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cancelled Template  CDA ClinicalDocument (with StructuredBody)

Id 2.16.840.1.113883.3.1937.777.63.10.16 Effective Date 2022‑06‑21 10:58:46
Status cancelled Cancelled Version Label
Name CDAClinicalDocumentStructuredBody16 Display Name CDA ClinicalDocument (with StructuredBody)
Description en-US Template CDA ClinicalDocument (prototype, contains ClinicalDocument.component as StructuredBody)
Context Pathname //
Classification CDA Document Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 0 templates, Uses 15 templates
Uses as Name Version
2.16.840.1.113883.10.12.101 Include active CDA recordTarget DYNAMIC
2.16.840.1.113883.10.12.102 Include active CDA author DYNAMIC
2.16.840.1.113883.10.12.103 Include active CDA dataEnterer DYNAMIC
2.16.840.1.113883.10.12.154 Include active CDA Informant DYNAMIC
2.16.840.1.113883.10.12.104 Include active CDA custodian DYNAMIC
2.16.840.1.113883.10.12.105 Include active CDA informationRecipient DYNAMIC
2.16.840.1.113883.10.12.106 Include active CDA legalAuthenticator DYNAMIC
2.16.840.1.113883.10.12.107 Include active CDA authenticator DYNAMIC
2.16.840.1.113883.10.12.108 Include active CDA participant DYNAMIC
2.16.840.1.113883.10.12.109 Include active CDA inFulfillmentOf DYNAMIC
2.16.840.1.113883.10.12.110 Include active CDA documentationOf DYNAMIC
2.16.840.1.113883.10.12.111 Include active CDA relatedDocument DYNAMIC
2.16.840.1.113883.10.12.114 Include active CDA Authorization DYNAMIC
2.16.840.1.113883.10.12.113 Include active CDA componentOf DYNAMIC
2.16.840.1.113883.10.12.201 Containment active CDA Section DYNAMIC
Relationship Specialization: template 2.16.840.1.113883.10.12.2 CDA ClinicalDocument (with StructuredBody) (2005‑09‑07)
ref
ad1bbr-
Item DT Card Conf Description Label
hl7:ClinicalDocument
(CDAdotsy16)
@classCode
cs 1 … 1 F DOCCLIN
@moodCode
cs 1 … 1 F EVN
hl7:realmCode
CS 0 … 1 R (CDAdotsy16)
hl7:typeId
II 1 … 1 R (CDAdotsy16)
@root
uid 1 … 1 F 2.16.840.1.113883.1.3
@extension
st 1 … 1 F POCD_HD000040
hl7:templateId
II 1 … 1 R (CDAdotsy16)
@root
uid 1 … 1 F 2.16.840.1.113883.10.12.1
hl7:id
II 1 … 1 R (CDAdotsy16)
hl7:code
CE 1 … 1 R (CDAdotsy16)
@codeSystem
CONF 0 … 1 F 2.16.840.1.113883.6.1 (LOINC)
hl7:title
ST 0 … 1 (CDAdotsy16)
hl7:effectiveTime
TS 1 … 1 R (CDAdotsy16)
hl7:confidentialityCode
CE 1 … 1 R (CDAdotsy16)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16926 x_BasicConfidentialityKind (DYNAMIC)
hl7:languageCode
CS 0 … 1 (CDAdotsy16)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
hl7:setId
II 0 … 1 (CDAdotsy16)
hl7:versionNumber
INT 0 … 1 (CDAdotsy16)
Included 1 … * R from 2.16.840.1.113883.10.12.101 CDA recordTarget (DYNAMIC)
hl7:recordTarget
1 … * R (CDAdotsy16)
@typeCode
0 … 1 F RCT
