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draft Template  XeH Hospital Discharge Report

Id 2.16.840.1.113883.2.51.10.12 Effective Date 2021‑09‑10 14:49:32
Status draft Draft Version Label 0.1
Name XeHDischargeReport Display Name XeH Hospital Discharge Report
Description

A hospital discharge is the formal release of a patient from a hospital after a procedure or course of treatment. A discharge occurs whenever a patient leaves because of finalization of treatment, signs out against medical advice, transfers to another health care institution or on death. 

Hospital discharge reports serve as the primary documents communicating a patient's episode of care related to hospitalization.
Often, the discharge summary is the only form of communication that accompanies the patient to the next setting of care.

This specification aims to define a Common EU Hospital Discharge Report, starting from a EU Minimum Hospital Discharge Dataset as defined by the XeHealth WP5.

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 38 templates
Uses as Name Version
2.16.840.1.113883.2.51.10.9 Include draft XeH CDA recordTarget DYNAMIC
2.16.840.1.113883.2.51.10.5 Include draft XeH CDA author DYNAMIC
2.16.840.1.113883.2.51.10.7 Include draft XeH CDA dataEnterer DYNAMIC
2.16.840.1.113883.2.51.10.6 Include draft XeH CDA custodian DYNAMIC
2.16.840.1.113883.2.51.10.14 Include draft XeH Information Recipient DYNAMIC
2.16.840.1.113883.2.51.10.8 Include draft XeH CDA legalAuthenticator DYNAMIC
2.16.840.1.113883.2.51.10.48 Include draft XeH Ordering Provider DYNAMIC
2.16.840.1.113883.10.22.2.5 Include pending IPS Patient Contacts (STU1) DYNAMIC
2.16.840.1.113883.10.12.108 Include active CDA participant DYNAMIC
2.16.840.1.113883.2.51.10.11 Include draft XeH inFulfillmentOf DYNAMIC
2.16.840.1.113883.10.12.110 Include active CDA documentationOf DYNAMIC
2.16.840.1.113883.10.22.2.7 Include pending IPS CDA relatedDocument (STU1) DYNAMIC
2.16.840.1.113883.2.51.10.49 Include draft XeH HDR ComponentOf DYNAMIC
2.16.840.1.113883.2.51.10.15 Containment draft XeH Patient History Section (0.1) DYNAMIC
2.16.840.1.113883.2.51.10.29 Containment draft XeH Admission Diagnosis Section (0.1) DYNAMIC
2.16.840.1.113883.2.51.10.30 Containment draft XeH Chief Complaint and Reason for Visit Section (0.1) DYNAMIC
2.16.840.1.113883.2.51.10.23 Containment draft XeH Problems Section (0.1) DYNAMIC
2.16.840.1.113883.2.51.10.31 Containment draft XeH Admission Medications Section (0.1) DYNAMIC
2.16.840.1.113883.10.22.3.2 Containment pending IPS Allergies and Intolerances Section (STU1) DYNAMIC
2.16.840.1.113883.10.22.3.4 Containment pending IPS History of Procedures Section (STU1) DYNAMIC
2.16.840.1.113883.2.51.10.65 Containment draft XeH Immunizations Section DYNAMIC
2.16.840.1.113883.10.22.3.6 Containment draft IPS Medical Devices Section (2021) DYNAMIC
2.16.840.1.113883.2.51.10.57 Containment draft XeH History of Past Illness Section DYNAMIC
2.16.840.1.113883.2.51.10.16 Containment draft XeH Family History Section (0.1) DYNAMIC
2.16.840.1.113883.10.22.3.8 Containment pending IPS Functional Status Section (TI-2020) DYNAMIC
2.16.840.1.113883.10.22.3.11 Containment pending IPS History of Pregnancy Section (TI-2020) DYNAMIC
2.16.840.1.113883.10.22.3.10 Containment pending IPS Social History Section (TI-2020) DYNAMIC
2.16.840.1.113883.2.51.10.67 Containment draft XeH Foreign Travel Section DYNAMIC
2.16.840.1.113883.10.22.3.12 Containment pending IPS Advance Directives Section (TI-2020) DYNAMIC
2.16.840.1.113883.2.51.10.83 Containment draft XeH Hospital Course Section DYNAMIC
2.16.840.1.113883.2.51.10.41 Containment draft XeH Medication Summary Section DYNAMIC
2.16.840.1.113883.2.51.10.82 Containment draft XeH Vital Signs Section DYNAMIC
2.16.840.1.113883.10.22.3.14 Containment pending IPS Results Section (STU1) DYNAMIC
2.16.840.1.113883.2.51.10.28 Containment draft XeH Discharge Diagnosis Section DYNAMIC
2.16.840.1.113883.2.51.10.50 Containment draft XeH Hospital Discharge Physical Section DYNAMIC
2.16.840.1.113883.2.51.10.26 Containment draft XeH Discharge Medications Section (0.1) DYNAMIC
2.16.840.1.113883.10.22.3.9 Containment pending IPS Plan of Care Section (TI-2020) DYNAMIC
2.16.840.1.113883.10.20.22.2.16 Containment draft Hospital Discharge Studies Summary Section (2.1) DYNAMIC
Relationship Adaptation: template 2.16.840.1.113883.10.22.1.1 International Patient Summary (2020‑07‑14 16:08:21)
ref
hl7ips-

Adaptation: template 1.3.6.1.4.1.12559.11.10.1.3.1.1.3 epSOS-Patient Summary (2013‑12‑20)
ref
epsos-

