Id2.16.840.1.113883.3.1937.99.61.15.10.900207Effective Date2015‑04‑28 23:41:39
Statusdraft DraftVersion Label20140428
NameCARealmHeaderDisplay NameCA Realm Header
Description
This section describes constraints that apply to the header for all documents within the scope of this implementation guide. Header constraints specific to each document type are described in the appropriate document-specific section below.
ContextPathname cda:ClinicalDocument
ClassificationCDA Document Level Template
Open/ClosedOpen (other than defined elements are allowed)
RelationshipSpecialization: template 2.16.840.1.113883.10.2.20.4.1.1 (2015‑04‑28)
ItemDTCardConfDescriptionLabel
cda:ClinicalDocument
CARedotsader
cda:realmCode
1 … 1MCARedotsader
 Constraintvalue must be fixed to "CA" with OID 2.16.840.1.113883.5.1124
cda:typeId
1 … 1MSHALL contain exactly one [1..1] typeId (CONF:5361).conf‑5361
@root
uid1 … 1F2.16.840.1.113883.1.3conf‑5250
@extension
st1 … 1FPOCD_HD000040conf‑5251
cda:templateId
1 … 1MSHALL contain exactly one [1..1] templateId (CONF:5252) such that itconf‑5252
@root
uid1 … 1F2.16.840.1.113883.10.20.22.1.1confdots0036
cda:id
1 … 1MSHALL contain exactly one [1..1] id (CONF:5363).

This id SHALL be a globally unique identifier for the document		conf‑5363
cda:code
1 … 1MSHALL contain exactly one [1..1] code (CONF:5253).conf‑5253
cda:title
1 … 1MSHALL contain exactly one [1..1] title (CONF:5254).

can either be a locally defined name or the display name corresponding to clinicalDocument/code		conf‑5254
cda:effectiveTime
1 … 1MSHALL contain exactly one [1..1] effectiveTime (CONF:5256).

The content SHALL be a conformant US Realm Date and Time (DTM.US.FIELDED) (2.16.840.1.113883.10.20.22.5.4) 		conf‑5256
 Schematron assertrolered error 
 teststring-length(cda:effectiveTime//@value)>=8 
 MessageThe content SHALL be a conformant US Realm Date and Time (DTM.US.FIELDED) (2.16.840.1.113883.10.20.22.5.4)  
cda:confidentialityCode
1 … 1MSHALL contain exactly one [1..1] confidentialityCode, which SHOULD be selected from ValueSet HL7 BasicConfidentialityKind 2.16.840.1.113883.1.11.16926 STATIC 2010-04-21 (CONF:5259).conf‑5259
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16926 HL7 BasicConfidentialityKind (DYNAMIC)
cda:languageCode
1 … 1MSHALL contain exactly one [1..1] languageCode, which SHALL be selected from ValueSet Language 2.16.840.1.113883.1.11.11526 DYNAMIC (CONF:5372).conf‑5372
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
cda:setId
0 … 1MAY contain zero or one [0..1] setId (CONF:5261).

If setId is present versionNumber SHALL be present		conf‑5261
 Schematron assertrolered error 
 testcount(../cda:versionNumber |../cda:setId)=2 or count(../cda:versionNumber | ../cda:setId)=0 
 MessageIf setId is present versionNumber SHALL be present 
cda:versionNumber
0 … 1MAY contain zero or one [0..1] versionNumber (CONF:5264).

If versionNumber is present setId SHALL be present		conf‑5264
 Schematron assertrolered error 
 testcount(//cda:versionNumber | //cda:setId)=2 or count(//cda:versionNumber | //cda:setId)=0 
 MessageIf versionNumber is present setId SHALL be present 
cda:recordTarget
1 … *MSHALL contain at least one [1..*] recordTarget (CONF:5266).conf‑5266
cda:patientRole
1 … 1MSuch recordTargets SHALL contain exactly one [1..1] patientRole (CONF:5267).conf‑5267
cda:id
1 … *MThis patientRole SHALL contain at least one [1..*] id (CONF:5268).conf‑5268
cda:addr
1 … *MThis patientRole SHALL contain at least one [1..*] addr (CONF:5271).

The content of addr SHALL be a conformant US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2)		conf‑5271
 Schematron assertrolered error 
 testcda:recordTarget/cda:patientRole/cda:addr[cda:streetAddressLine and cda:city and (cda:country!='US' or ((not(cda:country) or cda:country='US') and cda:state and cda:postalCode))] 
 MessageThe content of addr SHALL be a conformant US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2) 
cda:telecom
1 … *MThis patientRole SHALL contain at least one [1..*] telecom (CONF:5280).conf‑5280
@use
set_cs0 … 1 conf‑5375
 CONF
The value of @use shall be drawn from value set 2.16.840.1.113883.11.20.9.20 Telecom Use (US Realm Header) (DYNAMIC)
cda:patient
1 … 1MThis patientRole SHALL contain exactly one [1..1] patient (CONF:5283).conf‑5283
cda:name
1 … *MThis patient SHALL contain at least one [1..*] name (CONF:5284).

