![]() ![]() ![]() ![]() | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.1.7 | |
![]() ![]() ![]() ![]() ![]() | 1..1 | string | Required Pattern: 2015-08-01 | |
![]() ![]() ![]() | 1..1 | CE | The Operative Note recommends use of a single document type code, 11504-8 "Provider-unspecified Operation Note", with further specification provided by author or performer, setting, or specialty data in the CDA header. Some of the LOINC codes in the Surgical Operation Note Document Type Code table are pre-coordinated with the practice setting or the training or professional level of the author. Use of pre-coordinated codes is not recommended because of potential conflict with other information in the header. When these codes are used, any coded values describing the author or performer of the service act or the practice setting must be consistent with the LOINC document type. | |
![]() ![]() ![]() ![]() | 1..1 | string | Binding: http://hl7.org/fhir/ccda/ValueSet/2.16.840.1.113883.11.20.1.1 (required) | |
![]() ![]() ![]() | 1..* | DocumentationOf | A serviceEvent represents the main act, such as a colonoscopy or an appendectomy, being documented. A serviceEvent can further specialize the act inherent in the ClinicalDocument/code, such as where the ClinicalDocument/code is simply "Surgical Operation Note" and the procedure is "Appendectomy." serviceEvent is required in the Operative Note and it must be equivalent to or further specialize the value inherent in the ClinicalDocument/code; it shall not conflict with the value inherent in the ClinicalDocument/code, as such a conflict would create ambiguity. serviceEvent/effectiveTime can be used to indicate the time the actual event (as opposed to the encounter surrounding the event) took place. If the date and the duration of the procedure is known, serviceEvent/effectiveTime/low is used with a width element that describes the duration; no high element is used. However, if only the date is known, the date is placed in both the low and high elements. | |
![]() ![]() ![]() ![]() | I | 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. 1198-8487: The value of serviceEvent/code **SHALL** be from ICD9 CM Procedures (CodeSystem 2.16.840.1.113883.6.104), CPT-4 (CodeSystem 2.16.840.1.113883.6.12), or values descending from 71388002 (Procedure) from the SNOMED CT (CodeSystem 2.16.840.1.113883.6.96) ValueSet Procedure 2.16.840.1.113883.3.88.12.80.28 *DYNAMIC* (CONF:1198-8487). |
![]() ![]() ![]() ![]() ![]() | I | 1..1 | USRealmDateandTimeDTUSFIELDED | 1198-8488: The serviceEvent/effectiveTime **SHALL** be present with effectiveTime/low (CONF:1198-8488). 1198-10058: If a width is not present, the serviceEvent/effectiveTime **SHALL** include effectiveTime/high (CONF:1198-10058). 1198-10060: When only the date and the length of the procedure are known a width element **SHALL** be present and the serviceEvent/effectiveTime/high **SHALL NOT** be present (CONF:1198-10060). |
![]() ![]() ![]() ![]() ![]() | 0..* | Performer1 | This performer represents any assistants. Slice: Unordered, Open by value:assignedEntity, value:typeCode, value:functionCode | |
![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | Performer1 | This performer represents a clinicians who actually and principally carry out the serviceEvent. Typically, these are clinicians who have surgical privileges in their institutions such as Surgeons, Obstetrician/Gynecologists, and Family Practice Physicians. The performer may also be non-physician providers (NPPs) who have surgical privileges. There may be more than one primary performer in the case of complicated surgeries. There are occasionally co-surgeons. Usually they will be billing separately and will each dictate their own notes. An example may be spinal surgery , where a general surgeon and an orthopedic surgeon both are present and billing off the same Current Procedural Terminology (CPT) codes. Typically two Operative Notes are generated; however, each will list the other as a co-surgeon. Any assistants are identified as a secondary performer (SPRF) in a second performer participant. | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | code | Required Pattern: PPRF | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | CE | Binding: Care Team Member Function (preferred) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | AssignedEntity | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | CE | Binding: Healthcare Provider Taxonomy (required) | |
![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Performer1 | The performer participant represents clinicians who actually and principally carry out the serviceEvent. In a transfer of care this represents the healthcare providers involved in the current or pertinent historical care of the patient. Preferably, the patient?s key healthcare care team members would be listed, particularly their primary physician and any active consulting physicians, therapists, and counselors. | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | code | Required Pattern: SPRF | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | CE | Binding: Care Team Member Function (preferred) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | AssignedEntity | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | CE | Binding: Healthcare Provider Taxonomy (required) | |
![]() ![]() ![]() | 0..1 | Authorization | Authorization represents consent. Consent, if present, shall be represented by authorization/consent. | |
![]() ![]() ![]() ![]() | 1..1 | code | Required Pattern: AUTH | |
![]() ![]() ![]() ![]() | 1..1 | Consent | ||
![]() ![]() ![]() ![]() ![]() | 1..1 | code | Required Pattern: CONS | |
![]() ![]() ![]() ![]() ![]() | 1..1 | code | Required Pattern: EVN | |
![]() ![]() ![]() ![]() ![]() | 1..1 | CS | ||
![]() ![]() ![]() | 1..1 | Component2 | ||
![]() ![]() ![]() ![]() | 1..1 | StructuredBody | ||
![]() ![]() ![]() ![]() ![]() | 1..* | Element | Slice: Unordered, Open by value:ClinicalDocument.section | |
![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | Element | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | AnesthesiaSection | ||
![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | Element | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | ComplicationsSection | ||
![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | Element | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | PreoperativeDiagnosisSection | ||
![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | Element | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | ProcedureEstimatedBloodLossSection | ||
![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | Element | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | ProcedureFindingsSection | ||
![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | Element | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | ProcedureSpecimensTakenSection | ||
![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | Element | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | ProcedureDescriptionSection | ||
![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | Element | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | PostoperativeDiagnosisSection | ||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | Element | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | ProcedureImplantsSection | ||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | Element | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | OperativeNoteFluidsSection | ||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | Element | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | OperativeNoteSurgicalProcedureSection | ||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | Element | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | PlanofTreatmentSection | ||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | Element | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | PlannedProcedureSection | ||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | Element | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | ProcedureDispositionSection | ||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | Element | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | ProcedureIndicationsSection | ||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | Element | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | SurgicalDrainsSection | ||
![]() |