@contextControlCode
0 … 1 F OP
hl7:patientRole
1 … 1 (CDAdotsy16)
@classCode
0 … 1 F PAT
hl7:id
II 1 … * (CDAdotsy16)
hl7:addr
AD 0 … * (CDAdotsy16)
hl7:telecom
TEL 0 … * (CDAdotsy16)
hl7:patient
0 … 1 (CDAdotsy16)
@classCode
0 … 1 F PSN
@determinerCode
0 … 1 F INSTANCE
hl7:id
II 0 … 1 (CDAdotsy16)
hl7:name
PN 0 … * (CDAdotsy16)
hl7:administrativeGenderCode
CE 0 … 1 (CDAdotsy16)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.1 AdministrativeGender (DYNAMIC)
hl7:birthTime
TS 0 … 1 (CDAdotsy16)
hl7:maritalStatusCode
CE 0 … 1 (CDAdotsy16)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.12212 MaritalStatus (DYNAMIC)
hl7:religiousAffiliationCode
CE 0 … 1 (CDAdotsy16)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.19185 ReligiousAffiliation (DYNAMIC)
hl7:raceCode
CE 0 … 1 (CDAdotsy16)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.14914 Race (DYNAMIC)
hl7:ethnicGroupCode
CE 0 … 1 (CDAdotsy16)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.15836 Ethnicity (DYNAMIC)
hl7:guardian
0 … * (CDAdotsy16)
@classCode
0 … 1 F GUARD
hl7:id
II 0 … * (CDAdotsy16)
hl7:code
CE 0 … 1 (CDAdotsy16)
  CONF
shall be drawn from concept domain "RoleCode"
hl7:addr
AD 0 … * (CDAdotsy16)
hl7:telecom
TEL 0 … * (CDAdotsy16)
Choice 1 … 1 Elements to choose from:
hl7:guardianPerson
Contains 2.16.840.1.113883.10.12.152 CDA Person (DYNAMIC) (CDAdotsy16)
hl7:guardianOrganization
Contains 2.16.840.1.113883.10.12.151 CDA Organization (DYNAMIC) (CDAdotsy16)
hl7:birthplace
0 … 1 (CDAdotsy16)
@classCode
0 … 1 F BIRTHPL
hl7:place
1 … 1 (CDAdotsy16)
@classCode
0 … 1 F PLC
@determinerCode
0 … 1 F INSTANCE
hl7:name
EN 0 … 1 (CDAdotsy16)
hl7:addr
AD 0 … 1 (CDAdotsy16)
hl7:languageCommunication
0 … * (CDAdotsy16)
hl7:languageCode
CS 0 … 1 (CDAdotsy16)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
hl7:modeCode
CE 0 … 1 (CDAdotsy16)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.12249 LanguageAbilityMode (DYNAMIC)
hl7:proficiencyLevelCode
CE 0 … 1 (CDAdotsy16)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.12199 LanguageAbilityProficiency (DYNAMIC)
hl7:preferenceInd
BL 0 … 1 (CDAdotsy16)
hl7:providerOrganization
0 … 1 Contains 2.16.840.1.113883.10.12.151 CDA Organization (DYNAMIC) (CDAdotsy16)
Included 1 … * R from 2.16.840.1.113883.10.12.102 CDA author (DYNAMIC)
hl7:author
1 … * R (CDAdotsy16)
@typeCode
0 … 1 F AUT
@contextControlCode
0 … 1 F OP
hl7:functionCode
CE 0 … 1 (CDAdotsy16)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10267 ParticipationFunction (DYNAMIC)
hl7:time
TS 1 … 1 R (CDAdotsy16)
hl7:assignedAuthor
1 … 1 (CDAdotsy16)
@classCode
0 … 1 F ASSIGNED
hl7:id
II 1 … * R (CDAdotsy16)
hl7:code
CE 0 … 1 (CDAdotsy16)
  CONF
shall be drawn from concept domain "RoleCode"
hl7:addr