The content of name SHALL be a conformant US Realm Patient Name (PTN.US.FIELDED) (2.16.840.1.113883.10.20.22.5.1)		conf‑5284
 Schematron assertrolered error 
 test(count(cda:recordTarget/cda:patientRole/cda:patient/cda:name/cda:given) > 0 and cda:recordTarget/cda:patientRole/cda:patient/cda:name/cda:family) 
 MessageThe content of name SHALL be a conformant US Realm Patient Name (PTN.US.FIELDED) (2.16.840.1.113883.10.20.22.5.1) 
cda:administrativeGenderCode
1 … 1MThis patient SHALL contain exactly one [1..1] administrativeGenderCode, which SHALL be selected from ValueSet Administrative Gender (HL7 V3) 2.16.840.1.113883.1.11.1 DYNAMIC (CONF:6394).conf‑6394
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.1 Administrative Gender (HL7 V3) (DYNAMIC)
cda:birthTime
1 … 1MThis patient SHALL contain exactly one [1..1] birthTime (CONF:5298).

SHALL be precise to year

SHOULD be precise to day		conf‑5298
 Schematron assertrolered error 
 teststring-length(cda:recordTarget/cda:patientRole/cda:patient/cda:birthTime/@value) >= 4 
 MessageSHALL be precise to year 
 Schematron assertrolered error 
 teststring-length(cda:recordTarget/cda:patientRole/cda:patient/cda:birthTime/@value) >= 8 
 MessageSHOULD be precise to day 
cda:maritalStatusCode
0 … 1RThis patient SHOULD contain zero or one [0..1] maritalStatusCode, which SHALL be selected from ValueSet Marital Status 2.16.840.1.113883.1.11.12212 DYNAMIC (CONF:5303).conf‑5303
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.12212 Marital Status (DYNAMIC)
cda:religiousAffiliationCode
0 … 1This patient MAY contain zero or one [0..1] religiousAffiliationCode, which SHALL be selected from ValueSet Religious Affiliation 2.16.840.1.113883.1.11.19185 DYNAMIC (CONF:5317).conf‑5317
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.19185 Religious Affiliation (DYNAMIC)
cda:raceCode
0 … 1This patient MAY contain zero or one [0..1] raceCode, which SHALL be selected from ValueSet Race 2.16.840.1.113883.1.11.14914 DYNAMIC (CONF:5322).conf‑5322
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.14914 Race (DYNAMIC)
sdtc:raceCode
0 … *This patient MAY contain zero or more [0..*] sdtc:raceCode, which SHALL be selected from ValueSet Race 2.16.840.1.113883.1.11.14914 DYNAMIC (CONF:7263).conf‑7263
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.14914 Race (DYNAMIC)
cda:ethnicGroupCode
0 … 1This patient MAY contain zero or one [0..1] ethnicGroupCode, which SHALL be selected from ValueSet EthnicityGroup 2.16.840.1.114222.4.11.837 DYNAMIC (CONF:5323).conf‑5323
 CONF
The value of @code shall be drawn from value set 2.16.840.1.114222.4.11.837 Ethnicity (DYNAMIC)
cda:guardian
0 … *This patient MAY contain zero or more [0..*] guardian (CONF:5325).conf‑5325
cda:code
0 … 1RThe guardian, if present, SHOULD contain zero or one [0..1] code, which SHALL be selected from ValueSet ResponsibleParty 2.16.840.1.113883.1.11.19830 DYNAMIC (CONF:5326).conf‑5326
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.19830 ResponsibleParty (DYNAMIC)
cda:addr
0 … *RThe guardian, if present, SHOULD contain zero or more [0..*] addr (CONF:5359).

The content of addr SHALL be a conformant US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2)		conf‑5359
 Schematron assertrolered error 
 testnot(cda:recordTarget/cda:patientRole/cda:patient/cda:guardian/cda:addr) or (cda:recordTarget/cda:patientRole/cda:patient/cda:guardian/cda:addr[cda:streetAddressLine and cda:city and ((not(cda:country) or cda:country!='US') or (cda:country='US' and cda:state and cda:postalCode))]) 
 MessageThe content of addr SHALL be a conformant US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2) 
cda:telecom
0 … *The guardian, if present, MAY contain zero or more [0..*] telecom (CONF:5382).conf‑5382
@use
set_cs0 … 1 conf‑7993
 CONF
The value of @use shall be drawn from value set 2.16.840.1.113883.11.20.9.20 Telecom Use (US Realm Header) (DYNAMIC)
cda:guardianPerson
1 … 1MThe guardian, if present, SHALL contain exactly one [1..1] guardianPerson (CONF:5385).conf‑5385
cda:name
1 … *MThis guardianPerson SHALL contain at least one [1..*] name (CONF:5386).

The content of name SHALL be a conformant US Realm Person Name (PN.US.FIELDED) (2.16.840.1.113883.10.20.22.5.1.1)		conf‑5386
 Schematron assertrolered error 
 testnot(cda:recordTarget/cda:patientRole/cda:patient/cda:guardian) or (count(cda:recordTarget/cda:patientRole/cda:patient/cda:guardian/cda:guardianPerson/cda:name/cda:given) > 0 and cda:recordTarget/cda:patientRole/cda:patient/cda:guardian/cda:guardianPerson/cda:name/cda:family) or (count(cda:recordTarget/cda:patientRole/cda:patient/cda:guardian/cda:guardianPerson/cda:name[*])=0 and string-length(cda:recordTarget/cda:patientRole/cda:patient/cda:guardian/cda:guardianPerson/cda:name)!=0) 
 MessageThe content of name SHALL be a conformant US Realm Person Name (PN.US.FIELDED) (2.16.840.1.113883.10.20.22.5.1.1) 
cda:birthplace
0 … 1This patient MAY contain zero or one [0..1] birthplace (CONF:5395).conf‑5395
cda:place
1 … 1MThe birthplace, if present, SHALL contain exactly one [1..1] place (CONF:5396).conf‑5396
cda:addr
1 … 1MThis place SHALL contain exactly one [1..1] addr (CONF:5397).

If country is US, this addr SHALL contain exactly one [1..1] state, which SHALL be selected from ValueSet 2.16.840.1.113883.3.88.12.80.1 StateValueSet DYNAMIC		conf‑5397
cda:country
0 … 1RThis addr SHOULD contain zero or one [0..1] country, which SHALL be selected from ValueSet Country 2.16.840.1.113883.3.88.12.80.63 DYNAMIC (CONF:5404).conf‑5404
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.3.88.12.80.63 Country (DYNAMIC)
cda:postalCode
0 … 1This addr MAY contain zero or one [0..1] postalCode, which SHALL be selected from ValueSet PostalCode 2.16.840.1.113883.3.88.12.80.2 DYNAMIC (CONF:5403).conf‑5403
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.3.88.12.80.2 PostalCode (DYNAMIC)
 Schematron assertrolered error 
 test(cda:recordTarget/cda:patientRole/cda:addr[cda:country='US' or cda:country='USA']) and cda:recordTarget/cda:patientRole/cda:addr/cda:state 
 MessageIf country is US, this addr SHALL contain exactly one [1..1] state, which SHALL be selected from ValueSet 2.16.840.1.113883.3.88.12.80.1 StateValueSet DYNAMIC 
cda:languageCommunication
0 … *RThis patient SHOULD contain zero or more [0..*] languageCommunication (CONF:5406).conf‑5406
cda:languageCode
1 … 1MThe languageCommunication, if present, SHALL contain exactly one [1..1] languageCode, which SHALL be selected from ValueSet Language 2.16.840.1.113883.1.11.11526 DYNAMIC (CONF:5407).conf‑5407
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
cda:modeCode
0 … 1The languageCommunication, if present, MAY contain zero or one [0..1] modeCode, which SHALL be selected from ValueSet LanguageAbilityMode 2.16.840.1.113883.1.11.12249 DYNAMIC (CONF:5409).conf‑5409
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.12249 LanguageAbilityMode (DYNAMIC)
cda:proficiencyLevelCode
0 … 1RThe languageCommunication, if present, SHOULD contain zero or one [0..1] proficiencyLevelCode, which SHALL be selected from ValueSet LanguageAbilityProficiency 2.16.840.1.113883.1.11.12199 DYNAMIC (CONF:9965).conf‑9965
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.12199 LanguageAbilityProficiency (DYNAMIC)
cda:preferenceInd
0 … 1The languageCommunication, if present, MAY contain zero or one [0..1] preferenceInd (CONF:5414).conf‑5414
cda:providerOrganization
0 … 1This patientRole MAY contain zero or one [0..1] providerOrganization (CONF:5416).conf‑5416
cda:id
1 … *MThe providerOrganization, if present, SHALL contain at least one [1..*] id (CONF:5417).conf‑5417
@root
uid0 … 1F2.16.840.1.113883.4.6confdots6820
cda:name
1 … *MThe providerOrganization, if present, SHALL contain at least one [1..*] name (CONF:5419).conf‑5419
cda:telecom
1 … *MThe providerOrganization, if present, SHALL contain at least one [1..*] telecom (CONF:5420).conf‑5420
@use
set_cs0 … 1 conf‑7994
 CONF
The value of @use shall be drawn from value set 2.16.840.1.113883.11.20.9.20 Telecom Use (US Realm Header) (DYNAMIC)
cda:addr
1 … *MThe providerOrganization, if present, SHALL contain at least one [1..*] addr (CONF:5422).

The content of addr SHALL be a conformant US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2)		conf‑5422
 Schematron assertrolered error 
 testnot(cda:recordTarget/cda:patientRole/cda:providerOrganization) or cda:recordTarget/cda:patientRole/cda:providerOrganization/cda:addr[cda:streetAddressLine and cda:city and ((not(cda:country) or cda:country!='US') or (cda:country='US' and cda:state and cda:postalCode))] 
 MessageThe content of addr SHALL be a conformant US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2) 
cda:author
1 … *MSHALL contain at least one [1..*] author (CONF:5444).conf‑5444
cda:time
1 … 1MSuch authors SHALL contain exactly one [1..1] time (CONF:5445).

