Item | DT | Card | Conf | Description | Label |
---|
hl7:ClinicalDocument
| | 1 … 1 | M | | CONF‑0001 |
@classCode
| cs | 1 … 1 | F | DOCCLIN | CONF‑0502 |
@moodCode
| cs | 1 … 1 | F | EVN | CONF‑0502 |
| Constraint | The root of a document conforming to this specification SHALL be a ClinicalDocument element from the urn:hl7-org:v3 namespace.
|
hl7:realmCode
| CS (extensible) | 1 … 1 | M | | CONF‑0005 |
@code
| CONF | 1 … 1 | F | en-CA |
hl7:typeId
| II | 1 … 1 | M | | CONF‑0002 |
@root
| uid | 1 … 1 | F | 2.16.840.1.113883.1.3 | CONF‑0003 |
@extension
| st | 1 … 1 | F | POCD_HD000040 | CONF‑0004 |
hl7:templateId
| II | 1 … 1 | M | | CONF‑0176 |
@root
| uid | 1 … 1 | F | 2.16.840.1.113883.3.1937.99.61.21.10.51 |
hl7:id
| II | 1 … 1 | M | | CONF‑0001 |
@extension
| uid | 1 … 1 | R | | CONF‑0015 |
@root
| oid | 1 … 1 | R | | CONF‑0014 |
| Constraint | id SHALL contain exactly one [1..1] id with an id.root containing the ID’s namespace OID. id.extension attribute SHALL be a GUID. |
hl7:code
| CE | 1 … 1 | M | | CONF‑0177 |
@code
| CONF | 1 … 1 | F | 18748-4 |
@codeSystem
| 1 … 1 | F | 2.16.840.1.113883.6.1 |
@codeSystemName
| 1 … 1 | F | LOINC |
@displayName
| 1 … 1 | F | Diagnostic Imaging Report |
hl7:title
| ST | 1 … 1 | M | | CONF‑0023 |
| Constraint | The value for ClinicalDocument/title SHALL contain exactly one [1..1]title element valued with a string that specifies the local name used for the document. The value for ClinicalDocument/title SHOULD match the official text for the ClinicalDocument/code and SHALL NOT conflict with it. |
| Example | Example of a ClinicalDocument/title element <title>Lab Report</title> |
hl7:effectiveTime
| TS.IPS.TZ | 1 … 1 | M | | CONF‑0001 |
| Constraint | The effectiveTime.value SHALL be precise to the day, and SHOULD be precise to the minute and, if more precise than day, SHALL include a time zone offset.
|
| Example | Example of a ClinicalDocument/effectiveTime element <effectiveTime value="202006181150-0800"/> |
hl7:confidentialityCode
| CE | 1 … 1 | M | | CONF‑BC0027, CONF‑BC0028, CONF‑BC0503 |
| Constraint | CONF-BC0028: confidentialityCode.code SHOULD be fixed to N (normal) from Value Set 2.16.840.1.113883.2.20.3.139 x_BasicConfidentialityKind STATIC. Where appropriate to the use case, the following values from x_BasicConfidentialityKind may also be used: Restricted, Very Restricted, and Taboo.
|
@code
| CONF | 1 … 1 | F | N |
@codeSystem
| 1 … 1 | F | 2.16.840.1.113883.5.25 |
@displayName
| 1 … 1 | F | Normal |
| Example | <confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25" codeSystemName="Confidentiality"/> |
hl7:languageCode
| CS | 1 … 1 | M | | CONF‑BC0029, CONF‑BC0030 |
| CONF | @code shall be "en" | or | @code shall be "en-CA" |
|
| Example | <languageCode code="en-CA"/> |
hl7:setId
| II | 0 … 1 | C | | CONF‑BC0554, CONF‑BC0555 |
| Constraint | setId.extension SHALL be a GUID Where setId is leveraged, CDA document SHALL contain exactly 1 [1..1] versionNumber element Where setId is leveraged, subsequent related documents must have the same ClinicalDocument/setID value as the first document in the series. ClinicalDocument/setId and ClinicalDocument/versionNumber are used to denote document revision numbers. The ClinicalDocument/effectiveTime is set to the time of the new revision. The ClinicalDocument/relatedDocument.typeCodewould be set to RPLC (replace), unless for specific instances for Diagnosting Imaging, where it may be set to XFRM (transform). |
hl7:versionNumber
| INT | 0 … 1 | C | | CONF‑BC0019, CONF‑BC0020 |
