Item | DT | Card | Conf | Description | Label |
---|
cda:ClinicalDocument
| | | | | USReerV3 |
cda:realmCode
| CS | 1 … 1 | R | SHALL contain exactly one [1..1] realmCode="US" (CONF:1198-16791). | CONF6791 |
cda:typeId
| II | 1 … 1 | | SHALL contain exactly one [1..1] typeId (CONF:1198-5361). | CONF5361 |
@root
| uid | 1 … 1 | F | 2.16.840.1.113883.1.3 | CONF5250 |
| This typeId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.1.3" (CONF:1198-5250). |
@extension
| st | 1 … 1 | F | POCD_HD000040 | CONF5251 |
| This typeId SHALL contain exactly one [1..1] @extension="POCD_HD000040" (CONF:1198-5251). |
cda:templateId
| II | 1 … 1 | M | C-CDA R1.1 templateId root without an extension | CONF2936 |
@root
| uid | 1 … 1 | F | 2.16.840.1.113883.10.20.22.1.1 |
cda:templateId
| II | 1 … 1 | M | SHALL contain exactly one [1..1] templateId (CONF:1198-5252) such that it | CONF5252 |
@root
| uid | 1 … 1 | F | 2.16.840.1.113883.10.20.22.1.1 | CONF0036 |
| SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.1.1" (CONF:1198-10036). |
@extension
| st | 1 … 1 | F | 2015-08-01 | CONF2503 |
| SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32503). |
| Constraint | When asserting this templateId, all document, section, and entry templates *SHALL* include a templateId root without an extension. See C-CDA R2.1 Volume 1 - Design Considerations for additional detail. |
cda:id
| II | 1 … 1 | | SHALL contain exactly one [1..1] id (CONF:1198-5363). | CONF5363 |
| Constraint | This id *SHALL* be a globally unique identifier for the document. |
cda:code
| CE | 1 … 1 | | SHALL contain exactly one [1..1] code (CONF:1198-5253).
a. This code SHALL specify the particular kind of document (e.g., History and Physical, Discharge Summary, Progress Note) (CONF:1198-9992). b. This code SHALL be drawn from the LOINC document type ontology (LOINC codes where SCALE = DOC) (CONF:1198-32948). | CONF5253 |
| Schematron assert | role | error | |
| test | cda:code/@codeSystem='2.16.840.1.113883.6.1' | |
| Message | This code SHALL be drawn from the LOINC document type ontology (LOINC codes where SCALE = DOC) (CONF:1198-32948). | |
cda:title
| ST | 1 … 1 | | SHALL contain exactly one [1..1] title (CONF:1198-5254). | CONF5254 |
cda:effectiveTime
| TS | 1 … 1 | | Contains 2.16.840.1.113883.10.20.22.5.4 US Realm Date and Time (DTM.US.FIELDED) (2015‑08‑13) | CONF5256 |
| Constraint | 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). |
cda:confidentialityCode
| CE | 1 … 1 | | 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 STATIC (CONF:1198-5259). | CONF5259 |
| CONF | |
cda:languageCode
| CS | 1 … 1 | M | 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). | CONF5372 |
| CONF | |
cda:setId
| II | 0 … 1 | | MAY contain zero or one [0..1] setId (CONF:1198-5261). | CONF5261 |
cda:versionNumber
| INT | 0 … 1 | | MAY contain zero or one [0..1] versionNumber (CONF:1198-5264). | CONF5264 |
cda:recordTarget
| | 1 … * | M | SHALL contain at least one [1..*] recordTarget (CONF:1198-5266). 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 | CONF5266 |
cda:patientRole
| | 1 … 1 | | | CONF5267 |
cda:id
| II | 1 … * | | This patientRole SHALL contain at least one [1..*] id (CONF:1198-5268). | CONF5268 |
Included | 1 … * | | from 2.16.840.1.113883.10.20.22.5.2 US Realm Address (AD.US.FIELDED) (2015‑08‑13) |
cda:addr
| | 1 … * | | | USReLDED |
@nullFlavor
| cs | 0 … 1 | | |
@use
| set_cs | 0 … 1 | | SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet PostalAddressUse urn:oid:2.16.840.1.113883.1.11.10637 STATIC 2005-05-01 (CONF:81-7290). | CONF7290 |
| CONF | |
| Constraint | *SHALL NOT* have mixed content except for white space |
| Constraint | If the country is US, the state element is required but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). |
cda:country
| ADXP | 0 … 1 | R | 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:81-7295). | CONF7295 |
| CONF | |
cda:state
| ADXP | 0 … 1 | R | SHOULD contain zero or one [0..1] state (ValueSet: StateValueSet urn:oid:2.16.840.1.113883.3.88.12.80.1 DYNAMIC) (CONF:81-7293). | CONF7293 |
| Constraint | State is required if the country is US. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024).
|
| CONF | |
| Schematron assert | role | error | |
| test | @nullFlavor or (cda:country='US' and cda:state) or (cda:country!='US') or (not(cda:country) and cda:state) | |
| Message | State is required if the country is US. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies. | |
cda:city
| ADXP | 1 … 1 | R | SHALL contain exactly one [1..1] city (CONF:81-7292). | CONF7292 |
cda:postalCode
| ADXP | 0 … 1 | R | SHOULD contain zero or one [0..1] postalCode, which SHOULD be selected from ValueSet PostalCode urn:oid:2.16.840.1.113883.3.88.12.80.2 DYNAMIC (CONF:81-7294).
| CONF7294 |
| Constraint | If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025).
|
| CONF | |
| Schematron assert | role | error | |
| test | @nullFlavor or (cda:country='US' and cda:postalCode) or (cda:country!='US') or (not(cda:country) and cda:postalCode) | |
| Message | If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). | |
cda:streetAddressLine
| ADXP | 1 … 4 | R | | CONF7291 |
| Schematron assert | role | error | |
| test | @nullFlavor or (count(cda:streetAddressLine) > 0 and count(cda:streetAddressLine) < 5) | |
| Message | SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291) | |
| Schematron assert | role | error | |
| test | @nullFlavor or (cda:city and cda:streetAddressLine) | |
| Message | | |
cda:telecom
| TEL | 1 … * | | This patientRole SHALL contain at least one [1..*] telecom (CONF:1198-5280). | CONF5280 |
@use
| set_cs | 0 … 1 | | 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). | CONF5375 |
| CONF | |
cda:patient
| | 1 … 1 | | This patientRole SHALL contain exactly one [1..1] patient (CONF:1198-5283).
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) STATIC 2015-08-13 (CONF:1198-5284).
