Back To Index  <<  Back To Templates

pending Template  Unstructured Document

Template 2.16.840.1.113883.10.20.22.1.10 - UnstructuredDocument
Id 2.16.840.1.113883.10.20.22.1.10
Version valid from 2013‑01‑31 status pending Under pre-publication review
Classification CDA Document Level Template
Context Pathname //
Open/Closed Open (other than defined elements are allowed)
Description An unstructured document is a document which is used when the patient record is captured in an unstructured format that is encapsulated within an image file or as unstructured text in an electronic file such as a word processing or Portable Document Format (PDF) document. There is a need to raise the level of interoperability for these documents to provide full access to the longitudinal patient record across a continuum of care. Until this gap is addressed, image and multi-media files will continue to be a portion of the patient record that remains difficult to access and share with all participants in a patient’s care. The Unstructured Document type addresses this gap by providing consistent guidance on the use of CDA for such documents. An Unstructured Document (UD) document type can (1) include unstructured content, such as a graphic, directly in a text element with a mediaType attribute, or (2) reference a single document file, such as a word-processing document, using a text/reference element.
Item DT Card Conf Description Label
cda:ClinicalDocument
(UnstructuredDocument)
treetree cda:templateId
1 .. 1 M SHALL contain exactly one [1..1] templateId (CONF:7710) such that it conf‑7710
treeblank treetree @root
1 .. 1 F 2.16.840.1.113883.10.20.22.1.10
treetree cda:component/nonXMLBody
1 .. 1 M SHALL contain exactly one [1..1] component/nonXMLBody (CONF:7620). conf‑7620
treeblank treetree cda:text
1 .. 1 M This component/nonXMLBody SHALL contain exactly one [1..1] text (CONF:7622).

The text element SHALL either contain a reference element with a value attribute, or have a representation attribute with the value of B64, a mediaType attribute, and contain the media content.

The value of @mediaType, if present, SHALL be drawn from the value set 2.16.840.1.113883.11.20.7.1 SupportedFileFormats STATIC 20100512.
conf‑7622
treetree cda:author/assignedAuthor
1 .. 1 M SHALL contain exactly one [1..1] author/assignedAuthor (CONF:7640). conf‑7640
treeblank treetree cda:addr
1 .. 1 M This author/assignedAuthor SHALL contain exactly one [1..1] addr (CONF:7641). conf‑7641
treeblank treetree cda:telecom
1 .. 1 M This author/assignedAuthor SHALL contain exactly one [1..1] telecom (CONF:7642). conf‑7642
treetree cda:recordTarget/patientRole/id
1 .. 1 M SHALL contain exactly one [1..1] recordTarget/patientRole/id (CONF:7643). conf‑7643
treetree cda:custodian/assignedCustodian/representedCustodianOrganization
1 .. 1 M SHALL contain exactly one [1..1] custodian/assignedCustodian/representedCustodianOrganization (CONF:7645). conf‑7645
treeblank treetree cda:id
1 .. 1 M This custodian/assignedCustodian/representedCustodianOrganization SHALL contain exactly one [1..1] id (CONF:7648). conf‑7648
treeblank treetree cda:name
1 .. 1 M This custodian/assignedCustodian/representedCustodianOrganization SHALL contain exactly one [1..1] name (CONF:7649). conf‑7649
treeblank treetree cda:telecom
1 .. 1 M This custodian/assignedCustodian/representedCustodianOrganization SHALL contain exactly one [1..1] telecom (CONF:7650). conf‑7650
treeblank treetree cda:addr
1 .. 1 M This custodian/assignedCustodian/representedCustodianOrganization SHALL contain exactly one [1..1] addr (CONF:7651). conf‑7651