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: PolicyActivity - Detailed Descriptions

Draft as of 2023-09-29

Definitions for the PolicyActivity logical model.

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

0. Act
XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
2. Act.classCode
Comments

SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:4537-8898).

Fixed ValueACT
4. Act.moodCode
Comments

SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:4537-8899).

Fixed ValueEVN
6. Act.templateId
Comments

SHALL contain exactly one [1..1] templateId (CONF:4537-8900) such that it

Control1..?
SlicingThis 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:templateId1
Slice NametemplateId1
ShorttemplateId
Control1..1
10. Act.templateId:templateId1.root
Comments

SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.61" (CONF:4537-10516).

Control1..?
Pattern Value2.16.840.1.113883.10.20.22.4.61
12. Act.templateId:templateId1.extension
Comments

SHALL contain exactly one [1..1] @extension="2023-05-01" (CONF:4537-32595).

Control1..?
Pattern Value2023-05-01
14. Act.id
Comments

SHALL contain at least one [1..*] id (CONF:4537-8901).

Control1..?
16. Act.code
Comments

SHALL contain exactly one [1..1] code, which SHOULD be selected from CodeSystem X12N Insurance Type urn:oid:2.16.840.1.113883.6.255.1336 DYNAMIC (CONF:4537-8903).

18. Act.code.codeSystem
Control1..?
Pattern Value2.16.840.1.113883.6.255.1336
20. Act.code.translation
Comments

This code SHALL contain at least one [1..*] translation (CONF:4537-32852) such that it

Control1..?
SlicingThis element introduces a set of slices on Act.code.translation. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ code
22. Act.code.translation:translation1
Slice Nametranslation1
Shorttranslation
Control1..*
24. Act.code.translation:translation1.code
Comments

SHOULD contain zero or one [0..1] @code, which SHOULD be selected from ValueSet Payer urn:oid:2.16.840.1.114222.4.11.3591 DYNAMIC (CONF:4537-33066).

BindingThe codes SHOULD be taken from Payer
26. Act.statusCode
Comments

SHALL contain exactly one [1..1] statusCode (CONF:4537-8902).

Control1..?
28. Act.statusCode.code
Comments

This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:4537-19109).

Control1..?
Fixed Valuecompleted
30. Act.performer
Comments

SHOULD contain zero or more [0..*] performer (CONF:4537-8961) such that it

Control1..?
SlicingThis element introduces a set of slices on Act.performer. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ templateId
  • value @ assignedEntity
  • value @ typeCode
32. Act.performer:performer1
Slice Nameperformer1
Shortperformer
Comments

SHALL contain exactly one [1..1] performer (CONF:4537-8906) such that it

Control1..1
34. Act.performer:performer1.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="PRF" Performer (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:4537-8907).

Control1..?
36. Act.performer:performer1.templateId
Comments

SHALL contain exactly one [1..1] templateId (CONF:4537-16808), SHALL not contain [0..0] extension..

Control1..1
38. Act.performer:performer1.templateId.root
Comments

This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.87" Payer Performer (CONF:4537-16809).

Control1..?
Pattern Value2.16.840.1.113883.10.20.22.4.87
40. Act.performer:performer1.templateId.extension
Control0..0
42. Act.performer:performer1.assignedEntity
Comments

SHALL contain exactly one [1..1] assignedEntity (CONF:4537-8908).

44. Act.performer:performer1.assignedEntity.id
Comments

This assignedEntity SHALL contain at least one [1..*] id (CONF:4537-8909).

46. Act.performer:performer1.assignedEntity.code
Comments

This assignedEntity SHOULD contain zero or one [0..1] code (CONF:4537-8914).

48. Act.performer:performer1.assignedEntity.code.code
Comments

The code, if present, SHALL contain exactly one [1..1] @code, which SHOULD be selected from ValueSet Financially Responsible Party Type Value Set urn:oid:2.16.840.1.113883.1.11.10416 DYNAMIC (CONF:4537-15992).

Control1..?
BindingThe codes SHOULD be taken from Financially Responsible Party Type Value Set
50. Act.performer:performer1.assignedEntity.addr
Comments

This assignedEntity MAY contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-8910).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address (AD.US.FIELDED))
52. Act.performer:performer1.assignedEntity.telecom
Comments

This assignedEntity MAY contain zero or more [0..*] telecom (CONF:4537-8911).