If the patient carries a nullFlavor, the elements of the US Realm Patient Name SHALL NOT be populated. | CONF5283 |
Included | | | from 2.16.840.1.113883.10.20.22.5.1 US Realm Patient Name (PTN.US.FIELDED) (DYNAMIC) |
cda:name
| | | | | USReLDED |
@nullFlavor
| cs | 0 … 1 | | |
@use
| set_cs | 0 … 1 | | MAY contain zero or one [0..1] @use, which SHALL be selected from ValueSet EntityNameUse urn:oid:2.16.840.1.113883.1.11.15913 STATIC 2005-05-01 (CONF:81-7154). | CONF7154 |
| CONF | |
| Constraint | *SHALL NOT* have mixed content except for white space |
cda:family
| ST | 0 … 1 | C | SHALL contain exactly one [1..1] family (CONF:81-7159). | CONF7159 |
@qualifier
| set_cs | 0 … 1 | | This family MAY contain zero or one [0..1] @qualifier, which SHALL be selected from ValueSet EntityPersonNamePartQualifier urn:oid:2.16.840.1.113883.11.20.9.26 STATIC 2011-09-30 (CONF:81-7160). | CONF7160 |
| CONF | |
cda:given
| ST | 0 … * | C | SHALL contain at least one [1..*] given (CONF:81-7157). | CONF7157 |
@qualifier
| set_cs | 0 … 1 | | Such givens MAY contain zero or one [0..1] @qualifier, which SHALL be selected from ValueSet EntityPersonNamePartQualifier urn:oid:2.16.840.1.113883.11.20.9.26 STATIC 2011-09-30 (CONF:81-7158). | CONF7158 |
| CONF | |
| Constraint | The second occurrence of given (given[2]) if provided, SHALL include middle name or middle initial |
cda:prefix
| ST | 0 … * | | MAY contain zero or more [0..*] prefix (CONF:81-7155). | CONF7155 |
@qualifier
| set_cs | 0 … 1 | | The prefix, if present, MAY contain zero or one [0..1] @qualifier, which SHALL be selected from ValueSet EntityPersonNamePartQualifier urn:oid:2.16.840.1.113883.11.20.9.26 STATIC 2011-09-30 (CONF:81-7156). | CONF7156 |
| CONF | |
cda:suffix
| ST | 0 … 1 | | MAY contain zero or one [0..1] suffix (CONF:81-7161). | CONF7161 |
@qualifier
| set_cs | 0 … 1 | | The suffix, if present, MAY contain zero or one [0..1] @qualifier, which SHALL be selected from ValueSet EntityPersonNamePartQualifier urn:oid:2.16.840.1.113883.11.20.9.26 STATIC 2011-09-30 (CONF:81-7162). | CONF7162 |
| CONF | |
| Schematron assert | role | error | |
| test | @nullFlavor or (cda:family and cda:given) | |
| Message | if name is not null, then family and given elements are both required. | |
cda:administrativeGenderCode
| CE | 1 … 1 | R | 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). | CONF6394 |
| CONF | |
cda:birthTime
| TS | 1 … 1 | M | This patient SHALL contain exactly one [1..1] birthTime (CONF:1198-5298). *MAY* be precise to the minute. | CONF5298 |
| Schematron assert | role | error | |
| test | string-length(@value) >= 4 | |
| Message | *SHALL* be precise to year. | |
| Schematron assert | role | warning | |
| test | string-length(@value) >= 8 | |
| Message | *SHOULD* be precise to day. | |
cda:maritalStatusCode
| CE | 0 … 1 | R | 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). | CONF5303 |
| CONF | |
cda:religiousAffiliationCode
| CE | 0 … 1 | | 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). | CONF5317 |
| CONF | |
cda:raceCode
| CE | 1 … 1 | M | 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). | CONF5322 |
| CONF | |
sdtc:raceCode
| CE | 0 … * | | This patient MAY contain zero or more [0..*] sdtc:raceCode, which SHALL be selected from ValueSet Race urn:oid:2.16.840.1.113883.1.11.14914 DYNAMIC (CONF:1198-7263). | CONF7263 |
| CONF | |
| Schematron assert | role | error | |
| test | count(../cda:raceCode)=1 | |
| Message | If sdtc:raceCode is present, then the patient *SHALL* contain [[]1..1[]] raceCode. | |
cda:ethnicGroupCode
| CE | 1 … 1 | M | 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). | CONF5323 |
| CONF | |
sdtc:ethnicGroupCode
| CE | 0 … * | | 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). | CONF2901 |
| CONF | |
cda:guardian
| | 0 … * | | | CONF5325 |
cda:code
| CE | 0 … 1 | R | 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). | CONF5326 |
| CONF | |
cda:addr
| AD | 0 … * | R | 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). | CONF5359 |
Included | | | from 2.16.840.1.113883.10.20.22.5.2 US Realm Address (AD.US.FIELDED) (2015‑08‑13) |
cda:addr
| | | | | USReLDED |
@nullFlavor
| cs | 0 … 1 | | |
@use
| set_cs | 0 … 1 | | SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet PostalAddressUse urn:oid:2.16.840.1.113883.1.11.10637 STATIC 2005-05-01 (CONF:81-7290). | CONF7290 |
| CONF | |
| Constraint | *SHALL NOT* have mixed content except for white space |
| Constraint | If the country is US, the state element is required but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). |
cda:country
| ADXP | 0 … 1 | R | 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:81-7295). | CONF7295 |
| CONF | |
cda:state
| ADXP | 0 … 1 | R | SHOULD contain zero or one [0..1] state (ValueSet: StateValueSet urn:oid:2.16.840.1.113883.3.88.12.80.1 DYNAMIC) (CONF:81-7293). | CONF7293 |
| Constraint | State is required if the country is US. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024).
|
| CONF | |
| Schematron assert | role | error | |
| test | @nullFlavor or (cda:country='US' and cda:state) or (cda:country!='US') or (not(cda:country) and cda:state) | |
| Message | State is required if the country is US. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies. | |
cda:city
| ADXP | 1 … 1 | R | SHALL contain exactly one [1..1] city (CONF:81-7292). | CONF7292 |
cda:postalCode
| ADXP | 0 … 1 | R | SHOULD contain zero or one [0..1] postalCode, which SHOULD be selected from ValueSet PostalCode urn:oid:2.16.840.1.113883.3.88.12.80.2 DYNAMIC (CONF:81-7294).
| CONF7294 |
| Constraint | If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025).
