Item | DT | Card | Conf | Description | Label |
---|
cda:ClinicalDocument
| | | | | CareanV2 |
| Constraint | When asserting this templateId, all C-CDA 2.1 section and entry templates that had a previous version in C-CDA R1.1 SHALL include both the C-CDA 2.1 templateId and the C-CDA R1.1 templateId root without an extension. See C-CDA R2.1 Volume 1 - Design Considerations for additional detail (CONF:1198-see below).
|
cda:templateId
| II | 1 … 1 | M | C-CDA R1.1 templateId root without an extension | CONF2936 |
@root
| uid | 1 … 1 | F | 2.16.840.1.113883.10.20.22.1.15 |
cda:templateId
| II | 1 … 1 | M | SHALL contain exactly one [1..1] templateId (CONF:1198-28741) such that it | CONF8741 |
@root
| uid | 1 … 1 | F | 2.16.840.1.113883.10.20.22.1.15 | CONF8742 |
| SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.1.15" (CONF:1198-28742). |
@extension
| st | 1 … 1 | F | 2015-08-01 | CONF2877 |
| SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32877). |
cda:code
| | 1 … 1 | M | SHALL contain exactly one [1..1] code (CONF:1198-28745).
This code SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet Care Plan Document Type urn:oid:2.16.840.1.113762.1.4.1099.10 DYNAMIC (CONF:1198-32959).
| CONF8745 |
| CONF | |
cda:setId
| | 0 … 1 | R | SHOULD contain zero or one [0..1] setId (CONF:1198-32321). | CONF2321 |
cda:versionNumber
| | 0 … 1 | R | SHOULD contain zero or one [0..1] versionNumber (CONF:1198-32322). | CONF2322 |
cda:informationRecipient
| | 0 … * | R | SHOULD contain zero or more [0..*] informationRecipient (CONF:1198-31993) such that it | CONF1993 |
cda:intendedRecipient
| | 1 … 1 | M | SHALL contain exactly one [1..1] intendedRecipient (CONF:1198-31994). | CONF1994 |
cda:id
| II | 1 … * | R | This intendedRecipient SHALL contain at least one [1..*] id (CONF:1198-31996). | CONF1996 |
cda:addr
| AD | 0 … * | R | This intendedRecipient SHOULD contain zero or more [0..*] addr (CONF:1198-31997). | CONF1997 |
cda:telecom
| TEL | 0 … * | R | This intendedRecipient SHOULD contain zero or more [0..*] telecom (CONF:1198-31998). | CONF1998 |
cda:informationRecipient
| | 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) | CONF1999 |
cda:receivedOrganization
| | 0 … 1 | R | This intendedRecipient SHOULD contain zero or one [0..1] receivedOrganization (CONF:1198-32000). | CONF2000 |
cda:id
| II | 0 … * | R | The receivedOrganization, if present, SHOULD contain zero or more [0..*] id (CONF:1198-32001). | CONF2001 |
cda:name
| | 1 … * | R | The receivedOrganization, if present, SHALL contain at least one [1..*] name (CONF:1198-32002). | CONF2002 |
cda:standardIndustryClassCode
| | 0 … 1 | R | The receivedOrganization, if present, SHOULD contain zero or one [0..1] standardIndustryClassCode, which SHALL be selected from ValueSet Healthcare Provider Taxonomy (HIPAA) urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1198-32003). | CONF2003 |
| CONF | |
cda:authenticator
| | 0 … 1 | R | SHOULD contain zero or one [0..1] authenticator (CONF:1198-31910) such that it | CONF1910 |
cda:time
| | 1 … 1 | R | SHALL contain exactly one [1..1] time (CONF:1198-31911). | CONF1911 |
cda:signatureCode
| | 1 … 1 | R | SHALL contain exactly one [1..1] signatureCode (CONF:1198-31912). | CONF1912 |
sdtc:signatureText
| | 0 … 1 | | MAY contain zero or one [0..1] sdtc:signatureText (CONF:1198-31913). | CONF1913 |
cda:assignedEntity
| | 1 … 1 | M | SHALL contain exactly one [1..1] assignedEntity (CONF:1198-31914). | CONF1914 |