{ "resourceType": "StructureDefinition", "id": "2.16.840.1.113883.10.20.22.1.7", "text": { "status": "extensions", "div": "<!-- snip (see above) -->" }, "url": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.7", "identifier": [ { "value": "urn:hl7ii:2.16.840.1.113883.10.20.22.1.7:2015-08-01" } ], "version": "2.2", "name": "OperativeNote", "title": "Operative Note", "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": "The Operative Note is a frequently used type of procedure note with specific requirements set forth by regulatory agencies. \nThe Operative Note is created immediately following a surgical or other high-risk procedure. It records the pre- and post-surgical diagnosis, pertinent events of the procedure, as well as the condition of the patient following the procedure. The report should be sufficiently detailed to support the diagnoses, justify the treatment, document the course of the procedure, and provide continuity of care.", "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:1198-8483) 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": "1198-32940", "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:1198-32940)." } ] }, { "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=\"2.16.840.1.113883.10.20.22.1.7\" (CONF:1198-10048).", "min": 1, "max": "1", "base": { "path": "II.root", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "patternString": "2.16.840.1.113883.10.20.22.1.7" }, { "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=\"2015-08-01\" (CONF:1198-32519).", "min": 1, "max": "1", "base": { "path": "II.extension", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "patternString": "2015-08-01" }, { "id": "ClinicalDocument.id", "path": "ClinicalDocument.id", "requirements": "SHALL contain exactly one [1..1] id (CONF:1198-5363).", "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.code", "path": "ClinicalDocument.code", "short": "The Operative Note recommends use of a single document type code, 11504-8 \"Provider-unspecified Operation Note\", with further specification provided by author or performer, setting, or specialty data in the CDA header. Some of the LOINC codes in the Surgical Operation Note Document Type Code table are pre-coordinated with the practice setting or the training or professional level of the author. Use of pre-coordinated codes is not recommended because of potential conflict with other information in the header. When these codes are used, any coded values describing the author or performer of the service act or the practice setting must be consistent with the LOINC document type.", "requirements": "SHALL contain exactly one [1..1] code (CONF:1198-17187).", "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 SHALL be selected from ValueSet SurgicalOperationNoteDocumentTypeCode http://hl7.org/fhir/ccda/ValueSet/2.16.840.1.113883.11.20.1.1 DYNAMIC (CONF:1198-17188).", "min": 1, "max": "1", "base": { "path": "CD.code", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "binding": { "strength": "required", "valueSet": "http://hl7.org/fhir/ccda/ValueSet/2.16.840.1.113883.11.20.1.1" } }, { "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.", "min": 0, "max": "*", "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:1198-5565).", "min": 0, "max": "*", "base": { "path": "ClinicalDocument.informationRecipient", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/InformationRecipient" } ] }, { "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": { "rules": "open" }, "short": "The participant element identifies supporting entities, including parents, relatives, caregivers, insurance policyholders, guarantors, and others related in some way to the patient. \n\nA supporting person or organization is an individual or an organization with a relationship to the patient. A supporting person who is playing multiple roles would be recorded in multiple participants (e.g., emergency contact and next-of-kin).", "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 more [0..*] participant (CONF:1198-10003) such that it", "min": 0, "max": "*", "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)." }, { "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)." } ] }, { "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", "min": 1, "max": "1", "base": { "path": "Participant1.associatedEntity", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/AssociatedEntity" } ] }, { "id": "ClinicalDocument.inFulfillmentOf", "path": "ClinicalDocument.inFulfillmentOf", "short": "The inFulfillmentOf element represents orders that are fulfilled by this document such as a radiologists? report of an x-ray.", "requirements": "MAY contain zero or more [0..*] inFulfillmentOf (CONF:1198-9952).", "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:1198-9953).", "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", "requirements": "This order SHALL contain at least one [1..*] id (CONF:1198-9954).", "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", "short": "A serviceEvent represents the main act, such as a colonoscopy or an appendectomy, being documented. A serviceEvent can further specialize the act inherent in the ClinicalDocument/code, such as where the ClinicalDocument/code is simply \"Surgical Operation Note\" and the procedure is \"Appendectomy.\" serviceEvent is required in the Operative Note and it must be equivalent to or further specialize the value inherent in the ClinicalDocument/code; it shall not conflict with the value inherent in the ClinicalDocument/code, as such a conflict would create ambiguity. serviceEvent/effectiveTime can be used to indicate the time the actual event (as opposed to the encounter surrounding the event) took place. If the date and the duration of the procedure is known, serviceEvent/effectiveTime/low is used with a width element that describes the duration; no high element is used. However, if only the date is known, the date is placed in both the low and high elements.", "requirements": "SHALL contain at least one [1..*] documentationOf (CONF:1198-8486).", "min": 1, "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": "Such documentationOfs SHALL contain exactly one [1..1] serviceEvent (CONF:1198-8493).", "min": 1, "max": "1", "base": { "path": "DocumentationOf.serviceEvent", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/ServiceEvent" } ], "constraint": [ { "key": "1198-8487", "severity": "error", "human": "The value of serviceEvent/code **SHALL** be from ICD9 CM Procedures (CodeSystem 2.16.840.1.113883.6.104), CPT-4 (CodeSystem 2.16.840.1.113883.6.12), or values descending from 71388002 (Procedure) from the SNOMED CT (CodeSystem 2.16.840.1.113883.6.96) ValueSet Procedure 2.16.840.1.113883.3.88.12.80.28 *DYNAMIC* (CONF:1198-8487)." } ] }, { "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", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-timeformat", "valueCode": "YYYYMMDDHHMMSS.UUUU[+|-ZZzz]" } ], "path": "ClinicalDocument.documentationOf.serviceEvent.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 serviceEvent 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:1198-8494).", "min": 1, "max": "1", "base": { "path": "ServiceEvent.effectiveTime", "min": 0, "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" }, { "key": "1198-8488", "severity": "error", "human": "The serviceEvent/effectiveTime **SHALL** be present with effectiveTime/low (CONF:1198-8488)." }, { "key": "1198-10058", "severity": "error", "human": "If a width is not present, the serviceEvent/effectiveTime **SHALL** include effectiveTime/high (CONF:1198-10058)." }, { "key": "1198-10060", "severity": "error", "human": "When only the date and the length of the procedure are known a width element **SHALL** be present and the serviceEvent/effectiveTime/high **SHALL NOT** be present (CONF:1198-10060)." } ], "isModifier": false }, { "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", "slicing": { "discriminator": [ { "type": "value", "path": "assignedEntity" }, { "type": "value", "path": "typeCode" }, { "type": "value", "path": "functionCode" } ], "rules": "open" }, "short": "This performer represents any assistants.", "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.serviceEvent.performer:performer1", "path": "ClinicalDocument.documentationOf.serviceEvent.performer", "sliceName": "performer1", "short": "This performer represents a clinicians who actually and principally carry out the serviceEvent. Typically, these are clinicians who have surgical privileges in their institutions such as Surgeons, Obstetrician/Gynecologists, and Family Practice Physicians. The performer may also be non-physician providers (NPPs) who have surgical privileges. There may be more than one primary performer in the case of complicated surgeries. There are occasionally co-surgeons. Usually they will be billing separately and will each dictate their own notes. An example may be spinal surgery , where a general surgeon and an orthopedic surgeon both are present and billing off the same Current Procedural Terminology (CPT) codes. Typically two Operative Notes are generated; however, each will list the other as a co-surgeon. Any assistants are identified as a secondary performer (SPRF) in a second performer participant.", "requirements": "This serviceEvent SHALL contain exactly one [1..1] performer (CONF:1198-8489) such that it", "min": 1, "max": "1", "base": { "path": "ServiceEvent.performer", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Performer1" } ] }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer:performer1.