AD 0 … * (CDAdotsy16)
hl7:telecom
TEL 0 … * (CDAdotsy16)
Choice 0 … 1 Elements to choose from:
hl7:assignedPerson
Contains 2.16.840.1.113883.10.12.152 CDA Person (DYNAMIC) (CDAdotsy16)
hl7:assignedAuthoringDevice
Contains 2.16.840.1.113883.10.12.315 CDA Device (DYNAMIC) (CDAdotsy16)
hl7:representedOrganization
0 … 1 Contains 2.16.840.1.113883.10.12.151 CDA Organization (DYNAMIC) (CDAdotsy16)
Included 0 … 1 from 2.16.840.1.113883.10.12.103 CDA dataEnterer (DYNAMIC)
hl7:dataEnterer
0 … 1 (CDAdotsy16)
@typeCode
0 … 1 F ENT
@contextControlCode
0 … 1 F OP
hl7:time
TS 0 … 1 (CDAdotsy16)
hl7:assignedEntity
1 … 1 Contains 2.16.840.1.113883.10.12.153 CDA AssignedEntity (DYNAMIC) (CDAdotsy16)
Included 0 … * from 2.16.840.1.113883.10.12.154 CDA Informant (DYNAMIC)
hl7:informant
0 … * (CDAdotsy16)
@typeCode
0 … 1 F INF
@contextControlCode
0 … 1 F OP
Choice 1 … 1 Elements to choose from:
hl7:assignedEntity
Contains 2.16.840.1.113883.10.12.153 CDA AssignedEntity (DYNAMIC) (CDAdotsy16)
hl7:relatedEntity
Contains 2.16.840.1.113883.10.12.316 CDA RelatedEntity (DYNAMIC) (CDAdotsy16)
Included 1 … 1 R from 2.16.840.1.113883.10.12.104 CDA custodian (DYNAMIC)
hl7:custodian
1 … 1 R (CDAdotsy16)
@typeCode
0 … 1 F CST
hl7:assignedCustodian
1 … 1 (CDAdotsy16)
@classCode
0 … 1 F ASSIGNED
hl7:representedCustodianOrganization
1 … 1 (CDAdotsy16)
@classCode
0 … 1 F ORG
@determinerCode
0 … 1 F INSTANCE
hl7:id
II 1 … * M (CDAdotsy16)
hl7:name
ON 0 … 1 (CDAdotsy16)
hl7:telecom
TEL 0 … 1 (CDAdotsy16)
hl7:addr
AD 0 … 1 (CDAdotsy16)
Included 0 … * from 2.16.840.1.113883.10.12.105 CDA informationRecipient (DYNAMIC)
hl7:informationRecipient
0 … * (CDAdotsy16)
@typeCode
cs 1 … 1 R
  CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19366 x_InformationRecipient (DYNAMIC)
hl7:intendedRecipient
1 … 1 (CDAdotsy16)
@classCode
cs 1 … 1 R
  CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.16772 x_InformationRecipientRole (DYNAMIC)
hl7:id
II 0 … * R (CDAdotsy16)
hl7:addr
AD 0 … * (CDAdotsy16)
hl7:telecom
TEL 0 … * (CDAdotsy16)
hl7:informationRecipient
0 … 1 Contains 2.16.840.1.113883.10.12.152 CDA Person (DYNAMIC) (CDAdotsy16)
hl7:receivedOrganization
0 … 1 Contains 2.16.840.1.113883.10.12.151 CDA Organization (DYNAMIC) (CDAdotsy16)
Included 0 … 1 from 2.16.840.1.113883.10.12.106 CDA legalAuthenticator (DYNAMIC)
hl7:legalAuthenticator
0 … 1 (CDAdotsy16)
@typeCode
0 … 1 F LA
@contextControlCode
0 … 1 F OP
hl7:time
TS 1 … 1 R (CDAdotsy16)
hl7:signatureCode
CS 1 … 1 R (CDAdotsy16)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10282 ParticipationSignature (DYNAMIC)
hl7:assignedEntity
1 … 1 Contains 2.16.840.1.113883.10.12.153 CDA AssignedEntity (DYNAMIC) (CDAdotsy16)
Included 0 … * from 2.16.840.1.113883.10.12.107 CDA authenticator (DYNAMIC)