cda:id
| II | 1 … * | R | This assignedEntity SHALL contain at least one [1..*] id (CONF:1198-31915). | CONF1915 |
cda:code
| CE | 1 … 1 | M | This assignedEntity SHALL contain exactly one [1..1] code (CONF:1198-31916). | CONF1916 |
@code
| CONF | 1 … 1 | F | ONESELF |
@codeSystem
| 1 … 1 | F | 2.16.840.1.113883.5.111 |
cda:participant
| | 0 … * | R | SHOULD contain zero or more [0..*] participant (CONF:1198-31677) such that it | CONF1677 |
where [@typeCode='VRF'] | |
@typeCode
| cs | 1 … 1 | F | VRF | CONF1678 |
| SHALL contain exactly one [1..1] @typeCode="VRF" Verifier (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90) (CONF:1198-31678). |
cda:functionCode
| CE | 1 … 1 | M | SHALL contain exactly one [1..1] functionCode (CONF:1198-31679). | CONF1679 |
@code
| | 1 … 1 | F | 425268008 | CONF1680 |
| This functionCode SHALL contain exactly one [1..1] @code="425268008" Review of Care Plan (CONF:1198-31680). |
@codeSystem
| | 1 … 1 | F | 2.16.840.1.113883.6.96 | CONF1681 |
| This functionCode SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.96" (CodeSystem: SNOMED CT urn:oid:2.16.840.1.113883.6.96) (CONF:1198-31681). |
cda:time
| | 1 … 1 | R | SHALL contain exactly one [1..1] time (CONF:1198-31682). | CONF1682 |
cda:associatedEntity
| | 1 … 1 | M | SHALL contain exactly one [1..1] associatedEntity (CONF:1198-31683). | CONF1683 |
@classCode
| cs | 1 … 1 | F | ASSIGNED | CONF1686 |
| This associatedEntity SHALL contain exactly one [1..1] @classCode="ASSIGNED" (CodeSystem: RoleClass urn:oid:2.16.840.1.113883.5.110) (CONF:1198-31686). |
cda:id
| II | 1 … * | R | This associatedEntity SHALL contain at least one [1..*] id (CONF:1198-31684). | CONF1684 |
cda:code
| | 0 … 1 | R | This associatedEntity SHOULD contain zero or one [0..1] code (CONF:1198-31685). | CONF1685 |
@code
| | 1 … 1 | R | SHOULD be selected from ValueSet Personal And Legal Relationship Role Type urn:oid:2.16.840.1.113883.11.20.12.1 DYNAMIC (CONF:1198-32367).
| CONF2367 |
cda:participant
| | 0 … * | R | SHOULD contain zero or more [0..*] participant (CONF:1198-31895) such that it | CONF1895 |
where [@typeCode='IND'] | |
@typeCode
| cs | 1 … 1 | F | IND | CONF1896 |
| SHALL contain exactly one [1..1] @typeCode="IND" Indirect (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90) (CONF:1198-31896). |
cda:associatedEntity
| | 1 … 1 | M | SHALL contain exactly one [1..1] associatedEntity (CONF:1198-31897). | CONF1897 |
@classCode
| cs | 1 … 1 | R | This associatedEntity SHALL contain exactly one [1..1] @classCode, which SHALL be selected from ValueSet INDRoleclassCodes urn:oid:2.16.840.1.113883.11.20.9.33 STATIC (CONF:1198-31898). | CONF1898 |
| CONF | |
cda:associatedPerson
| | 1 … 1 | M | This associatedEntity SHALL contain exactly one [1..1] associatedPerson (CONF:1198-31899). | CONF1899 |
cda:name
| | 1 … * | R | This associatedPerson SHALL contain at least one [1..*] name (CONF:1198-31900). | CONF1900 |
cda:documentationOf
| | 1 … 1 | M | SHALL contain exactly one [1..1] documentationOf (CONF:1198-31901) such that it The serviceEvent describes the provision of healthcare over a period of time. The duration over which care was provided is indicated in serviceEvent/effectiveTime. Additional data from outside this duration may also be included if it is relevant to care provided during that time range (e.g., reviewed during the stated time range). | CONF1901 |
cda:serviceEvent