|
| CONF | |
| Schematron assert | role | error | |
| test | @nullFlavor or (cda:country='US' and cda:postalCode) or (cda:country!='US') or (not(cda:country) and cda:postalCode) | |
| Message | If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). | |
cda:streetAddressLine
| ADXP | 1 … 4 | R | | CONF7291 |
| Schematron assert | role | error | |
| test | @nullFlavor or (count(cda:streetAddressLine) > 0 and count(cda:streetAddressLine) < 5) | |
| Message | SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291) | |
| Schematron assert | role | error | |
| test | @nullFlavor or (cda:city and cda:streetAddressLine) | |
| Message | | |
cda:telecom
| TEL | 0 … * | R | The guardian, if present, SHOULD contain zero or more [0..*] telecom (CONF:1198-5382). | CONF5382 |
@use
| set_cs | 0 … 1 | | 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). | CONF7993 |
| CONF | |
cda:guardianPerson
| | 1 … 1 | | Contains 2.16.840.1.113883.10.20.22.5.1.1 US Realm Person Name (PN.US.FIELDED) (2015‑08‑13) | CONF5385 |
cda:birthplace
| | 0 … 1 | | This patient MAY contain zero or one [0..1] birthplace (CONF:1198-5395). | CONF5395 |
cda:place
| | 1 … 1 | M | The birthplace, if present, SHALL contain exactly one [1..1] place (CONF:1198-5396). | CONF5396 |
cda:addr
| AD | 1 … 1 | M | This place SHALL contain exactly one [1..1] addr (CONF:1198-5397). | CONF5397 |
cda:country
| ADXP | 0 … 1 | R | 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). | CONF5404 |
| CONF | |
| Schematron assert | role | error | |
| test | string-length(text())=2 | |
| Message | The length of country text SHALL be equal to two digit | |
cda:postalCode
| ADXP | 0 … 1 | | 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). | CONF5403 |
| CONF | |
| Schematron assert | role | error | |
| test | not(ancestor::cda:patientRole/cda:addr[cda:country='US' or cda:country='USA']) or cda:state | |
| Message | 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* | |
cda:languageCommunication
| | 0 … * | R | This patient SHOULD contain zero or more [0..*] languageCommunication (CONF:1198-5406). | CONF5406 |
cda:languageCode
| CE | 1 … 1 | | 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). | CONF5407 |
| CONF | |
cda:modeCode
| CE | 0 … 1 | | 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). | CONF5409 |
| CONF | |
cda:proficiencyLevelCode
| CE | 0 … 1 | R | 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). | CONF9965 |
| CONF | |
cda:preferenceInd
| BL | 0 … 1 | R | The languageCommunication, if present, SHOULD contain zero or one [0..1] preferenceInd (CONF:1198-5414). | CONF5414 |
Included | | | from 2.16.840.1.113883.10.20.22.5.1 US Realm Patient Name (PTN.US.FIELDED) (DYNAMIC) |
cda:name
| | | | | USReLDED |
@nullFlavor
| cs | 0 … 1 | | |
@use
| set_cs | 0 … 1 | | MAY contain zero or one [0..1] @use, which SHALL be selected from ValueSet EntityNameUse urn:oid:2.16.840.1.113883.1.11.15913 STATIC 2005-05-01 (CONF:81-7154). | CONF7154 |
| CONF | |
| Constraint | *SHALL NOT* have mixed content except for white space |
cda:family
| ST | 0 … 1 | C | SHALL contain exactly one [1..1] family (CONF:81-7159). | CONF7159 |
@qualifier
| set_cs | 0 … 1 | | This family MAY contain zero or one [0..1] @qualifier, which SHALL be selected from ValueSet EntityPersonNamePartQualifier urn:oid:2.16.840.1.113883.11.20.9.26 STATIC 2011-09-30 (CONF:81-7160). | CONF7160 |
| CONF | |
cda:given
| ST | 0 … * | C | SHALL contain at least one [1..*] given (CONF:81-7157). | CONF7157 |
@qualifier
| set_cs | 0 … 1 | | Such givens MAY contain zero or one [0..1] @qualifier, which SHALL be selected from ValueSet EntityPersonNamePartQualifier urn:oid:2.16.840.1.113883.11.20.9.26 STATIC 2011-09-30 (CONF:81-7158). | CONF7158 |
| CONF | |
| Constraint | The second occurrence of given (given[2]) if provided, SHALL include middle name or middle initial |
cda:prefix
| ST | 0 … * | | MAY contain zero or more [0..*] prefix (CONF:81-7155). | CONF7155 |
@qualifier
| set_cs | 0 … 1 | | The prefix, if present, MAY contain zero or one [0..1] @qualifier, which SHALL be selected from ValueSet EntityPersonNamePartQualifier urn:oid:2.16.840.1.113883.11.20.9.26 STATIC 2011-09-30 (CONF:81-7156). | CONF7156 |
| CONF | |
cda:suffix
| ST | 0 … 1 | | MAY contain zero or one [0..1] suffix (CONF:81-7161). | CONF7161 |
@qualifier
| set_cs | 0 … 1 | | The suffix, if present, MAY contain zero or one [0..1] @qualifier, which SHALL be selected from ValueSet EntityPersonNamePartQualifier urn:oid:2.16.840.1.113883.11.20.9.26 STATIC 2011-09-30 (CONF:81-7162). | CONF7162 |
| CONF | |
| Schematron assert | role | error | |
| test | @nullFlavor or (cda:family and cda:given) | |
| Message | if name is not null, then family and given elements are both required. | |
Included | | | from 2.16.840.1.113883.10.20.22.5.1 US Realm Patient Name (PTN.US.FIELDED) (DYNAMIC) |
cda:name
| | | | | USReLDED |
@nullFlavor
| cs | 0 … 1 | | |
@use
| set_cs | 0 … 1 | | MAY contain zero or one [0..1] @use, which SHALL be selected from ValueSet EntityNameUse urn:oid:2.16.840.1.113883.1.11.15913 STATIC 2005-05-01 (CONF:81-7154). | CONF7154 |
| CONF | |
| Constraint | *SHALL NOT* have mixed content except for white space |
cda:family
| ST | 0 … 1 | C | SHALL contain exactly one [1..1] family (CONF:81-7159). | CONF7159 |
@qualifier
| set_cs | 0 … 1 | | This family MAY contain zero or one [0..1] @qualifier, which SHALL be selected from ValueSet EntityPersonNamePartQualifier urn:oid:2.16.840.1.113883.11.20.9.26 STATIC 2011-09-30 (CONF:81-7160). | CONF7160 |
| CONF | |
cda:given
| ST | 0 … * | C | SHALL contain at least one [1..*] given (CONF:81-7157). | CONF7157 |
@qualifier
| set_cs | 0 … 1 | | Such givens MAY contain zero or one [0..1] @qualifier, which SHALL be selected from ValueSet EntityPersonNamePartQualifier urn:oid:2.16.840.1.113883.11.20.9.26 STATIC 2011-09-30 (CONF:81-7158). | CONF7158 |
| CONF | |
| Constraint | The second occurrence of given (given[2]) if provided, SHALL include middle name or middle initial |
cda:prefix
| ST | 0 … * | | MAY contain zero or more [0..*] prefix (CONF:81-7155). | CONF7155 |
@qualifier
| set_cs | 0 … 1 | | The prefix, if present, MAY contain zero or one [0..1] @qualifier, which SHALL be selected from ValueSet EntityPersonNamePartQualifier urn:oid:2.16.840.1.113883.11.20.9.26 STATIC 2011-09-30 (CONF:81-7156). | CONF7156 |
| CONF | |
cda:suffix
| ST | 0 … 1 | | MAY contain zero or one [0..1] suffix (CONF:81-7161). | CONF7161 |
@qualifier
| set_cs | 0 … 1 | | The suffix, if present, MAY contain zero or one [0..1] @qualifier, which SHALL be selected from ValueSet EntityPersonNamePartQualifier urn:oid:2.16.840.1.113883.11.20.9.26 STATIC 2011-09-30 (CONF:81-7162). | CONF7162 |
| CONF | |
| Schematron assert | role | error | |
| test | @nullFlavor or (cda:family and cda:given) | |
| Message | if name is not null, then family and given elements are both required. | |
cda:providerOrganization
| | 0 … 1 | | | CONF5416 |
cda:id
| II | 1 … * | | The providerOrganization, if present, SHALL contain at least one [1..*] id (CONF:1198-5417). | CONF5417 |
@root
| uid | 0 … 1 | | Such ids SHOULD contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:1198-16820). | CONF6820 |
cda:name
| ON | 1 … * | R | The providerOrganization, if present, SHALL contain at least one [1..*] name (CONF:1198-5419). | CONF5419 |
cda:telecom
| TEL | 1 … * | | The providerOrganization, if present, SHALL contain at least one [1..*] telecom (CONF:1198-5420). | CONF5420 |
@use
| set_cs | 0 … 1 | | 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). | CONF7994 |
| CONF | |
cda:addr
| AD | 1 … * | R | This 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). | CONF5422 |
Included | | | from 2.16.840.1.113883.10.20.22.5.2 US Realm Address (AD.US.FIELDED) (2015‑08‑13) |
cda:addr
| | | | | USReLDED |
@nullFlavor
| cs | 0 … 1 | | |
@use
| set_cs | 0 … 1 | | SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet PostalAddressUse urn:oid:2.16.840.1.113883.1.11.10637 STATIC 2005-05-01 (CONF:81-7290). | CONF7290 |
| CONF | |
| Constraint | *SHALL NOT* have mixed content except for white space |
| Constraint | If the country is US, the state element is required but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). |
cda:country
| ADXP | 0 … 1 | R | 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:81-7295). | CONF7295 |
| CONF | |
cda:state
| ADXP | 0 … 1 | R | SHOULD contain zero or one [0..1] state (ValueSet: StateValueSet urn:oid:2.16.840.1.113883.3.88.12.80.1 DYNAMIC) (CONF:81-7293). | CONF7293 |
| Constraint | State is required if the country is US. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024).