The content SHALL be a conformant US Realm Date and Time (DTM.US.FIELDED) (2.16.840.1.113883.10.20.22.5.4)		conf‑5445
 Schematron assertrolered error 
 teststring-length(cda:author/cda:time//@value)>=8 
 MessageThe content SHALL be a conformant US Realm Date and Time (DTM.US.FIELDED) (2.16.840.1.113883.10.20.22.5.4) 
cda:assignedAuthor
1 … 1MSuch authors SHALL contain exactly one [1..1] assignedAuthor (CONF:5448).

There SHALL be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice		conf‑5448
cda:id
1 … *MThis assignedAuthor SHALL contain at least one [1..*] id (CONF:5449).

If this assignedAuthor is an assignedPerson, the id SHOULD contain zero to one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier.		conf‑5449
cda:code
0 … 1RThis assignedAuthor SHOULD contain zero or one [0..1] code (CONF:16787).confdots6787
cda:addr
1 … *MThis assignedAuthor SHALL contain at least one [1..*] addr (CONF:5452).

The content SHALL be a conformant US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2)		conf‑5452
 Schematron assertrolered error 
 testcda:author/cda:assignedAuthor/cda:addr[cda:streetAddressLine and cda:city and ((not(cda:country) or cda:country!='US') or (cda:country='US' and cda:state and cda:postalCode))] 
 MessageThe content SHALL be a conformant US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2) 
cda:telecom
1 … *MThis assignedAuthor SHALL contain at least one [1..*] telecom (CONF:5428).conf‑5428
@use
set_cs0 … 1 conf‑7995
 CONF
The value of @use shall be drawn from value set 2.16.840.1.113883.11.20.9.20 Telecom Use (US Realm Header) (DYNAMIC)
cda:assignedPerson
0 … 1RThis assignedAuthor SHOULD contain zero or one [0..1] assignedPerson (CONF:5430).conf‑5430
cda:name
1 … *MThe assignedPerson, if present, SHALL contain at least one [1..*] name (CONF:16789).

The content SHALL be a conformant US Realm Person Name (PN.US.FIELDED) (2.16.840.1.113883.10.20.22.5.1.1)		confdots6789
 Schematron assertrolered error 
 testnot(cda:author/cda:assignedAuthor/cda:assignedPerson) or (count(cda:author/cda:assignedAuthor/cda:assignedPerson/cda:name/cda:given) > 0 and cda:author/cda:assignedAuthor/cda:assignedPerson/cda:name/cda:family) or (count(cda:author/cda:assignedAuthor/cda:assignedPerson/cda:name[*])=0 and string-length(cda:author/cda:assignedAuthor/cda:assignedPerson/cda:name)!=0) 
 MessageThe content SHALL be a conformant US Realm Person Name (PN.US.FIELDED) (2.16.840.1.113883.10.20.22.5.1.1) 
cda:assignedAuthoringDevice
0 … 1RThis assignedAuthor SHOULD contain zero or one [0..1] assignedAuthoringDevice (CONF:16783).confdots6783
cda:manufacturerModelName
1 … 1MThe assignedAuthoringDevice, if present, SHALL contain exactly one [1..1] manufacturerModelName (CONF:16784).confdots6784
cda:softwareName
1 … 1MThe assignedAuthoringDevice, if present, SHALL contain exactly one [1..1] softwareName (CONF:16785).confdots6785
 Schematron assertrolered error 
 testcount(cda:author/cda:assignedAuthor/cda:assignedPerson)=1 or count(cda:author/cda:assignedAuthor/cda:assignedAuthoringDevice)=1 
 MessageThere SHALL be exactly one assignedAuthor/assignedPerson or exactly one assignedAuthor/assignedAuthoringDevice 
cda:dataEnterer
0 … 1MAY contain zero or one [0..1] dataEnterer (CONF:5441).conf‑5441
cda:assignedEntity
1 … 1MThe dataEnterer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:5442).

This assignedEntity MAY contain zero or one [0..1] code which SHOULD be selected from coding system NUCC Health Care Provider Taxonomy 2.16.840.1.113883.6.101		conf‑5442
cda:id
1 … *MThis assignedEntity SHALL contain at least one [1..*] id (CONF:5443).conf‑5443
@root
uid0 … 1F2.16.840.1.113883.4.6confdots6821
cda:addr
1 … *MThis assignedEntity SHALL contain at least one [1..*] addr (CONF:5460).