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:performer1.typeCode", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.typeCode", "representation": [ "xmlAttr" ], "requirements": "SHALL contain exactly one [1..1] @typeCode=\"PPRF\" Primary performer (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8495).", "min": 1, "max": "1", "base": { "path": "Performer1.typeCode", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "DOC", "patternCode": "PPRF", "binding": { "strength": "required", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19601" } }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer:performer1.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:performer1.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:performer1.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:performer1.functionCode", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.functionCode", "requirements": "MAY contain zero or one [0..1] functionCode, which SHOULD be selected from ValueSet Care Team Member Function urn:oid:2.16.840.1.113762.1.4.1099.30 DYNAMIC (CONF:1198-32963).", "min": 0, "max": "1", "base": { "path": "Performer1.functionCode", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CE" } ], "binding": { "strength": "preferred", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30" } }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer:performer1.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:performer1.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:performer1.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:performer1.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:performer1.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:performer1.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:performer1.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:performer1.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:performer1.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:performer1.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:performer1.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:performer1.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:performer1.assignedEntity", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity", "requirements": "SHALL contain exactly one [1..1] assignedEntity (CONF:1198-10917).", "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:performer1.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:performer1.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:performer1.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:performer1.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:performer1.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:performer1.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:performer1.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:performer1.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:performer1.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:performer1.assignedEntity.code", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.code", "requirements": "This assignedEntity SHOULD contain zero or one [0..1] code, which SHALL be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1198-8490).", "min": 0, "max": "1", "base": { "path": "AssignedEntity.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/2.16.840.1.114222.4.11.1066" } }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer:performer1.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:performer1.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:performer1.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:performer1.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.serviceEvent.performer:performer2", "path": "ClinicalDocument.documentationOf.serviceEvent.performer", "sliceName": "performer2", "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 MAY contain zero or more [0..*] performer (CONF:1198-32736) such that it", "min": 0, "max": "*", "base": { "path": "ServiceEvent.performer", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Performer1" } ] }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer:performer2.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:performer2.typeCode", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.typeCode", "representation": [ "xmlAttr" ], "requirements": "SHALL contain exactly one [1..1] @typeCode=\"SPRF\" Secondary performer (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90) (CONF:1198-32738).", "min": 1, "max": "1", "base": { "path": "Performer1.typeCode", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "DOC", "patternCode": "SPRF", "binding": { "strength": "required", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.19601" } }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer:performer2.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:performer2.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:performer2.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:performer2.functionCode", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.functionCode", "requirements": "MAY contain zero or one [0..1] functionCode, which SHOULD be selected from ValueSet Care Team Member Function urn:oid:2.16.840.1.113762.1.4.1099.30 DYNAMIC (CONF:1198-32964).", "min": 0, "max": "1", "base": { "path": "Performer1.functionCode", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/CE" } ], "binding": { "strength": "preferred", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30" } }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer:performer2.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:performer2.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:performer2.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:performer2.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:performer2.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:performer2.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:performer2.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:performer2.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:performer2.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:performer2.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:performer2.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:performer2.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:performer2.assignedEntity", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity", "requirements": "SHALL contain exactly one [1..1] assignedEntity (CONF:1198-32737).", "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:performer2.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:performer2.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:performer2.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:performer2.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:performer2.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:performer2.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:performer2.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:performer2.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:performer2.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:performer2.assignedEntity.code", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.code", "requirements": "This assignedEntity SHOULD contain zero or one [0..1] code, which SHALL be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1198-32739).", "min": 0, "max": "1", "base": { "path": "AssignedEntity.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/2.16.840.1.114222.4.11.1066" } }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer:performer2.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:performer2.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:performer2.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:performer2.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", "min": 0, "max": "*", "base": { "path": "ClinicalDocument.relatedDocument", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/RelatedDocument" } ] }, { "id": "ClinicalDocument.authorization", "path": "ClinicalDocument.authorization", "slicing": { "discriminator": [ { "type": "value", "path": "consent" } ], "rules": "open" }, "short": "Authorization represents consent. Consent, if present, shall be represented by authorization/consent.", "requirements": "MAY contain zero or one [0..1] authorization (CONF:1198-32404).", "min": 0, "max": "1", "base": { "path": "ClinicalDocument.authorization", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Authorization" } ] }, { "id": "ClinicalDocument.authorization.