| | 1 … 1 | M | SHALL contain exactly one [1..1] serviceEvent (CONF:1198-31902). | CONF1902 |
@classCode
| cs | 1 … 1 | F | PCPR | CONF1903 |
| This serviceEvent SHALL contain exactly one [1..1] @classCode="PCPR" Care Provision (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1198-31903). |
cda:effectiveTime
| | 1 … 1 | M | This serviceEvent SHALL contain exactly one [1..1] effectiveTime (CONF:1198-31904). | CONF1904 |
cda:low
| | 1 … 1 | R | This effectiveTime SHALL contain exactly one [1..1] low (CONF:1198-32330). | CONF2330 |
cda:high
| | 0 … 1 | R | This effectiveTime MAY contain zero or one [0..1] high (CONF:1198-32331). | CONF2331 |
cda:performer
| | 1 … * | M | This serviceEvent SHALL contain at least one [1..*] performer (CONF:1198-31905) such that it | CONF1905 |
cda:assignedEntity
| | 1 … 1 | M | SHALL contain exactly one [1..1] assignedEntity (CONF:1198-31907). | CONF1907 |
cda:id
| II | 1 … * | R | This assignedEntity SHALL contain at least one [1..*] id (CONF:1198-31908). | CONF1908 |
cda:code
| CE | 0 … 1 | | This assignedEntity MAY contain zero or one [0..1] code (CONF:1198-31909). | CONF1909 |
cda:assignedPerson
| | 1 … 1 | R | Contains 2.16.840.1.113883.10.20.22.5.1.1 US Realm Person Name (PN.US.FIELDED) (2015‑08‑13) | CONF2328 |
cda:relatedDocument
| | 0 … * | | MAY contain zero or more [0..*] relatedDocument (CONF:1198-29893) such that it | CONF9893 |
@typeCode
| cs | 1 … 1 | R | SHALL contain exactly one [1..1] @typeCode, which SHALL be selected from ValueSet x_ActRelationshipDocument urn:oid:2.16.840.1.113883.1.11.11610 STATIC (CONF:1198-31889).
| CONF1889 |
| CONF | |
cda:parentDocument
| | 1 … 1 | M | SHALL contain exactly one [1..1] parentDocument (CONF:1198-29894). | CONF9894 |
cda:id
| II | 1 … 1 | R | . This parentDocument SHALL contain at least one [1..*] id (CONF:1198-32949).
| CONF2949 |
cda:setId
| | 1 … 1 | R | This parentDocument SHALL contain exactly one [1..1] setId (CONF:1198-29895). | CONF9895 |
cda:versionNumber
| | 1 … 1 | R | This parentDocument SHALL contain exactly one [1..1] versionNumber (CONF:1198-29896). | CONF9896 |
cda:componentOf
| | 0 … 1 | R | SHOULD contain zero or one [0..1] componentOf (CONF:1198-32004) such that it | CONF2004 |
cda:encompassingEncounter
| | 1 … 1 | M | SHALL contain exactly one [1..1] encompassingEncounter (CONF:1198-32005). | CONF2005 |
cda:effectiveTime
| | 1 … 1 | R | This encompassingEncounter SHALL contain exactly one [1..1] effectiveTime (CONF:1198-32007). | CONF2007 |
cda:component
| | 1 … 1 | M | SHALL contain exactly one [1..1] component (CONF:1198-28753). | CONF8753 |
cda:structuredBody
| | 1 … 1 | M | This component SHALL contain exactly one [1..1] structuredBody (CONF:1198-28754). | CONF8754 |
cda:component
| | 1 … 1 | R | Contains 2.16.840.1.113883.10.20.22.2.58 Health Concerns Section (V2) (2015‑08‑01) | CONF8755 |
cda:component
| | 1 … 1 | R | Contains 2.16.840.1.113883.10.20.22.2.60 Goals Section (2015‑08‑13) | CONF8761 |
cda:component
| | 0 … 1 | R | Contains 2.16.840.1.113883.10.20.21.2.3 Interventions Section (V3) (2015‑08‑01) | CONF8763 |
cda:component
| | 0 … 1 | R | Contains 2.16.840.1.113883.10.20.22.2.61 Health Status Evaluations and Outcomes Section (2015‑08‑13) | CONF9596 |
cda:component
| | | NP | This structuredBody *SHALL NOT* contain a Plan of Treatment Section (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.2.10:2014-06-09) Contains 2.16.840.1.113883.10.20.22.2.10 Plan of Treatment Section (V2) (2014‑06‑09) | CONF8754 |