Adaptation: template 2.16.840.1.113883.10.12.1 CDA ClinicalDocument (2005‑09‑07)
ref
ad1bbr-
Example
Example
<ClinicalDocument>
  <realmCode code="ES"/>  <typeId extension="POCD_HD000040" root="2.16.840.1.113883.1.3"/>  <templateId root="2.16.840.1.113883.10.22.1.1"/>  <id root="2.16.724.4.8.10.200.10" extension="PSCTD0160f274530a031"/>  <code displayName="Patient Summary" code="60591-5" codeSystem="2.16.840.1.113883.6.1"/>  <title>Patient Summary</title>  <effectiveTime value="20111113125600+0200"/>  <confidentialityCode code="N" displayName="normal" codeSystem="2.16.840.1.113883.5.25"/>  <languageCode code="es-ES"/>  <setId root="2.16.724.4.8.10.200.10" extension="PSCTD0160f274530a031S"/>  <versionNumber value="2"/>  <!-- include template 2.16.840.1.113883.10.22.2.1 'IPS CDA recordTarget' (dynamic) 1..1 M -->
  <!-- include template 2.16.840.1.113883.10.22.2.2 'IPS CDA author' (dynamic) 1..* M -->
  <!-- include template 2.16.840.1.113883.10.22.2.3 'IPS CDA custodian' (dynamic) 1..1 M -->
  <!-- include template 2.16.840.1.113883.10.22.2.4 'IPS CDA legalAuthenticator' (dynamic) 0..1 R -->
  <!-- include template 2.16.840.1.113883.10.22.2.5 'IPS Patient Contacts' (dynamic) 0..* O -->
  <!-- include template 2.16.840.1.113883.10.22.2.6 'IPS CDA documentationOf ' (dynamic) 1..1 M -->
  <!-- include template 2.16.840.1.113883.10.22.2.7 'IPS CDA relatedDocument' (dynamic) 0..* R -->
  <component>
    <structuredBody classCode="DOCBODY">
      <component>
        <!-- template 2.16.840.1.113883.10.22.3.1 'IPS Medication Summary Section' (dynamic) -->
      </component>
      <component>
        <!-- template 2.16.840.1.113883.10.22.3.2 'IPS Allergies and Intolerances Section' (dynamic) -->
      </component>
      <component>
        <!-- template 2.16.840.1.113883.10.22.3.3 'IPS Problems Section' (dynamic) -->
      </component>
      <component>
        <!-- template 2.16.840.1.113883.10.22.3.4 'IPS History of Procedures Section' (dynamic) -->
      </component>
      <component>
        <!-- template 2.16.840.1.113883.10.22.3.5 'IPS Immunizations Section' (dynamic) -->
      </component>
      <component>
        <!-- template 2.16.840.1.113883.10.22.3.6 'IPS Medical Devices Section' (dynamic) -->
      </component>
      <component>
        <!-- template 2.16.840.1.113883.10.22.3.7 'IPS History of Past Illness Section' (dynamic) -->
      </component>
      <component>
        <!-- template 2.16.840.1.113883.10.22.3.14 'IPS Results Section' (dynamic) -->
      </component>
      <component>
        <!-- template 2.16.840.1.113883.10.22.3.8 'IPS Functional Status Section' (dynamic) -->
      </component>
      <component>
        <!-- template 2.16.840.1.113883.10.22.3.9 'IPS Plan of Treatment Section' (dynamic) -->
      </component>
      <component>
        <!-- template 2.16.840.1.113883.10.22.3.10 'IPS Social History Section' (dynamic) -->
      </component>
      <component>
        <!-- template 2.16.840.1.113883.10.22.3.11 'IPS History of Pregnancy Section' (dynamic) -->
      </component>
      <component>
        <!-- template 2.16.840.1.113883.10.22.3.12 'IPS Advance Directives Section' (dynamic) -->
      </component>
    </structuredBody>
  </component>
</ClinicalDocument>
notice There is an open issue with this item:
Item DT Card Conf Description Label
hl7:ClinicalDocument
R CDA header (XeHdotsort)
hl7:realmCode
CS 0 … 1 R This attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question. This element should not be used for identifying the originating country, that could be derived for the author and custodian information. (XeHdotsort)
hl7:typeId
II 1 … 1 M The clinical document typeId identifies the constraints imposed by CDA R2 on the content, essentially acting as a version identifier.

(XeHdotsort)
@root
uid 1 … 1 F 2.16.840.1.113883.1.3
@extension
st 1 … 1 F POCD_HD000040
  Example <typeId extension="POCD_HD000040" root="2.16.840.1.113883.1.3"/>
hl7:templateId
II 0 … 1 R (XeHdotsort)
@root
uid 1 … 1 F 2.16.840.1.113883.10.22.1.1
hl7:id
II 1 … 1 M Unique identifier of this instance of the HDR (XeHdotsort)
hl7:code
CE.IPS 1 … 1 M Determines the type of Hospital Discharge Report (XeHdotsort)
@displayName
1 … 1 R
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.2.51.13.1.1 Hospital Discharge Summary type code (DYNAMIC)
  Example <hl7:code displayName="Hospital Discharge summary" code="34105-7" codeSystem="2.16.840.1.113883.6.1"/>
hl7:translation
CD.IPS 0 … * R This element can be here used either to provide the originally used document code if this is the result of a transformation. (XeHdotsort)
hl7:title
ST 1 … 1 M Narrative title of the document, usually shown to the user. (XeHdotsort)
  Example <title>Hospital Discharge Report</title>
  Example <title>Lettera di dimissione ospedaliera</title>
xeh:documentStatus
CO 0 … 1 (XeHdotsort)
hl7:effectiveTime
TS.IPS.TZ 1 … 1 R The date/time of document creation. Where the CDA document is transformed into another format, the ClinicalDocument.effectiveTime of the original document is preserved. (XeHdotsort)
  Example <hl7:effectiveTime value="20210216114633+01:00"/>
hl7:confidentialityCode
CE.IPS 1 … 1 R (XeHdotsort)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16926 HL7 BasicConfidentialityKind (DYNAMIC)
  Example <confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25" displayName="normal"/>
hl7:languageCode
CS 1 … 1 R Document Language Code (XeHdotsort)
  Constraint The two characters form SHALL be used when available; otherwise the three characters representation SHALL be adopted
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.19 Language Code (DYNAMIC)
  Example <languageCode code="en-GB"/>
  Example <languageCode code="fil-PH"/>
  Schematron assert role red error  
  test matches(@code,'[a-z]{2,3}-[A-Z]{2,3}')  
  Message The language code SHALL be in the form nn-CC or nnn-CCC, in accordance with BCP 47 (e.g. nn is the ISO language code; CC is ISO country code)  
hl7:setId
II 1 … 1 R

This attribute “represents an identifier that is common across all document revisions”.

In the case this instance is generated as result of one or more transformations (translation/transcoding) the setId is supposed to remain unchanged across all those transformations.

(XeHdotsort)
hl7:versionNumber
1 … 1 R An integer value used to version successive replacement documents.
(XeHdotsort)
Included 1 … 1 M from 2.16.840.1.113883.2.51.10.9 XeH CDA recordTarget (DYNAMIC)
The recordTarget represents the medical record that this document belongs to.