| Constraint | versionNumber.value attribute SHALL be an integer representing the version of the document, with the initial version of 1, incrementing with each version of the document. Where setId is leveraged, the versionNumber SHALL be set at the value of “1” for the original version of the document, and in the instance of a replacement document the versionNumber SHALL be an increment of 1 from the document version it replaces. Where setId is leveraged, setId and versionNumber SHALL both be present. |
hl7:participant
| | 0 … * | | | CONF‑0001 |
Included | | | from 2.16.840.1.113883.3.1937.99.61.21.10.58 BC Physician of Record Participant (DYNAMIC) |
@typeCode
| cs | 1 … 1 | F | ATND | conf‑8881 |
cda:templateId
| II | 1 … 1 | M | SHALL contain exactly one [1..1] templateId/@root="2.16.840.1.113883.10.20.6.2.2" (CONF:8440). | conf‑8440 |
where [@root='2.16.840.1.113883.10.20.6.2.2'] | |
@root
| uid | 0 … 1 | F | 2.16.840.1.113883.10.20.6.2.2 | conf6073 |
cda:templateId
| II | 0 … * | | MAY contain zero or more [0..*] templateId (CONF:16072). | conf6072 |
where [not(@root='2.16.840.1.113883.10.20.6.2.2')] | |
cda:assignedEntity
| | 1 … 1 | M | SHALL contain exactly one [1..1] assignedEntity (CONF:8886). | conf‑8886 |
cda:id
| II | 1 … * | M | This assignedEntity SHALL contain at least one [1..*] id (CONF:8887). The id SHOULD include zero or one [0..1] id where id/@root ="2.16.840.1.113883.4.6" National Provider Identifier | conf‑8887 |
@root
| uid | 1 … 1 | F | 2.16.840.1.113883.4.6 |
cda:code
| CE | 1 … 1 | R | This assignedEntity SHALL contain exactly one [1..1] code (CONF:8888). | conf‑8888 |
cda:representedOrganization
| | 0 … 1 | | This assignedEntity MAY contain zero or one [0..1] representedOrganization (CONF:16074). | conf6074 |
cda:name
| | 0 … 1 | R | The representedOrganization, if present, SHOULD contain zero or one [0..1] name (CONF:16075). | conf6075 |
cda:name
| | 0 … 1 | R | This assignedEntity SHOULD contain zero or one [0..1] name (CONF:8890). | conf‑8890 |
Included | | | from 2.16.840.1.113883.3.1937.99.61.21.10.11 BC CDA author (DYNAMIC) |
hl7:author
| | 1 … * | M | | CONF‑0058 |
@typeCode
| cs | 1 … 1 | F | AUT | CONF‑0510 |
@contextControlCode
| cs | 1 … 1 | F | OP | CONF‑0510 |
hl7:time
| TS | 1 … 1 | M | | CONF‑BC0059, CONF‑BC0060 |
| Constraint | The author/time.valueSHALL be precise to the day and SHOULD be precise to the minute. If more precise than the day, SHALL include a time zone offset. This represents the date/time that the clinical document was dictated by the assignedPerson. In instances where the clinical document is authored by an assignedAuthoringDevice , this date/time represents the time that the document was created by the device. (e.g. ECG auto-interpretation)
|
hl7:assignedAuthor
| | 1 … 1 | M | | CONF‑0061 |
@classCode
| cs | 1 … 1 | F | ASSIGNED | CONF‑0511 |
hl7:id
| II | 1 … * | M | | CONF‑BC0062, CONF‑BC0063, CONF‑BC0064 |
| Constraint | If the author is a Provider, the id elements SHALL conform to section 4.2.1.3. If the author is a not a Provider, assignedAuthor/id MAY be a locally assigned identifier |
hl7:code
| CE | 0 … 1 | | | CONF‑0061 |
| CONF | shall be drawn from concept domain "2.16.840.1.113883.5.111" |
|
hl7:addr
| AD.CA | 0 … * | | | CONF‑0061 |
hl7:telecom
| TEL.CA.PHONE | 0 … * | | | CONF‑0061 |
Choice | 0 … 1 | | Elements to choose from:- hl7:assignedPerson
- hl7:assignedAuthoringDevice
|
hl7:assignedPerson
| | 0 … 1 | R | | CONF‑0061 |
Included | | | from 2.16.840.1.113883.3.1937.99.61.21.10.14 BC CDA Person (DYNAMIC) |
@classCode
| cs | 1 … 1 | F | PSN | CONF‑0519 |
@determinerCode
| cs | 1 … 1 | F | INSTANCE | CONF‑0519 |