|
| CONF | |
| Schematron assert | role | error | |
| test | @nullFlavor or (cda:country='US' and cda:state) or (cda:country!='US') or (not(cda:country) and cda:state) | |
| Message | State is required if the country is US. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies. | |
cda:city
| ADXP | 1 … 1 | R | SHALL contain exactly one [1..1] city (CONF:81-7292). | CONF7292 |
cda:postalCode
| ADXP | 0 … 1 | R | SHOULD contain zero or one [0..1] postalCode, which SHOULD be selected from ValueSet PostalCode urn:oid:2.16.840.1.113883.3.88.12.80.2 DYNAMIC (CONF:81-7294).
| CONF7294 |
| Constraint | If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025).
|
| CONF | |
| Schematron assert | role | error | |
| test | @nullFlavor or (cda:country='US' and cda:postalCode) or (cda:country!='US') or (not(cda:country) and cda:postalCode) | |
| Message | If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). | |
cda:streetAddressLine
| ADXP | 1 … 4 | R | | CONF7291 |
| Schematron assert | role | error | |
| test | @nullFlavor or (count(cda:streetAddressLine) > 0 and count(cda:streetAddressLine) < 5) | |
| Message | SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291) | |
| Schematron assert | role | error | |
| test | @nullFlavor or (cda:city and cda:streetAddressLine) | |
| Message | | |
cda:author
| | 1 … * | M | The author element represents the creator of the clinical document. The author may be a device or a person. | CONF5444 |
cda:assignedAuthor
| | 1 … 1 | M | | CONF5448 |
cda:id
| II | 1 … * | | This assignedAuthor SHALL contain at least one [1..*] id (CONF:1198-5449). | CONF5449 |
cda:id
| II | 0 … 1 | R | If this assignedAuthor is an assignedPerson | CONF2882 |
where [parent::cda:assignedPerson] | |
@nullFlavor
| cs | 0 … 1 | F | UNK | CONF2883 |
| MAY contain zero or one [0..1] @nullFlavor="UNK" Unknown (CodeSystem: HL7NullFlavor urn:oid:2.16.840.1.113883.5.1008) (CONF:1198-32883). |
@root
| uid | 1 … 1 | F | 2.16.840.1.113883.4.6 | CONF2884 |
| SHALL contain exactly one [1..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:1198-32884). |
@extension
| st | 0 … 1 | | SHOULD contain zero or one [0..1] @extension (CONF:1198-32885). | CONF2885 |
cda:code
| CE | 0 … 1 | R | This assignedAuthor SHOULD contain zero or one [0..1] code (CONF:1198-16787). Only if this assignedAuthor is an assignedPerson should the assignedAuthor contain a code. | CONF6787 |
cda:addr
| AD | 1 … * | | 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). | CONF5452 |
Included | | | from 2.16.840.1.113883.10.20.22.5.2 US Realm Address (AD.US.FIELDED) (2015‑08‑13) |
cda:addr
| | | | | USReLDED |
@nullFlavor
| cs | 0 … 1 | | |
@use
| set_cs | 0 … 1 | | SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet PostalAddressUse urn:oid:2.16.840.1.113883.1.11.10637 STATIC 2005-05-01 (CONF:81-7290). | CONF7290 |
| CONF | |
| Constraint | *SHALL NOT* have mixed content except for white space |
| Constraint | If the country is US, the state element is required but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). |
cda:country
| ADXP | 0 … 1 | R | 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:81-7295). | CONF7295 |
| CONF | |
cda:state
| ADXP | 0 … 1 | R | SHOULD contain zero or one [0..1] state (ValueSet: StateValueSet urn:oid:2.16.840.1.113883.3.88.12.80.1 DYNAMIC) (CONF:81-7293). | CONF7293 |
| Constraint | State is required if the country is US. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024).
|
| CONF | |
| Schematron assert | role | error | |
| test | @nullFlavor or (cda:country='US' and cda:state) or (cda:country!='US') or (not(cda:country) and cda:state) | |
| Message | State is required if the country is US. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies. | |
cda:city
| ADXP | 1 … 1 | R | SHALL contain exactly one [1..1] city (CONF:81-7292). | CONF7292 |
cda:postalCode
| ADXP | 0 … 1 | R | SHOULD contain zero or one [0..1] postalCode, which SHOULD be selected from ValueSet PostalCode urn:oid:2.16.840.1.113883.3.88.12.80.2 DYNAMIC (CONF:81-7294).
| CONF7294 |
| Constraint | If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025).