A clinical document typically has exactly one recordTarget participant. In the uncommon case where a clinical document (such as a group encounter note) is placed into more than one patient chart, more than one recordTarget participants can be stated.

hl7:recordTarget
1 … 1 M (XeHdotsort)
@typeCode
cs 0 … 1 F RCT
@contextControlCode
cs 0 … 1 F OP
  Example <recordTarget typeCode="RCT" contextControlCode="OP">
  <patientRole classCode="PAT">
    <id root="1.2.3.999" extension="__example only__"/>    <addr>
      <streetAddressLine>HSE M CASSAR STR</streetAddressLine>      <city>ISLA</city>      <country>MT</country>    </addr>
    <telecom use="HP" value="tel:+356124567891"/>    <telecom use="WP" value="mailto:elif@foo.too.mt"/>    <patient>
      <name>
        <family>BORG</family>        <given>TANIA</given>      </name>
      <administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1" displayName="Female"/>      <birthTime value="19430130"/>      <!-- Optional guardian information ; see example below-->
      <!-- Optional languageCommunication information see example below -->
    </patient>
  </patientRole>
</recordTarget>
hl7:patientRole
1 … 1 M (XeHdotsort)
@classCode
cs 0 … 1 F PAT
hl7:id
II 1 … * R Patient Identifiers: Primary Patient Identifier (Regional/National Health Id), Secondary Patient Identifier (Social/Insurance Number) (XeHdotsort)
hl7:addr
AD.IPS 1 … * R The patient address. (XeHdotsort)
  Constraint When used for cross-border exchange the country address part has to be provided.
Included from 2.16.840.1.113883.10.22.11 IPS Address (DYNAMIC)
@use
set_cs 0 … 1  
  CONF
The value of @use shall be drawn from value set 2.16.840.1.113883.1.11.10637 PostalAddressUse (2005‑05‑01)
@nullFlavor
cs 0 … 1 F NI
  Constraint SHALL NOT have mixed content except for white space
If there is no information, the nullFlavor attribute shall have a value of 'NI' and no address parts shall be present, otherwise there shall be no nullFlavor attribute, and at least one of the address parts listed below shall be present.
  Schematron assert role red error  
  test @nullFlavor or hl7:*  
  Message If addr is not nullflavored at least one sub element has to be provided  
hl7:streetAddressLine
ADXP 0 … * C Subject's or Organization's Street Address Line (XeHdotsort)
  Schematron assert role red error  
  test hl7:streetAddressLine and (hl7:city or hl7:postalCode)  
  Message If the address line is included either the city or the zip code has to be provided  
hl7:city
ADXP 0 … 1 C Subject's or Organization's City (XeHdotsort)
hl7:postalCode
ADXP 0 … 1 C Subject's or Organization's Postal Code (XeHdotsort)
hl7:state
ADXP 0 … 1 C Subject's or Organization's State or Province (XeHdotsort)
hl7:country
ADXP 0 … 1 C Subject's Country. (XeHdotsort)
  Constraint The content of this element SHALL be selected EITHER from ValueSet ISO Country Alpha-2 urn:oid:2.16.840.1.113883.1.11.20300  DYNAMIC OR MAY be selected from ISO Country Alpha-3 2.16.840.1.113883.1.11.171 DYNAMIC, IF the country is not specified in ValueSet ISO Country Alpha-2 urn:oid:2.16.840.1.113883.1.11.20300.
hl7:telecom
TEL 1 … * R Patient’s telecom information : e.g. telephone number, e-mail address.  (XeHdotsort)
@use
set_cs 0 … 1  
  CONF
The value of @use shall be drawn from value set 2.16.840.1.113883.1.11.201 TelecommunicationAddressUse (DYNAMIC)
@nullFlavor
cs 0 … 1 F NI
  Constraint If there is no information, the nullFlavor attribute shall have a value of 'NI' and the "value" and "use" attributes shall be omitted, otherwise the nullFlavor attribute shall not be present, and the "value" and "use" attributes shall be present.
  Example <telecom use="HP" value="tel:+356124567891"/>
  Example <telecom use="WP" value="mailto:elif@foo.too.mt"/>
  Example <telecom nullFlavor="NI"/>
hl7:patient
1 … 1 M (XeHdotsort)
@classCode
cs 0 … 1 F PSN
@determinerCode
cs 0 … 1 F INSTANCE
  Example
Japanese example (Person Name)
<patient>
  <name use="IDE">
    <family>木村</family>    <given>通男</given>  </name>
  <name use="SYL">
    <family>きむら</family>    <given>みちお</given>  </name>
  <name use="ABC">
    <family>KIMURA</family>    <given>MICHIO</given>  </name>
  <administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.5.1" displayName="Male"/>  <birthTime nullFlavor="UNK"/></patient>
hl7:name
PN 1 … * M Patient Name (XeHdotsort)
  Constraint The Alphabetic representation of the name SHALL be always provided
hl7:family
1 … * R Patient's Family Name/Surname (XeHdotsort)
hl7:given
1 … * R Patient's Given Name (XeHdotsort)
hl7:administrativeGenderCode
CE.IPS 1 … 1 R Patient's Gender (XeHdotsort)
@nullFlavor
cs 0 … 1 F UNK
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.1 Administrative Gender (HL7 V3) (DYNAMIC)
  Example <administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1" displayName="Female">
  <translation code="2" codeSystem="2.16.840.1.113883.3.129.1.2.21" codeSystemName="Cinsiyet" displayName="Kadın"/></administrativeGenderCode>
hl7:birthTime
TS 1 … 1 R Patient's Date of Birth. The patient date of birth may be a partial date such as only the year. (XeHdotsort)
hl7:guardian
0 … * R

The guardians of a patient.

Other patient contacts are described using the /ClinicalDocument/participant structure. The <associatedEntity> element defines the type of contact.

