Consolidated CDA Release 2.1 StructureDefinition Publication
2.1 - CI Build United States of America flag

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: Health Concern Act

Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernAct Version: 2.1
Draft as of 2023-09-29 Computable Name: HealthConcernAct
Other Identifiers: id: urn:hl7ii:2.16.840.1.113883.10.20.22.4.132:2022-06-01

This template represents a health concern.

It is a wrapper for a single health concern which may be derived from a variety of sources within an EHR (such as Problem List, Family History, Social History, Social Worker Note, etc.).

A Health Concern Act is used to track non-optimal physical or psychological situations drawing the patient to the healthcare system. These may be from the perspective of the care team or from the perspective of the patient. When the underlying condition is of concern (i.e., as long as the condition, whether active or resolved, is of ongoing concern and interest), the statusCode is active. Only when the underlying condition is no longer of concern is the statusCode set to completed. The effectiveTime reflects the time that the underlying condition was felt to be a concern; it may or may not correspond to the effectiveTime of the condition (e.g., even five years later, a prior heart attack may remain a concern). Health concerns require intervention(s) to increase the likelihood of achieving the goals of care for the patient and they specify the condition oriented reasons for creating the plan.

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from CDAR2.Act

NameFlagsCard.TypeDescription & Constraintsdoco
.. Act C1..1CDAR2.ActXML Namespace: urn:hl7-org:v3
Elements defined in Ancestors: @nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, code, @negationInd, text, statusCode, effectiveTime, priorityCode, languageCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition
Base for all types and resources
4515-32962: When this Health Concern Act is a Social Determinant of Health Health Concern it **SHOULD** contain zero or more [0..*] entryRelationship subentries such that it contains an observation with an observation/value selected from ValueSet [Social Determinant of Health Conditions 2.16.840.1.113762.1.4.1196.788](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1196.788/expansion) **DYNAMIC** (CONF:4515-32962).
... classCode 1..1csFixed Value: ACT
... moodCode 1..1csFixed Value: EVN
... Slices for templateId 1..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:templateId1 1..1IItemplateId
..... root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.132
..... extension 1..1stRequired Pattern: 2022-06-01
... code 1..1CD
.... code 1..1csRequired Pattern: 75310-3
.... codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.6.1
... statusCode 1..1CS
.... code 1..1csBinding: ProblemAct statusCode (required)
... effectiveTime 0..1IVL_TS
... author 0..*AuthorParticipationBase for all types and resources
... Slices for entryRelationship 0..*EntryRelationshipSlice: Unordered, Open by value:act, value:typeCode
.... entryRelationship:entryRelationship1 0..*EntryRelationshipentryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1ProblemObservationBase for all types and resources
.... entryRelationship:entryRelationship2 0..*EntryRelationshipentryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1AllergyIntoleranceObservationBase for all types and resources
.... entryRelationship:entryRelationship3 0..*EntryRelationshipentryRelationship
..... typeCode 1..1csFixed Value: REFR
..... act C1..1EntryReferenceBase for all types and resources
4515-32860: The Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:4515-32860).
.... entryRelationship:entryRelationship4 0..*EntryRelationshipentryRelationship
..... typeCode 1..1csFixed Value: COMP
..... act C1..1EntryReferenceBase for all types and resources
4515-32745: The Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:4515-32745).
.... entryRelationship:entryRelationship5 0..*EntryRelationshipentryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1AssessmentScaleObservationBase for all types and resources
.... entryRelationship:entryRelationship6 0..*EntryRelationshipentryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1SelfCareActivitiesADLandIADLBase for all types and resources
.... entryRelationship:entryRelationship7 0..*EntryRelationshipentryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1MentalStatusObservationBase for all types and resources
.... entryRelationship:entryRelationship8 0..*EntryRelationshipentryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1SmokingStatusMeaningfulUseBase for all types and resources
