ClinicalDocument
Class ClinicalDocumentSection

"Document sections can nest, can override context propagated from the header..., and can contain narrative and CDA entries." HL7 CDA, ClinicalDocument Section
"The root of the sections that make up the composition." HL7 FHIR, Composition.section

Attributes
PractitionerParticipation author author

"The author participant, can be ascribed to a CDA section, where it overrides the value(s) propagated from the CDA header." HL7 CDA, Section.author
"Identifies who is responsible for the information in this section, not necessarily who typed it in." HL7 FHIR, Composition.section.author

«CS» Code confidentiality confidentiality

"A value for Section.confidentialityCode overrides the value propagated from StructuredBody. See CDA Context (§ 4.4 ) for more details." HL7 CDA, Section.confidentialityCode

«CS» Code emptyReason emptyReason

"If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason." - HL7 FHIR, Composition.section.emptyReason

ClinicalStatement entry entry

"The relationship between a section and its entries is encoded in the intervening entry Act Relationship...." - HL7 CDA, section.entry
"A reference to the actual resource from which the narrative in the section is derived." - HL7 FHIR, Composition.section.entry
Note that in FHIR, this is a reference to any resource, in FHIM, this is a pointer to a clinical statement

«II» Id identifier identifier

"The unique instance identifier of a particular document section." HL7 CDA, Section.id

PractitionerParticipation informant informant

"The informant participant, can be ascribed to a CDA section where it overrides the value(s) propagated from the CDA header." - HL7 CDA, section.informant

«CS» Code kind kind

"The code specifying the particular kind of section (e.g. Chief Complaint, Review of Systems, Assessment). The value set is drawn from LOINC, and has a CWE coding strength." HL7 CDA, Section.code
"A code identifying the kind of content contained within the section. This must be consistent with the section title." HL7 FHIR, Composition.section.code

«CS» Code language language

"Specifies the human language of character data (whether they be in contents or attribute values). The values of the attribute are language identifiers as defined by the IETF RFC 3066." HL7 CDA, Section.languageCode

«CS» Code mode mode

"How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted." HL7 FHIR, Composition.section.mode

«CS» Code orderedBy orderedBy

"Specifies the order applied to the items in the section entries." HL7 FHIR, Composition.section.orderedBy

Subject subject 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." - HL7 CDA, section.subject

String text text

"Used to store narrative to be rendered. Also referred to as the CDA Narrative Block." HL7 CDA, Section.text
"A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative." HL7 FHIR, Composition.section.text

String title title

"Represents the label of a section. If valued, it is to be rendered as part of the narrative content of the clinical document body." HL7 CDA, Section.title
"The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents." HL7 FHIR, Composition.section.title


Properties:

Alias
Classifier Behavior
Is Abstractfalse
Is Activefalse
Is Leaffalse
Keywords
NameClinicalDocumentSection
Name Expression
NamespaceClinicalDocument
Owned Template Signature
OwnerClinicalDocument
Owning Template Parameter
PackageClinicalDocument
Qualified NameFHIM::ClinicalDocument::ClinicalDocumentSection
Representation
Stereotype
Template Parameter
VisibilityPublic

Attribute Details

 author
Public PractitionerParticipation author

"The author participant, can be ascribed to a CDA section, where it overrides the value(s) propagated from the CDA header." HL7 CDA, Section.author
"Identifies who is responsible for the information in this section, not necessarily who typed it in." HL7 FHIR, Composition.section.author

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassClinicalDocumentSection
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity*
Nameauthor
Name Expression
NamespaceClinicalDocumentSection
Opposite
OwnerClinicalDocumentSection
Owning Association
Owning Template Parameter
Qualified NameFHIM::ClinicalDocument::ClinicalDocumentSection::author
Stereotype
Template Parameter
TypePractitionerParticipation
Upper*
Upper Value(*)
VisibilityPublic


 confidentiality
Public «CS» Code confidentiality

"A value for Section.confidentialityCode overrides the value propagated from StructuredBody. See CDA Context (§ 4.4 ) for more details." HL7 CDA, Section.confidentialityCode

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassClinicalDocumentSection
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
Nameconfidentiality
Name Expression
NamespaceClinicalDocumentSection
Opposite
OwnerClinicalDocumentSection
Owning Association
Owning Template Parameter
Qualified NameFHIM::ClinicalDocument::ClinicalDocumentSection::confidentiality
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 emptyReason
Public «CS» Code emptyReason

"If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason." - HL7 FHIR, Composition.section.emptyReason

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassClinicalDocumentSection
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NameemptyReason
Name Expression
NamespaceClinicalDocumentSection
Opposite
OwnerClinicalDocumentSection
Owning Association
Owning Template Parameter
Qualified NameFHIM::ClinicalDocument::ClinicalDocumentSection::emptyReason
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 entry
Public ClinicalStatement entry

"The relationship between a section and its entries is encoded in the intervening entry Act Relationship...." - HL7 CDA, section.entry
"A reference to the actual resource from which the narrative in the section is derived." - HL7 FHIR, Composition.section.entry
Note that in FHIR, this is a reference to any resource, in FHIM, this is a pointer to a clinical statement

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassClinicalDocumentSection
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity*
Nameentry
Name Expression
NamespaceClinicalDocumentSection
Opposite
OwnerClinicalDocumentSection
Owning Association
Owning Template Parameter
Qualified NameFHIM::ClinicalDocument::ClinicalDocumentSection::entry
Stereotype
Template Parameter
TypeClinicalStatement
Upper*
Upper Value(*)
VisibilityPublic


 identifier
Public «II» Id identifier

"The unique instance identifier of a particular document section." HL7 CDA, Section.id

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassClinicalDocumentSection
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
Nameidentifier
Name Expression
NamespaceClinicalDocumentSection
Opposite
OwnerClinicalDocumentSection
Owning Association
Owning Template Parameter
Qualified NameFHIM::ClinicalDocument::ClinicalDocumentSection::identifier
Stereotype
Template Parameter
Type«II» Id
Upper1
Upper Value(1)
VisibilityPublic


 informant
Public PractitionerParticipation informant

"The informant participant, can be ascribed to a CDA section where it overrides the value(s) propagated from the CDA header." - HL7 CDA, section.informant

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassClinicalDocumentSection
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity*
Nameinformant
Name Expression
NamespaceClinicalDocumentSection
Opposite
OwnerClinicalDocumentSection
Owning Association
Owning Template Parameter
Qualified NameFHIM::ClinicalDocument::ClinicalDocumentSection::informant
Stereotype
Template Parameter
TypePractitionerParticipation
Upper*
Upper Value(*)
VisibilityPublic


 kind
Public «CS» Code kind

"The code specifying the particular kind of section (e.g. Chief Complaint, Review of Systems, Assessment). The value set is drawn from LOINC, and has a CWE coding strength." HL7 CDA, Section.code
"A code identifying the kind of content contained within the section. This must be consistent with the section title." HL7 FHIR, Composition.section.code

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassClinicalDocumentSection
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
Namekind
Name Expression
NamespaceClinicalDocumentSection
Opposite
OwnerClinicalDocumentSection
Owning Association
Owning Template Parameter
Qualified NameFHIM::ClinicalDocument::ClinicalDocumentSection::kind
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 language
Public «CS» Code language

"Specifies the human language of character data (whether they be in contents or attribute values). The values of the attribute are language identifiers as defined by the IETF RFC 3066." HL7 CDA, Section.languageCode

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassClinicalDocumentSection
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
Namelanguage
Name Expression
NamespaceClinicalDocumentSection
Opposite
OwnerClinicalDocumentSection
Owning Association
Owning Template Parameter
Qualified NameFHIM::ClinicalDocument::ClinicalDocumentSection::language
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 mode
Public «CS» Code mode

"How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted." HL7 FHIR, Composition.section.mode

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassClinicalDocumentSection
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
Namemode
Name Expression
NamespaceClinicalDocumentSection
Opposite
OwnerClinicalDocumentSection
Owning Association
Owning Template Parameter
Qualified NameFHIM::ClinicalDocument::ClinicalDocumentSection::mode
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 orderedBy
Public «CS» Code orderedBy

"Specifies the order applied to the items in the section entries." HL7 FHIR, Composition.section.orderedBy

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassClinicalDocumentSection
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NameorderedBy
Name Expression
NamespaceClinicalDocumentSection
Opposite
OwnerClinicalDocumentSection
Owning Association
Owning Template Parameter
Qualified NameFHIM::ClinicalDocument::ClinicalDocumentSection::orderedBy
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 subject
Public Subject 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." - HL7 CDA, section.subject

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassClinicalDocumentSection
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
Namesubject
Name Expression
NamespaceClinicalDocumentSection
Opposite
OwnerClinicalDocumentSection
Owning Association
Owning Template Parameter
Qualified NameFHIM::ClinicalDocument::ClinicalDocumentSection::subject
Stereotype
Template Parameter
TypeSubject
Upper1
Upper Value(1)
VisibilityPublic


 text
Public String text

"Used to store narrative to be rendered. Also referred to as the CDA Narrative Block." HL7 CDA, Section.text
"A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative." HL7 FHIR, Composition.section.text

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassClinicalDocumentSection
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
Nametext
Name Expression
NamespaceClinicalDocumentSection
Opposite
OwnerClinicalDocumentSection
Owning Association
Owning Template Parameter
Qualified NameFHIM::ClinicalDocument::ClinicalDocumentSection::text
Stereotype
Template Parameter
TypeString
Upper1
Upper Value(1)
VisibilityPublic


 title
Public String title

"Represents the label of a section. If valued, it is to be rendered as part of the narrative content of the clinical document body." HL7 CDA, Section.title
"The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents." HL7 FHIR, Composition.section.title

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassClinicalDocumentSection
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
Nametitle
Name Expression
NamespaceClinicalDocumentSection
Opposite
OwnerClinicalDocumentSection
Owning Association
Owning Template Parameter
Qualified NameFHIM::ClinicalDocument::ClinicalDocumentSection::title
Stereotype
Template Parameter
TypeString
Upper1
Upper Value(1)
VisibilityPublic