hl7:name
| PN.CA | 1 … 1 | M | | CONF‑0100 |
| Constraint | assignedEntity/assignedPerson.name element SHALL conform to the constraints in the common section on names
|
hl7:assignedAuthoringDevice
| | 0 … 1 | R | | CONF‑0061 |
Included | | | from 2.16.840.1.113883.3.1937.99.61.21.10.52 CDA Device (DYNAMIC) |
@classCode
| cs | 1 … 1 | F | DEV |
@determinerCode
| cs | 1 … 1 | F | INSTANCE |
hl7:code
| CE | 0 … 1 | | | BCCDvice |
| CONF | |
hl7:manufacturerModelName
| SC | 0 … 1 | | | BCCDvice |
hl7:softwareName
| SC | 0 … 1 | | | BCCDvice |
Included | 1 … 1 | M | from 2.16.840.1.113883.3.1937.99.61.21.10.10 BC CDA recordTarget (DYNAMIC) |
hl7:recordTarget
| | 1 … 1 | M | | CONF‑0047 |
@typeCode
| cs | 1 … 1 | F | RCT | CONF‑0507 |
@contextControlCode
| cs | 1 … 1 | F | OP |
hl7:patientRole
| | 1 … 1 | M | | CONF‑0047 |
@classCode
| cs | 1 … 1 | F | PAT | CONF‑0508 |
hl7:id
| II | 1 … * | R | | CONF‑0048 |
hl7:addr
| AD.CA | 0 … * | | | CONF‑0051 |
hl7:telecom
| TEL.CA.PHONE | 0 … * | | | CONF‑0052 |
hl7:patient
| | 1 … 1 | M | | CONF‑0053 |
@classCode
| cs | 1 … 1 | F | PSN | CONF‑0509 |
@determinerCode
| cs | 1 … 1 | F | INSTANCE |
hl7:name
| PN.CA | 1 … * | M | | CONF‑0054 |
hl7:administrativeGenderCode
| CE (required) | 1 … 1 | M | | CONF‑0055 |
| CONF | |
hl7:birthTime
| TS | 1 … 1 | M | | CONF‑0056 |
hl7:languageCommunication
| | 0 … * | | | CONF‑0057 |
hl7:languageCode
| CS | 0 … 1 | | | CONF‑0057 |
| CONF | |
hl7:modeCode
| CE | 0 … 1 | | | CONF‑0057 |
| CONF | |
hl7:proficiencyLevelCode
| CE | 0 … 1 | | | CONF‑0057 |
| CONF | |
hl7:preferenceInd
| BL | 0 … 1 | | | CONF‑0057 |
Included | 1 … * | M | from 2.16.840.1.113883.3.1937.99.61.21.10.11 BC CDA author (DYNAMIC) |
hl7:author
| | 1 … * | M | | CONF‑0058 |
@typeCode
| cs | 1 … 1 | F | AUT | CONF‑0510 |
@contextControlCode
| cs | 1 … 1 | F | OP | CONF‑0510 |
hl7:time
| TS | 1 … 1 | M | | CONF‑BC0059, CONF‑BC0060 |
| Constraint | The author/time.valueSHALL be precise to the day and SHOULD be precise to the minute. If more precise than the day, SHALL include a time zone offset. This represents the date/time that the clinical document was dictated by the assignedPerson. In instances where the clinical document is authored by an assignedAuthoringDevice , this date/time represents the time that the document was created by the device. (e.g. ECG auto-interpretation)
|
hl7:assignedAuthor
| | 1 … 1 | M | | CONF‑0061 |
@classCode
| cs | 1 … 1 | F | ASSIGNED | CONF‑0511 |
hl7:id
| II | 1 … * | M | | CONF‑BC0062, CONF‑BC0063, CONF‑BC0064 |
| Constraint | If the author is a Provider, the id elements SHALL conform to section 4.2.1.3. If the author is a not a Provider, assignedAuthor/id MAY be a locally assigned identifier |
hl7:code
| CE | 0 … 1 | | | CONF‑0061 |
| CONF | shall be drawn from concept domain "2.16.840.1.113883.5.111" |
|
hl7:addr
| AD.CA | 0 … * | | | CONF‑0061 |
hl7:telecom
| TEL.CA.PHONE | 0 … * | | | CONF‑0061 |
Choice | 0 … 1 | | Elements to choose from:- hl7:assignedPerson
- hl7:assignedAuthoringDevice
|
hl7:assignedPerson
| | 0 … 1 | R | | CONF‑0061 |
Included | | | from 2.16.840.1.113883.3.1937.99.61.21.10.14 BC CDA Person (DYNAMIC) |
@classCode
| cs | 1 … 1 | F | PSN | CONF‑0519 |
@determinerCode
| cs | 1 … 1 | F | INSTANCE | CONF‑0519 |
hl7:name
| PN.CA | 1 … 1 | M | | CONF‑0100 |
| Constraint | assignedEntity/assignedPerson.name element SHALL conform to the constraints in the common section on names
|
hl7:assignedAuthoringDevice
| | 0 … 1 | R | | CONF‑0061 |
Included | | | from 2.16.840.1.113883.3.1937.99.61.21.10.52 CDA Device (DYNAMIC) |