.... entryRelationship:entryRelationship9 0..*EntryRelationshipentryRelationship
..... typeCode 1..1csFixed Value: REFR
..... act 1..1EncounterDiagnosisBase for all types and resources
.... entryRelationship:entryRelationship10 0..*EntryRelationshipentryRelationship
..... typeCode 1..1csFixed Value: REFR
..... organizer 1..1FamilyHistoryOrganizerBase for all types and resources
.... entryRelationship:entryRelationship11 0..*EntryRelationshipentryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1FunctionalStatusObservationBase for all types and resources
.... entryRelationship:entryRelationship12 0..*EntryRelationshipentryRelationship
..... typeCode 1..1csFixed Value: REFR
..... act 1..1HospitalAdmissionDiagnosisBase for all types and resources
.... entryRelationship:entryRelationship13 0..*EntryRelationshipentryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1NutritionAssessmentBase for all types and resources
.... entryRelationship:entryRelationship14 0..*EntryRelationshipentryRelationship
..... typeCode 1..1csFixed Value: REFR
..... act 1..1PostprocedureDiagnosisBase for all types and resources
.... entryRelationship:entryRelationship15 0..*EntryRelationshipentryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1PregnancyObservationBase for all types and resources
.... entryRelationship:entryRelationship16 0..*EntryRelationshipentryRelationship
..... typeCode 1..1csFixed Value: REFR
..... act 1..1PreoperativeDiagnosisBase for all types and resources
.... entryRelationship:entryRelationship17 0..*EntryRelationshipentryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1ReactionObservationBase for all types and resources
.... entryRelationship:entryRelationship18 0..*EntryRelationshipentryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1ResultObservationBase for all types and resources
.... entryRelationship:entryRelationship19 0..*EntryRelationshipentryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1SensoryStatusBase for all types and resources
.... entryRelationship:entryRelationship20 0..*EntryRelationshipentryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1SocialHistoryObservationBase for all types and resources
.... entryRelationship:entryRelationship21 0..*EntryRelationshipentryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1SubstanceOrDeviceAllergyIntoleranceObservationBase for all types and resources
.... entryRelationship:entryRelationship22 0..*EntryRelationshipentryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1TobaccoUseBase for all types and resources
.... entryRelationship:entryRelationship23 0..*EntryRelationshipentryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1VitalSignObservationBase for all types and resources
.... entryRelationship:entryRelationship24 0..*EntryRelationshipentryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1LongitudinalCareWoundObservationBase for all types and resources
.... entryRelationship:entryRelationship25 0..*EntryRelationshipentryRelationship
..... typeCode 1..1csFixed Value: SPRT
..... observation 1..1ProblemObservationBase for all types and resources
.... entryRelationship:entryRelationship26 0..*EntryRelationshipentryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1CaregiverCharacteristicsBase for all types and resources
.... entryRelationship:entryRelationship27 0..*EntryRelationshipentryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1CulturalandReligiousObservationBase for all types and resources
.... entryRelationship:entryRelationship28 0..*EntryRelationshipentryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1CharacteristicsofHomeEnvironmentBase for all types and resources
.... entryRelationship:entryRelationship29 0..*EntryRelationshipentryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1NutritionalStatusObservationBase for all types and resources
.... entryRelationship:entryRelationship30 0..*EntryRelationshipentryRelationship
..... typeCode 1..1csFixed Value: REFR
..... organizer 1..1ResultOrganizerBase for all types and resources
.... entryRelationship:entryRelationship31 0..*EntryRelationshipentryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1PriorityPreferenceBase for all types and resources
.... entryRelationship:entryRelationship32 0..*EntryRelationshipentryRelationship
..... typeCode 1..1csFixed Value: REFR
..... act 1..1EntryReferenceBase for all types and resources
... reference 0..*Reference
.... typeCode 1..1csFixed Value: REFR
.... externalDocument 1..1ExternalDocumentReferenceBase for all types and resources

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Act.statusCode.coderequiredProblemAct statusCode

