Planned Act - 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: PlannedAct - Detailed Descriptions

Draft as of 2023-09-29

Definitions for the PlannedAct 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" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-8538).
Fixed Value	ACT
4. Act.moodCode
Comments	SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet Planned moodCode (Act/Encounter/Procedure) urn:oid:2.16.840.1.113883.11.20.9.23 STATIC 2014-09-01 (CONF:1098-8539).
Binding	The codes SHALL be taken from Planned moodCode (Act/Encounter/Procedure)
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 value @ extension
8. Act.templateId:primary
Slice Name	primary
Comments	SHALL contain exactly one [1..1] templateId (CONF:1098-30430) such that it
Control	1..1
10. Act.templateId:primary.root
Comments	SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.39" (CONF:1098-30431).
Control	1..?
Pattern Value	2.16.840.1.113883.10.20.22.4.39
12. Act.templateId:primary.extension
Comments	SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32552).
Control	1..?
Pattern Value	2014-06-09
14. Act.id
Comments	SHALL contain at least one [1..*] id (CONF:1098-8546).
Control	1..?
16. Act.code
Comments	SHALL contain exactly one [1..1] code (CONF:1098-31687).
Invariants	1098-32030: This code in a Planned Act SHOULD be selected from LOINC (CodeSystem: 2.16.840.1.113883.6.1) OR SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96) (CONF:1098-32030). ()
18. Act.statusCode
Comments	SHALL contain exactly one [1..1] statusCode (CONF:1098-30432).
Control	1..?
20. Act.statusCode.code
Comments	This statusCode SHALL contain exactly one [1..1] @code="active" Active (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-32019).
Control	1..?
Fixed Value	active
22. Act.effectiveTime
Short	The effectiveTime in a planned act represents the time that the act should occur.
Comments	SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-30433).
24. Act.performer
Short	The clinician who is expected to carry out the act could be identified using act/performer.
Comments	MAY contain zero or more [0..*] performer (CONF:1098-30435).
26. Act.author
Short	The author in a planned act represents the clinician who is requesting or planning the act.
Comments	SHOULD contain zero or one [0..1] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-32020).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Author(Author Participation)
28. Act.entryRelationship
Short	The following entryRelationship captures any instructions associated with the planned act.
Slicing	This element introduces a set of slices on `Act.entryRelationship`. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: profile @ act
30. Act.entryRelationship:priorityPreference
Slice Name	priorityPreference
Short	The following entryRelationship represents the priority that a patient or a provider places on the activity.
Comments	MAY contain zero or more [0..*] entryRelationship (CONF:1098-31067) such that it
Control	0..*
32. Act.entryRelationship:priorityPreference.typeCode
Comments	SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31068).
Fixed Value	REFR
34. Act.entryRelationship:priorityPreference.observation
Comments	SHALL contain exactly one [1..1] Priority Preference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.143) (CONF:1098-31069).
Control	1..?
Type	http://hl7.org/cda/stds/core/StructureDefinition/Observation(Priority Preference)
36. Act.entryRelationship:indication
Slice Name	indication
Short	The following entryRelationship represents the indication for the act.
Comments	MAY contain zero or more [0..*] entryRelationship (CONF:1098-32021) such that it
Control	0..*
38. Act.entryRelationship:indication.typeCode
Comments	SHALL contain exactly one [1..1] @typeCode="RSON" Has Reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32022).
Fixed Value	RSON
40. Act.entryRelationship:indication.observation
Comments	SHALL contain exactly one [1..1] Indication (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.19:2014-06-09) (CONF:1098-32023).
Control	1..?
Type	http://hl7.org/cda/stds/core/StructureDefinition/Observation(Indication)
42. Act.entryRelationship:instruction
Slice Name	instruction
Comments	MAY contain zero or more [0..*] entryRelationship (CONF:1098-32024) such that it
Control	0..*
44. Act.entryRelationship:instruction.typeCode
Comments	SHALL contain exactly one [1..1] @typeCode="SUBJ" Has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32025).
Fixed Value	SUBJ
46. Act.entryRelationship:instruction.act
Comments	SHALL contain exactly one [1..1] Instruction (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.20:2014-06-09) (CONF:1098-32026).