@classCode
| cs | 1 … 1 | F | DEV |
@determinerCode
| cs | 1 … 1 | F | INSTANCE |
hl7:code
| CE | 0 … 1 | | | BCCDvice |
| CONF | |
hl7:manufacturerModelName
| SC | 0 … 1 | | | BCCDvice |
hl7:softwareName
| SC | 0 … 1 | | | BCCDvice |
Included | 1 … 1 | M | from 2.16.840.1.113883.3.1937.99.61.21.10.12 BC CDA custodian (DYNAMIC) |
hl7:custodian
| | 1 … 1 | M | | CONF‑0082 |
@typeCode
| cs | 1 … 1 | F | CST | CONF‑0083 |
hl7:assignedCustodian
| | 1 … 1 | M | | CONF‑0084 |
@classCode
| cs | 1 … 1 | F | ASSIGNED | CONF‑0514 |
hl7:representedCustodianOrganization
| | 1 … 1 | M | | CONF‑0085 |
@classCode
| cs | 1 … 1 | F | ORG | CONF‑0515 |
@determinerCode
| cs | 1 … 1 | F | INSTANCE | CONF‑0515 |
hl7:id
| II | 1 … 1 | M | | CONF‑0085 |
| Constraint | a.If the clinical document is generated from a Health Authority, this id SHALL contain the root OID of the Health Authority, and the facility id shall be used as the extension. b.If the clinical document is generated from an EMR, this id SHALL NOT contain the root OID of a Health Authority or of the BC Ministry of Health. |
hl7:name
| ON | 0 … 1 | | | CONF‑0087 |
Included | 0 … 1 | | from 2.16.840.1.113883.3.1937.99.61.21.10.16 BC CDA dataEnterer (DYNAMIC) |
hl7:dataEnterer
| | 0 … 1 | | | CONF‑BC0088, CONF‑BC0089 |
@typeCode
| cs | 1 … 1 | F | ENT | CONF0516 |
@contextControlCode
| cs | 1 … 1 | F | OP |
| Constraint | if dataEnterer is not the same as the author, dataEnterer SHOULD be present
|
hl7:time
| TS | 1 … 1 | M | | CONF‑BC0088, CONF‑BC0089 |
| Constraint | The dataEnterer/time.valueSHALL be precise to the day and SHOULD be precise to the minute. If more precise than the day, SHALL include a time zone offset. This represents the date/time that the clinical document was transcribed by the dataEnterer.
|
hl7:assignedEntity
| | 1 … 1 | R | Contains 2.16.840.1.113883.3.1937.99.61.21.10.17 BC CDA AssignedEntity (DYNAMIC) | CONF0090 |
Included | 0 … * | | from 2.16.840.1.113883.3.1937.99.61.21.10.13 BC CDA informationRecipient (DYNAMIC) |
hl7:informationRecipient
| | 0 … * | | | CONF‑BC0070, CONF‑BC0071 |
@typeCode
| cs | 1 … 1 | R | |
| Constraint | informationRecipientSHALL have the attribute typeCode whichSHALL be either “PRCP” (primary recipient) or “TRC” (secondary recipient), from HL7 Value Set x_InformationRecipient. There SHALL be at least one [1..*] primary recipient (“PRCP”). |
hl7:intendedRecipient
| | 1 … 1 | M | | CONF‑0072 |
@classCode
| cs | 1 … 1 | F | ASSIGNED | CONF‑0074 |
hl7:id
| II | 1 … 2 | R | | CONF‑BC0073, CONF‑BC0075, CONF‑BC0076 |
| Constraint | If the informationRecipient is a Provider, the id elements SHALL conform to section 4.2.1.3. If the informationRecipient is a not a Provider, intendedRecipient/id.extension MAY be a locally assigned identifier |
hl7:addr
| AD.CA | 0 … * | | | CONF‑0077 |
| Constraint | If present, intendedRecipient/addr SHALL conform to the restrictions for the described in common elements for addresses. |
hl7:telecom
| TEL.CA.PHONE | 0 … * | | | CONF‑0078 |
| Constraint | If present, telecom SHALL conform to the restrictions for the pan-Canadian data type flavor TEL.PHONE or TEL.EMAIL |
hl7:informationRecipient
| | 1 … 1 | R | | CONF‑0072 |
Included | | | from 2.16.840.1.113883.3.1937.99.61.21.10.14 BC CDA Person (DYNAMIC) |
@classCode
| cs | 1 … 1 | F | PSN | CONF‑0519 |
@determinerCode
| cs | 1 … 1 | F | INSTANCE | CONF‑0519 |
hl7:name
| PN.CA | 1 … 1 | M | | CONF‑0100 |
| Constraint | assignedEntity/assignedPerson.name element SHALL conform to the constraints in the common section on names
|
hl7:receivedOrganization
| | 0 … 1 | | | CONF‑0080 |
Included | | | from 2.16.840.1.113883.3.1937.99.61.21.10.15 BC CDA Organization (DYNAMIC) |
@classCode
| cs | 1 … 1 | F | ORG | CONF‑0533 |
@determinerCode
| cs | 1 … 1 | F | INSTANCE |
hl7:id
| II | 1 … * | M | | CDAO‑gwu |
hl7:name
| ON | 1 … 1 | M | | CONF‑0534 |
Included | 0 … * | | from 2.16.840.1.113883.3.1937.99.61.21.10.18 BC CDA authenticator (DYNAMIC) |
hl7:authenticator
| | 0 … * | | | CDAa‑gwu |
@typeCode
| cs | 1 … 1 | F | AUTHEN |
hl7:assignedEntity
| | 1 … 1 | R | Contains 2.16.840.1.113883.3.1937.99.61.21.10.17 BC CDA AssignedEntity (DYNAMIC) | CDAa‑gwu |
Included | 0 … * | | from 2.16.840.1.113883.3.1937.99.61.21.10.55 BC CDA inFulfillmentOf (DYNAMIC) |
hl7:inFulfillmentOf
| | 0 … * | | | CDAintOf |
@typeCode
| cs | 1 … 1 | F | FLFS | CONF0524 |
| Constraint | The inFulfillmentOf/order element MAY be present and represents the Placer Order (HL7 V2: ORC-2) or the Placer Group (HL7 V2: ORC-4) that was fulfilled, the identifier of which is carried in inFulfillmentOf/order/id. When present, these elements conform to the constraints described in the general header section of this guide. If the inFulfillmentOf/order element is present, it SHALL contain exactly one [1..1] statusCode(HL7 V2: ORC-5),which represents the status code of the order. Therefore, if present, code.codeSystem SHALL contain “statusCode” and code.code SHALL contain “completed,” “active,” or “aborted.” |
hl7:order
| | 1 … 1 | M | | CONF0123 |
@classCode
| cs | 1 … 1 | F | ACT |
@moodCode
| cs | 1 … 1 | F | RQO |
hl7:id
| II | 1 … * | M | | CONF0123 |
hl7:code
| CE | 0 … 1 | | | CONF0123 |
| Constraint | inFulfillmentOf/order element MAY contain one [0..1] code element. If present, code SHALL contain the status code of the order. Therefore, if present, code.codeSystem SHALL contain “statusCode” and code.code SHALL contain “completed,” “active,” or “aborted.”
|
Included | 0 … * | | from 2.16.840.1.113883.3.1937.99.61.21.10.53 BC CDA MI documentationOf (DYNAMIC) |
hl7:documentationOf
| | 0 … * | R | | CONF0520 |
@typeCode
| cs | 1 … 1 | F | DOC |
| Constraint | documentationOf/serviceEventMAY be present. Where present, serviceEvent SHALL conform to the requirements specified in the general BC header definition. |
hl7:serviceEvent
| | 1 … 1 | M | | CONF0103 |
@classCode
| cs | 1 … 1 | F | ACT | CONF0521 |
@moodCode
| cs | 1 … 1 | F | EVN |
hl7:id
| II | 0 … * | | | CONF0103 |
hl7:code
| CE | 0 … 1 | | | CONF0103 |
@codeSystem
| | 0 … 1 | F | 2.16.840.1.113883.5.4 |
| Constraint | The value of ServiceEvent/code SHOULD be 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, or the value of ServiceEvent/code MAY be from ICD10-CA (codeSystem 2.16.840.1.113881.6.94) or CCI (codeSystem 2.16.840.1.113883.6.94). |
bc:statusCode
| CS (required) | 0 … 1 | | | CONF0103 |
| CONF | |
hl7:effectiveTime
| IVL_TS | 1 … 1 | M | | CONF0103 |
hl7:performer
| | 0 … * | | | CONF0104 |
| Constraint | If present, performer SHALL contain the typeCode attribute whose value SHALL be either “PPRF” (primary performer) or “SPRF” (secondary performer). |
Included | | | from 2.16.840.1.113883.3.1937.99.61.21.10.54 BC Physician Reading Study Performer (DYNAMIC) |
@typeCode
| cs | 1 … 1 | F | PRF | conf‑8424 |
cda:time
| | 0 … 1 | | MAY contain zero or one [0..1] time (CONF:8425). The content of time SHALL be a conformant US Realm Date and Time (DTM.US.FIELDED) (2.16.840.1.113883.10.20.22.5.3) | conf‑8425 |
cda:assignedEntity
| | 1 … 1 | M | SHALL contain exactly one [1..1] assignedEntity (CONF:8426). Every assignedEntity element SHALL have at least one assignedPerson or representedOrganization. | conf‑8426 |