Constraints

IdGradePath(s)DetailsRequirements
4515-32745errorAct.entryRelationship:entryRelationship4.actThe Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:4515-32745).
:
4515-32860errorAct.entryRelationship:entryRelationship3.actThe Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:4515-32860).
:
4515-32962errorActWhen this Health Concern Act is a Social Determinant of Health Health Concern it **SHOULD** contain zero or more [0..*] entryRelationship subentries such that it contains an observation with an observation/value selected from ValueSet [Social Determinant of Health Conditions 2.16.840.1.113762.1.4.1196.788](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1196.788/expansion) **DYNAMIC** (CONF:4515-32962).
:
NameFlagsCard.TypeDescription & Constraintsdoco
.. Act C1..1CDAR2.ActXML Namespace: urn:hl7-org:v3
Elements defined in Ancestors: @nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, code, @negationInd, text, statusCode, effectiveTime, priorityCode, languageCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition
Base for all types and resources
4515-32962: When this Health Concern Act is a Social Determinant of Health Health Concern it **SHOULD** contain zero or more [0..*] entryRelationship subentries such that it contains an observation with an observation/value selected from ValueSet [Social Determinant of Health Conditions 2.16.840.1.113762.1.4.1196.788](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1196.788/expansion) **DYNAMIC** (CONF:4515-32962).
... @classCode 1..1csFixed Value: ACT
... @moodCode 1..1csFixed Value: EVN
... Slices for templateId 1..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:templateId1 1..1IItemplateId
..... @root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.132
..... @extension 1..1stRequired Pattern: 2022-06-01
... code 1..1CDBinding: v3 Code System ActCode (extensible)
.... @code 1..1csRequired Pattern: 75310-3
.... @codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.6.1
... statusCode 1..1CSBinding: ActStatus (required)
.... @code 1..1csBinding: ProblemAct statusCode (required)
... effectiveTime 0..1IVL_TS
... author 0..*AuthorParticipationBase for all types and resources
... Slices for entryRelationship 0..*EntryRelationshipSlice: Unordered, Open by value:act, value:typeCode
.... entryRelationship:entryRelationship1 0..*EntryRelationshipentryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1ProblemObservationBase for all types and resources
.... entryRelationship:entryRelationship2 0..*EntryRelationshipentryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1AllergyIntoleranceObservationBase for all types and resources
.... entryRelationship:entryRelationship3 0..*EntryRelationshipentryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... act C1..1EntryReferenceBase for all types and resources
4515-32860: The Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:4515-32860).
.... entryRelationship:entryRelationship4 0..*EntryRelationshipentryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: COMP
..... act C1..1EntryReferenceBase for all types and resources
4515-32745: The Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:4515-32745).
.... entryRelationship:entryRelationship5 0..*EntryRelationshipentryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1AssessmentScaleObservationBase for all types and resources
.... entryRelationship:entryRelationship6 0..*EntryRelationshipentryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1SelfCareActivitiesADLandIADLBase for all types and resources
.... entryRelationship:entryRelationship7 0..*EntryRelationshipentryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1MentalStatusObservationBase for all types and resources
.... entryRelationship:entryRelationship8 0..*EntryRelationshipentryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1SmokingStatusMeaningfulUseBase for all types and resources
.... entryRelationship:entryRelationship9 0..*EntryRelationshipentryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... act 1..1EncounterDiagnosisBase for all types and resources
.... entryRelationship:entryRelationship10 0..*EntryRelationshipentryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... organizer 1..1FamilyHistoryOrganizerBase for all types and resources
