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| Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/ProcedureSpecimensTakenSection | Version: 3.0.0 | |||
| Draft as of 2024-05-18 | Computable Name: ProcedureSpecimensTakenSection | |||
| Other Identifiers: OID:2.16.840.1.113883.10.20.22.2.31 | ||||
The Procedure Specimens Taken Section records the tissues, objects, or samples taken from the patient during the procedure including biopsies, aspiration fluid, or other samples sent for pathological analysis. The narrative may include a description of the specimens.
Usage:
Description of Template, Differentials, Snapshots and how the different presentations work.
This structure is derived from Section
| Name | Flags | Card. | Type | Description & Constraints![]() |
|---|---|---|---|---|
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Section | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @ID, @classCode, @moodCode, id, code, title, text, confidentialityCode, languageCode, subject, author, informant, entry, component Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) | ||
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1..* | II | Slice: Unordered, Open by value:root | |
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1..1 | II | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.2.31 | |
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0..0 | |||
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1..1 | CE | Procedure specimens taken Narrative | |
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1..1 | cs | Required Pattern: 59773-2 | |
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
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1..1 | ST | ||
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1..1 | xhtml | The Procedure Specimens Taken section SHALL list all specimens removed or SHALL explicitly state that no specimens were taken (CONF:81-8742). | |
Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints![]() |
|---|---|---|---|---|
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1..1 | Section | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @ID, @classCode, @moodCode, id, code, title, text, confidentialityCode, languageCode, subject, author, informant, entry, component Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) | |
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1..* | II | Slice: Unordered, Open by value:root | |
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1..1 | II | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.2.31 | |
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1..1 | CE | Procedure specimens taken Narrative Binding: DocumentSectionType (example) | |
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1..1 | cs | Required Pattern: 59773-2 | |
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
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1..1 | ST | ||
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1..1 | xhtml | The Procedure Specimens Taken section SHALL list all specimens removed or SHALL explicitly state that no specimens were taken (CONF:81-8742). | |
Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Section.code | example | DocumentSectionTypehttp://terminology.hl7.org/ValueSet/v3-DocumentSectionType |
| Name | Flags | Card. | Type | Description & Constraints![]() |
|---|---|---|---|---|
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1..1 | Section | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @ID, @classCode, @moodCode, id, code, title, text, confidentialityCode, languageCode, subject, author, informant, entry, component Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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0..1 | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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1..* | II | Slice: Unordered, Open by value:root | |
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1..1 | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.2.31 | |
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0..1 | xs:ID | ||
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0..1 | cs | Binding: ActClassRecordOrganizer (required) Fixed Value: DOCSECT | |
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0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
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0..1 | II | ||
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1..1 | CE | Procedure specimens taken Narrative Binding: DocumentSectionType (example) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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1..1 | cs | Required Pattern: 59773-2 | |
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CD | ||
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1..1 | ST | ||
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1..1 | xhtml | The Procedure Specimens Taken section SHALL list all specimens removed or SHALL explicitly state that no specimens were taken (CONF:81-8742). | |
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0..1 | CE | ||
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0..1 | CS | Binding: AllLanguages (required) | |
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0..1 | Subject | ||
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0..* | Author | ||
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0..* | Informant | ||
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0..* | Entry | ||
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0..* | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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0..1 | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | Section | ||
Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Section.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Section.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Section.templateId:section.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Section.classCode | required | Fixed Value: DOCSECThttp://terminology.hl7.org/ValueSet/v3-ActClassRecordOrganizer | |
| Section.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
| Section.code | example | DocumentSectionTypehttp://terminology.hl7.org/ValueSet/v3-DocumentSectionType | |
| Section.code.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Section.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languagesfrom the FHIR Standard | |
| Section.component.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Section.component.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor |
Differential View
This structure is derived from Section
| Name | Flags | Card. | Type | Description & Constraints![]() |
|---|---|---|---|---|
![]() |
Section | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @ID, @classCode, @moodCode, id, code, title, text, confidentialityCode, languageCode, subject, author, informant, entry, component Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) | ||
![]() ![]() |
1..* | II | Slice: Unordered, Open by value:root | |
![]() ![]() ![]() |
1..1 | II | ||
![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.2.31 | |
![]() ![]() ![]() ![]() |
0..0 | |||
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1..1 | CE | Procedure specimens taken Narrative | |
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1..1 | cs | Required Pattern: 59773-2 | |
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
![]() ![]() |
1..1 | ST | ||
![]() ![]() |
1..1 | xhtml | The Procedure Specimens Taken section SHALL list all specimens removed or SHALL explicitly state that no specimens were taken (CONF:81-8742). | |
Documentation for this format | ||||
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints![]() |
|---|---|---|---|---|
![]() |
1..1 | Section | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @ID, @classCode, @moodCode, id, code, title, text, confidentialityCode, languageCode, subject, author, informant, entry, component Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) | |
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1..* | II | Slice: Unordered, Open by value:root | |
![]() ![]() ![]() |
1..1 | II | ||
![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.2.31 | |
![]() ![]() |
1..1 | CE | Procedure specimens taken Narrative Binding: DocumentSectionType (example) | |
![]() ![]() ![]() |
1..1 | cs | Required Pattern: 59773-2 | |
![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
![]() ![]() |
1..1 | ST | ||
![]() ![]() |
1..1 | xhtml | The Procedure Specimens Taken section SHALL list all specimens removed or SHALL explicitly state that no specimens were taken (CONF:81-8742). | |
Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Section.code | example | DocumentSectionTypehttp://terminology.hl7.org/ValueSet/v3-DocumentSectionType |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints![]() |
|---|---|---|---|---|
![]() |
1..1 | Section | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @ID, @classCode, @moodCode, id, code, title, text, confidentialityCode, languageCode, subject, author, informant, entry, component Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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0..1 | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() |
0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() |
1..1 | st | ||
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1..* | II | Slice: Unordered, Open by value:root | |
![]() ![]() ![]() |
1..1 | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.2.31 | |
![]() ![]() |
0..1 | xs:ID | ||
![]() ![]() |
0..1 | cs | Binding: ActClassRecordOrganizer (required) Fixed Value: DOCSECT | |
![]() ![]() |
0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
![]() ![]() |
0..1 | II | ||
![]() ![]() |
1..1 | CE | Procedure specimens taken Narrative Binding: DocumentSectionType (example) | |
![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() |
1..1 | cs | Required Pattern: 59773-2 | |
![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
![]() ![]() ![]() |
0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
![]() ![]() ![]() |
0..1 | ED | ||
![]() ![]() ![]() |
0..* | CD | ||
![]() ![]() |
1..1 | ST | ||
![]() ![]() |
1..1 | xhtml | The Procedure Specimens Taken section SHALL list all specimens removed or SHALL explicitly state that no specimens were taken (CONF:81-8742). | |
![]() ![]() |
0..1 | CE | ||
![]() ![]() |
0..1 | CS | Binding: AllLanguages (required) | |
![]() ![]() |
0..1 | Subject | ||
![]() ![]() |
0..* | Author | ||
![]() ![]() |
0..* | Informant | ||
![]() ![]() |
0..* | Entry | ||
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0..* | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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0..1 | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() |
1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | Section | ||
Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Section.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Section.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Section.templateId:section.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Section.classCode | required | Fixed Value: DOCSECThttp://terminology.hl7.org/ValueSet/v3-ActClassRecordOrganizer | |
| Section.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
| Section.code | example | DocumentSectionTypehttp://terminology.hl7.org/ValueSet/v3-DocumentSectionType | |
| Section.code.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Section.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languagesfrom the FHIR Standard | |
| Section.component.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
| Section.component.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor |