Item | DT | Card | Conf | Description | Label |
---|
cda:act
| | | | | Risk ctV2 |
@classCode
| cs | 1 … 1 | F | ACT | CONF 2220 |
| SHALL contain exactly one [1..1] @classCode="ACT" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1198-32220). |
@moodCode
| cs | 1 … 1 | F | EVN | CONF 2221 |
| SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1198-32221). |
cda:templateId
| II | 1 … 1 | M | C-CDA R1.1 templateId root without an extension | CONF 2936 |
@root
| uid | 1 … 1 | F | 2.16.840.1.113883.10.20.22.4.136 |
cda:templateId
| II | 1 … 1 | M | SHALL contain exactly one [1..1] templateId (CONF:1198-32180) such that it | CONF 2180 |
@root
| uid | 1 … 1 | F | 2.16.840.1.113883.10.20.22.4.136 | CONF 2222 |
| SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.136" (CONF:1198-32222). |
@extension
| st | 1 … 1 | F | 2015-08-01 | CONF 2910 |
| SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32910). |
cda:id
| II | 1 … * | R | SHALL contain at least one [1..*] id (CONF:1198-32223). | CONF 2223 |
cda:code
| CD | 1 … 1 | M | SHALL contain exactly one [1..1] code (CONF:1198-32305). | CONF 2305 |
@code
| CONF | 1 … 1 | F | 281694009 |
@codeSystem
| 1 … 1 | F | 2.16.840.1.113883.6.96 |
cda:statusCode
| CS | 1 … 1 | R | SHALL contain exactly one [1..1] statusCode (CONF:1198-32225). | CONF 2225 |
cda:effectiveTime
| | 0 … 1 | | MAY contain zero or one [0..1] effectiveTime (CONF:1198-32226). | CONF 2226 |
cda:author
| | 0 … * | R | SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1198-32300). Contains 2.16.840.1.113883.10.20.22.4.119 Author Participation (2015‑08‑13) | CONF 2300 |
cda:entryRelationship
| | 0 … * | | Contains 2.16.840.1.113883.10.20.22.4.4 Problem Observation (V3) (2015‑08‑01) | CONF 2179 |
where [@typeCode='REFR'] | |
@typeCode
| cs | 1 … 1 | F | REFR | CONF 2227 |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32227). |
cda:entryRelationship
| | 0 … * | | Contains 2.16.840.1.113883.10.20.22.4.7 Allergy - Intolerance Observation (V2) (2014‑06‑09) | CONF 2181 |
@typeCode
| cs | 1 … 1 | F | REFR | CONF 2228 |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32228). |
cda:entryRelationship
| | 0 … * | | The following entryRelationship represents the relationship between two Health Concern Acts where there is a general relationship between the source and the target (Health Concern RELATES TO Health Concern). The Entry Reference template is used here because the target Health Concern Act will be defined elsewhere in the Health Concerns Section and thus a reference to that template is all that is required. Contains 2.16.840.1.113883.10.20.22.4.122 Entry Reference (2015‑08‑13) | CONF 2182 |
where [@typeCode='REFR'] | |
@typeCode
| cs | 1 … 1 | F | REFR | CONF 2230 |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32230). |
cda:entryRelationship
| | 0 … * | | The following entryRelationship represents the relationship between two Health Concern Acts where the target is a component of the source (Health Concern HAS COMPONENT Health Concern). The Enry Reference template is used here because the target Health Concern Act will be defined elsewhere in the Health Concerns Section and thus a reference to that template is all that is required. Contains 2.16.840.1.113883.10.20.22.4.122 Entry Reference (2015‑08‑13) | CONF 2183 |
where [@typeCode='COMP'] | |
@typeCode
| cs | 1 … 1 | F | COMP | CONF 2232 |
| SHALL contain exactly one [1..1] @typeCode="COMP" Has component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32232). |
cda:entryRelationship
| | 0 … * | | Contains 2.16.840.1.113883.10.20.22.4.69 Assessment Scale Observation (2015‑08‑13) | CONF 2184 |
@typeCode
| cs | 1 … 1 | F | REFR | CONF 2234 |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32234). |
cda:entryRelationship
| | 0 … * | | Contains 2.16.840.1.113883.10.20.22.4.74 Mental Status Observation (V3) (2015‑08‑01) | CONF:1198‑32185 / CONF:1198‑32188 |
@typeCode
| cs | 1 … 1 | F | REFR | CONF:1198‑32236 / CONF:1198‑32242 |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32236). |
cda:entryRelationship
| | 0 … * | | Contains 2.16.840.1.113883.10.20.22.4.128 Self-Care Activities (ADL and IADL) (2015‑08‑13) | CONF 2186 |
@typeCode
| cs | 1 … 1 | F | REFR | CONF 2238 |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32238). |
cda:entryRelationship
| | 0 … * | | Contains 2.16.840.1.113883.10.20.22.4.78 Smoking Status - Meaningful Use (V2) (2014‑06‑09) | CONF 2189 |
@typeCode
| cs | 1 … 1 | F | REFR | CONF 2244 |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32244). |
cda:entryRelationship
| | 0 … * | | Contains 2.16.840.1.113883.10.20.22.4.80 Encounter Diagnosis (V3) (2015‑08‑01) | CONF 2190 |
@typeCode
| cs | 1 … 1 | F | REFR | CONF 2246 |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32246). |
cda:entryRelationship
| | 0 … * | | Contains 2.16.840.1.113883.10.20.22.4.45 Family History Organizer (V3) (2015‑08‑01) | CONF 2191 |
@typeCode
| cs | 1 … 1 | F | REFR | CONF 2248 |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers To (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32248). |
cda:entryRelationship
| | 0 … * | | Contains 2.16.840.1.113883.10.20.22.4.67 Functional Status Observation (V2) (2014‑06‑09) | CONF 2192 |
@typeCode
| cs | 1 … 1 | F | REFR | CONF 2250 |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32250). |
cda:entryRelationship
| | 0 … * | | Contains 2.16.840.1.113883.10.20.22.4.34 Hospital Admission Diagnosis (V3) (2015‑08‑01) | CONF 2193 |
@typeCode
| cs | 1 … 1 | F | REFR | CONF 2252 |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32252). |
cda:entryRelationship
| | 0 … * | | Contains 2.16.840.1.113883.10.20.22.4.138 Nutrition Assessment (2015‑08‑13) | CONF 2195 |
@typeCode
| cs | 1 … 1 | F | REFR | CONF 2256 |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32256). |
cda:entryRelationship
| | 0 … * | | Contains 2.16.840.1.113883.10.20.22.4.51 Postprocedure Diagnosis (V3) (2015‑08‑01) | CONF 2197 |
@typeCode
| cs | 1 … 1 | F | REFR | CONF 2260 |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32260). |
cda:entryRelationship
| | 0 … * | | Contains 2.16.840.1.113883.10.20.15.3.8 Pregnancy Observation (2015‑08‑13) | CONF 2198 |
@typeCode
| cs | 1 … 1 | F | REFR | CONF 2262 |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32262). |
cda:entryRelationship
| | 0 … * | | Contains 2.16.840.1.113883.10.20.22.4.65 Preoperative Diagnosis (V3) (2015‑08‑01) | CONF 2199 |
@typeCode
| cs | 1 … 1 | F | REFR | CONF 2264 |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32264). |
cda:entryRelationship
| | 0 … * | | Contains 2.16.840.1.113883.10.20.22.4.9 Reaction Observation (V2) (2014‑06‑09) | CONF 2200 |
@typeCode
| cs | 1 … 1 | F | REFR | CONF 2266 |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32266). |
cda:entryRelationship
| | 0 … * | | Contains 2.16.840.1.113883.10.20.22.4.2 Result Observation (V3) (2015‑08‑01) | CONF 2201 |
@typeCode
| cs | 1 … 1 | F | REFR | CONF 2268 |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32268). |
cda:entryRelationship
| | 0 … * | | Contains 2.16.840.1.113883.10.20.22.4.127 Sensory Status (2015‑08‑13) | CONF 2202 |
@typeCode
| cs | 1 … 1 | F | REFR | CONF 2270 |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32270). |
cda:entryRelationship
| | 0 … * | | Contains 2.16.840.1.113883.10.20.22.4.38 Social History Observation (V3) (2015‑08‑01) | CONF 2203 |
@typeCode
| cs | 1 … 1 | F | REFR | CONF 2272 |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32272). |
cda:entryRelationship
| | 0 … * | | Contains 2.16.840.1.113883.10.20.24.3.90 Substance or Device Allergy - Intolerance Observation (V2) (2014‑06‑09) | CONF 2204 |
@typeCode
| cs | 1 … 1 | F | REFR | CONF 2274 |
