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: Planned Act

Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/PlannedAct Version: 2.1
Draft as of 2023-09-29 Computable Name: PlannedAct
Other Identifiers: id: urn:hl7ii:2.16.840.1.113883.10.20.22.4.39:2014-06-09

This template represents planned acts that are not classified as an observation or a procedure according to the HL7 RIM. Examples of these acts are a dressing change, the teaching or feeding of a patient or the providing of comfort measures. The priority of the activity to the patient and provider is communicated through Priority Preference. The effectiveTime indicates the time when the activity is intended to take place.

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 CDAR2.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
... classCode 1..1csFixed Value: ACT
... moodCode 1..1csBinding: Planned moodCode (Act/Encounter/Procedure) (required)
... Slices for templateId 1..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:primary 1..1II
..... root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.39
..... extension 1..1stRequired Pattern: 2014-06-09
... code C1..1CD1098-32030: 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).
... statusCode 1..1CS
.... code 1..1csFixed Value: active
... effectiveTime 0..1IVL_TSThe effectiveTime in a planned act represents the time that the act should occur.
... performer 0..*Performer2The clinician who is expected to carry out the act could be identified using act/performer.
... author 0..1AuthorParticipationThe author in a planned act represents the clinician who is requesting or planning the act.
... Slices for entryRelationship 0..*EntryRelationshipThe following entryRelationship captures any instructions associated with the planned act.
Slice: Unordered, Open by profile:act
.... entryRelationship:priorityPreference 0..*EntryRelationshipThe following entryRelationship represents the priority that a patient or a provider places on the activity.
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1PriorityPreferenceBase for all types and resources
.... entryRelationship:indication 0..*EntryRelationshipThe following entryRelationship represents the indication for the act.
..... typeCode 1..1csFixed Value: RSON
..... observation 1..1IndicationBase for all types and resources
.... entryRelationship:instruction 0..*EntryRelationship
..... typeCode 1..1csFixed Value: SUBJ
..... act 1..1InstructionBase for all types and resources

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Act.moodCoderequiredPlanned moodCode (Act/Encounter/Procedure)

Constraints

IdGradePath(s)DetailsRequirements
1098-32030warningAct.codeThis 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).
:
NameFlagsCard.TypeDescription & Constraintsdoco
.. Act 1..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
... @classCode 1..1csFixed Value: ACT
... @moodCode 1..1csBinding: Planned moodCode (Act/Encounter/Procedure) (required)
... Slices for templateId 1..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:primary 1..1II
..... @root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.39
..... @extension 1..1stRequired Pattern: 2014-06-09
... code C1..1CDBinding: v3 Code System ActCode (extensible)
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).
... statusCode 1..1CSBinding: ActStatus (required)
.... @code 1..1csFixed Value: active
... effectiveTime 0..1IVL_TSThe effectiveTime in a planned act represents the time that the act should occur.
... performer 0..*Performer2The clinician who is expected to carry out the act could be identified using act/performer.
... author 0..1AuthorParticipationThe author in a planned act represents the clinician who is requesting or planning the act.
... Slices for entryRelationship 0..*EntryRelationshipThe following entryRelationship captures any instructions associated with the planned act.
Slice: Unordered, Open by profile:act
.... entryRelationship:priorityPreference 0..*EntryRelationshipThe following entryRelationship represents the priority that a patient or a provider places on the activity.
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1PriorityPreferenceBase for all types and resources
.... entryRelationship:indication 0..*EntryRelationshipThe following entryRelationship represents the indication for the act.
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: RSON
..... observation 1..1IndicationBase for all types and resources
.... entryRelationship:instruction 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: SUBJ
..... act 1..1InstructionBase for all types and resources

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Act.moodCoderequiredPlanned moodCode (Act/Encounter/Procedure)
Act.codeextensibleActCode
Act.statusCoderequiredActStatus
Act.entryRelationship:priorityPreference.typeCoderequiredFixed Value: REFR
Act.entryRelationship:indication.typeCoderequiredFixed Value: RSON
Act.entryRelationship:instruction.typeCoderequiredFixed Value: SUBJ