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.typeCode", "path": "ClinicalDocument.authorization.typeCode", "representation": [ "xmlAttr" ], "requirements": "The authorization, if present, SHALL contain exactly one [1..1] @typeCode=\"AUTH\" authorized by (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32408).", "min": 1, "max": "1", "base": { "path": "Authorization.typeCode", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "AUT", "patternCode": "AUTH", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ParticipationType" } }, { "id": "ClinicalDocument.authorization.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.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.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.consent", "path": "ClinicalDocument.authorization.consent", "requirements": "The authorization, if present, SHALL contain exactly one [1..1] consent (CONF:1198-32405).", "min": 1, "max": "1", "base": { "path": "Authorization.consent", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Consent" } ] }, { "id": "ClinicalDocument.authorization.consent.classCode", "path": "ClinicalDocument.authorization.consent.classCode", "representation": [ "xmlAttr" ], "requirements": "This consent SHALL contain exactly one [1..1] @classCode=\"CONS\" consent (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1198-32409).", "min": 1, "max": "1", "base": { "path": "Consent.classCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "CONS", "fixedCode": "CONS", "patternCode": "CONS", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActClass" } }, { "id": "ClinicalDocument.authorization.consent.moodCode", "path": "ClinicalDocument.authorization.consent.moodCode", "representation": [ "xmlAttr" ], "requirements": "This consent SHALL contain exactly one [1..1] @moodCode=\"EVN\" event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1198-32410).", "min": 1, "max": "1", "base": { "path": "Consent.moodCode", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "defaultValueCode": "EVN", "fixedCode": "EVN", "patternCode": "EVN", "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActMood" } }, { "id": "ClinicalDocument.authorization.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.consent.id", "path": "ClinicalDocument.authorization.consent.id", "min": 0, "max": "*", "base": { "path": "Consent.id", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "id": "ClinicalDocument.authorization.consent.code", "path": "ClinicalDocument.authorization.consent.code", "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.consent.statusCode", "path": "ClinicalDocument.authorization.consent.statusCode", "requirements": "This consent SHALL contain exactly one [1..1] statusCode (CONF:1198-32411).", "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.consent.statusCode.code", "path": "ClinicalDocument.authorization.consent.statusCode.code", "representation": [ "xmlAttr" ], "min": 1, "max": "1", "base": { "path": "Consent.statusCode.code", "min": 1, "max": "1" }, "defaultValueCode": "completed", "fixedString": "completed" }, { "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 encompassing encounter represents the setting of the clinical encounter during which the document act(s) or ServiceEvent(s) occurred. In order to represent providers associated with a specific encounter, they are recorded within the encompassingEncounter as participants. In a CCD, the encompassingEncounter may be used when documenting a specific encounter and its participants. All relevant encounters in a CCD may be listed in the encounters section.", "requirements": "MAY contain zero or one [0..1] componentOf (CONF:1198-9955).", "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", "requirements": "The componentOf, if present, SHALL contain exactly one [1..1] encompassingEncounter (CONF:1198-9956).", "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:1198-9959).", "min": 1, "max": "*", "base": { "path": "EncompassingEncounter.id", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/II" } ] }, { "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", "path": "ClinicalDocument.componentOf.encompassingEncounter.effectiveTime", "requirements": "This encompassingEncounter SHALL contain exactly one [1..1] effectiveTime (CONF:1198-9958).", "min": 1, "max": "1", "base": { "path": "EncompassingEncounter.effectiveTime", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/IVL-TS" } ] }, { "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", "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", "min": 1, "max": "1", "base": { "path": "EncompassingEncounter.responsibleParty.assignedEntity", "min": 1, "max": "1" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity" } ] }, { "id": "ClinicalDocument.componentOf.encompassingEncounter.encounterParticipant", "path": "ClinicalDocument.componentOf.encompassingEncounter.encounterParticipant", "min": 0, "max": "*", "base": { "path": "EncompassingEncounter.encounterParticipant", "min": 0, "max": "*" }, "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/EncounterParticipant" } ] }, { "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:1198-9585).", "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:1198-30485).", "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": 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"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:1198-30486).", "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": "This component SHALL contain exactly one [1..1] Anesthesia Section (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.2.25:2014-06-09) (CONF:1198-30487).", "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/2.16.840.1.113883.10.20.22.2.25" ] } ], "isModifier": false }, { "id": "ClinicalDocument.component.structuredBody.component:component2", "path": "ClinicalDocument.component.structuredBody.component", "sliceName": "component2", "requirements": "This structuredBody SHALL contain exactly one [1..1] component (CONF:1198-30488) such that it", "min": 1, "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] Complications Section (V3) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.2.37:2015-08-01) (CONF:1198-30489).", "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/2.16.840.1.113883.10.20.22.2.37" ] } ], "isModifier": false }, { "id": "ClinicalDocument.component.structuredBody.component:component3", "path": "ClinicalDocument.component.structuredBody.component", "sliceName": "component3", "requirements": "This structuredBody SHALL contain exactly one [1..1] component (CONF:1198-30490) such that it", "min": 1, "max": "1", "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] Preoperative Diagnosis Section (V3) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.2.34:2015-08-01) (CONF:1198-30491).", "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/2.16.840.1.113883.10.20.22.2.34" ] } ], "isModifier": false }, { "id": "ClinicalDocument.component.structuredBody.component:component4", "path": "ClinicalDocument.component.structuredBody.component", "sliceName": "component4", "requirements": "This structuredBody SHALL contain exactly one [1..1] component (CONF:1198-30492) such that it", "min": 1, "max": "1", "base": { "path": "StructuredBody.component", "min": 1, "max": "*" }, "type": [ { "code": "Element" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component4.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:component4.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:component4.section", "path": "ClinicalDocument.component.structuredBody.component.section", "requirements": "SHALL contain exactly one [1..1] Procedure Estimated Blood Loss Section (identifier: urn:oid:2.16.840.1.113883.10.20.18.2.9) (CONF:1198-30493).", "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/2.16.840.1.113883.10.20.18.2.9" ] } ], "constraint": [ { "key": "81-8741", "severity": "warning", "human": "The Estimated Blood Loss section SHALL include a statement providing an estimate of the amount of blood lost during the procedure, even if the estimate is text, such as \"minimal\" or \"none\" (CONF:81-8741).", "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:component5", "path": "ClinicalDocument.component.structuredBody.component", "sliceName": "component5", "requirements": "This structuredBody SHALL contain exactly one [1..1] component (CONF:1198-30494) such that it", "min": 1, "max": "1", "base": { "path": "StructuredBody.component", "min": 1, "max": "*" }, "type": [ { "code": "Element" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component5.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:component5.