(XeHdotsort)
@classCode
cs 1 … 1 F GUARD
  Example <guardian classCode="GUARD">
  <code code="AUNT" displayName="tante" codeSystem="2.16.840.1.113883.5.111"/>  <addr nullFlavor="NI"/>  <telecom use="MC" value="tel:+33-12345678"/>  <guardianPerson>
    <name>
      <family>Curie</family>      <given>Marie</given>    </name>
  </guardianPerson>
</guardian>
hl7:code
CD.IPS 0 … 1 R The relationship between the patient and the guardian or other contact may be recorded in the element.  (XeHdotsort)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.19563 PersonalRelationshipRoleType (DYNAMIC)
hl7:addr
AD.IPS 1 … * R (XeHdotsort)
  Constraint If there is no information, the nullFlavor attribute shall have a value of 'NI' and no address parts shall be present, otherwise there shall be no nullFlavor attribute, and at least one of the address parts listed below shall be present.
Included from 2.16.840.1.113883.10.22.11 IPS Address (DYNAMIC)
@use
set_cs 0 … 1  
  CONF
The value of @use shall be drawn from value set 2.16.840.1.113883.1.11.10637 PostalAddressUse (2005‑05‑01)
@nullFlavor
cs 0 … 1 F NI
  Constraint SHALL NOT have mixed content except for white space
If there is no information, the nullFlavor attribute shall have a value of 'NI' and no address parts shall be present, otherwise there shall be no nullFlavor attribute, and at least one of the address parts listed below shall be present.
  Schematron assert role red error  
  test @nullFlavor or hl7:*  
  Message If addr is not nullflavored at least one sub element has to be provided  
hl7:streetAddressLine
ADXP 0 … * C Subject's or Organization's Street Address Line (XeHdotsort)
  Schematron assert role red error  
  test hl7:streetAddressLine and (hl7:city or hl7:postalCode)  
  Message If the address line is included either the city or the zip code has to be provided  
hl7:city
ADXP 0 … 1 C Subject's or Organization's City (XeHdotsort)
hl7:postalCode
ADXP 0 … 1 C Subject's or Organization's Postal Code (XeHdotsort)
hl7:state
ADXP 0 … 1 C Subject's or Organization's State or Province (XeHdotsort)
hl7:country
ADXP 0 … 1 C Subject's Country. (XeHdotsort)
  Constraint The content of this element SHALL be selected EITHER from ValueSet ISO Country Alpha-2 urn:oid:2.16.840.1.113883.1.11.20300  DYNAMIC OR MAY be selected from ISO Country Alpha-3 2.16.840.1.113883.1.11.171 DYNAMIC, IF the country is not specified in ValueSet ISO Country Alpha-2 urn:oid:2.16.840.1.113883.1.11.20300.
hl7:telecom
TEL 1 … * R Guardian’s telecom information: e.g. telephone number; e-mail address.  (XeHdotsort)
@use
set_cs 0 … 1  
  CONF
The value of @use shall be drawn from value set 2.16.840.1.113883.1.11.201 TelecommunicationAddressUse (DYNAMIC)
@nullFlavor
cs 0 … 1 F NI
  Constraint If there is no information, the nullFlavor attribute shall have a value of 'NI' and the "value" and "use" attributes shall be omitted, otherwise the nullFlavor attribute shall not be present, and the "value" and "use" attributes shall be present.
hl7:guardianPerson
1 … 1 R (XeHdotsort)
hl7:name
PN 1 … * R Patient Guardian's Name (XeHdotsort)
hl7:family
ENXP 1 … * R Patient Guardian's Family Name/Surname (XeHdotsort)
hl7:given
ENXP 1 … * R Patient Guardian's Given Name (XeHdotsort)
hl7:languageCommunication
0 … * R (XeHdotsort)
hl7:languageCode
CS 1 … 1 R Patient’s language (XeHdotsort)
  Constraint The two characters form SHALL be used when available; otherwise the three characters representation SHALL be adopted
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.19 Language Code (DYNAMIC)
  Example
British English
<languageCode code="en-GB"/>
  Example
Amurdak (Australia)
<languageCode code="amg-AU"/>
  Schematron assert role red error  
  test matches(@code,'[a-z]{2,3}-[A-Z]{2,3}')  
  Message The language code SHALL be in the form nn-CC or nnn-CCC, in accordance with BCP 47 (e.g. nn is the ISO language code; CC is ISO country code)  
Included 1 … * M from 2.16.840.1.113883.2.51.10.5 XeH CDA author (DYNAMIC)
Represents the humans and/or machines that authored the document.

The role of the author can also be recorded in the Author.functionCode or AssignedAuthor.code attribute.
If either of these attributes is included, they should be equivalent to or further specialize the role inherent in the ClinicalDocument.code (such as where the ClinicalDocument.code is simply "Physician Progress Note" and the value of Author.functionCode is "rounding physician"), and shall not conflict with the role inherent in the ClinicalDocument.code, as such a conflict would constitute an ambiguous situation.
hl7:author
1 … * M (XeHdotsort)
@typeCode
cs 0 … 1 F AUT
@contextControlCode
cs 0 … 1 F OP
  Example <author>
  <time value="201212290600+0100"/>  <assignedAuthor>
    <id root="2.16.840.1.113883.2.9.4.3.2" extension="RSSMRA00A01F205F" assigningAuthorityName="Ministero Economia e Finanze"/>    <addr use="WP">
      <streetAddressLine>Viale della Cristallina 3</streetAddressLine>      <city>Bologna</city>      <state>BO</state>      <postalCode>40121</postalCode>      <country>IT</country>    </addr>
    <telecom use="WP" value="tel:+39-051-34343434"/>    <assignedPerson>
      <name>
        <given>Paolo</given>        <family>Rossi</family>      </name>
    </assignedPerson>
  </assignedAuthor>
  <representedOrganization>
    <!-- template 'IPS CDA Organization' (dynamic) -->
  </representedOrganization>
</author>
hl7:functionCode
CE.IPS 0 … 1 R Function of the author (e.g. "Physician on duty", ...). Binding of this element is left open and needs to be set according to project policies. (XeHdotsort)
hl7:time
TS.IPS.TZ 1 … 1 R The author/time element represents the start time of the author’s participation in the creation of the clinical document.  (XeHdotsort)
  Example <time value="201212290600+0100"/>
hl7:assignedAuthor
1 … 1 R (XeHdotsort)
@classCode
cs 0 … 1 F ASSIGNED
hl7:id
II 1 … * R Author Identifier(s) (XeHdotsort)
@nullFlavor
cs 0 … 1  
hl7:code
CE.IPS (extensible) 0 … 1 R A code, which identifies the profession/competence/specialty of the author when it is a person. (XeHdotsort)
  CONF
The value of @code should be drawn from value set 2.16.840.1.113883.11.22.53 IPS Healthcare Professional Roles (DYNAMIC)
  Example <code code="221" codeSystem="2.16.840.1.113883.2.9.6.2.7" codeSystemName="ISCO" displayName="Medical doctors"/>
hl7:addr
AD.IPS 1 … * R (XeHdotsort)
  Example <addr use="WP">
  <streetAddressLine>Viale della Cristallina 3</streetAddressLine>  <city>Bologna</city>  <state>BO</state>  <postalCode>40121</postalCode>  <country>IT</country></addr>
hl7:telecom
TEL.IPS 1 … * R (XeHdotsort)
@use
set_cs 0 … 1  
  CONF
The value of @use shall be drawn from value set 2.16.840.1.113883.1.11.201 TelecommunicationAddressUse (DYNAMIC)
@value
st 0 … 1  
  Example <telecom use="WP" value="tel:+39-051-34343434"/>
  Example <telecom nullFlavor="NI"/>
Choice 1 … 1 Elements to choose from:
hl7:assignedPerson
0 … 1 C (XeHdotsort)
@classCode
cs 0 … 1 F PSN
@determinerCode
cs 0 … 1 F INSTANCE
hl7:name
PN 1 … * R Name of the person (e.g. the Healthcare Professional)  authoring this document (XeHdotsort)
  Example <name>
  <given>John</given>  <family>Español Smith</family></name>
hl7:family
1 … * R (XeHdotsort)
hl7:given
1 … * R (XeHdotsort)
hl7:assignedAuthoringDevice
0 … 1 C Contains 2.16.840.1.113883.10.22.9.2 IPS CDA Device (DYNAMIC) (XeHdotsort)
  Example <assignedAuthoringDevice classCode="DEV" determinerCode="INSTANCE">
  <softwareName displayName="Turriano"/></assignedAuthoringDevice>
hl7:representedOrganization
0 … 1 R Contains 2.16.840.1.113883.10.22.9.1 IPS CDA Organization (DYNAMIC) (XeHdotsort)
Included 0 … 1 from 2.16.840.1.113883.2.51.10.7 XeH CDA dataEnterer (DYNAMIC)
Represents the participant who has transformed a dictated note into text.

hl7:dataEnterer
0 … 1 R (XeHdotsort)
hl7:time
TS.IPS.TZ 1 … 1 R Time of entering the data into the originating system (XeHdotsort)
hl7:assignedEntity
0 … 1 R Represents the participant who has transformed a dictated note into text. A person entering the data into the originating system. (XeHdotsort)
hl7:id
0 … * R Unique identification of the data enterer (XeHdotsort)
hl7:addr
AD.IPS 1 … * R (XeHdotsort)
hl7:telecom
TEL.IPS 1 … * R (XeHdotsort)
hl7:assignedPerson
1 … 1 R (XeHdotsort)
@classCode
cs 0 … 1 F PSN
@determinerCode
cs 0 … 1 F INSTANCE
hl7:name
PN 1 … * M Name of the data enterer (XeHdotsort)
  Example <name>
  <given>John</given>  <family>Español Smith</family></name>
hl7:family
1 … * R Family Name/Surname (XeHdotsort)
hl7:given
1 … * R Given Name (XeHdotsort)
hl7:representedOrganization
0 … 1 R Organization the data enterer is acting for
Contains 2.16.840.1.113883.10.22.9.1 IPS CDA Organization (DYNAMIC)
(XeHdotsort)
Included 1 … 1 M from 2.16.840.1.113883.2.51.10.6 XeH CDA custodian (DYNAMIC)

Represents the organization that is in charge of maintaining the document.
The custodian is the steward that is entrusted with the care of the document.
hl7:custodian
1 … 1 M (XeHdotsort)
@typeCode
cs 0 … 1 F CST
  Example <custodian typeCode="CST">
  <assignedCustodian classCode="ASSIGNED">
    <representedCustodianOrganization classCode="ORG" determinerCode="INSTANCE">
      <!-- template 'IPS CDA Organization' (dynamic) -->
    </representedCustodianOrganization>
  </assignedCustodian>
</custodian>
hl7:assignedCustodian
1 … 1 R (XeHdotsort)
@classCode
cs 0 … 1 F ASSIGNED
hl7:representedCustodianOrganization
1 … 1 R Contains 2.16.840.1.113883.10.22.9.1 IPS CDA Organization (DYNAMIC) (XeHdotsort)
@classCode
cs 0 … 1 F ORG
@determinerCode
cs 0 … 1 F INSTANCE
Included 0 … * from 2.16.840.1.113883.2.51.10.14 XeH Information Recipient (DYNAMIC)

Represents a recipient who should receive a copy of the document.

hl7:informationRecipient
0 … * (XeHdotsort)
hl7:templateId
II 1 … 1 M (XeHdotsort)
@root
uid 1 … 1 F 2.16.840.1.113883.2.51.10.14
hl7:templateId
II 1 … 1 M (XeHdotsort)
@root
uid 1 … 1 F 2.16.840.1.113883.3.1937.99.61.67.10.15
hl7:templateId
II 0 … * R (XeHdotsort)
hl7:intendedRecipient
1 … 1 R (XeHdotsort)
hl7:id
II 0 … * R (XeHdotsort)
hl7:addr
AD 1 … * R (XeHdotsort)
hl7:telecom
TEL 1 … * R (XeHdotsort)
hl7:informationRecipient
0 … 1 Contains 2.16.840.1.113883.2.51.10.73 XeH CDA Person (DYNAMIC) (XeHdotsort)
hl7:receivedOrganization
0 … 1 Contains 2.16.840.1.113883.10.22.9.1 IPS CDA Organization (DYNAMIC) (XeHdotsort)
Included 0 … 1 R from 2.16.840.1.113883.2.51.10.8 XeH CDA legalAuthenticator (DYNAMIC)

Represents a participant who has legally authenticated the document.

In the case where a local document is transformed into a CDA document for exchange, authentication occurs on the local document, and that fact is reflected in the exchanged CDA document. A CDA document can reflect the unauthenticated, authenticated, or legally authenticated state.
The unauthenticated state exists when no authentication information has been recorded (i.e., it is the absence of being either authenticated or legally authenticated).
hl7:legalAuthenticator
0 … 1 R (XeHdotsort)
  Example <legalAuthenticator>
  <time value="20111013150937-0800"/>  <signatureCode code="S"/>  <assignedEntity>
    <id extension="admin" root="2.16.17.710.780.1000.903.1.1.3.3"/>    <assignedPerson>
      <name>
        <given>John</given>        <family>Español Smith</family>      </name>
    </assignedPerson>
    <representedOrganization>
      <name>Healthcare Facility's name</name>      <addr>
        <country>NL</country>        <streetName>Duinweg</streetName>        <houseNumber>23</houseNumber>        <postalCode>7364 RX</postalCode>        <city>Amsterdam</city>      </addr>
    </representedOrganization>
  </assignedEntity>
</legalAuthenticator>
hl7:time
TS.IPS.TZ 1 … 1 M Time of signing the document (XeHdotsort)
hl7:signatureCode
CS 1 … 1 R Signature code (XeHdotsort)
@code
CONF 0 … 1 F S
hl7:assignedEntity
0 … 1 R The entity that is responsible for the legal authentication of the CDA document (XeHdotsort)
hl7:id
1 … * R Unique identification of legal authenticator (XeHdotsort)
hl7:addr
AD.IPS 1 … * R (XeHdotsort)
hl7:telecom
TEL.IPS 1 … * R (XeHdotsort)
hl7:assignedPerson
1 … 1 R Contains 2.16.840.1.113883.2.51.10.73 XeH CDA Person (DYNAMIC) (XeHdotsort)
hl7:representedOrganization
1 … 1 M Organization the legal authenticator is acting for
Contains 2.16.840.1.113883.10.22.9.1 IPS CDA Organization (DYNAMIC)
(XeHdotsort)
Included 0 … * from 2.16.840.1.113883.2.51.10.48 XeH Ordering Provider (DYNAMIC)
Referring Physiscian
hl7:participant
0 … * Referral Ordering Physician (XeHdotsort)
@typeCode
cs 1 … 1 F REF
hl7:templateId
II 1 … 1 (XeHdotsort)
@root
uid 1 … 1 F 1.3.6.1.4.1.19376.1.3.3.1.6
hl7:templateId
II 1 … 1 (XeHdotsort)
@root
uid 1 … 1 F 2.16.840.1.113883.2.51.10.48
hl7:time
IVL_TS 1 … 1 R This element represents the date and time the order was placed. Time MAY be present. (XeHdotsort)
hl7:associatedEntity
1 … 1 (XeHdotsort)
hl7:addr
AD 1 … * R The address of this person (referral ordering physician) SHALL be present. (XeHdotsort)
hl7:telecom
TEL 1 … * R The telecom of this person (referral ordering physician) SHALL be present. (XeHdotsort)
hl7:associatedPerson
0 … 1 R Contains 2.16.840.1.113883.2.51.10.73 XeH CDA Person (DYNAMIC) (XeHdotsort)
hl7:scopingOrganization
0 … 1 Contains 2.16.840.1.113883.10.22.9.1 IPS CDA Organization (DYNAMIC) (XeHdotsort)
Included 0 … * from 2.16.840.1.113883.10.22.2.5 IPS Patient Contacts (DYNAMIC)
Patient contacts, such as Next-of-Kin, Emergency contact, etc.

hl7:participant
0 … * R Patient contacts or the Preferred Health Professional to contact in case of emergency. (XeHdotsort)
where [hl7:templateId/@root='2.16.840.1.113883.10.22.2.5']
@typeCode
cs 1 … 1 F IND
  Example <participant typeCode="IND">
  <templateId root="2.16.840.1.113883.10.22.2.5"/>  <associatedEntity classCode="NOK">
    <addr>
      <streetAddressLine>Promenade des Anglais 111</streetAddressLine>      <city>Lyon</city>      <postalCode>69001</postalCode>      <country>FR</country>    </addr>
    <telecom value="tel:(+33)555-20036" use="WP"/>    <associatedPerson>
      <name>
        <given>Martha</given>        <family>Mum</family>      </name>
    </associatedPerson>
  </associatedEntity>
</participant>
hl7:templateId
II 1 … 1 M (XeHdotsort)
@root
uid 1 … 1 F 2.16.840.1.113883.10.22.2.5
hl7:functionCode
0 … 1 C The   element may be used to indicate that this participant is the preferred Health Professional to contact in case of emergency. (XeHdotsort)
@code
CONF 0 … 1 F PCP
@codeSystem
0 … 1 F 2.16.840.1.113883.5.88 (Participation Function)
hl7:associatedEntity
R The element identifies the type of contact.  (XeHdotsort)
@classCode
cs 1 … 1 R
  CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes (DYNAMIC)
  Example <associatedEntity classCode="ECON">
  <addr>
    <streetAddressLine>Karl Strasse</streetAddressLine>    <city>Freiberg</city>    <postalCode>09599</postalCode>    <country>DE</country>  </addr>
  <telecom value="tel:+49-761-11110000" use="WP"/>  <associatedPerson>
    <name>
      <given>Arzt</given>      <family>Guter</family>    </name>
  </associatedPerson>
</associatedEntity>
hl7:code
CV.IPS 0 … 1 R This element indicates the relationship between the patient and this participant. (XeHdotsort)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.54 IPS Personal Relationship (DYNAMIC)
or
The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.53 IPS Healthcare Professional Roles (DYNAMIC)
  Example <code code="AUNT" displayName="θεία" codeSystem="2.16.840.1.113883.5.111"/>
hl7:addr
AD.IPS 1 … * R Patient Contact's / Preferred HP's Address (XeHdotsort)
  Schematron assert role red error  
  test @nullFlavor or hl7:*  
  Message If addr is not nullflavored at least one sub element has to be provided  
Included from 2.16.840.1.113883.10.22.11 IPS Address (DYNAMIC)
@use
set_cs 0 … 1  
  CONF
The value of @use shall be drawn from value set 2.16.840.1.113883.1.11.10637 PostalAddressUse (2005‑05‑01)
@nullFlavor
cs 0 … 1 F NI
  Constraint SHALL NOT have mixed content except for white space
If there is no information, the nullFlavor attribute shall have a value of 'NI' and no address parts shall be present, otherwise there shall be no nullFlavor attribute, and at least one of the address parts listed below shall be present.
  Schematron assert role red error  
  test @nullFlavor or hl7:*  
  Message If addr is not nullflavored at least one sub element has to be provided  
hl7:streetAddressLine
ADXP 0 … * C Subject's or Organization's Street Address Line (XeHdotsort)
  Schematron assert role red error  
  test hl7:streetAddressLine and (hl7:city or hl7:postalCode)  
  Message If the address line is included either the city or the zip code has to be provided  
hl7:city
ADXP 0 … 1 C Subject's or Organization's City (XeHdotsort)
hl7:postalCode
ADXP 0 … 1 C Subject's or Organization's Postal Code (XeHdotsort)
hl7:state
ADXP 0 … 1 C Subject's or Organization's State or Province (XeHdotsort)
hl7:country
ADXP 0 … 1 C Subject's Country. (XeHdotsort)
  Constraint The content of this element SHALL be selected EITHER from ValueSet ISO Country Alpha-2 urn:oid:2.16.840.1.113883.1.11.20300  DYNAMIC OR MAY be selected from ISO Country Alpha-3 2.16.840.1.113883.1.11.171 DYNAMIC, IF the country is not specified in ValueSet ISO Country Alpha-2 urn:oid:2.16.840.1.113883.1.11.20300.
hl7:telecom
TEL 1 … * R Patient Contact's / Preferred HP's/Legal Organization telephone or e-mail element is required. (XeHdotsort)
@use
set_cs 0 … 1  
  CONF
The value of @use shall be drawn from value set 2.16.840.1.113883.1.11.201 TelecommunicationAddressUse (DYNAMIC)
@nullFlavor
cs 0 … 1 F NI
  Constraint If there is no information, the nullFlavor attribute shall have a value of 'NI' and the "value" and "use" attributes shall be omitted, otherwise the nullFlavor attribute shall not be present, and the "value" and "use" attributes shall be present
  Example <telecom use="WP" value="tel:+45 20 7025 6161"/><telecom use="HP" value="mailto:jsmith@myprovider.co.uk"/>
Choice 1 … 2 Elements to choose from:
  • hl7:associatedPerson
  • hl7:scopingOrganization
hl7:associatedPerson
0 … 1 C Or the associatedPerson, or the scopingOrganization, or both elements shall be provided (XeHdotsort)
hl7:name
PN 1 … * R Patient Contact's Name / Preferred HP's Name (XeHdotsort)
  Example <name>
  <given>John</given>  <family>Español Smith</family></name>
hl7:family
1 … * R Patient Contact's Family Name/Surname / Preferred HP's Family Name/Surname (XeHdotsort)
hl7:given
1 … * R Patient Contact's Given Name / Preferred HP's Given Name (XeHdotsort)
hl7:scopingOrganization
0 … 1 C Or the associatedPerson, or the scopingOrganization, or both elements shall be provided (XeHdotsort)
hl7:name
ON 1 … * R Organization's Name (XeHdotsort)
Included 0 … * from 2.16.840.1.113883.10.12.108 CDA participant (DYNAMIC)

Other participants, such as Primary care physician, insurance, etc.

hl7:participant
0 … * (XeHdotsort)
@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 (XeHdotsort)
  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 (XeHdotsort)
hl7:associatedEntity
1 … 1 (XeHdotsort)
@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 … * (XeHdotsort)
hl7:code
CE 0 … 1 (XeHdotsort)
  CONF
shall be drawn from concept domain "RoleCode"
hl7:addr
AD 0 … * (XeHdotsort)
hl7:telecom
TEL 0 … * (XeHdotsort)
hl7:associatedPerson
0 … 1 Contains 2.16.840.1.113883.10.12.152 CDA Person (DYNAMIC) (XeHdotsort)
hl7:scopingOrganization
0 … 1 Contains 2.16.840.1.113883.10.12.151 CDA Organization (DYNAMIC) (XeHdotsort)
Included 0 … * from 2.16.840.1.113883.2.51.10.11 XeH inFulfillmentOf (DYNAMIC)
Reference to the order that is fulfilled by this document. 
hl7:inFulfillmentOf
0 … * (XeHdotsort)
@typeCode
cs 0 … 1 F FLFS
hl7:order
1 … 1 R (XeHdotsort)
@classCode
cs 0 … 1 F ACT
@moodCode
cs 1 … 1 F RQO
hl7:id
II 1 … * R Identifier of the order
(XeHdotsort)
hl7:code
CE 0 … 1 Type of order (XeHdotsort)
hl7:priorityCode
CE 0 … 1 (XeHdotsort)
  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)
Reference to the ServiceEvent(s) based on which this document has been created.
hl7:documentationOf
0 … * (XeHdotsort)
@typeCode
1 … 1 F DOC
hl7:serviceEvent
1 … 1 (XeHdotsort)
@classCode
1 … 1 F ACT
@moodCode
1 … 1 F EVN
hl7:id
II 0 … * (XeHdotsort)
hl7:code
CE 0 … 1 (XeHdotsort)
  CONF
shall be drawn from concept domain "ActCode"
hl7:effectiveTime
IVL_TS 0 … 1 (XeHdotsort)
hl7:performer
0 … * (XeHdotsort)
@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 (XeHdotsort)
  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 (XeHdotsort)
hl7:assignedEntity
1 … 1 Contains 2.16.840.1.113883.10.12.153 CDA AssignedEntity (DYNAMIC) (XeHdotsort)
Included 0 … 2 R from 2.16.840.1.113883.10.22.2.7 IPS CDA relatedDocument (DYNAMIC)
A reference to a ParentDocument representing the source of a document revision, addenda, or transformation.
  Constraint A conformant CDA document can have:
  • a single relatedDocument with typeCode "APND"; OR
  • a single relatedDocument with typeCode "RPLC"; OR
  • a single relatedDocument with typeCode "XFRM";  OR
  • a combination of two relatedDocuments with typeCodes "XFRM" and "RPLC"; OR
  • a combination of two relatedDocuments with typeCodes "XFRM" and "APND". 
No other combinations are allowed. 
hl7:relatedDocument
0 … 2 R (XeHdotsort)
@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 R (XeHdotsort)
@classCode
cs 0 … 1 F DOCCLIN
@moodCode
cs 0 … 1 F EVN
hl7:id
II 1 … * R (XeHdotsort)
hl7:code
CD.IPS 0 … 1 R (XeHdotsort)
@codeSystem
CONF 0 … 1 F 2.16.840.1.113883.6.1 (LOINC)
hl7:text
ED 0 … 1 R (XeHdotsort)
hl7:setId
II 0 … 1 R (XeHdotsort)
hl7:versionNumber
INT 0 … 1 R (XeHdotsort)
Included 1 … 1 R from 2.16.840.1.113883.2.51.10.49 XeH HDR ComponentOf (DYNAMIC)
A reference to the clinical encounter during which the documented act(s) or ServiceEvent occurred.

Documents are not necessarily generated during an encounter, such as when a clinician, in response to an abnormal lab result, attempts to contact the patient but can't, and writes a Progress Note.

hl7:componentOf
1 … 1 R (XeHdotsort)
@typeCode
cs 0 … 1 F COMP
hl7:encompassingEncounter
1 … 1 R (XeHdotsort)
@classCode
cs 0 … 1 F ENC
@moodCode
cs 0 … 1 F EVN
hl7:id
II 1 … * R Identifier of the encounter (e.g. identifier of the hospital stay) (XeHdotsort)
hl7:code
CE (extensible) 0 … 1 Code describing the kind of clinical encounter during which the documented act(s) or ServiceEvent occurred.
(XeHdotsort)
  CONF
The value of @code should be drawn from value set 2.16.840.1.113883.1.11.13955 ActEncounterCode (DYNAMIC)
hl7:effectiveTime
IVL_TS 1 … 1 R (XeHdotsort)
hl7:low
IVXB_TS 1 … 1 R Start date time of the encounter (e.g. date of admission) (XeHdotsort)
hl7:high
IVXB_TS 1 … 1 R End date time of the encounter (e.g. date of discharge)
(XeHdotsort)
hl7:dischargeDispositionCode
CE (extensible) 0 … 1 R Depict the disposition of the patient at the time of hospital discharge (e.g., discharged to home, expired, against medical advice, etc.).
(XeHdotsort)
  CONF
The value of @code should be drawn from value set 2.16.840.1.113883.4.642.3.259 Discharge disposition (DYNAMIC)
hl7:responsibleParty
0 … 1
The provider (person or organization) who has primary responsibility for the encounter. The responsible provider is not necessarily present in an encounter, but is accountable for the action through the power to delegate, and the duty to review actions with the performing participant.

When the responsible party is an organization, the responsible party is reflected by the presence of a scoping Organization, without a playing entity.

