Template 2.16.840.1.113883. Unstructured Document


Template 2.16.840.1.113883. - UnstructuredDocument
Id 2.16.840.1.113883.
Classification cdadocumentlevel
Context Pathname cda:ClinicalDocument
Label conf‑646
Version valid from 2012‑01‑12 status draft
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 Desc Label
treetree cda:templateId
II 1..1 M conf‑9970
treeblank treetree @root
1..1 F 2.16.840.1.113883.
treetree cda:templateId
II 1..1 M conf‑7710
treeblank treetree @root
1..1 F 2.16.840.1.113883.
treetree cda:recordTarget
II 1..1 M conf‑7643
treetree cda:author
1..1 M conf‑7640
treeblank treetree cda:addr
AD 1..1 M conf‑7641
treeblank treetree cda:telecom
TEL 1..1 M conf‑7642
treetree cda:custodian
1..1 M conf‑7645
treeblank treetree cda:id
II 1..1 M conf‑7648
treeblank treetree cda:name
PN 1..1 M conf‑7649
treeblank treetree cda:telecom
TEL 1..1 M conf‑7650
treeblank treetree cda:addr
AD 1..1 M conf‑7651
treetree cda:component
1..1 M conf‑7620
treeblank treetree cda:text
ED 1..1 M 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. SupportedFileFormats STATIC 20100512.