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:component5.section", "path": "ClinicalDocument.component.structuredBody.component.section", "requirements": "SHALL contain exactly one [1..1] Procedure Findings Section (V3) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.2.28:2015-08-01) (CONF:1198-30495).", "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/2.16.840.1.113883.10.20.22.2.28" ] } ], "isModifier": false }, { "id": "ClinicalDocument.component.structuredBody.component:component6", "path": "ClinicalDocument.component.structuredBody.component", "sliceName": "component6", "requirements": "This structuredBody SHALL contain exactly one [1..1] component (CONF:1198-30496) such that it", "min": 1, "max": "1", "base": { "path": "StructuredBody.component", "min": 1, "max": "*" }, "type": [ { "code": "Element" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component6.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:component6.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:component6.section", "path": "ClinicalDocument.component.structuredBody.component.section", "requirements": "SHALL contain exactly one [1..1] Procedure Specimens Taken Section (identifier: urn:oid:2.16.840.1.113883.10.20.22.2.31) (CONF:1198-30497).", "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/2.16.840.1.113883.10.20.22.2.31" ] } ], "constraint": [ { "key": "81-8742", "severity": "warning", "human": "The Procedure Specimens Taken section SHALL list all specimens removed or SHALL explicitly state that no specimens were taken (CONF:81-8742).", "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:component7", "path": "ClinicalDocument.component.structuredBody.component", "sliceName": "component7", "requirements": "This structuredBody SHALL contain exactly one [1..1] component (CONF:1198-30498) such that it", "min": 1, "max": "1", "base": { "path": "StructuredBody.component", "min": 1, "max": "*" }, "type": [ { "code": "Element" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component7.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:component7.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:component7.section", "path": "ClinicalDocument.component.structuredBody.component.section", "requirements": "SHALL contain exactly one [1..1] Procedure Description Section (identifier: urn:oid:2.16.840.1.113883.10.20.22.2.27) (CONF:1198-30499).", "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/2.16.840.1.113883.10.20.22.2.27" ] } ], "isModifier": false }, { "id": "ClinicalDocument.component.structuredBody.component:component8", "path": "ClinicalDocument.component.structuredBody.component", "sliceName": "component8", "requirements": "This structuredBody SHALL contain exactly one [1..1] component (CONF:1198-30500) such that it", "min": 1, "max": "1", "base": { "path": "StructuredBody.component", "min": 1, "max": "*" }, "type": [ { "code": "Element" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component8.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:component8.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:component8.section", "path": "ClinicalDocument.component.structuredBody.component.section", "requirements": "SHALL contain exactly one [1..1] Postoperative Diagnosis Section (identifier: urn:oid:2.16.840.1.113883.10.20.22.2.35) (CONF:1198-30501).", "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/2.16.840.1.113883.10.20.22.2.35" ] } ], "isModifier": false }, { "id": "ClinicalDocument.component.structuredBody.component:component9", "path": "ClinicalDocument.component.structuredBody.component", "sliceName": "component9", "requirements": "This structuredBody MAY contain zero or one [0..1] component (CONF:1198-30502) such that it", "min": 0, "max": "1", "base": { "path": "StructuredBody.component", "min": 1, "max": "*" }, "type": [ { "code": "Element" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component9.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:component9.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:component9.section", "path": "ClinicalDocument.component.structuredBody.component.section", "requirements": "SHALL contain exactly one [1..1] Procedure Implants Section (identifier: urn:oid:2.16.840.1.113883.10.20.22.2.40) (CONF:1198-30503).", "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/2.16.840.1.113883.10.20.22.2.40" ] } ], "constraint": [ { "key": "81-8769", "severity": "error", "human": "The Procedure Implants section **SHALL** include a statement providing details of the implants placed, or assert no implants were placed (CONF:81-8769).", "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:component10", "path": "ClinicalDocument.component.structuredBody.component", "sliceName": "component10", "requirements": "This structuredBody MAY contain zero or one [0..1] component (CONF:1198-30504) such that it", "min": 0, "max": "1", "base": { "path": "StructuredBody.component", "min": 1, "max": "*" }, "type": [ { "code": "Element" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component10.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:component10.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:component10.section", "path": "ClinicalDocument.component.structuredBody.component.section", "requirements": "SHALL contain exactly one [1..1] Operative Note Fluids Section (identifier: urn:oid:2.16.840.1.113883.10.20.7.12) (CONF:1198-30505).", "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/2.16.840.1.113883.10.20.7.12" ] } ], "constraint": [ { "key": "81-8052", "severity": "warning", "human": "If the Operative Note Fluids section is present, there SHALL be a statement providing details of the fluids administered or SHALL explicitly state there were no fluids administered (CONF:81-8052).", "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:component11", "path": "ClinicalDocument.component.structuredBody.component", "sliceName": "component11", "requirements": "This structuredBody MAY contain zero or one [0..1] component (CONF:1198-30506) such that it", "min": 0, "max": "1", "base": { "path": "StructuredBody.component", "min": 1, "max": "*" }, "type": [ { "code": "Element" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component11.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:component11.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:component11.section", "path": "ClinicalDocument.component.structuredBody.component.section", "requirements": "SHALL contain exactly one [1..1] Operative Note Surgical Procedure Section (identifier: urn:oid:2.16.840.1.113883.10.20.7.14) (CONF:1198-30507).", "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/2.16.840.1.113883.10.20.7.14" ] } ], "constraint": [ { "key": "81-8054", "severity": "warning", "human": "If the surgical procedure section is present there SHALL be text indicating the procedure performed (CONF:81-8054).", "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:component12", "path": "ClinicalDocument.component.structuredBody.component", "sliceName": "component12", "requirements": "This structuredBody MAY contain zero or one [0..1] component (CONF:1198-30508) such that it", "min": 0, "max": "1", "base": { "path": "StructuredBody.component", "min": 1, "max": "*" }, "type": [ { "code": "Element" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component12.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:component12.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:component12.section", "path": "ClinicalDocument.component.structuredBody.component.section", "requirements": "SHALL contain exactly one [1..1] Plan of Treatment Section (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.2.10:2014-06-09) (CONF:1198-30509).", "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/2.16.840.1.113883.10.20.22.2.10" ] } ], "isModifier": false }, { "id": "ClinicalDocument.component.structuredBody.component:component13", "path": "ClinicalDocument.component.structuredBody.component", "sliceName": "component13", "requirements": "This structuredBody MAY contain zero or one [0..1] component (CONF:1198-30510) such that it", "min": 0, "max": "1", "base": { "path": "StructuredBody.component", "min": 1, "max": "*" }, "type": [ { "code": "Element" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component13.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:component13.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:component13.section", "path": "ClinicalDocument.component.structuredBody.component.section", "requirements": "SHALL contain exactly one [1..1] Planned Procedure Section (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.2.30:2014-06-09) (CONF:1198-30511).", "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/2.16.840.1.113883.10.20.22.2.30" ] } ], "isModifier": false }, { "id": "ClinicalDocument.component.structuredBody.component:component14", "path": "ClinicalDocument.component.structuredBody.component", "sliceName": "component14", "requirements": "This structuredBody MAY contain zero or one [0..1] component (CONF:1198-30512) such that it", "min": 0, "max": "1", "base": { "path": "StructuredBody.component", "min": 1, "max": "*" }, "type": [ { "code": "Element" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component14.