|
| CONF | |
| Schematron assert | role | error | |
| test | @nullFlavor or (cda:country='US' and cda:postalCode) or (cda:country!='US') or (not(cda:country) and cda:postalCode) | |
| Message | If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). | |
cda:streetAddressLine
| ADXP | 1 … 4 | R | | CONF7291 |
| Schematron assert | role | error | |
| test | @nullFlavor or (count(cda:streetAddressLine) > 0 and count(cda:streetAddressLine) < 5) | |
| Message | SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291) | |
| Schematron assert | role | error | |
| test | @nullFlavor or (cda:city and cda:streetAddressLine) | |
| Message | | |
cda:telecom
| TEL | 1 … * | | This assignedAuthor SHALL contain at least one [1..*] telecom (CONF:1198-5428). | CONF5428 |
@use
| set_cs | 0 … 1 | | 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). | CONF7995 |
| CONF | |
cda:assignedPerson
| | 0 … 1 | R | Contains 2.16.840.1.113883.10.20.22.5.1.1 US Realm Person Name (PN.US.FIELDED) (2015‑08‑13) | CONF5430 |
| Constraint | This assignedAuthor SHOULD contain zero or one [0..1] assignedPerson (CONF:1198-5430). |
cda:assignedAuthoringDevice
| | 0 … 1 | R | | CONF6783 |
| Constraint | This assignedAuthor SHOULD contain zero or one [0..1] assignedAuthoringDevice (CONF:1198-16783). |
cda:manufacturerModelName
| SC | 1 … 1 | R | The assignedAuthoringDevice, if present, SHALL contain exactly one [1..1] manufacturerModelName (CONF:1198-16784). | CONF6784 |
cda:softwareName
| SC | 1 … 1 | R | The assignedAuthoringDevice, if present, SHALL contain exactly one [1..1] softwareName (CONF:1198-16785). | CONF6785 |
| Schematron assert | role | error | |
| test | cda:assignedPerson |cda:assignedAuthoringDevice | |
| Message | There *SHALL* be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice. | |
cda:dataEnterer
| | 0 … 1 | | MAY contain zero or one [0..1] dataEnterer (CONF:1198-5441). 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. | CONF5441 |
cda:assignedEntity
| | 1 … 1 | M | | CONF5442 |
Choice | 1 … * | | The assignedEntity SHALL contain at least one [1..*] id (CONF:1198-5417). Elements to choose from: |
cda:id
| II | 0 … * | | | CONF5417 |
cda:id
| II | 0 … 1 | R | | CONF5417 |
@root
| uid | 1 … 1 | F | 2.16.840.1.113883.4.6 | CONF6820 |
| Such ids SHOULD contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:1198-16820). |
cda:code
| CE (extensible) | 0 … 1 | | This assignedEntity MAY contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy (HIPAA) urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1198-32173). | CONF2173 |
| CONF | |
cda:addr
| AD | 1 … * | | 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). | CONF5460 |
Included | | | from 2.16.840.1.113883.10.20.22.5.2 US Realm Address (AD.US.FIELDED) (2015‑08‑13) |
cda:addr
| | | | | USReLDED |
@nullFlavor
| cs | 0 … 1 | | |
@use
| set_cs | 0 … 1 | | SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet PostalAddressUse urn:oid:2.16.840.1.113883.1.11.10637 STATIC 2005-05-01 (CONF:81-7290). | CONF7290 |
| CONF | |
| Constraint | *SHALL NOT* have mixed content except for white space |
| Constraint | If the country is US, the state element is required but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). |
cda:country
| ADXP | 0 … 1 | R | 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:81-7295). | CONF7295 |
| CONF | |
cda:state
| ADXP | 0 … 1 | R | SHOULD contain zero or one [0..1] state (ValueSet: StateValueSet urn:oid:2.16.840.1.113883.3.88.12.80.1 DYNAMIC) (CONF:81-7293). | CONF7293 |
| Constraint | State is required if the country is US. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024).
|
| CONF | |
| Schematron assert | role | error | |
| test | @nullFlavor or (cda:country='US' and cda:state) or (cda:country!='US') or (not(cda:country) and cda:state) | |
| Message | State is required if the country is US. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies. | |
cda:city
| ADXP | 1 … 1 | R | SHALL contain exactly one [1..1] city (CONF:81-7292). | CONF7292 |
cda:postalCode
| ADXP | 0 … 1 | R | SHOULD contain zero or one [0..1] postalCode, which SHOULD be selected from ValueSet PostalCode urn:oid:2.16.840.1.113883.3.88.12.80.2 DYNAMIC (CONF:81-7294).
| CONF7294 |
| Constraint | If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025).
|
| CONF | |
| Schematron assert | role | error | |
| test | @nullFlavor or (cda:country='US' and cda:postalCode) or (cda:country!='US') or (not(cda:country) and cda:postalCode) | |
| Message | If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). | |
cda:streetAddressLine
| ADXP | 1 … 4 | R | | CONF7291 |
| Schematron assert | role | error | |
| test | @nullFlavor or (count(cda:streetAddressLine) > 0 and count(cda:streetAddressLine) < 5) | |
| Message | SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291) | |
| Schematron assert | role | error | |
| test | @nullFlavor or (cda:city and cda:streetAddressLine) | |
| Message | | |
cda:telecom
| TEL | 1 … * | | This assignedEntity SHALL contain at least one [1..*] telecom (CONF:1198-5466). | CONF5466 |
@use
| set_cs | 0 … 1 | | 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). | CONF7996 |
| CONF | |
cda:assignedPerson
| | 1 … 1 | | Contains 2.16.840.1.113883.10.20.22.5.1.1 US Realm Person Name (PN.US.FIELDED) (2015‑08‑13) | CONF5469 |
cda:informant
| | 0 … * | | MAY contain zero or more [0..*] informant (CONF:1198-8001) such that it 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. | CONF8001 |
where [cda:assignedEntity] | |
cda:assignedEntity
| | 1 … 1 | M | | CONF8002 |
cda:id
| II | 1 … * | | This assignedEntity SHALL contain at least one [1..*] id (CONF:1198-9945). | CONF9945 |
| Constraint | 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. |
cda:code
| CE (extensible) | 0 … 1 | | This assignedEntity MAY contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy (HIPAA) urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1198-32174). | CONF2174 |
| CONF | |
cda:addr
| AD | 1 … * | | 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). | CONF8220 |
Included | | | from 2.16.840.1.113883.10.20.22.5.2 US Realm Address (AD.US.FIELDED) (2015‑08‑13) |
cda:addr
| | | | | USReLDED |
@nullFlavor
| cs | 0 … 1 | | |
@use
| set_cs | 0 … 1 | | SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet PostalAddressUse urn:oid:2.16.840.1.113883.1.11.10637 STATIC 2005-05-01 (CONF:81-7290). | CONF7290 |
| CONF | |
| Constraint | *SHALL NOT* have mixed content except for white space |
| Constraint | If the country is US, the state element is required but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). |
cda:country
| ADXP | 0 … 1 | R | 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:81-7295). | CONF7295 |
| CONF | |
cda:state
| ADXP | 0 … 1 | R | SHOULD contain zero or one [0..1] state (ValueSet: StateValueSet urn:oid:2.16.840.1.113883.3.88.12.80.1 DYNAMIC) (CONF:81-7293). | CONF7293 |
| Constraint | State is required if the country is US. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024).
|
| CONF | |
| Schematron assert | role | error | |
| test | @nullFlavor or (cda:country='US' and cda:state) or (cda:country!='US') or (not(cda:country) and cda:state) | |
| Message | State is required if the country is US. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies. | |
cda:city
| ADXP | 1 … 1 | R | SHALL contain exactly one [1..1] city (CONF:81-7292). | CONF7292 |
cda:postalCode
| ADXP | 0 … 1 | R | SHOULD contain zero or one [0..1] postalCode, which SHOULD be selected from ValueSet PostalCode urn:oid:2.16.840.1.113883.3.88.12.80.2 DYNAMIC (CONF:81-7294).
| CONF7294 |
| Constraint | If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025).
|
| CONF | |
| Schematron assert | role | error | |
| test | @nullFlavor or (cda:country='US' and cda:postalCode) or (cda:country!='US') or (not(cda:country) and cda:postalCode) | |
| Message | If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). | |
cda:streetAddressLine
| ADXP | 1 … 4 | R | | CONF7291 |
| Schematron assert | role | error | |
| test | @nullFlavor or (count(cda:streetAddressLine) > 0 and count(cda:streetAddressLine) < 5) | |
| Message | SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291) | |
| Schematron assert | role | error | |
| test | @nullFlavor or (cda:city and cda:streetAddressLine) | |
| Message | | |
cda:assignedPerson
| | 1 … 1 | | This assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:1198-8221). Contains 2.16.840.1.113883.10.20.22.5.1.1 US Realm Person Name (PN.US.FIELDED) (2015‑08‑13) | CONF8221 |
cda:informant
| | 0 … * | | MAY contain zero or more [0..*] informant (CONF:1198-31355) such that it 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. | CONF1355 |
where [cda:relatedEntity] | |
cda:relatedEntity
| | 1 … 1 | | SHALL contain exactly one [1..1] relatedEntity (CONF:1198-31356). | CONF1356 |
cda:custodian
| | 1 … 1 | M | SHALL contain exactly one [1..1] custodian (CONF:1198-5519). The custodian element represents the organization that is in charge of maintaining and is entrusted with the care of the document. There 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. | CONF5519 |
cda:assignedCustodian
| | 1 … 1 | M | This custodian SHALL contain exactly one [1..1] assignedCustodian (CONF:1198-5520). | CONF5520 |
cda:representedCustodianOrganization
| | 1 … 1 | M | | CONF5521 |
cda:id
| II | 1 … * | | This representedCustodianOrganization SHALL contain at least one [1..*] id (CONF:1198-5522). | CONF5522 |
@root
| uid | 0 … 1 | | Such ids SHOULD contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:1198-16822). | CONF6822 |
cda:name
| ON | 1 … 1 | R | This representedCustodianOrganization SHALL contain exactly one [1..1] name (CONF:1198-5524). | CONF5524 |
cda:telecom
| TEL | 1 … 1 | | This representedCustodianOrganization SHALL contain exactly one [1..1] telecom (CONF:1198-5525). | CONF5525 |
@use
| set_cs | 0 … 1 | | 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). | CONF7998 |
| CONF | |
cda:addr
| AD | 1 … 1 | | This representedCustodianOrganization SHALL contain exactly one [1..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:1198-5559). | CONF5559 |
Included | | | from 2.16.840.1.113883.10.20.22.5.2 US Realm Address (AD.US.FIELDED) (2015‑08‑13) |
cda:addr
| | | | | USReLDED |
@nullFlavor
| cs | 0 … 1 | | |
@use
| set_cs | 0 … 1 | | SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet PostalAddressUse urn:oid:2.16.840.1.113883.1.11.10637 STATIC 2005-05-01 (CONF:81-7290). | CONF7290 |
| CONF | |
| Constraint | *SHALL NOT* have mixed content except for white space |
| Constraint | If the country is US, the state element is required but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). |
cda:country
| ADXP | 0 … 1 | R | 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:81-7295). | CONF7295 |
| CONF | |
cda:state
| ADXP | 0 … 1 | R | SHOULD contain zero or one [0..1] state (ValueSet: StateValueSet urn:oid:2.16.840.1.113883.3.88.12.80.1 DYNAMIC) (CONF:81-7293). | CONF7293 |
| Constraint | State is required if the country is US. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024).
|
| CONF | |
| Schematron assert | role | error | |
| test | @nullFlavor or (cda:country='US' and cda:state) or (cda:country!='US') or (not(cda:country) and cda:state) | |
| Message | State is required if the country is US. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies. | |
cda:city
| ADXP | 1 … 1 | R | SHALL contain exactly one [1..1] city (CONF:81-7292). | CONF7292 |
cda:postalCode
| ADXP | 0 … 1 | R | SHOULD contain zero or one [0..1] postalCode, which SHOULD be selected from ValueSet PostalCode urn:oid:2.16.840.1.113883.3.88.12.80.2 DYNAMIC (CONF:81-7294).
| CONF7294 |
| Constraint | If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025).
|
| CONF | |
| Schematron assert | role | error | |
| test | @nullFlavor or (cda:country='US' and cda:postalCode) or (cda:country!='US') or (not(cda:country) and cda:postalCode) | |
| Message | If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). | |
cda:streetAddressLine
| ADXP | 1 … 4 | R | | CONF7291 |
| Schematron assert | role | error | |
| test | @nullFlavor or (count(cda:streetAddressLine) > 0 and count(cda:streetAddressLine) < 5) | |
| Message | SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291) | |
| Schematron assert | role | error | |
| test | @nullFlavor or (cda:city and cda:streetAddressLine) | |
| Message | | |
cda:informationRecipient
| | 0 … * | | MAY contain zero or more [0..*] informationRecipient (CONF:1198-5565). 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. | CONF5565 |
cda:intendedRecipient
| | 1 … 1 | M | The informationRecipient, if present, SHALL contain exactly one [1..1] intendedRecipient (CONF:1198-5566). | CONF5566 |
cda:id
| II | 0 … * | | This intendedRecipient MAY contain zero or more [0..*] id (CONF:1198-32399). | CONF2399 |
cda:informationRecipient
| | 0 … 1 | | Contains 2.16.840.1.113883.10.20.22.5.1.1 US Realm Person Name (PN.US.FIELDED) (2015‑08‑13) | CONF5567 |
cda:receivedOrganization
| | 0 … 1 | | This intendedRecipient MAY contain zero or one [0..1] receivedOrganization (CONF:1198-5577). | CONF5577 |
cda:name
| ON | 1 … 1 | R | The receivedOrganization, if present, SHALL contain exactly one [1..1] name (CONF:1198-5578). | CONF5578 |
cda:legalAuthenticator
| | 0 … 1 | R | 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. The 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. All clinical documents have the potential for legal authentication, given the appropriate credentials. Local 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. Note that the legal authenticator, if present, must be a person. Contains 2.16.840.1.113883.10.20.22.5.4 US Realm Date and Time (DTM.US.FIELDED) (2015‑08‑13) | CONF5579 |
cda:signatureCode
| CS | 1 … 1 | M | The legalAuthenticator, if present, SHALL contain exactly one [1..1] signatureCode (CONF:1198-5583). | CONF5583 |
@code
| | 1 … 1 | F | S | CONF5584 |
| This signatureCode SHALL contain exactly one [1..1] @code="S" (CodeSystem: Participationsignature urn:oid:2.16.840.1.113883.5.89 STATIC) (CONF:1198-5584). |
sdtc:signatureText
| | 0 … 1 | | The legalAuthenticator, if present, MAY contain zero or one [0..1] sdtc:signatureText (CONF:1198-30810). The sdtc:signatureText extension provides a location in CDA for a textual or multimedia depiction of the signature by which the participant endorses and accepts responsibility for his or her participation in the Act as specified in the Participation.typeCode. Details of what goes in the field are described in the HL7 CDA Digital Signature Standard balloted in Fall of 2013. | CONF0810 |
cda:assignedEntity
| | 1 … 1 | M | | CONF5585 |
cda:id
| II | 1 … * | | This assignedEntity SHALL contain at least one [1..*] id (CONF:1198-5586). | CONF5586 |
cda:code
| CE (extensible) | 0 … 1 | | This assignedEntity MAY contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy (HIPAA) urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1198-17000). | CONF7000 |
| CONF | |
cda:addr
| AD | 1 … * | | 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). | CONF5589 |
Included | | | from 2.16.840.1.113883.10.20.22.5.2 US Realm Address (AD.US.FIELDED) (2015‑08‑13) |
cda:addr
| | | | | USReLDED |
@nullFlavor
| cs | 0 … 1 | | |
@use
| set_cs | 0 … 1 | | SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet PostalAddressUse urn:oid:2.16.840.1.113883.1.11.10637 STATIC 2005-05-01 (CONF:81-7290). | CONF7290 |
| CONF | |
| Constraint | *SHALL NOT* have mixed content except for white space |
| Constraint | If the country is US, the state element is required but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). |
cda:country
| ADXP | 0 … 1 | R | 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:81-7295). | CONF7295 |
| CONF | |
cda:state
| ADXP | 0 … 1 | R | SHOULD contain zero or one [0..1] state (ValueSet: StateValueSet urn:oid:2.16.840.1.113883.3.88.12.80.1 DYNAMIC) (CONF:81-7293). | CONF7293 |
| Constraint | State is required if the country is US. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024).
