Handoff Communication Participants - Definitions - Consolidated CDA Release 2.1 StructureDefinition Publication v2.1

Consolidated CDA Release 2.1 StructureDefinition Publication, published by Health Level Seven. This is not an authorized publication; it is the continuous build for version 2.1). This version is based on the current content of https://github.com/HL7/CDA-ccda-2.1-sd/ and changes regularly. See the Directory of published versions

Logical Model: HandoffCommunicationParticipants - Detailed Descriptions

Draft as of 2023-09-29

Definitions for the HandoffCommunicationParticipants logical model.

Differential Elements Table
Key Elements Table
Snapshot Elements Table

Guidance on how to interpret the contents of this table can be found here

0. Act
XML Format	In the XML format, this property has the namespace `urn:hl7-org:v3`.
2. Act.classCode
Comments	SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-30832).
Fixed Value	ACT
4. Act.moodCode
Comments	SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1098-30833).
Fixed Value	EVN
6. Act.templateId
Control	1..?
Slicing	This element introduces a set of slices on `Act.templateId`. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: value @ root
8. Act.templateId:primary
Slice Name	primary
Comments	SHALL contain exactly one [1..1] templateId (CONF:1098-30834) such that it, SHALL not contain [0..0] extension.
Control	1..1
10. Act.templateId:primary.root
Comments	SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.141" (CONF:1098-30835).
Control	1..?
Pattern Value	2.16.840.1.113883.10.20.22.4.141
12. Act.templateId:primary.extension
Control	0..0
14. Act.code
Comments	SHALL contain exactly one [1..1] code (CONF:1098-30836).
16. Act.code.code
Comments	This code SHALL contain exactly one [1..1] @code="432138007" handoff communication (procedure) (CONF:1098-30837).
Control	1..?
Pattern Value	432138007
18. Act.code.codeSystem
Comments	This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.96" (CodeSystem: SNOMED CT urn:oid:2.16.840.1.113883.6.96) (CONF:1098-30838).
Control	1..?
Pattern Value	2.16.840.1.113883.6.96
20. Act.statusCode
Comments	SHALL contain exactly one [1..1] statusCode (CONF:1098-31668).
Control	1..?
22. Act.statusCode.code
Comments	This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-31669).
Control	1..?
Fixed Value	completed
24. Act.effectiveTime
Short	The effective time is the time when the handoff process took place between the sender and receiver of the patient information. This could be the time the information was transmitted, released, or verbally communicated to the next clinician.
Comments	SHALL contain exactly one [1..1] effectiveTime (CONF:1098-31670).
Control	1..?
26. Act.author
Short	The Author Participant contains the sender's contact information and is a resource for the Information Recipient for any follow-up questions.
Comments	SHALL contain at least one [1..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-31672).
Control	1..?
Type	http://hl7.org/cda/stds/core/StructureDefinition/Author(Author Participation)
28. Act.participant
Short	Documentation of the Information Recipient's name and address verifies that the information was exchanged.
Control	1..?
Slicing	This element introduces a set of slices on `Act.participant`. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: value @ typeCode
30. Act.participant:infoRecipient
Slice Name	infoRecipient
Comments	SHALL contain at least one [1..*] participant (CONF:1098-31673) such that it
Control	1..*
32. Act.participant:infoRecipient.typeCode
Comments	SHALL contain exactly one [1..1] @typeCode="IRCP" Information Recipient (CodeSystem: HL7RoleClass urn:oid:2.16.840.1.113883.5.110) (CONF:1098-31674).
Control	1..?
Fixed Value	IRCP
34. Act.participant:infoRecipient.participantRole
Comments	SHALL contain exactly one [1..1] participantRole (CONF:1098-31675).
36. Act.participant:infoRecipient.participantRole.id
Comments	This participantRole SHALL contain at least one [1..*] id (CONF:1098-32422).
Control	1..?
38. Act.participant:infoRecipient.participantRole.code
Comments	This participantRole SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1098-31676).
Binding	The codes SHOULD be taken from Healthcare Provider Taxonomy
40. Act.participant:infoRecipient.participantRole.addr
Comments	This participantRole SHALL contain at least one [1..*] addr (CONF:1098-32392).
Control	1..?
42. Act.participant:infoRecipient.participantRole.playingEntity
Comments	This participantRole MAY contain zero or one [0..1] playingEntity (CONF:1098-32393).
44. Act.participant:infoRecipient.participantRole.playingEntity.name
Comments	The playingEntity, if present, SHALL contain at least one [1..*] name (CONF:1098-32394).
Control	1..?