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:component14.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:component14.section", "path": "ClinicalDocument.component.structuredBody.component.section", "requirements": "SHALL contain exactly one [1..1] Procedure Disposition Section (identifier: urn:oid:2.16.840.1.113883.10.20.18.2.12) (CONF:1198-30513).", "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/2.16.840.1.113883.10.20.18.2.12" ] } ], "isModifier": false }, { "id": "ClinicalDocument.component.structuredBody.component:component15", "path": "ClinicalDocument.component.structuredBody.component", "sliceName": "component15", "requirements": "This structuredBody MAY contain zero or one [0..1] component (CONF:1198-30514) such that it", "min": 0, "max": "1", "base": { "path": "StructuredBody.component", "min": 1, "max": "*" }, "type": [ { "code": "Element" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component15.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:component15.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:component15.section", "path": "ClinicalDocument.component.structuredBody.component.section", "requirements": "SHALL contain exactly one [1..1] Procedure Indications Section (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.2.29:2014-06-09) (CONF:1198-30515).", "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/2.16.840.1.113883.10.20.22.2.29" ] } ], "isModifier": false }, { "id": "ClinicalDocument.component.structuredBody.component:component16", "path": "ClinicalDocument.component.structuredBody.component", "sliceName": "component16", "requirements": "This structuredBody MAY contain zero or one [0..1] component (CONF:1198-30516) such that it", "min": 0, "max": "1", "base": { "path": "StructuredBody.component", "min": 1, "max": "*" }, "type": [ { "code": "Element" } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component16.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:component16.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:component16.section", "path": "ClinicalDocument.component.structuredBody.component.section", "requirements": "SHALL contain exactly one [1..1] Surgical Drains Section (identifier: urn:oid:2.16.840.1.113883.10.20.7.13) (CONF:1198-30517).", "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/2.16.840.1.113883.10.20.7.13" ] } ], "constraint": [ { "key": "81-8056", "severity": "warning", "human": "If the Surgical Drains section is present, there SHALL be a statement providing details of the drains placed or SHALL explicitly state there were no drains placed (CONF:81-8056).", "source": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1" } ], "isModifier": false } ] }, "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:1198-8483) such that it", "min": 1, "max": "1", "constraint": [ { "key": "1198-32940", "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:1198-32940)." } ] }, { "id": "ClinicalDocument.templateId:secondary.root", "path": "ClinicalDocument.templateId.root", "requirements": "SHALL contain exactly one [1..1] @root=\"2.16.840.1.113883.10.20.22.1.7\" (CONF:1198-10048).", "min": 1, "max": "1", "patternString": "2.16.840.1.113883.10.20.22.1.7" }, { "id": "ClinicalDocument.templateId:secondary.extension", "path": "ClinicalDocument.templateId.extension", "requirements": "SHALL contain exactly one [1..1] @extension=\"2015-08-01\" (CONF:1198-32519).", "min": 1, "max": "1", "patternString": "2015-08-01" }, { "id": "ClinicalDocument.code", "path": "ClinicalDocument.code", "short": "The Operative Note recommends use of a single document type code, 11504-8 \"Provider-unspecified Operation Note\", with further specification provided by author or performer, setting, or specialty data in the CDA header. Some of the LOINC codes in the Surgical Operation Note Document Type Code table are pre-coordinated with the practice setting or the training or professional level of the author. Use of pre-coordinated codes is not recommended because of potential conflict with other information in the header. When these codes are used, any coded values describing the author or performer of the service act or the practice setting must be consistent with the LOINC document type.", "requirements": "SHALL contain exactly one [1..1] code (CONF:1198-17187).", "min": 1, "max": "1" }, { "id": "ClinicalDocument.code.code", "path": "ClinicalDocument.code.code", "requirements": "This code SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet SurgicalOperationNoteDocumentTypeCode http://hl7.org/fhir/ccda/ValueSet/2.16.840.1.113883.11.20.1.1 DYNAMIC (CONF:1198-17188).", "min": 1, "max": "1", "binding": { "strength": "required", "valueSet": "http://hl7.org/fhir/ccda/ValueSet/2.16.840.1.113883.11.20.1.1" } }, { "id": "ClinicalDocument.documentationOf", "path": "ClinicalDocument.documentationOf", "short": "A serviceEvent represents the main act, such as a colonoscopy or an appendectomy, being documented. A serviceEvent can further specialize the act inherent in the ClinicalDocument/code, such as where the ClinicalDocument/code is simply \"Surgical Operation Note\" and the procedure is \"Appendectomy.\" serviceEvent is required in the Operative Note and it must be equivalent to or further specialize the value inherent in the ClinicalDocument/code; it shall not conflict with the value inherent in the ClinicalDocument/code, as such a conflict would create ambiguity. serviceEvent/effectiveTime can be used to indicate the time the actual event (as opposed to the encounter surrounding the event) took place. If the date and the duration of the procedure is known, serviceEvent/effectiveTime/low is used with a width element that describes the duration; no high element is used. However, if only the date is known, the date is placed in both the low and high elements.", "requirements": "SHALL contain at least one [1..*] documentationOf (CONF:1198-8486).", "min": 1, "max": "*" }, { "id": "ClinicalDocument.documentationOf.serviceEvent", "path": "ClinicalDocument.documentationOf.serviceEvent", "requirements": "Such documentationOfs SHALL contain exactly one [1..1] serviceEvent (CONF:1198-8493).", "min": 1, "max": "1", "constraint": [ { "key": "1198-8487", "severity": "error", "human": "The value of serviceEvent/code **SHALL** be from ICD9 CM Procedures (CodeSystem 2.16.840.1.113883.6.104), CPT-4 (CodeSystem 2.16.840.1.113883.6.12), or values descending from 71388002 (Procedure) from the SNOMED CT (CodeSystem 2.16.840.1.113883.6.96) ValueSet Procedure 2.16.840.1.113883.3.88.12.80.28 *DYNAMIC* (CONF:1198-8487)." } ] }, { "id": "ClinicalDocument.documentationOf.serviceEvent.effectiveTime", "path": "ClinicalDocument.documentationOf.serviceEvent.effectiveTime", "requirements": "This serviceEvent 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:1198-8494).", "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": "1198-8488", "severity": "error", "human": "The serviceEvent/effectiveTime **SHALL** be present with effectiveTime/low (CONF:1198-8488)." }, { "key": "1198-10058", "severity": "error", "human": "If a width is not present, the serviceEvent/effectiveTime **SHALL** include effectiveTime/high (CONF:1198-10058)." }, { "key": "1198-10060", "severity": "error", "human": "When only the date and the length of the procedure are known a width element **SHALL** be present and the serviceEvent/effectiveTime/high **SHALL NOT** be present (CONF:1198-10060)." } ] }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer", "path": "ClinicalDocument.documentationOf.serviceEvent.performer", "slicing": { "discriminator": [ { "type": "value", "path": "assignedEntity" }, { "type": "value", "path": "typeCode" }, { "type": "value", "path": "functionCode" } ], "rules": "open" }, "short": "This performer represents any assistants." }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer:performer1", "path": "ClinicalDocument.documentationOf.serviceEvent.performer", "sliceName": "performer1", "short": "This performer represents a clinicians who actually and principally carry out the serviceEvent. Typically, these are clinicians who have surgical privileges in their institutions such as Surgeons, Obstetrician/Gynecologists, and Family Practice Physicians. The performer may also be non-physician providers (NPPs) who have surgical privileges. There may be more than one primary performer in the case of complicated surgeries. There are occasionally co-surgeons. Usually they will be billing separately and will each dictate their own notes. An example may