| MAY contain zero or one [0..1] typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32274). |
cda:entryRelationship
| | 0 … * | | Contains 2.16.840.1.113883.10.20.22.4.85 Tobacco Use (V2) (2014‑06‑09) | CONF 2205 |
@typeCode
| cs | 1 … 1 | F | REFR | CONF 2276 |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32276). |
cda:entryRelationship
| | 0 … * | | Contains 2.16.840.1.113883.10.20.22.4.27 Vital Sign Observation (V2) (2014‑06‑09) | CONF 2206 |
@typeCode
| cs | 1 … 1 | F | REFR | CONF 2278 |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32278). |
cda:entryRelationship
| | 0 … * | | Contains 2.16.840.1.113883.10.20.22.4.114 Longitudinal Care Wound Observation (V2) (2015‑08‑01) | CONF 2207 |
@typeCode
| cs | 1 … 1 | F | REFR | CONF 2280 |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32280). |
cda:entryRelationship
| | 0 … * | | The following entryRelationship represents the relationship Health Concern HAS SUPPORT Observation. Contains 2.16.840.1.113883.10.20.22.4.4 Problem Observation (V3) (2015‑08‑01) | CONF 2208 |
where [@typeCode='SPRT'] | |
@typeCode
| cs | 1 … 1 | F | SPRT | CONF 2282 |
| SHALL contain exactly one [1..1] @typeCode="SPRT" Has support (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32282). |
cda:entryRelationship
| | 0 … * | | Contains 2.16.840.1.113883.10.20.22.4.72 Caregiver Characteristics (2015‑08‑13) | CONF 2209 |
@typeCode
| cs | 1 … 1 | F | REFR | CONF 2284 |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32284). |
cda:entryRelationship
| | 0 … * | | Contains 2.16.840.1.113883.10.20.22.4.111 Cultural and Religious Observation (2015‑08‑13) | CONF 2210 |
@typeCode
| cs | 1 … 1 | F | REFR | CONF 2286 |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32286). |
cda:entryRelationship
| | 0 … * | | Contains 2.16.840.1.113883.10.20.22.4.109 Characteristics of Home Environment (2015‑08‑13) | CONF 2211 |
@typeCode
| cs | 1 … 1 | F | REFR | CONF 2288 |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32288). |
cda:entryRelationship
| | 0 … * | | Contains 2.16.840.1.113883.10.20.22.4.124 Nutritional Status Observation (2015‑08‑13) | CONF 2212 |
@typeCode
| cs | 1 … 1 | F | REFR | CONF 2290 |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32290). |
cda:entryRelationship
| | 0 … * | | Contains 2.16.840.1.113883.10.20.22.4.1 Result Organizer (V3) (2015‑08‑01) | CONF 2213 |
@typeCode
| cs | 1 … 1 | F | REFR | CONF 2292 |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32292). |
cda:entryRelationship
| | 0 … * | | The following entryRelationship represents the priority that the patient puts on the health concern. The following entryRelationship represents the priority that the provider puts on the health concern. Contains 2.16.840.1.113883.10.20.22.4.143 Priority Preference (2015‑08‑13) | CONF:1198‑32214 / CONF:1198‑32215 |
@typeCode
| cs | 1 … 1 | F | REFR | CONF:1198‑32294 / CONF:1198‑32296 |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32294). |
cda:entryRelationship
| | 0 … * | | Contains 2.16.840.1.113883.10.20.22.4.3 Problem Concern Act (V3) (2015‑08‑01) | CONF 2216 |
@typeCode
| cs | 1 … 1 | F | REFR | CONF 2298 |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32298). |
cda:entryRelationship
| | 0 … * | | Where a Health Concern needs to reference another entry already described in the CDA document instance, rather than repeating the full content of the entry, the Entry Reference template may be used to reference this entry. Contains 2.16.840.1.113883.10.20.22.4.122 Entry Reference (2015‑08‑13) | CONF 2217 |
@typeCode
| cs | 1 … 1 | F | REFR | CONF 2301 |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32301). |
cda:reference
| | 0 … * | | Contains 2.16.840.1.113883.10.20.22.4.115 External Document Reference (2014‑06‑09) | CONF 2769 |
@typeCode
| cs | 1 … 1 | F | REFR | CONF 2908 |
| The reference, if present, SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32908). |