The content of addr SHALL be a conformant US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2)		conf‑5460
 Schematron assertrolered error 
 testnot(cda:dataEnterer) or cda:dataEnterer/cda:assignedEntity/cda:addr[cda:streetAddressLine and cda:city and ((not(cda:country) or cda:country!='US') or (cda:country='US' and cda:state and cda:postalCode))] 
 MessageThe content of addr SHALL be a conformant US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2) 
cda:telecom
1 … *MThis assignedEntity SHALL contain at least one [1..*] telecom (CONF:5466).conf‑5466
@use
set_cs0 … 1 conf‑7996
 CONF
The value of @use shall be drawn from value set 2.16.840.1.113883.11.20.9.20 Telecom Use (US Realm Header) (DYNAMIC)
cda:assignedPerson
1 … 1MThis assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:5469).conf‑5469
cda:name
1 … *MThis assignedPerson SHALL contain at least one [1..*] name (CONF:5470).

The content of name SHALL be a conformant US Realm Person Name (PN.US.FIELDED) (2.16.840.1.113883.10.20.22.5.1.1)		conf‑5470
 Schematron assertrolered error 
 testnot(cda:dataEnterer) or (count(cda:dataEnterer/cda:assignedEntity/cda:assignedPerson/cda:name/cda:given) > 0 and cda:dataEnterer/cda:assignedEntity/cda:assignedPerson/cda:name/cda:family) or (count(cda:dataEnterer/cda:assignedEntity/cda:assignedPerson/cda:name[*])=0 and string-length(cda:dataEnterer/cda:assignedEntity/cda:assignedPerson/cda:name)!=0) 
 MessageThe content of name SHALL be a conformant US Realm Person Name (PN.US.FIELDED) (2.16.840.1.113883.10.20.22.5.1.1) 
cda:informant
0 … *MAY contain zero or more [0..*] informant (CONF:8001) such that itconf‑8001
where [cda:assignedEntity]
cda:assignedEntity
1 … 1MSHALL contain exactly one [1..1] assignedEntity (CONF:8002).

This assignedEntity MAY contain zero or one [0..1] code which SHOULD be selected from coding system NUCC Health Care Provider Taxonomy 2.16.840.1.113883.6.101		conf‑8002
 Schematron assertrolered error 
 testnot(cda:informant) or cda:informant[cda:assignedEntity or cda:relatedEntity] 
 MessageSHALL contain exactly one [1..1] assignedEntity (CONF:8002). 
cda:id
1 … *MThis assignedEntity SHALL contain at least one [1..*] id (CONF:9945).

If assignedEntity/id is a provider then this id, SHOULD include zero or one [0..1] id where id/@root ="2.16.840.1.113883.4.6" National Provider Identifier		conf‑9945
cda:addr
1 … *MThis assignedEntity SHALL contain at least one [1..*] addr (CONF:8220).

The content of addr SHALL be a conformant US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2)		conf‑8220
 Schematron assertrolered error 
 testnot(informant) or informant/cda:*/addr 
 MessageThis assignedEntity SHALL contain at least one [1..*] addr (CONF:8220). 
 Schematron assertrolered error 
 testnot(cda:informant) or cda:informant/cda:*/cda:addr[cda:streetAddressLine and cda:city and (cda:country!='US' or ((not(cda:country) or cda:country='US') and cda:state and cda:postalCode))] 
 MessageThe content of addr SHALL be a conformant US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2) 
cda:assignedPerson
1 … 1MThis assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:8221).conf‑8221
 Schematron assertrolered error 
 testnot(cda:informant) or cda:informant[cda:assignedEntity/cda:assignedPerson or cda:relatedEntity/cda:relatedPerson] 
 MessageThis assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:8221). 
cda:name
1 … *MThis assignedPerson SHALL contain at least one [1..*] name (CONF:8222).

The content of name SHALL be a conformant US Realm Person Name (PN.US.FIELDED) (2.16.840.1.113883.10.20.22.5.1.1)		conf‑8222
 Schematron assertrolered error 
 testnot(cda:informant) or cda:informant/cda:assignedEntity/cda:assignedPerson/cda:name or cda:informant/cda:relatedEntity/cda:relatedPerson/cda:name 
 MessageThis assignedPerson SHALL contain at least one [1..*] name (CONF:8222). 
 Schematron assertrolered error 
 testnot(cda:informant) or (count(cda:informant/cda:assignedEntity/cda:assignedPerson/cda:name/cda:given) > 0 and cda:informant/cda:assignedEntity/cda:assignedPerson/cda:name/cda:family) or (count(cda:informant/cda:assignedEntity/cda:assignedPerson/cda:name[*])=0 and string-length(cda:informant/cda:assignedEntity/cda:assignedPerson/cda:name)!=0) 
 MessageThe content of name SHALL be a conformant US Realm Person Name (PN.US.FIELDED) (2.16.840.1.113883.10.20.22.5.1.1) 
 Schematron assertrolered error 
 testnot(cda:informant/cda:assignedEntity/cda:code) or cda:informant/cda:assignedEntity/cda:code[@code=document('voc.xml')/voc:systems/voc:system[@valueSetOid='2.16.840.1.113883.6.101']/voc:code/@value] 
 MessageThis assignedEntity MAY contain zero or one [0..1] code which SHOULD be selected from coding system NUCC Health Care Provider Taxonomy 2.16.840.1.113883.6.101 
cda:informant
0 … *MAY contain zero or more [0..*] informant (CONF:26467) such that itconfdots4681
where [cda:relatedEntity]
cda:relatedEntity
1 … 1MSHALL contain exactly one [1..1] relatedEntity (CONF:26468).confdots4682
cda:custodian
1 … 1MSHALL contain exactly one [1..1] custodian (CONF:5519).conf‑5519
cda:assignedCustodian
1 … 1MThis custodian SHALL contain exactly one [1..1] assignedCustodian (CONF:5520).conf‑5520
cda:representedCustodianOrganization
1 … 1MThis assignedCustodian SHALL contain exactly one [1..1] representedCustodianOrganization (CONF:5521).conf‑5521
cda:id
1 … *MThis representedCustodianOrganization SHALL contain at least one [1..*] id (CONF:5522).conf‑5522
@root
uid0 … 1F2.16.840.1.113883.4.6confdots6822
cda:name
1 … 1MThis representedCustodianOrganization SHALL contain exactly one [1..1] name (CONF:5524).conf‑5524
cda:telecom
1 … 1MThis representedCustodianOrganization SHALL contain exactly one [1..1] telecom (CONF:5525).conf‑5525
@use
set_cs0 … 1 conf‑7998
 CONF
The value of @use shall be drawn from value set 2.16.840.1.113883.11.20.9.20 Telecom Use (US Realm Header) (DYNAMIC)
cda:addr
1 … 1MThis representedCustodianOrganization SHALL contain exactly one [1..1] addr (CONF:5559).

The content of addr SHALL be a conformant US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2)		conf‑5559
 Schematron assertrolered error 
 testcda:custodian/cda:assignedCustodian/cda:representedCustodianOrganization/cda:addr[cda:streetAddressLine and cda:city and ((not(cda:country) or cda:country!='US') or (cda:country='US' and cda:state and cda:postalCode))] 
 MessageThe content of addr SHALL be a conformant US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2) 
cda:informationRecipient
0 … *MAY contain zero or more [0..*] informationRecipient (CONF:5565).conf‑5565
cda:intendedRecipient
1 … 1MThe informationRecipient, if present, SHALL contain exactly one [1..1] intendedRecipient (CONF:5566).conf‑5566
cda:informationRecipient
0 … 1This intendedRecipient MAY contain zero or one [0..1] informationRecipient (CONF:5567).conf‑5567
cda:name
1 … *MThe informationRecipient, if present, SHALL contain at least one [1..*] name (CONF:5568).

The content of name SHALL be a conformant US Realm Person Name (PN.US.FIELDED) (2.16.840.1.113883.10.20.22.5.1.1)		conf‑5568
 Schematron assertrolered error 
 testnot(cda:informationRecipient/cda:intendedRecipient/cda:informationRecipient) or (count(cda:informationRecipient/cda:intendedRecipient/cda:informationRecipient/cda:name/cda:given) > 0 and cda:informationRecipient/cda:intendedRecipient/cda:informationRecipient/cda:name/cda:family) or (count(cda:informationRecipient/cda:intendedRecipient/cda:informationRecipient/cda:name/cda:given) > 0 and cda:informationRecipient/cda:intendedRecipient/cda:informationRecipient/cda:name/cda:family) or (count(cda:informationRecipient/cda:intendedRecipient/cda:informationRecipient/cda:name[*])=0 and string-length(cda:informationRecipient/cda:intendedRecipient/cda:informationRecipient/cda:name)!=0) 
 MessageThe content of name SHALL be a conformant US Realm Person Name (PN.US.FIELDED) (2.16.840.1.113883.10.20.22.5.1.1) 
cda:receivedOrganization
0 … 1This intendedRecipient MAY contain zero or one [0..1] receivedOrganization (CONF:5577).conf‑5577
cda:name
1 … 1MThe receivedOrganization, if present, SHALL contain exactly one [1..1] name (CONF:5578).conf‑5578
cda:legalAuthenticator
0 … 1RSHOULD contain zero or one [0..1] legalAuthenticator (CONF:5579).conf‑5579
cda:time
1 … 1MThe legalAuthenticator, if present, SHALL contain exactly one [1..1] time (CONF:5580).