Control	1..?
Type	http://hl7.org/cda/stds/core/StructureDefinition/Act(Instruction)

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" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-8538).
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, which SHALL be selected from ValueSet Planned moodCode (Act/Encounter/Procedure) urn:oid:2.16.840.1.113883.11.20.9.23 STATIC 2014-09-01 (CONF:1098-8539).
Control	1..1
Binding	The codes SHALL be taken from Planned moodCode (Act/Encounter/Procedure)
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.
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 value @ extension
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:1098-30430) such that it
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="2.16.840.1.113883.10.20.22.4.39" (CONF:1098-30431).
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	2.16.840.1.113883.10.20.22.4.39
12. Act.templateId:primary.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Comments	SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32552).
Control	1..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	Extension
Pattern Value	2014-06-09
14. Act.id
Comments	SHALL contain at least one [1..*] id (CONF:1098-8546).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
16. Act.code
Comments	SHALL contain exactly one [1..1] code (CONF:1098-31687).
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
Invariants	1098-32030: This code in a Planned Act SHOULD be selected from LOINC (CodeSystem: 2.16.840.1.113883.6.1) OR SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96) (CONF:1098-32030). ()
18. Act.statusCode
Comments	SHALL contain exactly one [1..1] statusCode (CONF:1098-30432).
Control	1..1
Binding	The codes SHALL be taken from ActStatus
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
20. 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="active" Active (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-32019).
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	active
22. 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
24. 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
26. 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
28. 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
30. 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
32. 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
34. 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
36. Act.effectiveTime
Short	The effectiveTime in a planned act represents the time that the act should occur.
Comments	SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-30433).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
38. Act.performer
Short	The clinician who is expected to carry out the act could be identified using act/performer.
Comments	MAY contain zero or more [0..*] performer (CONF:1098-30435).
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Performer2
40. Act.author
Definition	Base definition for all types defined in FHIR type system.
Short	The author in a planned act represents the clinician who is requesting or planning the act.
Comments	SHOULD contain zero or one [0..1] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-32020).
Control	0..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.entryRelationship
Short	The following entryRelationship captures any instructions associated with the planned act.
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
Slicing	This element introduces a set of slices on `Act.entryRelationship`. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: profile @ act
44. Act.entryRelationship:priorityPreference
Slice Name	priorityPreference
Short	The following entryRelationship represents the priority that a patient or a provider places on the activity.
Comments	MAY contain zero or more [0..*] entryRelationship (CONF:1098-31067) such that it
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
46. Act.entryRelationship:priorityPreference.typeCode
Comments	SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31068).
Control	1..1
Binding	The codes SHALL be taken from x_ActRelationshipEntryRelationship
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	REFR
48. Act.entryRelationship:priorityPreference.observation
Definition	Base definition for all types defined in FHIR type system.
Short	Base for all types and resources
Comments	SHALL contain exactly one [1..1] Priority Preference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.143) (CONF:1098-31069).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Observation(Priority Preference)
Is Modifier	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
50. Act.entryRelationship:indication
Slice Name	indication
Short	The following entryRelationship represents the indication for the act.
Comments	MAY contain zero or more [0..*] entryRelationship (CONF:1098-32021) such that it
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
52. Act.entryRelationship:indication.typeCode
Comments	SHALL contain exactly one [1..1] @typeCode="RSON" Has Reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32022).
Control	1..1
Binding	The codes SHALL be taken from x_ActRelationshipEntryRelationship
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	RSON
54. Act.entryRelationship:indication.observation
Definition	Base definition for all types defined in FHIR type system.
Short	Base for all types and resources
Comments	SHALL contain exactly one [1..1] Indication (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.19:2014-06-09) (CONF:1098-32023).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Observation(Indication)
Is Modifier	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
56. Act.entryRelationship:instruction
Slice Name	instruction
Comments	MAY contain zero or more [0..*] entryRelationship (CONF:1098-32024) such that it
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
58. Act.entryRelationship:instruction.typeCode
Comments	SHALL contain exactly one [1..1] @typeCode="SUBJ" Has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32025).
Control	1..1
Binding	The codes SHALL be taken from x_ActRelationshipEntryRelationship
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	SUBJ
60. Act.entryRelationship:instruction.act
Definition	Base definition for all types defined in FHIR type system.
Short	Base for all types and resources
Comments	SHALL contain exactly one [1..1] Instruction (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.20:2014-06-09) (CONF:1098-32026).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Act(Instruction)
Is Modifier	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)

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" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-8538).
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, which SHALL be selected from ValueSet Planned moodCode (Act/Encounter/Procedure) urn:oid:2.16.840.1.113883.11.20.9.23 STATIC 2014-09-01 (CONF:1098-8539).
Control	1..1
Binding	The codes SHALL be taken from Planned moodCode (Act/Encounter/Procedure)
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.
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 value @ extension
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:1098-30430) such that it
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="2.16.840.1.113883.10.20.22.4.39" (CONF:1098-30431).
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	2.16.840.1.113883.10.20.22.4.39
24. Act.templateId:primary.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Comments	SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32552).
Control	1..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	Extension
Pattern Value	2014-06-09
26. Act.id
Comments	SHALL contain at least one [1..*] id (CONF:1098-8546).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
28. Act.code
Comments	SHALL contain exactly one [1..1] code (CONF:1098-31687).
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
Invariants	1098-32030: This code in a Planned Act SHOULD be selected from LOINC (CodeSystem: 2.16.840.1.113883.6.1) OR SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96) (CONF:1098-32030). ()
30. 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.
32. Act.text
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
34. Act.statusCode
Comments	SHALL contain exactly one [1..1] statusCode (CONF:1098-30432).
Control	1..1
Binding	The codes SHALL be taken from ActStatus
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
36. 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
38. 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="active" Active (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-32019).
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	active
40. 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
42. 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
44. 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
46. 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
48. 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`.
50. 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`.
52. 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
54. 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
56. 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
58. Act.effectiveTime
Short	The effectiveTime in a planned act represents the time that the act should occur.
Comments	SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-30433).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
60. 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
62. Act.languageCode
Control	0..1
Binding	The codes SHALL be taken from HumanLanguage
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
64. Act.subject
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Subject
66. Act.specimen
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Specimen
68. Act.performer
Short	The clinician who is expected to carry out the act could be identified using act/performer.
Comments	MAY contain zero or more [0..*] performer (CONF:1098-30435).
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Performer2
70. Act.author
Definition	Base definition for all types defined in FHIR type system.
Short	The author in a planned act represents the clinician who is requesting or planning the act.
Comments	SHOULD contain zero or one [0..1] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-32020).
Control	0..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())`)
72. Act.informant
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Informant
74. Act.participant
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Participant2
76. Act.entryRelationship
Short	The following entryRelationship captures any instructions associated with the planned act.
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
Slicing	This element introduces a set of slices on `Act.entryRelationship`. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: profile @ act
78. Act.entryRelationship:priorityPreference
Slice Name	priorityPreference
Short	The following entryRelationship represents the priority that a patient or a provider places on the activity.
Comments	MAY contain zero or more [0..*] entryRelationship (CONF:1098-31067) such that it
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
80. Act.entryRelationship:priorityPreference.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
82. Act.entryRelationship:priorityPreference.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
84. Act.entryRelationship:priorityPreference.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
86. Act.entryRelationship:priorityPreference.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
88. Act.entryRelationship:priorityPreference.typeCode
Comments	SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31068).
Control	1..1
Binding	The codes SHALL be taken from x_ActRelationshipEntryRelationship
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	REFR
90. Act.entryRelationship:priorityPreference.inversionInd
Definition	The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.
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.
92. Act.entryRelationship:priorityPreference.contextConductionInd
Definition	The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.
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.
Default Value	true
94. Act.entryRelationship:priorityPreference.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.
96. Act.entryRelationship:priorityPreference.sequenceNumber
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/INT
98. Act.entryRelationship:priorityPreference.seperatableInd
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/BL
100. Act.entryRelationship:priorityPreference.act
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Act
102. Act.entryRelationship:priorityPreference.encounter
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Encounter
104. Act.entryRelationship:priorityPreference.observation
Definition	Base definition for all types defined in FHIR type system.