hl7:authenticator
0 … * (CDAdotsy16)
@typeCode
0 … 1 F AUTHEN
hl7:time
TS 1 … 1 R (CDAdotsy16)
hl7:signatureCode
CS 1 … 1 R (CDAdotsy16)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10282 ParticipationSignature (DYNAMIC)
hl7:assignedEntity
1 … 1 Contains 2.16.840.1.113883.10.12.153 CDA AssignedEntity (DYNAMIC) (CDAdotsy16)
Included 0 … * from 2.16.840.1.113883.10.12.108 CDA participant (DYNAMIC)
hl7:participant
0 … * (CDAdotsy16)
@typeCode
cs 1 … 1 R
  CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.10901 ParticipationType (DYNAMIC)
@contextControlCode
0 … 1 F OP
hl7:functionCode
CE 0 … 1 (CDAdotsy16)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10267 ParticipationFunction (DYNAMIC)
hl7:time
IVL_TS 0 … 1 (CDAdotsy16)
hl7:associatedEntity
1 … 1 (CDAdotsy16)
@classCode
cs 1 … 1 R
  CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.19313 RoleClassAssociative (DYNAMIC)
hl7:id
II 0 … * (CDAdotsy16)
hl7:code
CE 0 … 1 (CDAdotsy16)
  CONF
shall be drawn from concept domain "RoleCode"
hl7:addr
AD 0 … * (CDAdotsy16)
hl7:telecom
TEL 0 … * (CDAdotsy16)
hl7:associatedPerson
0 … 1 Contains 2.16.840.1.113883.10.12.152 CDA Person (DYNAMIC) (CDAdotsy16)
hl7:scopingOrganization
0 … 1 Contains 2.16.840.1.113883.10.12.151 CDA Organization (DYNAMIC) (CDAdotsy16)
Included 0 … * from 2.16.840.1.113883.10.12.109 CDA inFulfillmentOf (DYNAMIC)
hl7:inFulfillmentOf
0 … * (CDAdotsy16)
@typeCode
0 … 1 F FLFS
hl7:order
1 … 1 (CDAdotsy16)
@classCode
0 … 1 F ACT
@moodCode
1 … 1 F RQO
hl7:id
II 1 … * R (CDAdotsy16)
hl7:code
CE 0 … 1 (CDAdotsy16)
  CONF
shall be drawn from concept domain "ActCode"
hl7:priorityCode
CE 0 … 1 (CDAdotsy16)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16866 ActPriority (DYNAMIC)
Included 0 … * from 2.16.840.1.113883.10.12.110 CDA documentationOf (DYNAMIC)
hl7:documentationOf
0 … * (CDAdotsy16)
@typeCode
1 … 1 F DOC
hl7:serviceEvent
1 … 1 (CDAdotsy16)
@classCode
1 … 1 F ACT
@moodCode
1 … 1 F EVN
hl7:id
II 0 … * (CDAdotsy16)
hl7:code
CE 0 … 1 (CDAdotsy16)
  CONF
shall be drawn from concept domain "ActCode"
hl7:effectiveTime
IVL_TS 0 … 1 (CDAdotsy16)
hl7:performer
0 … * (CDAdotsy16)
@typeCode
cs 1 … 1 R
  CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19601 x_ServiceEventPerformer (DYNAMIC)
hl7:functionCode
CE 0 … 1 (CDAdotsy16)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10267 ParticipationFunction (DYNAMIC)
hl7:time
IVL_TS 0 … 1 (CDAdotsy16)
hl7:assignedEntity
1 … 1 Contains 2.16.840.1.113883.10.12.153 CDA AssignedEntity (DYNAMIC) (CDAdotsy16)
Included 0 … * from 2.16.840.1.113883.10.12.111 CDA relatedDocument (DYNAMIC)
hl7:relatedDocument
0 … * (CDAdotsy16)
@typeCode
cs 1 … 1 R
  CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.11610 x_ActRelationshipDocument (DYNAMIC)