Contains 2.16.840.1.113883.10.12.153 CDA AssignedEntity (DYNAMIC)
(XeHdotsort)
@typeCode
cs 0 … 1 F RESP
hl7:encounterParticipant
0 … 1 R Admitter
(XeHdotsort)
@typeCode
cs 1 … 1 F ADM
hl7:time
IVL_TS 0 … 1 The time when the participation occurred
(XeHdotsort)
hl7:assignedEntity
1 … 1 R The clinician assigned to the role (e.g. Admitter) by the scoping organization (e.g the hospital)

Contains 2.16.840.1.113883.10.12.153 CDA AssignedEntity (DYNAMIC)
(XeHdotsort)
hl7:encounterParticipant
0 … 1 R Discharger
(XeHdotsort)
@typeCode
cs 1 … 1 F DIS
hl7:time
IVL_TS 0 … 1 The time when the participation occurred
(XeHdotsort)
hl7:assignedEntity
1 … 1 R The clinician assigned to the role (e.g. Admitter) by the scoping organization (e.g the hospital)

Contains 2.16.840.1.113883.10.12.153 CDA AssignedEntity (DYNAMIC)
(XeHdotsort)
hl7:encounterParticipant
0 … 1 R Attender
(XeHdotsort)
@typeCode
cs 1 … 1 F ATND
hl7:time
IVL_TS 0 … 1 The time when the participation occurred
(XeHdotsort)
hl7:assignedEntity
1 … 1 R The clinician assigned to the role (e.g. Admitter) by the scoping organization (e.g the hospital)

Contains 2.16.840.1.113883.10.12.153 CDA AssignedEntity (DYNAMIC)
(XeHdotsort)
hl7:encounterParticipant
0 … * R Other clinicians directly associated with the encounter.
(XeHdotsort)
@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 The time when the participation occurred
(XeHdotsort)
hl7:assignedEntity
1 … 1 R The clinician assigned to the role (e.g. Admitter) by the scoping organization (e.g the hospital)

Contains 2.16.840.1.113883.10.12.153 CDA AssignedEntity (DYNAMIC)
(XeHdotsort)
hl7:location
0 … 1
The location where the service is done. May be a static building (or room therein) or a moving location (e.g., ambulance, helicopter, aircraft, train, truck, ship, etc.)

The setting of an encounter (e.g. cardiology clinic, primary care clinic, rehabilitation hospital, skilled nursing facility) can be expressed in HealthCareFacility.code. Note that setting and physical location are not the same. 
(XeHdotsort)
@typeCode
cs 0 … 1 F LOC
hl7:healthCareFacility
1 … 1 R (XeHdotsort)
@classCode
cs 0 … 1 F SDLOC
hl7:id
II 0 … * (XeHdotsort)
hl7:code
CE 0 … 1 (XeHdotsort)
  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) (XeHdotsort)
hl7:serviceProviderOrganization
0 … 1 Contains 2.16.840.1.113883.10.12.151 CDA Organization (DYNAMIC) (XeHdotsort)
hl7:component
1 … 1 M (XeHdotsort)
hl7:structuredBody
1 … 1 M Note: the proposed order of the sections hereafter indicated is not mandatory (XeHdotsort)
@classCode
cs 0 … 1 F DOCBODY
hl7:component
0 … 1 R ========== HISTORICAL AND ADMISSION RELATED SECTIONS BEGIN ========
Contains 2.16.840.1.113883.2.51.10.15 XeH Patient History Section (DYNAMIC)
(XeHdotsort)
hl7:component
0 … 1 R Contains 2.16.840.1.113883.2.51.10.29 XeH Admission Diagnosis Section (DYNAMIC) (XeHdotsort)
hl7:component
0 … 1 Contains 2.16.840.1.113883.2.51.10.30 XeH Chief Complaint and Reason for Visit Section (DYNAMIC) (XeHdotsort)
hl7:component
0 … 1 Contains 2.16.840.1.113883.2.51.10.23 XeH Problems Section (DYNAMIC) (XeHdotsort)
hl7:component
0 … 1 Contains 2.16.840.1.113883.2.51.10.31 XeH Admission Medications Section (DYNAMIC) (XeHdotsort)
hl7:component
0 … 1 Contains 2.16.840.1.113883.10.22.3.2 IPS Allergies and Intolerances Section (DYNAMIC) (XeHdotsort)
hl7:component
0 … 1 Contains 2.16.840.1.113883.10.22.3.4 IPS History of Procedures Section (DYNAMIC) (XeHdotsort)
hl7:component
0 … 1 Contains 2.16.840.1.113883.2.51.10.65 XeH Immunizations Section (DYNAMIC) (XeHdotsort)
hl7:component
0 … 1 Contains 2.16.840.1.113883.10.22.3.6 IPS Medical Devices Section (DYNAMIC) (XeHdotsort)
hl7:component
0 … 1 Contains 2.16.840.1.113883.2.51.10.57 XeH History of Past Illness Section (DYNAMIC) (XeHdotsort)
hl7:component
0 … 1 Contains 2.16.840.1.113883.2.51.10.16 XeH Family History Section (DYNAMIC) (XeHdotsort)
hl7:component
0 … 1 Contains 2.16.840.1.113883.10.22.3.8 IPS Functional Status Section (DYNAMIC) (XeHdotsort)
hl7:component
0 … 1 Contains 2.16.840.1.113883.10.22.3.11 IPS History of Pregnancy Section (DYNAMIC) (XeHdotsort)
hl7:component
0 … 1 Contains 2.16.840.1.113883.10.22.3.10 IPS Social History Section (DYNAMIC) (XeHdotsort)
hl7:component
0 … 1 Contains 2.16.840.1.113883.2.51.10.67 XeH Foreign Travel Section (DYNAMIC) (XeHdotsort)
hl7:component
0 … 1 Contains 2.16.840.1.113883.10.22.3.12 IPS Advance Directives Section (DYNAMIC) (XeHdotsort)
hl7:component
0 … 1 ========== HISTORICAL AND ADMISSION RELATED SECTIONS END ========

========== HOSPITALIZATION RELATED SECTIONS BEGIN ========
Contains 2.16.840.1.113883.2.51.10.83 XeH Hospital Course Section (DYNAMIC)
(XeHdotsort)
hl7:component
0 … 1 Contains 2.16.840.1.113883.2.51.10.41 XeH Medication Summary Section (DYNAMIC) (XeHdotsort)
hl7:component
0 … 1 Contains 2.16.840.1.113883.2.51.10.82 XeH Vital Signs Section (DYNAMIC) (XeHdotsort)
hl7:component
0 … 1 Contains 2.16.840.1.113883.10.22.3.14 IPS Results Section (DYNAMIC) (XeHdotsort)
hl7:component
0 … 1 ========== DISCHARGE RELATED SECTIONS BEGIN ========

Contains 2.16.840.1.113883.2.51.10.28 XeH Discharge Diagnosis Section (DYNAMIC)
(XeHdotsort)
hl7:component
0 … 1 Contains 2.16.840.1.113883.2.51.10.50 XeH Hospital Discharge Physical Section (DYNAMIC) (XeHdotsort)
hl7:component
0 … 1 Contains 2.16.840.1.113883.2.51.10.26 XeH Discharge Medications Section (DYNAMIC) (XeHdotsort)
hl7:component
0 … 1 Contains 2.16.840.1.113883.10.22.3.9 IPS Plan of Care Section (DYNAMIC) (XeHdotsort)
hl7:component
0 … 1 ========== DISCHARGE RELATED SECTIONS END ========

Contains 2.16.840.1.113883.10.20.22.2.16 Hospital Discharge Studies Summary Section (DYNAMIC)
(XeHdotsort)