Clinical Document Architecture
2.0.0-sd-202406-matchbox-patch - release

Clinical Document Architecture - Local Development build (v2.0.0-sd-202406-matchbox-patch) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Logical Model: ClinicalDocument - XML Profile

Active as of 2024-06-19

XML representation of the ClinicalDocument logical model.

Raw xml | Download



<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="ClinicalDocument"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>The ClinicalDocument class is the entry point into the CDA R-MIM, and corresponds to the &lt;ClinicalDocument&gt; XML element that is the root element of a CDA document.</p>
      <p>A CDA document is logically broken up into a CDA Header and a CDA Body. The CDA Header is comprised of ClinicalDocument attributes, participants, and act relationships. The CDA Body is the target of the ClinicalDocument component act relationship.</p>
      <p>The ClinicalDocument class inherits various attributes from the InfrastructureRoot class of the RIM, including ClinicalDocument.templateId and ClinicalDocument.typeId. When ClinicalDocument.templateId is valued in an instance, it signals the imposition of a set of template-defined constraints. In addition, the templateId attribute is available in all other CDA classes, thus enabling the imposition of a set of template-defined constraints at any level of granularity. The value of this attribute provides a unique identifier for the template(s) in question.</p>
      <p>ClinicalDocument.typeId is a technology-neutral explicit reference to this CDA, Release Two specification, and must be valued as follows: ClinicalDocument.typeId.root = &quot;2.16.840.1.113883.1.3&quot; (which is the OID for HL7 Registered models); ClinicalDocument.typeId.extension = &quot;POCD_HD000040&quot; (which is the unique identifier for the CDA, Release Two Hierarchical Description).</p>
    </div>
  </text>
  <extension
             url="http://hl7.org/fhir/tools/StructureDefinition/logical-target">
    <valueBoolean>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
        <valueCode value="not-applicable"/>
      </extension>
    </valueBoolean>
  </extension>
  <extension
             url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
    <valueUri value="urn:hl7-org:v3"/>
  </extension>
  <extension url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
    <valueString value="ClinicalDocument"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/tools/StructureDefinition/type-profile-style">
    <valueUri value="cda"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/tools/StructureDefinition/logical-container">
    <valueUri
              value="http://hl7.org/cda/stds/core/StructureDefinition/ClinicalDocument"/>
  </extension>
  <url
       value="http://hl7.org/cda/stds/core/StructureDefinition/ClinicalDocument"/>
  <version value="2.0.0-sd-202406-matchbox-patch"/>
  <name value="ClinicalDocument"/>
  <title value="ClinicalDocument (CDA Class)"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2024-06-19T17:47:42+02:00"/>
  <publisher value="Health Level 7"/>
  <contact>
    <name value="HL7 International - Structured Documents"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/structure"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="structdog@lists.HL7.org"/>
    </telecom>
  </contact>
  <description
               value="This is a generated StructureDefinition that describes CDA - that is, CDA as it actually is for R2. The intent of this StructureDefinition is to enable CDA to be a FHIR resource. That enables the FHIR infrastructure - API, conformance, query - to be used directly against CDA"/>
  <fhirVersion value="5.0.0"/>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM Mapping"/>
  </mapping>
  <kind value="logical"/>
  <abstract value="false"/>
  <type
        value="http://hl7.org/cda/stds/core/StructureDefinition/ClinicalDocument"/>
  <baseDefinition
                  value="http://hl7.org/cda/stds/core/StructureDefinition/ANY"/>
  <derivation value="specialization"/>
  <snapshot>
    <element id="ClinicalDocument">
      <path value="ClinicalDocument"/>
      <short value="Base for all types and resources"/>
      <definition
                  value="Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Base"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <isModifier value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ClinicalDocument.nullFlavor">
      <path value="ClinicalDocument.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.classCode">
      <path value="ClinicalDocument.classCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.classCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="DOCCLIN"/>
      <binding>
        <strength value="example"/>
        <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDAActClass"/>
      </binding>
    </element>
    <element id="ClinicalDocument.moodCode">
      <path value="ClinicalDocument.moodCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.moodCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="EVN"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDAActMood"/>
      </binding>
    </element>
    <element id="ClinicalDocument.realmCode">
      <path value="ClinicalDocument.realmCode"/>
      <definition
                  value="When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.realmCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="ClinicalDocument.typeId">
      <path value="ClinicalDocument.typeId"/>
      <definition
                  value="ClinicalDocument.typeId is a technology-neutral explicit reference to this CDA, Release Two specification, and must be valued as follows: ClinicalDocument.typeId.root = &quot;2.16.840.1.113883.1.3&quot; (which is the OID for HL7 Registered models); ClinicalDocument.typeId.extension = &quot;POCD_HD000040&quot; (which is the unique identifier for the CDA, Release Two Hierarchical Description)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.typeId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.typeId.nullFlavor">
      <path value="ClinicalDocument.typeId.nullFlavor"/>
      <representation value="xmlAttr"/>
      <label value="Exceptional Value Detail"/>
      <definition
                  value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ANY.nullFlavor"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"/>
      </binding>
    </element>
    <element id="ClinicalDocument.typeId.assigningAuthorityName">
      <path value="ClinicalDocument.typeId.assigningAuthorityName"/>
      <representation value="xmlAttr"/>
      <label value="Assigning Authority Name"/>
      <definition
                  value="A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.assigningAuthorityName"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.typeId.displayable">
      <path value="ClinicalDocument.typeId.displayable"/>
      <representation value="xmlAttr"/>
      <label value="Displayable"/>
      <definition
                  value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="II.displayable"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"/>
      </type>
    </element>
    <element id="ClinicalDocument.typeId.root">
      <path value="ClinicalDocument.typeId.root"/>
      <representation value="xmlAttr"/>
      <label value="Root"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.root"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/oid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/uuid"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/ruid"/>
      </type>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element id="ClinicalDocument.typeId.extension">
      <path value="ClinicalDocument.typeId.extension"/>
      <representation value="xmlAttr"/>
      <label value="Extension"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="II.extension"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
      <fixedString value="POCD_HD000040"/>
    </element>
    <element id="ClinicalDocument.templateId">
      <path value="ClinicalDocument.templateId"/>
      <definition
                  value="When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.id">
      <path value="ClinicalDocument.id"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.id"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.code">
      <path value="ClinicalDocument.code"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.code"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="example"/>
        <valueSet value="http://hl7.org/fhir/ValueSet/doc-typecodes"/>
      </binding>
    </element>
    <element id="ClinicalDocument.title">
      <path value="ClinicalDocument.title"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.title"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ST"/>
      </type>
    </element>
    <element id="ClinicalDocument.sdtcStatusCode">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="statusCode"/>
      </extension>
      <path value="ClinicalDocument.sdtcStatusCode"/>
      <definition
                  value="The statusCode extension attribute allows the implementer to identify a ClinicalDocument that is in other than the completed state. It was created to support the Structured Form Definition IG to identify that the document itself is an unfinished product currently being completed for a patient."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.sdtcStatusCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActStatus"/>
      </binding>
    </element>
    <element id="ClinicalDocument.terminologyDate">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-at:v3"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="terminologyDate"/>
      </extension>
      <path value="ClinicalDocument.terminologyDate"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.terminologyDate"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/TS"/>
      </type>
    </element>
    <element id="ClinicalDocument.formatCode">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-at:v3"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="formatCode"/>
      </extension>
      <path value="ClinicalDocument.formatCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.formatCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/>
      </type>
    </element>
    <element id="ClinicalDocument.practiceSettingCode">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-at:v3"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="practiceSettingCode"/>
      </extension>
      <path value="ClinicalDocument.practiceSettingCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.practiceSettingCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/>
      </type>
    </element>
    <element id="ClinicalDocument.effectiveTime">
      <path value="ClinicalDocument.effectiveTime"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.effectiveTime"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/TS"/>
      </type>
    </element>
    <element id="ClinicalDocument.confidentialityCode">
      <path value="ClinicalDocument.confidentialityCode"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.confidentialityCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
    </element>
    <element id="ClinicalDocument.languageCode">
      <path value="ClinicalDocument.languageCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.languageCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://hl7.org/fhir/ValueSet/all-languages"/>
      </binding>
    </element>
    <element id="ClinicalDocument.setId">
      <path value="ClinicalDocument.setId"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.setId"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.versionNumber">
      <path value="ClinicalDocument.versionNumber"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.versionNumber"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/INT"/>
      </type>
    </element>
    <element id="ClinicalDocument.copyTime">
      <path value="ClinicalDocument.copyTime"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.copyTime"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/TS"/>
      </type>
    </element>
    <element id="ClinicalDocument.recordTarget">
      <path value="ClinicalDocument.recordTarget"/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.recordTarget"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/RecordTarget"/>
      </type>
    </element>
    <element id="ClinicalDocument.author">
      <path value="ClinicalDocument.author"/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.author"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Author"/>
      </type>
    </element>
    <element id="ClinicalDocument.dataEnterer">
      <path value="ClinicalDocument.dataEnterer"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.dataEnterer"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/DataEnterer"/>
      </type>
    </element>
    <element id="ClinicalDocument.informant">
      <path value="ClinicalDocument.informant"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.informant"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Informant"/>
      </type>
    </element>
    <element id="ClinicalDocument.custodian">
      <path value="ClinicalDocument.custodian"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.custodian"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Custodian"/>
      </type>
    </element>
    <element id="ClinicalDocument.informationRecipient">
      <path value="ClinicalDocument.informationRecipient"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.informationRecipient"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/InformationRecipient"/>
      </type>
    </element>
    <element id="ClinicalDocument.legalAuthenticator">
      <path value="ClinicalDocument.legalAuthenticator"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.legalAuthenticator"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/LegalAuthenticator"/>
      </type>
    </element>
    <element id="ClinicalDocument.authenticator">
      <path value="ClinicalDocument.authenticator"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.authenticator"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Authenticator"/>
      </type>
    </element>
    <element id="ClinicalDocument.participant">
      <path value="ClinicalDocument.participant"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.participant"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Participant1"/>
      </type>
    </element>
    <element id="ClinicalDocument.inFulfillmentOf">
      <path value="ClinicalDocument.inFulfillmentOf"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.inFulfillmentOf"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf"/>
      </type>
    </element>
    <element id="ClinicalDocument.documentationOf">
      <path value="ClinicalDocument.documentationOf"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.documentationOf"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/DocumentationOf"/>
      </type>
    </element>
    <element id="ClinicalDocument.relatedDocument">
      <path value="ClinicalDocument.relatedDocument"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.relatedDocument"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/RelatedDocument"/>
      </type>
    </element>
    <element id="ClinicalDocument.authorization">
      <path value="ClinicalDocument.authorization"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ClinicalDocument.authorization"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Authorization"/>
      </type>
    </element>
    <element id="ClinicalDocument.componentOf">
      <path value="ClinicalDocument.componentOf"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.componentOf"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/ComponentOf"/>
      </type>
    </element>
    <element id="ClinicalDocument.component">
      <path value="ClinicalDocument.component"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ClinicalDocument.component"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Component"/>
      </type>
    </element>
  </snapshot>
  <differential>
    <element id="ClinicalDocument">
      <path value="ClinicalDocument"/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element id="ClinicalDocument.classCode">
      <path value="ClinicalDocument.classCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="DOCCLIN"/>
      <binding>
        <strength value="example"/>
        <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDAActClass"/>
      </binding>
    </element>
    <element id="ClinicalDocument.moodCode">
      <path value="ClinicalDocument.moodCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="EVN"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://hl7.org/cda/stds/core/ValueSet/CDAActMood"/>
      </binding>
    </element>
    <element id="ClinicalDocument.realmCode">
      <path value="ClinicalDocument.realmCode"/>
      <definition
                  value="When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
    </element>
    <element id="ClinicalDocument.typeId">
      <path value="ClinicalDocument.typeId"/>
      <definition
                  value="ClinicalDocument.typeId is a technology-neutral explicit reference to this CDA, Release Two specification, and must be valued as follows: ClinicalDocument.typeId.root = &quot;2.16.840.1.113883.1.3&quot; (which is the OID for HL7 Registered models); ClinicalDocument.typeId.extension = &quot;POCD_HD000040&quot; (which is the unique identifier for the CDA, Release Two Hierarchical Description)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.typeId.root">
      <path value="ClinicalDocument.typeId.root"/>
      <representation value="xmlAttr"/>
      <definition value="Identifies the type as an HL7 Registered model"/>
      <min value="1"/>
      <max value="1"/>
      <fixedString value="2.16.840.1.113883.1.3"/>
    </element>
    <element id="ClinicalDocument.typeId.extension">
      <path value="ClinicalDocument.typeId.extension"/>
      <representation value="xmlAttr"/>
      <definition
                  value="A character string as a unique identifier within the scope of the identifier root."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="string"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/st-simple"/>
      </type>
      <fixedString value="POCD_HD000040"/>
    </element>
    <element id="ClinicalDocument.templateId">
      <path value="ClinicalDocument.templateId"/>
      <definition
                  value="When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.id">
      <path value="ClinicalDocument.id"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.code">
      <path value="ClinicalDocument.code"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="example"/>
        <valueSet value="http://hl7.org/fhir/ValueSet/doc-typecodes"/>
      </binding>
    </element>
    <element id="ClinicalDocument.title">
      <path value="ClinicalDocument.title"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ST"/>
      </type>
    </element>
    <element id="ClinicalDocument.sdtcStatusCode">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="statusCode"/>
      </extension>
      <path value="ClinicalDocument.sdtcStatusCode"/>
      <definition
                  value="The statusCode extension attribute allows the implementer to identify a ClinicalDocument that is in other than the completed state. It was created to support the Structured Form Definition IG to identify that the document itself is an unfinished product currently being completed for a patient."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActStatus"/>
      </binding>
    </element>
    <element id="ClinicalDocument.terminologyDate">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-at:v3"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="terminologyDate"/>
      </extension>
      <path value="ClinicalDocument.terminologyDate"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/TS"/>
      </type>
    </element>
    <element id="ClinicalDocument.formatCode">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-at:v3"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="formatCode"/>
      </extension>
      <path value="ClinicalDocument.formatCode"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/>
      </type>
    </element>
    <element id="ClinicalDocument.practiceSettingCode">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-namespace">
        <valueUri value="urn:hl7-at:v3"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/xml-name">
        <valueString value="practiceSettingCode"/>
      </extension>
      <path value="ClinicalDocument.practiceSettingCode"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CD"/>
      </type>
    </element>
    <element id="ClinicalDocument.effectiveTime">
      <path value="ClinicalDocument.effectiveTime"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/TS"/>
      </type>
    </element>
    <element id="ClinicalDocument.confidentialityCode">
      <path value="ClinicalDocument.confidentialityCode"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
    </element>
    <element id="ClinicalDocument.languageCode">
      <path value="ClinicalDocument.languageCode"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CS"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet value="http://hl7.org/fhir/ValueSet/all-languages"/>
      </binding>
    </element>
    <element id="ClinicalDocument.setId">
      <path value="ClinicalDocument.setId"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="ClinicalDocument.versionNumber">
      <path value="ClinicalDocument.versionNumber"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/INT"/>
      </type>
    </element>
    <element id="ClinicalDocument.copyTime">
      <path value="ClinicalDocument.copyTime"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/TS"/>
      </type>
    </element>
    <element id="ClinicalDocument.recordTarget">
      <path value="ClinicalDocument.recordTarget"/>
      <min value="1"/>
      <max value="*"/>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/RecordTarget"/>
      </type>
    </element>
    <element id="ClinicalDocument.author">
      <path value="ClinicalDocument.author"/>
      <min value="1"/>
      <max value="*"/>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Author"/>
      </type>
    </element>
    <element id="ClinicalDocument.dataEnterer">
      <path value="ClinicalDocument.dataEnterer"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/DataEnterer"/>
      </type>
    </element>
    <element id="ClinicalDocument.informant">
      <path value="ClinicalDocument.informant"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Informant"/>
      </type>
    </element>
    <element id="ClinicalDocument.custodian">
      <path value="ClinicalDocument.custodian"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Custodian"/>
      </type>
    </element>
    <element id="ClinicalDocument.informationRecipient">
      <path value="ClinicalDocument.informationRecipient"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/InformationRecipient"/>
      </type>
    </element>
    <element id="ClinicalDocument.legalAuthenticator">
      <path value="ClinicalDocument.legalAuthenticator"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/LegalAuthenticator"/>
      </type>
    </element>
    <element id="ClinicalDocument.authenticator">
      <path value="ClinicalDocument.authenticator"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Authenticator"/>
      </type>
    </element>
    <element id="ClinicalDocument.participant">
      <path value="ClinicalDocument.participant"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Participant1"/>
      </type>
    </element>
    <element id="ClinicalDocument.inFulfillmentOf">
      <path value="ClinicalDocument.inFulfillmentOf"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf"/>
      </type>
    </element>
    <element id="ClinicalDocument.documentationOf">
      <path value="ClinicalDocument.documentationOf"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/DocumentationOf"/>
      </type>
    </element>
    <element id="ClinicalDocument.relatedDocument">
      <path value="ClinicalDocument.relatedDocument"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/RelatedDocument"/>
      </type>
    </element>
    <element id="ClinicalDocument.authorization">
      <path value="ClinicalDocument.authorization"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Authorization"/>
      </type>
    </element>
    <element id="ClinicalDocument.componentOf">
      <path value="ClinicalDocument.componentOf"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/ComponentOf"/>
      </type>
    </element>
    <element id="ClinicalDocument.component">
      <path value="ClinicalDocument.component"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Component"/>
      </type>
    </element>
  </differential>
</StructureDefinition>