cda:id
| II | 1 … * | M | This assignedEntity SHALL contain at least one [1..*] id (CONF:10033). The id SHOULD include zero or one [0..1] id where id/@root ="2.16.840.1.113883.4.6" National Provider Identifier | conf0033 |
@root
| uid | 1 … 1 | F | 2.16.840.1.113883.4.6 |
cda:code
| CE | 1 … 1 | R | This assignedEntity SHALL contain exactly one [1..1] code (CONF:8427). | conf‑8427 |
Choice | 1 … | | Every assignedEntity element SHALL have at least one assignedPerson or representedOrganization. Elements to choose from:- cda:assignedPerson
- cda:representedOrganization
|
cda:assignedPerson
| | | | | conf‑8426 |
cda:representedOrganization
| | | | | conf‑8426 |
cda:templateId
| II | 1 … 1 | M | SHALL contain exactly one [1..1] templateId/@root="2.16.840.1.113883.10.20.6.2.1" (CONF:8423). | conf‑8423 |
@root
| uid | 1 … 1 | F | 2.16.840.1.113883.10.20.6.2.1 |
Included | 0 … 2 | | from 2.16.840.1.113883.3.1937.99.61.21.10.56 BC CDA relatedDocument (DYNAMIC) |
hl7:relatedDocument
| | 0 … 2 | | | CONF0125 |
@typeCode
| cs | 1 … 1 | R | | CONF0126 |
| CONF | |
hl7:parentDocument
| | 1 … 1 | M | | CONF0127 |
@classCode
| cs | 1 … 1 | F | DOCCLIN |
@moodCode
| cs | 1 … 1 | F | EVN |
hl7:id
| II | 1 … * | R | | CONF‑BC0556, CONF‑BC0557, CONF‑BC0558, CONF‑BC0527 |
| Constraint | ClinicalDocument/relatedDocument/ParentDocument/id/@root SHALL be the ClinicalDocument/Id/@root for the document it relates to. ClinicalDocument/relatedDocument/ParentDocument/id/@extension SHALL be the ClinicalDocument/Id/@extension for the document it relates to ClinicalDocument/relatedDocument/ParentDocument/id/@assigningAuthorityName SHALL be the ClinicalDocument/Id/@assigningAuthorityName for the document it relates to. |
hl7:code
| CD | 0 … 1 | | | CONF0127 |
@codeSystem
| CONF | 0 … 1 | F | 2.16.840.1.113883.6.1 |
hl7:text
| ED | 0 … 1 | | | CONF0128 |
| Constraint | parentDocumentMAY contain the text element with the text.mediaType attribute set to indicate the MIME type of the related document. The related document SHALL NOT be embedded inparentDocument/text element. When sending a relatedDocument, the ClinicalDocument/relatedDocument.typeCode SHALL be present, set at the value of “RPLC” for the original version of the document, and in the instance of a replacement document the versionNumberif present, SHALL be an increment of 1 from the document version it replaces. Replacement documents are meant to completely replace the previous version of a document, and as such SHALL NOT be handled as addendums in receiving systems. Replacement documents SHALL represent a transitive relationship, where document A.1 can be replaced by A.2, A.2 can be replaced by A.3, and so on. Multiple documents SHALL NOT replace the same document; i.e. A.1 being replaced by A.2 and also by A.3. Receiving systems MAY retain parent documents that are considered superseded for historical and auditing purposes. If parent documents are maintained, the receiving system SHALL very clearly identify the parent document as superseded by a more current version of the document. |
hl7:setId
| II | 0 … 1 | | | CONF0127 |
hl7:versionNumber
| INT | 0 … 1 | | | CONF0127 |
Included | 1 … 1 | M | from 2.16.840.1.113883.3.1937.99.61.21.10.57 BC CDA componentOf (DYNAMIC) |
hl7:componentOf
| | 1 … 1 | M | | CDAcntOf |
@typeCode
| cs | 1 … 1 | F | COMP | CONF0528 |
hl7:encompassingEncounter
| | 1 … 1 | R | | CONF0114 |
@classCode
| cs | 1 … 1 | F | ENC | CONF0529 |
@moodCode
| cs | 1 … 1 | F | EVN |
hl7:id
| II | 0 … * | | | CONF0114 |
hl7:effectiveTime