hl7:parentDocument
1 … 1 (CDAdotsy16)
@classCode
0 … 1 F DOCCLIN
@moodCode
0 … 1 F EVN
hl7:id
II 1 … * R (CDAdotsy16)
hl7:code
CD 0 … 1 (CDAdotsy16)
@codeSystem
CONF 0 … 1 F 2.16.840.1.113883.6.1 (LOINC)
hl7:text
ED 0 … 1 (CDAdotsy16)
hl7:setId
II 0 … 1 (CDAdotsy16)
hl7:versionNumber
INT 0 … 1 (CDAdotsy16)
Included 0 … * from 2.16.840.1.113883.10.12.114 CDA Authorization (DYNAMIC)
hl7:authorization
0 … * (CDAdotsy16)
@typeCode
0 … 1 F AUTH
hl7:consent
1 … 1 (CDAdotsy16)
@classCode
0 … 1 F CONS
@moodCode
0 … 1 F EVN
hl7:id
II 0 … * (CDAdotsy16)
hl7:code
CE 0 … 1 (CDAdotsy16)
  CONF
shall be drawn from concept domain "ActCode"
hl7:statusCode
CS 1 … 1 R (CDAdotsy16)
@code
CONF 0 … 1 F completed
Included 0 … 1 from 2.16.840.1.113883.10.12.113 CDA componentOf (DYNAMIC)
hl7:componentOf
0 … 1 (CDAdotsy16)
@typeCode
0 … 1 F COMP
hl7:encompassingEncounter
1 … 1 (CDAdotsy16)
@classCode
0 … 1 F ENC
@moodCode
0 … 1 F EVN
hl7:id
II 0 … * (CDAdotsy16)
hl7:code
CE 0 … 1 (CDAdotsy16)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.13955 ActEncounterCode (DYNAMIC)
hl7:effectiveTime
IVL_TS 1 … 1 R (CDAdotsy16)
hl7:dischargeDispositionCode
CE 0 … 1 (CDAdotsy16)
  CONF
shall be drawn from concept domain "EncounterDischargeDisposition"
hl7:responsibleParty
0 … 1 Contains 2.16.840.1.113883.10.12.153 CDA AssignedEntity (DYNAMIC) (CDAdotsy16)
@typeCode
0 … 1 F RESP
hl7:encounterParticipant
0 … * (CDAdotsy16)
@typeCode
cs 1 … 1 R
  CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19600 x_EncounterParticipant (DYNAMIC)
hl7:time
IVL_TS 0 … 1 (CDAdotsy16)
hl7:assignedEntity
1 … 1 Contains 2.16.840.1.113883.10.12.153 CDA AssignedEntity (DYNAMIC) (CDAdotsy16)
hl7:location
0 … 1 (CDAdotsy16)
@typeCode
0 … 1 F LOC
hl7:healthCareFacility
1 … 1 (CDAdotsy16)
@classCode
0 … 1 F SDLOC
hl7:id
II 0 … * (CDAdotsy16)
hl7:code
CE 0 … 1 (CDAdotsy16)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.17660 ServiceDeliveryLocationRoleType (DYNAMIC)
hl7:location
0 … 1 Contains 2.16.840.1.113883.10.12.317 CDA Place (DYNAMIC) (CDAdotsy16)
hl7:serviceProviderOrganization
0 … 1 Contains 2.16.840.1.113883.10.12.151 CDA Organization (DYNAMIC) (CDAdotsy16)
hl7:component
1 … 1 R (CDAdotsy16)
@typeCode
cs 1 … 1 F COMP
@contextConductionInd
bl 1 … 1 F true
hl7:structuredBody
1 … 1 R (CDAdotsy16)
@classCode
cs 1 … 1 F DOCBODY
@moodCode
cs 1 … 1 F EVN
hl7:confidentialityCode
CE 0 … 1 (CDAdotsy16)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16926 x_BasicConfidentialityKind (DYNAMIC)
hl7:languageCode
CS 0 … 1 (CDAdotsy16)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
hl7:component
1 … * R Contains 2.16.840.1.113883.10.12.201 CDA Section (DYNAMIC) (CDAdotsy16)
@typeCode
cs 1 … 1 F COMP
@contextConductionInd
bl 1 … 1 F true