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Subject (CDA Class) - Clinical Document Architecture v2.0.1-sd-202510-matchbox-patch

Logical Model: Subject (CDA Class)

Official URL:http://hl7.org/cda/stds/core/StructureDefinition/Subject Version:2.0.1-sd-202510-matchbox-patch
Active as of 2025-10-29 Computable Name:Subject

The subject participant represents the primary target of the entries recorded in the document. Most of the time the subject is the same as the recordTarget, but need not be, for instance when the subject is a fetus observed in an obstetrical ultrasound. The subject participant can be ascribed to a CDA section or a CDA entry. It propagates to nested components, unless overridden. The subject of a document is presumed to be the patient.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Template Content

Description of Template, Differentials, Snapshots and how the different presentations work.

Other representations of profile: CSV, Excel

Resource Content

{
  "resourceType" : "StructureDefinition",
  "id" : "Subject",
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/logical-target",
      "_valueBoolean" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode" : "not-applicable"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
      "valueUri" : "urn:hl7-org:v3"
    },
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
      "valueString" : "subject"
    },
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/logical-container",
      "valueUri" : "http://hl7.org/cda/stds/core/StructureDefinition/ClinicalDocument"
    },
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/type-profile-style",
      "valueCode" : "cda"
    }
  ],
  "url" : "http://hl7.org/cda/stds/core/StructureDefinition/Subject",
  "version" : "2.0.1-sd-202510-matchbox-patch",
  "name" : "Subject",
  "title" : "Subject (CDA Class)",
  "status" : "active",
  "experimental" : false,
  "date" : "2025-10-29T22:15:57+01:00",
  "publisher" : "Health Level 7",
  "contact" : [
    {
      "name" : "HL7 International - Structured Documents",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/structure"
        },
        {
          "system" : "email",
          "value" : "structdog@lists.HL7.org"
        }
      ]
    }
  ],
  "description" : "The subject participant represents the primary target of the entries recorded in the document. Most of the time the subject is the same as the recordTarget, but need not be, for instance when the subject is a fetus observed in an obstetrical ultrasound.\n\nThe subject participant can be ascribed to a CDA section or a CDA entry. It propagates to nested components, unless overridden. The subject of a document is presumed to be the patient.",
  "fhirVersion" : "5.0.0",
  "mapping" : [
    {
      "identity" : "rim",
      "uri" : "http://hl7.org/v3",
      "name" : "RIM Mapping"
    }
  ],
  "kind" : "logical",
  "abstract" : false,
  "type" : "http://hl7.org/cda/stds/core/StructureDefinition/Subject",
  "baseDefinition" : "http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot",
  "derivation" : "specialization",
  "differential" : {
    "element" : [
      {
        "id" : "Subject.typeCode",
        "path" : "Subject.typeCode",
        "representation" : ["xmlAttr"],
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "code",
            "profile" : ["http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"]
          }
        ],
        "fixedCode" : "SBJ",
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ParticipationTargetSubject"
        }
      },
      {
        "id" : "Subject.contextControlCode",
        "path" : "Subject.contextControlCode",
        "representation" : ["xmlAttr"],
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "code",
            "profile" : ["http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"]
          }
        ],
        "fixedCode" : "OP",
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDAContextControl"
        }
      },
      {
        "id" : "Subject.awarenessCode",
        "path" : "Subject.awarenessCode",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CE"
          }
        ],
        "binding" : {
          "strength" : "example",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-TargetAwareness"
        }
      },
      {
        "id" : "Subject.relatedSubject",
        "path" : "Subject.relatedSubject",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/RelatedSubject"
          }
        ]
      }
    ]
  }
}