Constraints

IdGradePath(s)DetailsRequirements
1098-32030warningAct.codeThis 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).
:
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
NameFlagsCard.TypeDescription & Constraintsdoco
.. Act 1..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
... @nullFlavor 0..1csBinding: NullFlavor (required)
... @classCode 1..1csFixed Value: ACT
... @moodCode 1..1csBinding: Planned moodCode (Act/Encounter/Procedure) (required)
... typeId 0..1II
... Slices for templateId 1..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:primary 1..1II
..... @nullFlavor 0..1csBinding: NullFlavor (required)
..... @assigningAuthorityName 0..1st
..... @displayable 0..1bl
..... @root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.39
..... @extension 1..1stRequired Pattern: 2014-06-09
... id 1..*II
... code C1..1CDBinding: v3 Code System ActCode (extensible)
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).
... @negationInd 0..1bl
... text 0..1ED
... statusCode 1..1CSBinding: ActStatus (required)
.... @nullFlavor 0..1csBinding: NullFlavor (required)
.... @code 1..1csFixed Value: active
.... @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_TSThe effectiveTime in a planned act represents the time that the act should occur.
... priorityCode 0..1CEBinding: ActPriority (extensible)
... languageCode 0..1CSBinding: HumanLanguage (required)
... subject 0..1Subject
... specimen 0..*Specimen
... performer 0..*Performer2The clinician who is expected to carry out the act could be identified using act/performer.
... author 0..1AuthorParticipationThe author in a planned act represents the clinician who is requesting or planning the act.
... informant 0..*Informant
... participant 0..*Participant2
... Slices for entryRelationship 0..*EntryRelationshipThe following entryRelationship captures any instructions associated with the planned act.
Slice: Unordered, Open by profile:act
.... entryRelationship:priorityPreference 0..*EntryRelationshipThe following entryRelationship represents the priority that a patient or a provider places on the activity.
..... @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..1PriorityPreferenceBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:indication 0..*EntryRelationshipThe following entryRelationship represents the indication for the act.
..... @nullFlavor 0..1csBinding: NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: RSON
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation 1..1IndicationBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:instruction 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: SUBJ
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 1..1InstructionBase for all types and resources
..... encounter 0..1Encounter
..... observation 0..1Observation
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
... reference 0..*Reference
... precondition 0..*Precondition

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Act.nullFlavorrequiredNullFlavor
Act.moodCoderequiredPlanned moodCode (Act/Encounter/Procedure)
Act.templateId:primary.nullFlavorrequiredNullFlavor
Act.codeextensibleActCode
Act.statusCoderequiredActStatus
Act.statusCode.nullFlavorrequiredNullFlavor
Act.priorityCodeextensibleActPriority
Act.languageCoderequiredHumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066)
Act.entryRelationship:priorityPreference.nullFlavorrequiredNullFlavor
Act.entryRelationship:priorityPreference.typeCoderequiredFixed Value: REFR
Act.entryRelationship:indication.nullFlavorrequiredNullFlavor
Act.entryRelationship:indication.typeCoderequiredFixed Value: RSON
Act.entryRelationship:instruction.nullFlavorrequiredNullFlavor
Act.entryRelationship:instruction.typeCoderequiredFixed Value: SUBJ

Constraints

IdGradePath(s)DetailsRequirements
1098-32030warningAct.codeThis 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).
:
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())

This structure is derived from CDAR2.Act

Summary

Mandatory: 7 elements (3 nested mandatory elements)
Fixed Value: 5 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Act.templateId is sliced based on the values of value:root, value:extension
  • The element Act.entryRelationship is sliced based on the value of profile:act

Differential View

This structure is derived from CDAR2.Act

NameFlagsCard.TypeDescription & Constraintsdoco
.. Act CDAR2.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
... classCode 1..1csFixed Value: ACT
... moodCode 1..1csBinding: Planned moodCode (Act/Encounter/Procedure) (required)
... Slices for templateId 1..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:primary 1..1II
..... root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.39
..... extension 1..1stRequired Pattern: 2014-06-09
... code C1..1CD1098-32030: 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).
... statusCode 1..1CS
.... code 1..1csFixed Value: active
... effectiveTime 0..1IVL_TSThe effectiveTime in a planned act represents the time that the act should occur.
... performer 0..*Performer2The clinician who is expected to carry out the act could be identified using act/performer.
... author 0..1AuthorParticipationThe author in a planned act represents the clinician who is requesting or planning the act.
... Slices for entryRelationship 0..*EntryRelationshipThe following entryRelationship captures any instructions associated with the planned act.
Slice: Unordered, Open by profile:act
.... entryRelationship:priorityPreference 0..*EntryRelationshipThe following entryRelationship represents the priority that a patient or a provider places on the activity.
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1PriorityPreferenceBase for all types and resources
.... entryRelationship:indication 0..*EntryRelationshipThe following entryRelationship represents the indication for the act.
..... typeCode 1..1csFixed Value: RSON
..... observation 1..1IndicationBase for all types and resources
.... entryRelationship:instruction 0..*EntryRelationship
..... typeCode 1..1csFixed Value: SUBJ
..... act 1..1InstructionBase for all types and resources

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Act.moodCoderequiredPlanned moodCode (Act/Encounter/Procedure)

Constraints

IdGradePath(s)DetailsRequirements
1098-32030warningAct.codeThis 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).
:

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Act 1..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
... @classCode 1..1csFixed Value: ACT
... @moodCode 1..1csBinding: Planned moodCode (Act/Encounter/Procedure) (required)
... Slices for templateId 1..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:primary 1..1II
..... @root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.39
..... @extension 1..1stRequired Pattern: 2014-06-09
... code C1..1CDBinding: v3 Code System ActCode (extensible)
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).
... statusCode 1..1CSBinding: ActStatus (required)
.... @code 1..1csFixed Value: active
... effectiveTime 0..1IVL_TSThe effectiveTime in a planned act represents the time that the act should occur.
... performer 0..*Performer2The clinician who is expected to carry out the act could be identified using act/performer.
... author 0..1AuthorParticipationThe author in a planned act represents the clinician who is requesting or planning the act.
... Slices for entryRelationship 0..*EntryRelationshipThe following entryRelationship captures any instructions associated with the planned act.
Slice: Unordered, Open by profile:act
.... entryRelationship:priorityPreference 0..*EntryRelationshipThe following entryRelationship represents the priority that a patient or a provider places on the activity.
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1PriorityPreferenceBase for all types and resources
.... entryRelationship:indication 0..*EntryRelationshipThe following entryRelationship represents the indication for the act.
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: RSON
..... observation 1..1IndicationBase for all types and resources
.... entryRelationship:instruction 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: SUBJ
..... act 1..1InstructionBase for all types and resources

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Act.moodCoderequiredPlanned moodCode (Act/Encounter/Procedure)
Act.codeextensibleActCode
Act.statusCoderequiredActStatus
Act.entryRelationship:priorityPreference.typeCoderequiredFixed Value: REFR
Act.entryRelationship:indication.typeCoderequiredFixed Value: RSON
Act.entryRelationship:instruction.typeCoderequiredFixed Value: SUBJ

Constraints

IdGradePath(s)DetailsRequirements
1098-32030warningAct.codeThis 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).
:
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Act 1..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
... @nullFlavor 0..1csBinding: NullFlavor (required)
... @classCode 1..1csFixed Value: ACT
... @moodCode 1..1csBinding: Planned moodCode (Act/Encounter/Procedure) (required)
... typeId 0..1II
... Slices for templateId 1..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:primary 1..1II
..... @nullFlavor 0..1csBinding: NullFlavor (required)
..... @assigningAuthorityName 0..1st
..... @displayable 0..1bl
..... @root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.39
..... @extension 1..1stRequired Pattern: 2014-06-09
... id 1..*II
... code C1..1CDBinding: v3 Code System ActCode (extensible)
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).
... @negationInd 0..1bl
... text 0..1ED
... statusCode 1..1CSBinding: ActStatus (required)
.... @nullFlavor 0..1csBinding: NullFlavor (required)
.... @code 1..1csFixed Value: active
.... @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_TSThe effectiveTime in a planned act represents the time that the act should occur.
... priorityCode 0..1CEBinding: ActPriority (extensible)
... languageCode 0..1CSBinding: HumanLanguage (required)
... subject 0..1Subject
... specimen 0..*Specimen
... performer 0..*Performer2The clinician who is expected to carry out the act could be identified using act/performer.
... author 0..1AuthorParticipationThe author in a planned act represents the clinician who is requesting or planning the act.
... informant 0..*Informant
... participant 0..*Participant2
... Slices for entryRelationship 0..*EntryRelationshipThe following entryRelationship captures any instructions associated with the planned act.
Slice: Unordered, Open by profile:act
.... entryRelationship:priorityPreference 0..*EntryRelationshipThe following entryRelationship represents the priority that a patient or a provider places on the activity.
..... @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..1PriorityPreferenceBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:indication 0..*EntryRelationshipThe following entryRelationship represents the indication for the act.
..... @nullFlavor 0..1csBinding: NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: RSON
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation 1..1IndicationBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:instruction 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: SUBJ
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 1..1InstructionBase for all types and resources
..... encounter 0..1Encounter
..... observation 0..1Observation
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
... reference 0..*Reference
... precondition 0..*Precondition

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Act.nullFlavorrequiredNullFlavor
Act.moodCoderequiredPlanned moodCode (Act/Encounter/Procedure)
Act.templateId:primary.nullFlavorrequiredNullFlavor
Act.codeextensibleActCode
Act.statusCoderequiredActStatus
Act.statusCode.nullFlavorrequiredNullFlavor
Act.priorityCodeextensibleActPriority
Act.languageCoderequiredHumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066)
Act.entryRelationship:priorityPreference.nullFlavorrequiredNullFlavor
Act.entryRelationship:priorityPreference.typeCoderequiredFixed Value: REFR
Act.entryRelationship:indication.nullFlavorrequiredNullFlavor
Act.entryRelationship:indication.typeCoderequiredFixed Value: RSON
Act.entryRelationship:instruction.nullFlavorrequiredNullFlavor
Act.entryRelationship:instruction.typeCoderequiredFixed Value: SUBJ

Constraints

IdGradePath(s)DetailsRequirements
1098-32030warningAct.codeThis 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).
:
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())

This structure is derived from CDAR2.Act

Summary

Mandatory: 7 elements (3 nested mandatory elements)
Fixed Value: 5 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Act.templateId is sliced based on the values of value:root, value:extension
  • The element Act.entryRelationship is sliced based on the value of profile:act

 

Other representations of profile: CSV, Excel