be spinal surgery , where a general surgeon and an orthopedic surgeon both are present and billing off the same Current Procedural Terminology (CPT) codes. Typically two Operative Notes are generated; however, each will list the other as a co-surgeon. Any assistants are identified as a secondary performer (SPRF) in a second performer participant.", "requirements": "This serviceEvent SHALL contain exactly one [1..1] performer (CONF:1198-8489) such that it", "min": 1, "max": "1" }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer:performer1.typeCode", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.typeCode", "requirements": "SHALL contain exactly one [1..1] @typeCode=\"PPRF\" Primary performer (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8495).", "min": 1, "max": "1", "patternCode": "PPRF" }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer:performer1.functionCode", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.functionCode", "requirements": "MAY contain zero or one [0..1] functionCode, which SHOULD be selected from ValueSet Care Team Member Function urn:oid:2.16.840.1.113762.1.4.1099.30 DYNAMIC (CONF:1198-32963).", "min": 0, "max": "1", "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:performer1.assignedEntity", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity", "requirements": "SHALL contain exactly one [1..1] assignedEntity (CONF:1198-10917).", "min": 1, "max": "1" }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer:performer1.assignedEntity.code", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.code", "requirements": "This assignedEntity SHOULD contain zero or one [0..1] code, which SHALL be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1198-8490).", "min": 0, "max": "1", "binding": { "strength": "required", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066" } }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer:performer2", "path": "ClinicalDocument.documentationOf.serviceEvent.performer", "sliceName": "performer2", "requirements": "This serviceEvent MAY contain zero or more [0..*] performer (CONF:1198-32736) such that it", "min": 0, "max": "*" }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer:performer2.typeCode", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.typeCode", "requirements": "SHALL contain exactly one [1..1] @typeCode=\"SPRF\" Secondary performer (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90) (CONF:1198-32738).", "min": 1, "max": "1", "patternCode": "SPRF" }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer:performer2.functionCode", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.functionCode", "requirements": "MAY contain zero or one [0..1] functionCode, which SHOULD be selected from ValueSet Care Team Member Function urn:oid:2.16.840.1.113762.1.4.1099.30 DYNAMIC (CONF:1198-32964).", "min": 0, "max": "1", "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:performer2.assignedEntity", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity", "requirements": "SHALL contain exactly one [1..1] assignedEntity (CONF:1198-32737).", "min": 1, "max": "1" }, { "id": "ClinicalDocument.documentationOf.serviceEvent.performer:performer2.assignedEntity.code", "path": "ClinicalDocument.documentationOf.serviceEvent.performer.assignedEntity.code", "requirements": "This assignedEntity SHOULD contain zero or one [0..1] code, which SHALL be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1198-32739).", "min": 0, "max": "1", "binding": { "strength": "required", "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066" } }, { "id": "ClinicalDocument.authorization", "path": "ClinicalDocument.authorization", "short": "Authorization represents consent. Consent, if present, shall be represented by authorization/consent.", "requirements": "MAY contain zero or one [0..1] authorization (CONF:1198-32404).", "min": 0, "max": "1" }, { "id": "ClinicalDocument.authorization.typeCode", "path": "ClinicalDocument.authorization.typeCode", "requirements": "The authorization, if present, SHALL contain exactly one [1..1] @typeCode=\"AUTH\" authorized by (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32408).", "min": 1, "max": "1", "patternCode": "AUTH" }, { "id": "ClinicalDocument.authorization.consent", "path": "ClinicalDocument.authorization.consent", "requirements": "The authorization, if present, SHALL contain exactly one [1..1] consent (CONF:1198-32405).", "min": 1, "max": "1" }, { "id": "ClinicalDocument.authorization.consent.classCode", "path": "ClinicalDocument.authorization.consent.classCode", "requirements": "This consent SHALL contain exactly one [1..1] @classCode=\"CONS\" consent (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1198-32409).", "min": 1, "max": "1", "patternCode": "CONS" }, { "id": "ClinicalDocument.authorization.consent.moodCode", "path": "ClinicalDocument.authorization.consent.moodCode", "requirements": "This consent SHALL contain exactly one [1..1] @moodCode=\"EVN\" event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1198-32410).", "min": 1, "max": "1", "patternCode": "EVN" }, { "id": "ClinicalDocument.authorization.consent.statusCode", "path": "ClinicalDocument.authorization.consent.statusCode", "requirements": "This consent SHALL contain exactly one [1..1] statusCode (CONF:1198-32411).", "min": 1, "max": "1" }, { "id": "ClinicalDocument.component", "path": "ClinicalDocument.component", "requirements": "SHALL contain exactly one [1..1] component (CONF:1198-9585).", "min": 1, "max": "1" }, { "id": "ClinicalDocument.component.structuredBody", "path": "ClinicalDocument.component.structuredBody", "requirements": "This component SHALL contain exactly one [1..1] structuredBody (CONF:1198-30485).", "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:1198-30486).", "min": 1, "max": "1" }, { "id": "ClinicalDocument.component.structuredBody.component:component1.section", "path": "ClinicalDocument.component.structuredBody.component.section", "requirements": "This component SHALL contain exactly one [1..1] Anesthesia Section (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.2.25:2014-06-09) (CONF:1198-30487).", "min": 1, "max": "1", "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Section", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.2.25" ] } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component2", "path": "ClinicalDocument.component.structuredBody.component", "sliceName": "component2", "requirements": "This structuredBody SHALL contain exactly one [1..1] component (CONF:1198-30488) such that it", "min": 1, "max": "1" }, { "id": "ClinicalDocument.component.structuredBody.component:component2.section", "path": "ClinicalDocument.component.structuredBody.component.section", "requirements": "SHALL contain exactly one [1..1] Complications Section (V3) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.2.37:2015-08-01) (CONF:1198-30489).", "min": 1, "max": "1", "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Section", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.2.37" ] } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component3", "path": "ClinicalDocument.component.structuredBody.component", "sliceName": "component3", "requirements": "This structuredBody SHALL contain exactly one [1..1] component (CONF:1198-30490) such that it", "min": 1, "max": "1" }, { "id": "ClinicalDocument.component.structuredBody.component:component3.section", "path": "ClinicalDocument.component.structuredBody.component.section", "requirements": "SHALL contain exactly one [1..1] Preoperative Diagnosis Section (V3) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.2.34:2015-08-01) (CONF:1198-30491).", "min": 1, "max": "1", "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Section", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.2.34" ] } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component4", "path": "ClinicalDocument.component.structuredBody.component", "sliceName": "component4", "requirements": "This structuredBody SHALL contain exactly one [1..1] component (CONF:1198-30492) such that it", "min": 1, "max": "1" }, { "id": "ClinicalDocument.component.structuredBody.component:component4.section", "path": "ClinicalDocument.component.structuredBody.component.section", "requirements": "SHALL contain exactly one [1..1] Procedure Estimated Blood Loss Section (identifier: urn:oid:2.16.840.1.113883.10.20.18.2.9) (CONF:1198-30493).", "min": 1, "max": "1", "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Section", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.18.2.9" ] } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component5", "path": "ClinicalDocument.component.structuredBody.component", "sliceName": "component5", "requirements": "This structuredBody SHALL contain exactly one [1..1] component (CONF:1198-30494) such