|
| CONF | |
| Schematron assert | role | error | |
| test | @nullFlavor or (cda:country='US' and cda:state) or (cda:country!='US') or (not(cda:country) and cda:state) | |
| Message | State is required if the country is US. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies. | |
cda:city
| ADXP | 1 … 1 | R | SHALL contain exactly one [1..1] city (CONF:81-7292). | CONF7292 |
cda:postalCode
| ADXP | 0 … 1 | R | SHOULD contain zero or one [0..1] postalCode, which SHOULD be selected from ValueSet PostalCode urn:oid:2.16.840.1.113883.3.88.12.80.2 DYNAMIC (CONF:81-7294).
| CONF7294 |
| Constraint | If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025).
|
| CONF | |
| Schematron assert | role | error | |
| test | @nullFlavor or (cda:country='US' and cda:postalCode) or (cda:country!='US') or (not(cda:country) and cda:postalCode) | |
| Message | If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). | |
cda:streetAddressLine
| ADXP | 1 … 4 | R | | CONF7291 |
| Schematron assert | role | error | |
| test | @nullFlavor or (count(cda:streetAddressLine) > 0 and count(cda:streetAddressLine) < 5) | |
| Message | SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291) | |
| Schematron assert | role | error | |
| test | @nullFlavor or (cda:city and cda:streetAddressLine) | |
| Message | | |
cda:telecom
| TEL | 1 … * | | This assignedEntity SHALL contain at least one [1..*] telecom (CONF:1198-5595). | CONF5595 |
@use
| set_cs | 0 … 1 | | 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). | CONF7999 |
| CONF | |
cda:assignedPerson
| | 1 … 1 | | Contains 2.16.840.1.113883.10.20.22.5.1.1 US Realm Person Name (PN.US.FIELDED) (2015‑08‑13) | CONF5597 |
cda:authenticator
| | 0 … * | | The authenticator identifies a participant or participants who attest to the accuracy of the information in the document. Contains 2.16.840.1.113883.10.20.22.5.4 US Realm Date and Time (DTM.US.FIELDED) (2015‑08‑13) | CONF5607 |
cda:signatureCode
| CS | 1 … 1 | M | SHALL contain exactly one [1..1] signatureCode (CONF:1198-5610). | CONF5610 |
@code
| | 1 … 1 | F | S | CONF5611 |
| This signatureCode SHALL contain exactly one [1..1] @code="S" (CodeSystem: Participationsignature urn:oid:2.16.840.1.113883.5.89 STATIC) (CONF:1198-5611). |
sdtc:signatureText
| | 0 … 1 | | MAY contain zero or one [0..1] sdtc:signatureText (CONF:1198-30811). The sdtc:signatureText extension provides a location in CDA for a textual or multimedia depiction of the signature by which the participant endorses and accepts responsibility for his or her participation in the Act as specified in the Participation.typeCode. Details of what goes in the field are described in the HL7 CDA Digital Signature Standard balloted in Fall of 2013. | CONF0811 |
cda:assignedEntity
| | 1 … 1 | M | | CONF5612 |
Choice | 1 … * | | The assignedEntity SHALL contain at least one [1..*] id (CONF:1198-5613) Elements to choose from: |
cda:id
| II | 0 … * | | | CONF5417 |
cda:id
| II | 0 … 1 | R | | CONF5417 |
@root
| uid | 1 … 1 | F | 2.16.840.1.113883.4.6 | CONF6820 |
| Such ids SHOULD contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:1198-16824). |
cda:code
| CE (extensible) | 0 … 1 | | This assignedEntity MAY contain zero or one [0..1] code (CONF:1198-16825). | CONF6825 |
cda:addr
| AD | 1 … * | | 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). | CONF5616 |
Included | | | from 2.16.840.1.113883.10.20.22.5.2 US Realm Address (AD.US.FIELDED) (2015‑08‑13) |
cda:addr
| | | | | USReLDED |
@nullFlavor
| cs | 0 … 1 | | |
@use
| set_cs | 0 … 1 | | SHOULD contain zero or one [0..1] @use, which SHALL be selected from ValueSet PostalAddressUse urn:oid:2.16.840.1.113883.1.11.10637 STATIC 2005-05-01 (CONF:81-7290). | CONF7290 |
| CONF | |
| Constraint | *SHALL NOT* have mixed content except for white space |
| Constraint | If the country is US, the state element is required but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). |
cda:country
| ADXP | 0 … 1 | R | 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:81-7295). | CONF7295 |
| CONF | |
cda:state
| ADXP | 0 … 1 | R | SHOULD contain zero or one [0..1] state (ValueSet: StateValueSet urn:oid:2.16.840.1.113883.3.88.12.80.1 DYNAMIC) (CONF:81-7293). | CONF7293 |
| Constraint | State is required if the country is US. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024).
|
| CONF | |
| Schematron assert | role | error | |
| test | @nullFlavor or (cda:country='US' and cda:state) or (cda:country!='US') or (not(cda:country) and cda:state) | |
| Message | State is required if the country is US. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies. | |
cda:city
| ADXP | 1 … 1 | R | SHALL contain exactly one [1..1] city (CONF:81-7292). | CONF7292 |
cda:postalCode
| ADXP | 0 … 1 | R | SHOULD contain zero or one [0..1] postalCode, which SHOULD be selected from ValueSet PostalCode urn:oid:2.16.840.1.113883.3.88.12.80.2 DYNAMIC (CONF:81-7294).
| CONF7294 |
| Constraint | If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025).