Guidance on how to interpret the contents of this table can be found here

0. Act
Definition	Base definition for all types defined in FHIR type system.
Short	Base for all types and resources
Control	10..1*
Is Modifier	false
XML Format	In the XML format, this property has the namespace `urn:hl7-org:v3`.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
2. Act.classCode
Definition	Element Act.classCode
Comments	SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-30832).
Control	1..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	ACT
4. Act.moodCode
Comments	SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1098-30833).
Control	1..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	EVN
6. Act.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Slicing	This element introduces a set of slices on `Act.templateId`. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: value @ root
8. Act.templateId:primary
Slice Name	primary
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Comments	SHALL contain exactly one [1..1] templateId (CONF:1098-30834) such that it, SHALL not contain [0..0] extension.
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
10. Act.templateId:primary.root
Definition	A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Comments	SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.141" (CONF:1098-30835).
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Pattern Value	2.16.840.1.113883.10.20.22.4.141
12. Act.templateId:primary.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
14. Act.code
Comments	SHALL contain exactly one [1..1] code (CONF:1098-30836).
Control	1..1
Binding	Unless not suitable, these codes SHALL be taken from v3 Code System ActCode
Type	http://hl7.org/cda/stds/core/StructureDefinition/CD
16. Act.code.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Comments	This code SHALL contain exactly one [1..1] @code="432138007" handoff communication (procedure) (CONF:1098-30837).
Control	1..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code
Pattern Value	432138007
18. Act.code.codeSystem
Definition	Specifies the code system that defines the code.
Comments	This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.96" (CodeSystem: SNOMED CT urn:oid:2.16.840.1.113883.6.96) (CONF:1098-30838).
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System
Pattern Value	2.16.840.1.113883.6.96
20. Act.statusCode
Comments	SHALL contain exactly one [1..1] statusCode (CONF:1098-31668).
Control	1..1
Binding	The codes SHALL be taken from ActStatus
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
22. Act.statusCode.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Comments	This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-31669).
Control	1..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code
Fixed Value	completed
24. Act.statusCode.codeSystem
Definition	Specifies the code system that defines the code.
Control	0..0
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System
26. Act.statusCode.codeSystemName
Definition	The common name of the coding system.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Name
28. Act.statusCode.codeSystemVersion
Definition	If applicable, a version descriptor defined specifically for the given code system.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Version
30. Act.statusCode.displayName
Definition	A name or title for the code, under which the sending system shows the code value to its users.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Display Name
32. Act.statusCode.originalText
Definition	The text or phrase used as the basis for the coding.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
Label	Original Text
34. Act.statusCode.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/CR
Label	Qualifier
36. Act.statusCode.translation
Definition	A set of other concept descriptors that translate this concept descriptor into other code systems.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/CD
XML Format	The type of this property is determined using the `xsi:type`attribute.
Label	Translation
38. Act.effectiveTime
Short	The effective time is the time when the handoff process took place between the sender and receiver of the patient information. This could be the time the information was transmitted, released, or verbally communicated to the next clinician.
Comments	SHALL contain exactly one [1..1] effectiveTime (CONF:1098-31670).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
40. Act.author
Definition	Base definition for all types defined in FHIR type system.
Short	The Author Participant contains the sender's contact information and is a resource for the Information Recipient for any follow-up questions.
Comments	SHALL contain at least one [1..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-31672).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Author(Author Participation)
Is Modifier	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
42. Act.participant
Short	Documentation of the Information Recipient's name and address verifies that the information was exchanged.
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Participant2
Slicing	This element introduces a set of slices on `Act.participant`. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: value @ typeCode
44. Act.participant:infoRecipient
Slice Name	infoRecipient
Comments	SHALL contain at least one [1..*] participant (CONF:1098-31673) such that it
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Participant2
46. Act.participant:infoRecipient.typeCode
Comments	SHALL contain exactly one [1..1] @typeCode="IRCP" Information Recipient (CodeSystem: HL7RoleClass urn:oid:2.16.840.1.113883.5.110) (CONF:1098-31674).
Control	1..1
Binding	The codes SHALL be taken from ParticipationType
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	IRCP
48. Act.participant:infoRecipient.participantRole
Comments	SHALL contain exactly one [1..1] participantRole (CONF:1098-31675).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole
50. Act.participant:infoRecipient.participantRole.classCode
Control	1..1
Binding	The codes SHALL be taken from RoleClassRoot
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Default Value	ROL
52. Act.participant:infoRecipient.participantRole.id
Comments	This participantRole SHALL contain at least one [1..*] id (CONF:1098-32422).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
54. Act.participant:infoRecipient.participantRole.code
Comments	This participantRole SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1098-31676).
Control	0..1
Binding	The codes SHOULD be taken from Healthcare Provider Taxonomy
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
56. Act.participant:infoRecipient.participantRole.addr
Comments	This participantRole SHALL contain at least one [1..*] addr (CONF:1098-32392).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD
58. Act.participant:infoRecipient.participantRole.playingEntity
Comments	This participantRole MAY contain zero or one [0..1] playingEntity (CONF:1098-32393).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/PlayingEntity
60. Act.participant:infoRecipient.participantRole.playingEntity.classCode
Control	1..1
Binding	The codes SHALL be taken from EntityClassRoot
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Default Value	ENT
62. Act.participant:infoRecipient.participantRole.playingEntity.name
Comments	The playingEntity, if present, SHALL contain at least one [1..*] name (CONF:1098-32394).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/PN

Guidance on how to interpret the contents of this table can be found here

0. Act
Definition	Base definition for all types defined in FHIR type system.
Short	Base for all types and resources
Control	1..1
Is Modifier	false
XML Format	In the XML format, this property has the namespace `urn:hl7-org:v3`.
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2. Act.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from NullFlavor
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
4. Act.classCode
Definition	Element Act.classCode
Comments	SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-30832).
Control	1..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	ACT
6. Act.moodCode
Comments	SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1098-30833).
Control	1..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	EVN
8. Act.realmCode
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
10. Act.typeId
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
12. Act.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Slicing	This element introduces a set of slices on `Act.templateId`. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: value @ root
14. Act.templateId:primary
Slice Name	primary
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Comments	SHALL contain exactly one [1..1] templateId (CONF:1098-30834) such that it, SHALL not contain [0..0] extension.
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
16. Act.templateId:primary.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from NullFlavor
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
18. Act.templateId:primary.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
20. Act.templateId:primary.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
22. Act.templateId:primary.root
Definition	A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Comments	SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.141" (CONF:1098-30835).
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Pattern Value	2.16.840.1.113883.10.20.22.4.141
24. Act.templateId:primary.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
26. Act.id
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
28. Act.code
Comments	SHALL contain exactly one [1..1] code (CONF:1098-30836).
Control	1..1
Binding	Unless not suitable, these codes SHALL be taken from v3 Code System ActCode
Type	http://hl7.org/cda/stds/core/StructureDefinition/CD
30. Act.code.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from NullFlavor
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
32. Act.code.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Comments	This code SHALL contain exactly one [1..1] @code="432138007" handoff communication (procedure) (CONF:1098-30837).
Control	1..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code
Pattern Value	432138007
34. Act.code.codeSystem
Definition	Specifies the code system that defines the code.
Comments	This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.96" (CodeSystem: SNOMED CT urn:oid:2.16.840.1.113883.6.96) (CONF:1098-30838).
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System
Pattern Value	2.16.840.1.113883.6.96
36. Act.code.codeSystemName
Definition	The common name of the coding system.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Name
38. Act.code.codeSystemVersion
Definition	If applicable, a version descriptor defined specifically for the given code system.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Version
40. Act.code.displayName
Definition	A name or title for the code, under which the sending system shows the code value to its users.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Display Name
42. Act.code.sdtcValueSet
Definition	The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.
Control	0..1
Type	string(oid: ISO Object Identifier)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSet`.
44. Act.code.sdtcValueSetVersion
Definition	The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSetVersion`.
46. Act.code.originalText
Definition	The text or phrase used as the basis for the coding.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
Label	Original Text
48. Act.code.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CR
Label	Qualifier
50. Act.code.translation
Definition	A set of other concept descriptors that translate this concept descriptor into other code systems.
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CD
XML Format	The type of this property is determined using the `xsi:type`attribute.
Label	Translation
52. Act.negationInd
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
54. Act.text
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
56. Act.statusCode
Comments	SHALL contain exactly one [1..1] statusCode (CONF:1098-31668).
Control	1..1
Binding	The codes SHALL be taken from ActStatus
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
58. Act.statusCode.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from NullFlavor
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
60. Act.statusCode.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Comments	This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-31669).
Control	1..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code
Fixed Value	completed
62. Act.statusCode.codeSystem
Definition	Specifies the code system that defines the code.
Control	0..0
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System
64. Act.statusCode.codeSystemName
Definition	The common name of the coding system.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Name
66. Act.statusCode.codeSystemVersion
Definition	If applicable, a version descriptor defined specifically for the given code system.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Version
68. Act.statusCode.displayName
Definition	A name or title for the code, under which the sending system shows the code value to its users.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Display Name
70. Act.statusCode.sdtcValueSet
Definition	The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.
Control	0..1
Type	string(oid: ISO Object Identifier)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSet`.
72. Act.statusCode.sdtcValueSetVersion
Definition	The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSetVersion`.
74. Act.statusCode.originalText
Definition	The text or phrase used as the basis for the coding.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
Label	Original Text
76. Act.statusCode.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/CR
Label	Qualifier
78. Act.statusCode.translation
Definition	A set of other concept descriptors that translate this concept descriptor into other code systems.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/CD
XML Format	The type of this property is determined using the `xsi:type`attribute.
Label	Translation