The content SHALL be a conformant US Realm Date and Time (DTM.US.FIELDED) (2.16.840.1.113883.10.20.22.5.4) 		conf‑5580
 Schematron assertrolered error 
 testnot(cda:legalAuthenticator) or (string-length(cda:legalAuthenticator/cda:time//@value)>=8) 
 MessageThe content SHALL be a conformant US Realm Date and Time (DTM.US.FIELDED) (2.16.840.1.113883.10.20.22.5.4)  
cda:signatureCode
1 … 1MThe legalAuthenticator, if present, SHALL contain exactly one [1..1] signatureCode (CONF:5583).conf‑5583
@code
1 … 1FSconf‑5584
@code
CONF1 … 1FS
@codeSystem
1 … 1F2.16.840.1.113883.5.89
cda:assignedEntity
1 … 1MThe legalAuthenticator, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:5585).conf‑5585
cda:id
1 … *MThis assignedEntity SHALL contain at least one [1..*] id (CONF:5586).conf‑5586
@root
uid0 … 1F2.16.840.1.113883.4.6confdots6823
cda:code
0 … 1This assignedEntity MAY contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy (HIPAA) 2.16.840.1.114222.4.11.1066 STATIC (CONF:17000).confdots7000
 CONF
The value of @code shall be drawn from value set 2.16.840.1.114222.4.11.1066 Healthcare Provider Taxonomy (DYNAMIC)
cda:addr
1 … *MThis assignedEntity SHALL contain at least one [1..*] addr (CONF:5589).

The content of addr SHALL be a conformant US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2)		conf‑5589
 Schematron assertrolered error 
 testnot(cda:legalAuthenticator) or cda:legalAuthenticator/cda:assignedEntity/cda:addr[cda:streetAddressLine and cda:city and ((not(cda:country) or cda:country!='US') or (cda:country='US' and cda:state and cda:postalCode))] 
 MessageThe content of addr SHALL be a conformant US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2) 
cda:telecom
1 … *MThis assignedEntity SHALL contain at least one [1..*] telecom (CONF:5595).conf‑5595
@use
set_cs0 … 1 conf‑7999
 CONF
The value of @use shall be drawn from value set 2.16.840.1.113883.11.20.9.20 Telecom Use (US Realm Header) (DYNAMIC)
cda:assignedPerson
1 … 1MThis assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:5597).conf‑5597
cda:name
1 … *MThis assignedPerson SHALL contain at least one [1..*] name (CONF:5598).

The content of name SHALL be a conformant US Realm Person Name (PN.US.FIELDED) (2.16.840.1.113883.10.20.22.5.1.1)		conf‑5598
 Schematron assertrolered error 
 testnot(cda:legalAuthenticator) or (count(cda:legalAuthenticator/cda:assignedEntity/cda:assignedPerson/cda:name/cda:given) > 0 and cda:legalAuthenticator/cda:assignedEntity/cda:assignedPerson/cda:name/cda:family) or (count(cda:legalAuthenticator/cda:assignedEntity/cda:assignedPerson/cda:name/cda:given) > 0 and cda:legalAuthenticator/cda:assignedEntity/cda:assignedPerson/cda:name/cda:family) or (count(cda:legalAuthenticator/cda:assignedEntity/cda:assignedPerson/cda:name[*])=0 and string-length(cda:legalAuthenticator/cda:assignedEntity/cda:assignedPerson/cda:name)!=0) 
 MessageThe content of name SHALL be a conformant US Realm Person Name (PN.US.FIELDED) (2.16.840.1.113883.10.20.22.5.1.1) 
cda:authenticator
0 … *MAY contain zero or more [0..*] authenticator (CONF:5607).conf‑5607
cda:time
1 … 1MThe authenticator, if present, SHALL contain exactly one [1..1] time (CONF:5608).

The content SHALL be a conformant US Realm Date and Time (DTM.US.FIELDED) (2.16.840.1.113883.10.20.22.5.4)		conf‑5608
 Schematron assertrolered error 
 testnot(cda:authenticator) or string-length(cda:authenticator/cda:time//@value)>=8 
 MessageThe content SHALL be a conformant US Realm Date and Time (DTM.US.FIELDED) (2.16.840.1.113883.10.20.22.5.4) 
cda:signatureCode
1 … 1MThe authenticator, if present, SHALL contain exactly one [1..1] signatureCode (CONF:5610).conf‑5610
@code
1 … 1FSconf‑5611
@code
CONF1 … 1FS
@codeSystem
1 … 1F2.16.840.1.113883.5.89
cda:assignedEntity
1 … 1MThe authenticator, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:5612).conf‑5612
cda:id
1 … *MThis assignedEntity SHALL contain at least one [1..*] id (CONF:5613).conf‑5613
@root
uid0 … 1F2.16.840.1.113883.4.6confdots6824
cda:code
0 … 1This assignedEntity MAY contain zero or one [0..1] code (CONF:16825).confdots6825
cda:addr
1 … *MThis assignedEntity SHALL contain at least one [1..*] addr (CONF:5616).

The content of addr SHALL be a conformant US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2)		conf‑5616
 Schematron assertrolered error 
 testnot(cda:authenticator) or cda:authenticator/cda:assignedEntity/cda:addr[cda:streetAddressLine and cda:city and ((not(cda:country) or cda:country!='US') or (cda:country='US' and cda:state and cda:postalCode))] 
 MessageThe content of addr SHALL be a conformant US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2) 
cda:telecom
1 … *MThis assignedEntity SHALL contain at least one [1..*] telecom (CONF:5622).conf‑5622
@use
set_cs0 … 1 conf‑8000
 CONF
The value of @use shall be drawn from value set 2.16.840.1.113883.11.20.9.20 Telecom Use (US Realm Header) (DYNAMIC)
cda:assignedPerson
1 … 1MThis assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:5624).conf‑5624
cda:name
1 … *MThis assignedPerson SHALL contain at least one [1..*] name (CONF:5625).

The content of name SHALL be a conformant US Realm Person Name (PN.US.FIELDED) (2.16.840.1.113883.10.20.22.5.1.1)		conf‑5625
 Schematron assertrolered error 
 testnot(cda:authenticator) or (count(cda:authenticator/cda:assignedEntity/cda:assignedPerson/cda:name/cda:given) > 0 and cda:authenticator/cda:assignedEntity/cda:assignedPerson/cda:name/cda:family) or (count(cda:authenticator/cda:assignedEntity/cda:assignedPerson/cda:name/cda:given) > 0 and cda:authenticator/cda:assignedEntity/cda:assignedPerson/cda:name/cda:family) or (count(cda:authenticator/cda:assignedEntity/cda:assignedPerson/cda:name[*])=0 and string-length(cda:authenticator/cda:assignedEntity/cda:assignedPerson/cda:name)!=0) 
 MessageThe content of name SHALL be a conformant US Realm Person Name (PN.US.FIELDED) (2.16.840.1.113883.10.20.22.5.1.1) 
cda:participant
0 … *MAY contain zero or more [0..*] participant (CONF:10003) such that it

Such participants, if present, SHALL contain associatedEntity/associatedPerson or associatedEntity/scopingOrganization.

Unless otherwise specified by the document specific header constraints, when participant/@typeCode is IND, associatedEntity/@classCode SHALL be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes STATIC 2011-09-30		confdots0003
cda:time
0 … 1MAY contain zero or one [0..1] time (CONF:10004).confdots0004
 Schematron assertrolered error 
 testnot(//cda:associatedEntity) or //cda:associatedEntity[cda:associatedPerson | cda:scopingOrganization] 
 MessageSuch participants, if present, SHALL contain associatedEntity/associatedPerson or associatedEntity/scopingOrganization. 
cda:inFulfillmentOf
0 … *MAY contain zero or more [0..*] inFulfillmentOf (CONF:9952).conf‑9952
cda:order
1 … 1MThe inFulfillmentOf, if present, SHALL contain exactly one [1..1] order (CONF:9953).conf‑9953
cda:id
1 … *MThis order SHALL contain at least one [1..*] id (CONF:9954).conf‑9954
cda:documentationOf
0 … *MAY contain zero or more [0..*] documentationOf (CONF:14835).confdots4835
cda:serviceEvent
1 … 1MThe documentationOf, if present, SHALL contain exactly one [1..1] serviceEvent (CONF:14836).confdots4836
cda:effectiveTime
1 … 1MThis serviceEvent SHALL contain exactly one [1..1] effectiveTime (CONF:14837).confdots4837
cda:low
1 … 1MThis effectiveTime SHALL contain exactly one [1..1] low (CONF:14838).confdots4838
cda:performer
0 … *RThis serviceEvent SHOULD contain zero or more [0..*] performer (CONF:14839).

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 		confdots4839
@typeCode
cs1 … 1Rconfdots4840
cda:functionCode
0 … 1The performer, if present, MAY contain zero or one [0..1] functionCode (CONF:16818).confdots6818
@codeSystem
0 … 1 confdots6819
cda:assignedEntity
1 … 1MThe performer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:14841).confdots4841
cda:id
1 … *MThis assignedEntity SHALL contain at least one [1..*] id (CONF:14846).confdots4846
@root
uid0 … 1F2.16.840.1.113883.4.6confdots4847
cda:code
0 … 1RThis assignedEntity SHOULD contain zero or one [0..1] code (CONF:14842).confdots4842
cda:authorization
0 … *MAY contain zero or more [0..*] authorization (CONF:16792) such that itconfdots6792
cda:consent
1 … 1MSHALL contain exactly one [1..1] consent (CONF:16793).confdots6793
cda:id
0 … *This consent MAY contain zero or more [0..*] id (CONF:16794).confdots6794
cda:code
0 … 1This consent MAY contain zero or one [0..1] code (CONF:16795).confdots6795
cda:statusCode
1 … 1MThis consent SHALL contain exactly one [1..1] statusCode (CONF:16797).confdots6797
@code
CONF1 … 1Fcompleted
cda:componentOf
0 … 1MAY contain zero or one [0..1] componentOf (CONF:9955).conf‑9955
cda:encompassingEncounter
1 … 1MThe componentOf, if present, SHALL contain exactly one [1..1] encompassingEncounter (CONF:9956).conf‑9956
cda:id
1 … *MThis encompassingEncounter SHALL contain at least one [1..*] id (CONF:9959).conf‑9959
cda:effectiveTime
1 … 1MThis encompassingEncounter SHALL contain exactly one [1..1] effectiveTime (CONF:9958).conf‑9958