|
| CONF | |
| Schematron assert | role | error | |
| test | @nullFlavor or (cda:country='US' and cda:postalCode) or (cda:country!='US') or (not(cda:country) and cda:postalCode) | |
| Message | If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). | |
cda:streetAddressLine
| ADXP | 1 … 4 | R | | CONF7291 |
| Schematron assert | role | error | |
| test | @nullFlavor or (count(cda:streetAddressLine) > 0 and count(cda:streetAddressLine) < 5) | |
| Message | SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291) | |
| Schematron assert | role | error | |
| test | @nullFlavor or (cda:city and cda:streetAddressLine) | |
| Message | | |
cda:telecom
| TEL | 1 … * | | This assignedEntity SHALL contain at least one [1..*] telecom (CONF:1198-5622). | CONF5622 |
@use
| set_cs | 0 … 1 | | 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). | CONF8000 |
| CONF | |
cda:assignedPerson
| | 1 … 1 | | Contains 2.16.840.1.113883.10.20.22.5.1.1 US Realm Person Name (PN.US.FIELDED) (2015‑08‑13) | CONF5624 |
cda:participant
| | 0 … * | | MAY contain zero or more [0..*] participant (CONF:1198-10003) such that it The participant element identifies supporting entities, including parents, relatives, caregivers, insurance policyholders, guarantors, and others related in some way to the patient. A supporting person or organization is an individual or an organization with a relationship to the patient. A supporting person who is playing multiple roles would be recorded in multiple participants (e.g., emergency contact and next-of-kin). | CONF0003 |
| Constraint | 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* |
cda:time
| | 0 … 1 | | MAY contain zero or one [0..1] time (CONF:1198-10004). | CONF0004 |
| Schematron assert | role | error | |
| test | cda:associatedEntity/cda:associatedPerson | cda:associatedEntity/cda:scopingOrganization | |
| Message | *SHALL* contain associatedEntity/associatedPerson *AND/OR* associatedEntity/scopingOrganization. | |
cda:inFulfillmentOf
| | 0 … * | | MAY contain zero or more [0..*] inFulfillmentOf (CONF:1198-9952). The inFulfillmentOf element represents orders that are fulfilled by this document such as a radiologists’ report of an x-ray. | CONF9952 |
cda:order
| | 1 … 1 | M | The inFulfillmentOf, if present, SHALL contain exactly one [1..1] order (CONF:1198-9953). | CONF9953 |
cda:id
| II | 1 … * | | This order SHALL contain at least one [1..*] id (CONF:1198-9954). | CONF9954 |
cda:documentationOf
| | 0 … * | | MAY contain zero or more [0..*] documentationOf (CONF:1198-14835). | CONF4835 |
cda:serviceEvent
| | 1 … 1 | M | The documentationOf, if present, SHALL contain exactly one [1..1] serviceEvent (CONF:1198-14836). 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. | CONF4836 |
cda:effectiveTime
| | 1 … 1 | M | This serviceEvent SHALL contain exactly one [1..1] effectiveTime (CONF:1198-14837). | CONF4837 |
cda:low
| | 1 … 1 | R | This effectiveTime SHALL contain exactly one [1..1] low (CONF:1198-14838). | CONF4838 |
cda:performer
| | 0 … * | R | 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. 2) This serviceEvent SHOULD contain zero or more [0..*] performer (CONF:2212-14839). 1) 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:2212-14840). 2) The performer, if present, MAY contain zero or one [0..1] functionCode (CONF:2212-16818). 1) The functionCode, if present, SHOULD contain zero or one [0..1] @code, which SHOULD be selected from ValueSet ParticipationFunction urn:oid:2.16.840.1.113883.1.11.10267 STATIC (CONF:2212-32889). 3) The performer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:2212-14841). 1) This assignedEntity SHALL contain at least one [1..*] id (CONF:2212-14846). 1) Such ids SHOULD contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:2212-14847). 2) This assignedEntity SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy (HIPAA) urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:2212-14842). | CONF4839 |
@typeCode
| cs | 1 … 1 | R | 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). | CONF4840 |
| CONF | |
cda:functionCode
| CE (extensible) | 0 … 1 | | The performer, if present, MAY contain zero or one [0..1] functionCode (CONF:1198-16818). | CONF6818 |
@code
| | 0 … 1 | | The functionCode, if present, SHOULD contain zero or one [0..1] @code, which SHOULD be selected from ValueSet ParticipationFunction urn:oid:2.16.840.1.113762.1.4.1099.30 DYNAMIC (CONF:1198-32889). | CONF2889 |
| CONF | |
cda:assignedEntity
| | 1 … 1 | | The performer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1198-14841). | CONF4841 |
cda:id
| II | 1 … * | | This assignedEntity SHALL contain at least one [1..*] id (CONF:1198-14846). | CONF4846 |
@root
| uid | 0 … 1 | | Such ids SHOULD contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:1198-14847). | CONF4847 |
cda:code
| CE (extensible) | 0 … 1 | R | This assignedEntity SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy (HIPAA) urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1198-14842). | CONF4842 |
| CONF | |
| Schematron assert | role | warning | |
| test | not(@codeSystem) or @codeSystem='2.16.840.1.113883.6.101' | |
| Message | This assignedEntity SHOULD contain zero or one [0..1] code, which SHOULD be selected from CodeSystem Healthcare Provider Taxonomy (HIPAA) (urn:oid:2.16.840.1.113883.6.101) | |
cda:authorization
| | 0 … * | | MAY contain zero or more [0..*] authorization (CONF:1198-16792) such that it The authorization element represents information about the patient’s consent. The type of consent is conveyed in consent/code. Consents in the header have been finalized (consent/statusCode must equal Completed) and should be on file. This specification does not address how 'Privacy Consent' is represented, but does not preclude the inclusion of ‘Privacy Consent’. The authorization consent is used for referring to consents that are documented elsewhere in the EHR or medical record for a health condition and/or treatment that is described in the CDA document. | CONF6792 |
cda:consent
| | 1 … 1 | M | SHALL contain exactly one [1..1] consent (CONF:1198-16793). | CONF6793 |
cda:id
| II | 0 … * | | This consent MAY contain zero or more [0..*] id (CONF:1198-16794). | CONF6794 |
cda:code
| | 0 … 1 | | This consent MAY contain zero or one [0..1] code (CONF:1198-16795). | CONF6795 |
cda:statusCode
| CS | 1 … 1 | M | This consent SHALL contain exactly one [1..1] statusCode (CONF:1198-16797). | CONF6797 |
@code
| CONF | 1 … 1 | F | completed |
cda:componentOf
| | 0 … 1 | | MAY contain zero or one [0..1] componentOf (CONF:1198-9955). 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. | CONF9955 |
cda:encompassingEncounter
| | 1 … 1 | M | The componentOf, if present, SHALL contain exactly one [1..1] encompassingEncounter (CONF:1198-9956). | CONF9956 |
cda:id
| II | 1 … * | | This encompassingEncounter SHALL contain at least one [1..*] id (CONF:1198-9959). | CONF9959 |
cda:effectiveTime
| | 1 … 1 | | This encompassingEncounter SHALL contain exactly one [1..1] effectiveTime (CONF:1198-9958). | CONF9958 |