.... entryRelationship:entryRelationship11 0..*EntryRelationshipentryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1FunctionalStatusObservationBase for all types and resources
.... entryRelationship:entryRelationship12 0..*EntryRelationshipentryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... act 1..1HospitalAdmissionDiagnosisBase for all types and resources
.... entryRelationship:entryRelationship13 0..*EntryRelationshipentryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1NutritionAssessmentBase for all types and resources
.... entryRelationship:entryRelationship14 0..*EntryRelationshipentryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... act 1..1PostprocedureDiagnosisBase for all types and resources
.... entryRelationship:entryRelationship15 0..*EntryRelationshipentryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1PregnancyObservationBase for all types and resources
.... entryRelationship:entryRelationship16 0..*EntryRelationshipentryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... act 1..1PreoperativeDiagnosisBase for all types and resources
.... entryRelationship:entryRelationship17 0..*EntryRelationshipentryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1ReactionObservationBase for all types and resources
.... entryRelationship:entryRelationship18 0..*EntryRelationshipentryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1ResultObservationBase for all types and resources
.... entryRelationship:entryRelationship19 0..*EntryRelationshipentryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1SensoryStatusBase for all types and resources
.... entryRelationship:entryRelationship20 0..*EntryRelationshipentryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1SocialHistoryObservationBase for all types and resources
.... entryRelationship:entryRelationship21 0..*EntryRelationshipentryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1SubstanceOrDeviceAllergyIntoleranceObservationBase for all types and resources
.... entryRelationship:entryRelationship22 0..*EntryRelationshipentryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1TobaccoUseBase for all types and resources
.... entryRelationship:entryRelationship23 0..*EntryRelationshipentryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1VitalSignObservationBase for all types and resources
.... entryRelationship:entryRelationship24 0..*EntryRelationshipentryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1LongitudinalCareWoundObservationBase for all types and resources
.... entryRelationship:entryRelationship25 0..*EntryRelationshipentryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: SPRT
..... observation 1..1ProblemObservationBase for all types and resources
.... entryRelationship:entryRelationship26 0..*EntryRelationshipentryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1CaregiverCharacteristicsBase for all types and resources
.... entryRelationship:entryRelationship27 0..*EntryRelationshipentryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1CulturalandReligiousObservationBase for all types and resources
.... entryRelationship:entryRelationship28 0..*EntryRelationshipentryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1CharacteristicsofHomeEnvironmentBase for all types and resources
.... entryRelationship:entryRelationship29 0..*EntryRelationshipentryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1NutritionalStatusObservationBase for all types and resources
.... entryRelationship:entryRelationship30 0..*EntryRelationshipentryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... organizer 1..1ResultOrganizerBase for all types and resources
.... entryRelationship:entryRelationship31 0..*EntryRelationshipentryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1PriorityPreferenceBase for all types and resources
.... entryRelationship:entryRelationship32 0..*EntryRelationshipentryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... act 1..1EntryReferenceBase for all types and resources
... reference 0..*Reference
.... @typeCode 1..1csBinding: x_ActRelationshipExternalReference (required)
Fixed Value: REFR
.... externalDocument 1..1ExternalDocumentReferenceBase for all types and resources

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Act.codeextensibleActCode
Act.statusCoderequiredActStatus
Act.statusCode.coderequiredProblemAct statusCode
Act.entryRelationship:entryRelationship1.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryRelationship2.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryRelationship3.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryRelationship4.typeCoderequiredFixed Value: COMP
Act.entryRelationship:entryRelationship5.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryRelationship6.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryRelationship7.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryRelationship8.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryRelationship9.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryRelationship10.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryRelationship11.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryRelationship12.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryRelationship13.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryRelationship14.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryRelationship15.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryRelationship16.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryRelationship17.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryRelationship18.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryRelationship19.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryRelationship20.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryRelationship21.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryRelationship22.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryRelationship23.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryRelationship24.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryRelationship25.typeCoderequiredFixed Value: SPRT
Act.entryRelationship:entryRelationship26.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryRelationship27.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryRelationship28.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryRelationship29.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryRelationship30.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryRelationship31.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryRelationship32.typeCoderequiredFixed Value: REFR
Act.reference.typeCoderequiredFixed Value: REFR

Constraints

IdGradePath(s)DetailsRequirements
4515-32745errorAct.entryRelationship:entryRelationship4.actThe Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:4515-32745).
:
4515-32860errorAct.entryRelationship:entryRelationship3.actThe Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:4515-32860).
:
4515-32962errorActWhen this Health Concern Act is a Social Determinant of Health Health Concern it **SHOULD** contain zero or more [0..*] entryRelationship subentries such that it contains an observation with an observation/value selected from ValueSet [Social Determinant of Health Conditions 2.16.840.1.113762.1.4.1196.788](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1196.788/expansion) **DYNAMIC** (CONF:4515-32962).
:
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
NameFlagsCard.TypeDescription & Constraintsdoco
.. Act C1..1CDAR2.ActXML Namespace: urn:hl7-org:v3
Elements defined in Ancestors: @nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, code, @negationInd, text, statusCode, effectiveTime, priorityCode, languageCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition
Base for all types and resources
4515-32962: When this Health Concern Act is a Social Determinant of Health Health Concern it **SHOULD** contain zero or more [0..*] entryRelationship subentries such that it contains an observation with an observation/value selected from ValueSet [Social Determinant of Health Conditions 2.16.840.1.113762.1.4.1196.788](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1196.788/expansion) **DYNAMIC** (CONF:4515-32962).
... @nullFlavor 0..1csBinding: NullFlavor (required)
... @classCode 1..1csFixed Value: ACT
... @moodCode 1..1csFixed Value: EVN
... typeId 0..1II
... Slices for templateId 1..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:templateId1 1..1IItemplateId
..... @nullFlavor 0..1csBinding: NullFlavor (required)
..... @assigningAuthorityName 0..1st
..... @displayable 0..1bl
..... @root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.132
..... @extension 1..1stRequired Pattern: 2022-06-01
... id 1..*II
... code 1..1CDBinding: v3 Code System ActCode (extensible)
.... @nullFlavor 0..1csBinding: NullFlavor (required)
.... @code 1..1csRequired Pattern: 75310-3
.... @codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.6.1
.... @codeSystemName 0..1st
.... @codeSystemVersion 0..1st
.... @displayName 0..1st
.... @sdtcValueSet 0..1oidXML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1stXML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText 0..1ED
.... qualifier 0..*CR
.... translation 0..*CD
... @negationInd 0..1bl
... text 0..1ED
... statusCode 1..1CSBinding: ActStatus (required)
.... @nullFlavor 0..1csBinding: NullFlavor (required)
.... @code 1..1csBinding: ProblemAct statusCode (required)
.... @sdtcValueSet 0..1oidXML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1stXML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
... effectiveTime 0..1IVL_TS
... priorityCode 0..1CEBinding: ActPriority (extensible)
... languageCode 0..1CSBinding: HumanLanguage (required)
... subject 0..1Subject
... specimen 0..*Specimen
... performer 0..*Performer2
... author 0..*AuthorParticipationBase for all types and resources
... informant 0..*Informant
... participant 0..*Participant2
... Slices for entryRelationship 0..*EntryRelationshipSlice: Unordered, Open by value:act, value:typeCode
.... entryRelationship:entryRelationship1 0..*EntryRelationshipentryRelationship
..... @nullFlavor 0..1csBinding: NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation 1..1ProblemObservationBase for all types and resources
..... observationMedia 0..1ObservationMedia
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Fixed Value: REFR
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Fixed Value: REFR
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4515-32860: The Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:4515-32860).
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Fixed Value: COMP
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4515-32745: The Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:4515-32745).
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Fixed Value: REFR
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Fixed Value: REFR
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Fixed Value: REFR
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Fixed Value: REFR
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Fixed Value: REFR
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Fixed Value: REFR
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Fixed Value: REFR
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Fixed Value: REFR
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Fixed Value: REFR
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Fixed Value: REFR
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