that it", "min": 1, "max": "1" }, { "id": "ClinicalDocument.component.structuredBody.component:component5.section", "path": "ClinicalDocument.component.structuredBody.component.section", "requirements": "SHALL contain exactly one [1..1] Procedure Findings Section (V3) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.2.28:2015-08-01) (CONF:1198-30495).", "min": 1, "max": "1", "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Section", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.2.28" ] } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component6", "path": "ClinicalDocument.component.structuredBody.component", "sliceName": "component6", "requirements": "This structuredBody SHALL contain exactly one [1..1] component (CONF:1198-30496) such that it", "min": 1, "max": "1" }, { "id": "ClinicalDocument.component.structuredBody.component:component6.section", "path": "ClinicalDocument.component.structuredBody.component.section", "requirements": "SHALL contain exactly one [1..1] Procedure Specimens Taken Section (identifier: urn:oid:2.16.840.1.113883.10.20.22.2.31) (CONF:1198-30497).", "min": 1, "max": "1", "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Section", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.2.31" ] } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component7", "path": "ClinicalDocument.component.structuredBody.component", "sliceName": "component7", "requirements": "This structuredBody SHALL contain exactly one [1..1] component (CONF:1198-30498) such that it", "min": 1, "max": "1" }, { "id": "ClinicalDocument.component.structuredBody.component:component7.section", "path": "ClinicalDocument.component.structuredBody.component.section", "requirements": "SHALL contain exactly one [1..1] Procedure Description Section (identifier: urn:oid:2.16.840.1.113883.10.20.22.2.27) (CONF:1198-30499).", "min": 1, "max": "1", "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Section", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.2.27" ] } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component8", "path": "ClinicalDocument.component.structuredBody.component", "sliceName": "component8", "requirements": "This structuredBody SHALL contain exactly one [1..1] component (CONF:1198-30500) such that it", "min": 1, "max": "1" }, { "id": "ClinicalDocument.component.structuredBody.component:component8.section", "path": "ClinicalDocument.component.structuredBody.component.section", "requirements": "SHALL contain exactly one [1..1] Postoperative Diagnosis Section (identifier: urn:oid:2.16.840.1.113883.10.20.22.2.35) (CONF:1198-30501).", "min": 1, "max": "1", "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Section", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.2.35" ] } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component9", "path": "ClinicalDocument.component.structuredBody.component", "sliceName": "component9", "requirements": "This structuredBody MAY contain zero or one [0..1] component (CONF:1198-30502) such that it", "min": 0, "max": "1" }, { "id": "ClinicalDocument.component.structuredBody.component:component9.section", "path": "ClinicalDocument.component.structuredBody.component.section", "requirements": "SHALL contain exactly one [1..1] Procedure Implants Section (identifier: urn:oid:2.16.840.1.113883.10.20.22.2.40) (CONF:1198-30503).", "min": 1, "max": "1", "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Section", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.2.40" ] } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component10", "path": "ClinicalDocument.component.structuredBody.component", "sliceName": "component10", "requirements": "This structuredBody MAY contain zero or one [0..1] component (CONF:1198-30504) such that it", "min": 0, "max": "1" }, { "id": "ClinicalDocument.component.structuredBody.component:component10.section", "path": "ClinicalDocument.component.structuredBody.component.section", "requirements": "SHALL contain exactly one [1..1] Operative Note Fluids Section (identifier: urn:oid:2.16.840.1.113883.10.20.7.12) (CONF:1198-30505).", "min": 1, "max": "1", "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Section", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.7.12" ] } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component11", "path": "ClinicalDocument.component.structuredBody.component", "sliceName": "component11", "requirements": "This structuredBody MAY contain zero or one [0..1] component (CONF:1198-30506) such that it", "min": 0, "max": "1" }, { "id": "ClinicalDocument.component.structuredBody.component:component11.section", "path": "ClinicalDocument.component.structuredBody.component.section", "requirements": "SHALL contain exactly one [1..1] Operative Note Surgical Procedure Section (identifier: urn:oid:2.16.840.1.113883.10.20.7.14) (CONF:1198-30507).", "min": 1, "max": "1", "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Section", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.7.14" ] } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component12", "path": "ClinicalDocument.component.structuredBody.component", "sliceName": "component12", "requirements": "This structuredBody MAY contain zero or one [0..1] component (CONF:1198-30508) such that it", "min": 0, "max": "1" }, { "id": "ClinicalDocument.component.structuredBody.component:component12.section", "path": "ClinicalDocument.component.structuredBody.component.section", "requirements": "SHALL contain exactly one [1..1] Plan of Treatment Section (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.2.10:2014-06-09) (CONF:1198-30509).", "min": 1, "max": "1", "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Section", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.2.10" ] } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component13", "path": "ClinicalDocument.component.structuredBody.component", "sliceName": "component13", "requirements": "This structuredBody MAY contain zero or one [0..1] component (CONF:1198-30510) such that it", "min": 0, "max": "1" }, { "id": "ClinicalDocument.component.structuredBody.component:component13.section", "path": "ClinicalDocument.component.structuredBody.component.section", "requirements": "SHALL contain exactly one [1..1] Planned Procedure Section (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.2.30:2014-06-09) (CONF:1198-30511).", "min": 1, "max": "1", "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Section", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.2.30" ] } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component14", "path": "ClinicalDocument.component.structuredBody.component", "sliceName": "component14", "requirements": "This structuredBody MAY contain zero or one [0..1] component (CONF:1198-30512) such that it", "min": 0, "max": "1" }, { "id": "ClinicalDocument.component.structuredBody.component:component14.section", "path": "ClinicalDocument.component.structuredBody.component.section", "requirements": "SHALL contain exactly one [1..1] Procedure Disposition Section (identifier: urn:oid:2.16.840.1.113883.10.20.18.2.12) (CONF:1198-30513).", "min": 1, "max": "1", "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Section", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.18.2.12" ] } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component15", "path": "ClinicalDocument.component.structuredBody.component", "sliceName": "component15", "requirements": "This structuredBody MAY contain zero or one [0..1] component (CONF:1198-30514) such that it", "min": 0, "max": "1" }, { "id": "ClinicalDocument.component.structuredBody.component:component15.section", "path": "ClinicalDocument.component.structuredBody.component.section", "requirements": "SHALL contain exactly one [1..1] Procedure Indications Section (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.2.29:2014-06-09) (CONF:1198-30515).", "min": 1, "max": "1", "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Section", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.2.29" ] } ] }, { "id": "ClinicalDocument.component.structuredBody.component:component16", "path": "ClinicalDocument.component.structuredBody.component", "sliceName": "component16", "requirements": "This structuredBody MAY contain zero or one [0..1] component (CONF:1198-30516) such that it", "min": 0, "max": "1" }, { "id": "ClinicalDocument.component.structuredBody.component:component16.section", "path": "ClinicalDocument.component.structuredBody.component.section", "requirements": "SHALL contain exactly one [1..1] Surgical Drains Section (identifier: urn:oid:2.16.840.1.113883.10.20.7.13) (CONF:1198-30517).", "min": 1, "max": "1", "type": [ { "code": "http://hl7.org/fhir/cda/StructureDefinition/Section", "profile": [ "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.7.13" ] } ] } ] } }