| IVL_TS | 1 … 1 | R | | CONF0114 |
hl7:responsibleParty
| | 0 … 1 | | Contains 2.16.840.1.113883.3.1937.99.61.21.10.17 BC CDA AssignedEntity (DYNAMIC) | CONF0116 |
@typeCode
| cs | 1 … 1 | F | RESP | CONF0530 |
hl7:encounterParticipant
| | 0 … * | | | CONF0115 |
@typeCode
| cs | 1 … 1 | R | | CONF0117 |
| CONF | |
| Constraint | MAY contain zero or more [0..*]encounterParticipantelements. If present, the encounterParticipant/assignedEntity element SHALL have at least one of assignedPerson or representedOrganization element present. |
hl7:assignedEntity
| | 1 … 1 | R | Contains 2.16.840.1.113883.3.1937.99.61.21.10.17 BC CDA AssignedEntity (DYNAMIC) | CONF0115 |
Included | 0 … * | | from 2.16.840.1.113883.3.1937.99.61.21.10.60 BC CDA Ordering Provider (DYNAMIC) |
hl7:participant
| | 0 … * | | | CONF‑8504 |
@typeCode
| cs | 1 … 1 | F | REF | CONFR‑48 |
@contextControlCode
| cs | 1 … 1 | F | OP | CONF‑8505 |
hl7:associatedEntity
| | 1 … 1 | M | | CONF‑8507 |
@classCode
| cs | 1 … 1 | F | PROV |
hl7:id
| II | 1 … 2 | R | | CONF‑BC0097, CONF‑BC0098 |
| Constraint | If the participant is a provider, the id elements SHALL conform to section 4.2.1.3. If the participant is a not a Provider, associatedEntity/id.extension MAY be a locally assigned identifier |
hl7:code
| CE | 0 … 1 | | | CONF‑8507 |
@codeSystem
| CONF | 0 … 1 | F | 2.16.840.1.113883.5.111 |
hl7:addr
| AD.CA | 0 … * | | | CONF0101 |
hl7:telecom
| TEL.CA.PHONE | 0 … * | | | CONF0102 |
hl7:associatedPerson
| | 1 … 1 | M | Contains 2.16.840.1.113883.3.1937.99.61.21.10.14 BC CDA Person (DYNAMIC) | CONF‑8508 |
Included | 0 … * | | from 2.16.840.1.113883.3.1937.99.61.21.10.61 BC CDA primarycarephysician (DYNAMIC) |
hl7:participant
| | 0 … * | | | CONF‑8504 |
@typeCode
| cs | 1 … 1 | F | IND | CONF‑8505 |
@contextControlCode
| cs | 1 … 1 | F | OP | CONF‑8505 |
hl7:functionCode
| CE | 1 … 1 | M | | CONF‑8506 |
@code
| CONF | 1 … 1 | F | PCP |
@codeSystem
| 1 … 1 | F | 2.16.840.1.113883.5.88 |
@codeSystemName
| 1 … 1 | F | HL7ParticipationFunction |
@displayName
| 1 … 1 | F | Primary Care Physician |
hl7:associatedEntity
| | 1 … 1 | R | | CONF‑8507 |
@classCode
| cs | 1 … 1 | F | PROV | CONF‑8504 |
hl7:id
| II | 1 … 2 | R | | CONF‑BC0097, CONF‑BC0098 |
| Constraint | If the participant is a provider, the id elements SHALL conform to section 4.2.1.3. If the participant is a not a Provider, associatedEntity/id.extension MAY be a locally assigned identifier |
hl7:code
| CE | 0 … 1 | | | CONF‑8507 |
@codeSystem
| CONF | 0 … 1 | F | 2.16.840.1.113883.5.111 |
hl7:addr
| AD.CA | 0 … * | | | CONF0101 |
hl7:telecom
| TEL.CA.PHONE | 0 … * | | | CONF0102 |
hl7:associatedPerson
| | 1 … 1 | M | Contains 2.16.840.1.113883.3.1937.99.61.21.10.14 BC CDA Person (DYNAMIC) | CONF‑8507 |
hl7:component
| | 1 … 1 | M | | CONF‑0001 |
@typeCode
| cs | 1 … 1 | F | COMP |
@contextConductionInd
| bl | 1 … 1 | F | true |
hl7:structuredBody
| | 1 … 1 | M | | CONF‑0001 |
@classCode
| cs | 1 … 1 | F | DOCBODY |
@moodCode
| cs | 1 … 1 | F | EVN |
hl7:confidentialityCode
| CE (required) | 0 … 1 | | | CONF‑0001 |
| CONF | |
hl7:languageCode
| cs | 0 … 1 | | | CONF‑0001 |
hl7:component
| | 1 … 1 | R | Contains 2.16.840.1.113883.3.1937.99.61.21.10.62 DICOM Object Catalog Section - DCM 121181 (DYNAMIC) | CONF‑0001 |
@typeCode
| cs | 1 … 1 | F | COMP |
@contextConductionInd
| bl | 1 … 1 | F | true |
hl7:component
| | 1 … 1 | R | Contains 2.16.840.1.113883.3.1937.99.61.21.10.63 BC Findings (DYNAMIC) | CONF‑0001 |
@typeCode
| cs | 1 … 1 | F | COMP |
@contextConductionInd
| bl | 1 … 1 | F | true |
hl7:component
| | 0 … 1 | R | Contains 2.16.840.1.113883.3.1937.99.61.21.10.64 Complications (V3) (DYNAMIC) | CONF‑0001 |
@typeCode
| cs | 1 … 1 | F | COMP |
@contextConductionInd
| bl | 1 … 1 | F | true |
hl7:component
| | 0 … 1 | R | Contains 2.16.840.1.113883.3.1937.99.61.21.10.65 Medical (General) History (DYNAMIC) | CONF‑0001 |
@typeCode
| cs | 1 … 1 | F | COMP |
@contextConductionInd
| bl | 1 … 1 | F | true |
hl7:component
| | 0 … 1 | R | Contains 2.16.840.1.113883.3.1937.99.61.21.10.67 Clinical Presentation (DYNAMIC) | CONF‑0001 |
@typeCode
| cs | 1 … 1 | F | COMP |
@contextConductionInd
| bl | 1 … 1 | F | true |
hl7:component
| | 0 … 1 | R | Contains 2.16.840.1.113883.3.1937.99.61.21.10.68 Key Images (DYNAMIC) | CONF‑0001 |
@typeCode
| cs | 1 … 1 | F | COMP |
@contextConductionInd
| bl | 1 … 1 | F | true |
hl7:component
| | 0 … 1 | R | Contains 2.16.840.1.113883.3.1937.99.61.21.10.69 Radiology Reason for Study (DYNAMIC) | CONF‑0001 |
@typeCode
| cs | 1 … 1 | F | COMP |
@contextConductionInd
| bl | 1 … 1 | F | true |
hl7:component
| | 0 … * | R | Contains 2.16.840.1.113883.3.1937.99.61.21.10.70 Fetus Subject Context (DYNAMIC) | CONF‑0001 |
@typeCode
| cs | 1 … 1 | F | COMP |
@contextConductionInd
| bl | 1 … 1 | F | true |
hl7:component
| | 0 … * | R | Contains 2.16.840.1.113883.3.1937.99.61.21.10.71 Observer Context (DYNAMIC) | CONF‑0001 |
@typeCode
| cs | 1 … 1 | F | COMP |
@contextConductionInd
| bl | 1 … 1 | F | true |
hl7:component
| | 0 … * | R | Contains 2.16.840.1.113883.3.1937.99.61.21.10.72 Procedure Context (DYNAMIC) | CONF‑0001 |
@typeCode
| cs | 1 … 1 | F | COMP |
@contextConductionInd
| bl | 1 … 1 | F | true |
hl7:component
| | 0 … 1 | R | Contains 2.16.840.1.113883.3.1937.99.61.21.10.73 BC Recommendations (DYNAMIC) | CONF‑0001 |
@typeCode
| cs | 1 … 1 | F | COMP |
@contextConductionInd
| bl | 1 … 1 | F | true |
hl7:component
| | 0 … 1 | R | Contains 2.16.840.1.113883.10.20.22.2.27 Current Imaging Procedure Descriptions (DYNAMIC) | CONF‑0001 |
@typeCode
| cs | 1 … 1 | F | COMP |
@contextConductionInd
| bl | 1 … 1 | F | true |
hl7:component
| | 0 … 1 | R | Contains 2.16.840.1.113883.3.1937.99.61.21.10.74 BC Impressions (DYNAMIC) | CONF‑0001 |
@typeCode
| cs | 1 … 1 | F | COMP |
@contextConductionInd
| bl | 1 … 1 | F | true |
hl7:component
| | 0 … 1 | R | Contains 2.16.840.1.113883.3.1937.99.61.21.10.75 Radiology Comparison Study - Observation (DYNAMIC) | CONF‑0001 |
@typeCode
| cs | 1 … 1 | F | COMP |
@contextConductionInd
| bl | 1 … 1 | F | true |
Included | 1 … 1 | R | from 2.16.840.1.113883.10.12.112 CDA component (DYNAMIC) |
hl7:component
| | 1 … 1 | R | | CDAcnent |
@typeCode
| cs | 0 … 1 | F | COMP |
@contextConductionInd
| bl | 0 … 1 | F | true |
Choice | 1 … 1 | | Elements to choose from: |
Included | | | from 2.16.840.1.113883.10.12.203 CDA NonXMLBody (DYNAMIC) |
hl7:nonXMLBody
| | | | | CDANBody |
@classCode
| cs | 0 … 1 | F | DOCBODY |
@moodCode
| cs | 0 … 1 | F | EVN |
hl7:text
| ED | 1 … 1 | | | CDANBody |
hl7:confidentialityCode
| CE | 0 … 1 | | | CDANBody |
| CONF | |
hl7:languageCode
| CS | 0 … 1 | | | CDANBody |
| CONF | |
Included | | | from 2.16.840.1.113883.10.12.202 CDA StructuredBody (DYNAMIC) |
hl7:structuredBody
| | | | | CDASBody |
@classCode
| cs | 0 … 1 | F | DOCBODY |
@moodCode
| cs | 0 … 1 | F | EVN |
hl7:confidentialityCode
| CE | 0 … 1 | | | CDASBody |
| CONF | |
hl7:languageCode
| CS | 0 … 1 | | | CDASBody |
| CONF | |
hl7:component
| | 1 … * | | Contains 2.16.840.1.113883.10.12.201 CDA Section (DYNAMIC) | CDASBody |
@typeCode
| cs | 0 … 1 | F | COMP |
@contextConductionInd
| bl | 0 … 1 | F | true |