80. Act.effectiveTime
Short	The effective time is the time when the handoff process took place between the sender and receiver of the patient information. This could be the time the information was transmitted, released, or verbally communicated to the next clinician.
Comments	SHALL contain exactly one [1..1] effectiveTime (CONF:1098-31670).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
82. Act.priorityCode
Control	0..1
Binding	Unless not suitable, these codes SHALL be taken from ActPriority
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
84. Act.languageCode
Control	0..1
Binding	The codes SHALL be taken from HumanLanguage
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
86. Act.subject
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Subject
88. Act.specimen
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Specimen
90. Act.performer
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Performer2
92. Act.author
Definition	Base definition for all types defined in FHIR type system.
Short	The Author Participant contains the sender's contact information and is a resource for the Information Recipient for any follow-up questions.
Comments	SHALL contain at least one [1..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-31672).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Author(Author Participation)
Is Modifier	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
94. Act.informant
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Informant
96. Act.participant
Short	Documentation of the Information Recipient's name and address verifies that the information was exchanged.
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Participant2
Slicing	This element introduces a set of slices on `Act.participant`. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: value @ typeCode
98. Act.participant:infoRecipient
Slice Name	infoRecipient
Comments	SHALL contain at least one [1..*] participant (CONF:1098-31673) such that it
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Participant2
100. Act.participant:infoRecipient.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from NullFlavor
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
102. Act.participant:infoRecipient.typeCode
Comments	SHALL contain exactly one [1..1] @typeCode="IRCP" Information Recipient (CodeSystem: HL7RoleClass urn:oid:2.16.840.1.113883.5.110) (CONF:1098-31674).
Control	1..1
Binding	The codes SHALL be taken from ParticipationType
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	IRCP
104. Act.participant:infoRecipient.contextControlCode
Control	0..1
Binding	The codes SHALL be taken from ContextControl
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	OP
106. Act.participant:infoRecipient.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
108. Act.participant:infoRecipient.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
110. Act.participant:infoRecipient.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
112. Act.participant:infoRecipient.sdtcFunctionCode
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`functionCode`.
114. Act.participant:infoRecipient.time
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
116. Act.participant:infoRecipient.awarenessCode
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
118. Act.participant:infoRecipient.participantRole
Comments	SHALL contain exactly one [1..1] participantRole (CONF:1098-31675).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole
120. Act.participant:infoRecipient.participantRole.classCode
Control	1..1
Binding	The codes SHALL be taken from RoleClassRoot
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Default Value	ROL
122. Act.participant:infoRecipient.participantRole.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
124. Act.participant:infoRecipient.participantRole.id
Comments	This participantRole SHALL contain at least one [1..*] id (CONF:1098-32422).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
126. Act.participant:infoRecipient.participantRole.sdtcIdentifiedBy
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`identifiedBy`.
128. Act.participant:infoRecipient.participantRole.code
Comments	This participantRole SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1098-31676).
Control	0..1
Binding	The codes SHOULD be taken from Healthcare Provider Taxonomy
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
130. Act.participant:infoRecipient.participantRole.addr
Comments	This participantRole SHALL contain at least one [1..*] addr (CONF:1098-32392).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD
132. Act.participant:infoRecipient.participantRole.telecom
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
134. Act.participant:infoRecipient.participantRole.playingDevice
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Device
136. Act.participant:infoRecipient.participantRole.playingEntity
Comments	This participantRole MAY contain zero or one [0..1] playingEntity (CONF:1098-32393).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/PlayingEntity
138. Act.participant:infoRecipient.participantRole.playingEntity.classCode
Control	1..1
Binding	The codes SHALL be taken from EntityClassRoot
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Default Value	ENT
140. Act.participant:infoRecipient.participantRole.playingEntity.determinerCode
Control	0..1
Binding	The codes SHALL be taken from EntityDeterminer
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	INSTANCE
142. Act.participant:infoRecipient.participantRole.playingEntity.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
144. Act.participant:infoRecipient.participantRole.playingEntity.code
Control	0..1
Binding	Unless not suitable, these codes SHALL be taken from EntityCode
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
146. Act.participant:infoRecipient.participantRole.playingEntity.quantity
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/PQ
148. Act.participant:infoRecipient.participantRole.playingEntity.name
Comments	The playingEntity, if present, SHALL contain at least one [1..*] name (CONF:1098-32394).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/PN
150. Act.participant:infoRecipient.participantRole.playingEntity.sdtcBirthTime
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/TS
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`birthTime`.
152. Act.participant:infoRecipient.participantRole.playingEntity.desc
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
154. Act.participant:infoRecipient.participantRole.scopingEntity
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Entity
156. Act.entryRelationship
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
158. Act.reference
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Reference
160. Act.precondition
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Precondition