Short	Base for all types and resources
Comments	SHALL contain exactly one [1..1] Priority Preference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.143) (CONF:1098-31069).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Observation(Priority Preference)
Is Modifier	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
106. Act.entryRelationship:priorityPreference.observationMedia
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
108. Act.entryRelationship:priorityPreference.organizer
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Organizer
110. Act.entryRelationship:priorityPreference.procedure
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Procedure
112. Act.entryRelationship:priorityPreference.regionOfInterest
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
114. Act.entryRelationship:priorityPreference.substanceAdministration
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
116. Act.entryRelationship:priorityPreference.supply
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Supply
118. Act.entryRelationship:indication
Slice Name	indication
Short	The following entryRelationship represents the indication for the act.
Comments	MAY contain zero or more [0..*] entryRelationship (CONF:1098-32021) such that it
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
120. Act.entryRelationship:indication.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
122. Act.entryRelationship:indication.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
124. Act.entryRelationship:indication.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
126. Act.entryRelationship:indication.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
128. Act.entryRelationship:indication.typeCode
Comments	SHALL contain exactly one [1..1] @typeCode="RSON" Has Reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32022).
Control	1..1
Binding	The codes SHALL be taken from x_ActRelationshipEntryRelationship
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	RSON
130. Act.entryRelationship:indication.inversionInd
Definition	The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.
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.
132. Act.entryRelationship:indication.contextConductionInd
Definition	The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.
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.
Default Value	true
134. Act.entryRelationship:indication.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.
136. Act.entryRelationship:indication.sequenceNumber
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/INT
138. Act.entryRelationship:indication.seperatableInd
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/BL
140. Act.entryRelationship:indication.act
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Act
142. Act.entryRelationship:indication.encounter
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Encounter
144. Act.entryRelationship:indication.observation
Definition	Base definition for all types defined in FHIR type system.
Short	Base for all types and resources
Comments	SHALL contain exactly one [1..1] Indication (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.19:2014-06-09) (CONF:1098-32023).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Observation(Indication)
Is Modifier	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
146. Act.entryRelationship:indication.observationMedia
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
148. Act.entryRelationship:indication.organizer
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Organizer
150. Act.entryRelationship:indication.procedure
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Procedure
152. Act.entryRelationship:indication.regionOfInterest
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
154. Act.entryRelationship:indication.substanceAdministration
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
156. Act.entryRelationship:indication.supply
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Supply
158. Act.entryRelationship:instruction
Slice Name	instruction
Comments	MAY contain zero or more [0..*] entryRelationship (CONF:1098-32024) such that it
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
160. Act.entryRelationship:instruction.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
162. Act.entryRelationship:instruction.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
164. Act.entryRelationship:instruction.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
166. Act.entryRelationship:instruction.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
168. Act.entryRelationship:instruction.typeCode
Comments	SHALL contain exactly one [1..1] @typeCode="SUBJ" Has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32025).
Control	1..1
Binding	The codes SHALL be taken from x_ActRelationshipEntryRelationship
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	SUBJ
170. Act.entryRelationship:instruction.inversionInd
Definition	The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.
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.
172. Act.entryRelationship:instruction.contextConductionInd
Definition	The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.
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.
Default Value	true
174. Act.entryRelationship:instruction.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.
176. Act.entryRelationship:instruction.sequenceNumber
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/INT
178. Act.entryRelationship:instruction.seperatableInd
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/BL
180. Act.entryRelationship:instruction.act
Definition	Base definition for all types defined in FHIR type system.
Short	Base for all types and resources
Comments	SHALL contain exactly one [1..1] Instruction (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.20:2014-06-09) (CONF:1098-32026).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Act(Instruction)
Is Modifier	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
182. Act.entryRelationship:instruction.encounter
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Encounter
184. Act.entryRelationship:instruction.observation
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Observation
186. Act.entryRelationship:instruction.observationMedia
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
188. Act.entryRelationship:instruction.organizer
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Organizer
190. Act.entryRelationship:instruction.procedure
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Procedure
192. Act.entryRelationship:instruction.regionOfInterest
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
194. Act.entryRelationship:instruction.substanceAdministration
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
196. Act.entryRelationship:instruction.supply
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Supply
198. Act.reference
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Reference
200. Act.precondition
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Precondition