54. Act.performer:performer1.assignedEntity.representedOrganization
Comments

This assignedEntity SHOULD contain zero or one [0..1] representedOrganization (CONF:4537-8912).

56. Act.performer:performer1.assignedEntity.representedOrganization.name
Comments

The representedOrganization, if present, SHOULD contain zero or one [0..1] name (CONF:4537-8913).

Control0..1
58. Act.performer:performer2
Slice Nameperformer2
Shortperformer
Control0..*
60. Act.performer:performer2.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="PRF" Performer (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90) (CONF:4537-32971).

Control1..?
62. Act.performer:performer2.templateId
Comments

SHALL contain exactly one [1..1] templateId (CONF:4537-16810), SHALL not contain [0..0] extension.

Control1..1
64. Act.performer:performer2.templateId.root
Comments

This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.88" Guarantor Performer (CONF:4537-16811).

Control1..?
Pattern Value2.16.840.1.113883.10.20.22.4.88
66. Act.performer:performer2.templateId.extension
Control0..0
68. Act.performer:performer2.time
Comments

SHOULD contain zero or one [0..1] time (CONF:4537-8963).

70. Act.performer:performer2.assignedEntity
Comments

SHALL contain exactly one [1..1] assignedEntity (CONF:4537-8962).

Invariants4537-8967: **SHOULD** include assignedEntity/assignedPerson/name AND/OR assignedEntity/representedOrganization/name (CONF:4537-8967). ()
72. Act.performer:performer2.assignedEntity.code
Comments

This assignedEntity SHALL contain exactly one [1..1] code (CONF:4537-8968).

Control1..?
74. Act.performer:performer2.assignedEntity.code.code
Comments

This code SHALL contain exactly one [1..1] @code="GUAR" Guarantor (CONF:4537-16096).

Control1..?
Pattern ValueGUAR
76. Act.performer:performer2.assignedEntity.code.codeSystem
Comments

This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.110" (CONF:4537-32165).

Control1..?
Pattern Value2.16.840.1.113883.5.110
78. Act.performer:performer2.assignedEntity.addr
Comments

This assignedEntity SHOULD contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-8964).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address (AD.US.FIELDED))
80. Act.performer:performer2.assignedEntity.telecom
Comments

This assignedEntity SHOULD contain zero or more [0..*] telecom (CONF:4537-8965).

82. Act.participant
Comments

SHOULD contain zero or one [0..1] participant (CONF:4537-8934) such that it

Control1..?
SlicingThis element introduces a set of slices on Act.participant. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ templateId
  • value @ participantRole
  • value @ typeCode
84. Act.participant:participant1
Slice Nameparticipant1
Shortparticipant
Comments

SHALL contain exactly one [1..1] participant (CONF:4537-8916) such that it

Control1..1
86. Act.participant:participant1.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="COV" Coverage target (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:4537-8917).

Control1..?
Fixed ValueCOV
88. Act.participant:participant1.templateId
Comments

SHALL contain exactly one [1..1] templateId (CONF:4537-16812), SHALL not contain [0..0] extension.

Control1..1
90. Act.participant:participant1.templateId.root
Comments

This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.89" Covered Party Participant (CONF:4537-16814).

Control1..?
Pattern Value2.16.840.1.113883.10.20.22.4.89
92. Act.participant:participant1.templateId.extension
Control0..0
94. Act.participant:participant1.time
Comments

SHOULD contain zero or one [0..1] time (CONF:4537-8918).

96. Act.participant:participant1.time.low
Comments

The time, if present, SHOULD contain zero or one [0..1] low (CONF:4537-8919).

98. Act.participant:participant1.time.high
Comments

The time, if present, SHOULD contain zero or one [0..1] high (CONF:4537-8920).

100. Act.participant:participant1.participantRole
Comments

SHALL contain exactly one [1..1] participantRole (CONF:4537-8921).

102. Act.participant:participant1.participantRole.id
Comments

This participantRole SHALL contain at least one [1..*] id (CONF:4537-8922).

Control1..?
Invariants4537-8984: This id is a unique identifier for the covered party member. Implementers **SHOULD** use the same GUID for each instance of a member identifier from the same health plan (CONF:4537-8984). ()
104. Act.participant:participant1.participantRole.code
Comments

This participantRole SHALL contain exactly one [1..1] code (CONF:4537-8923).

Control1..?
106. Act.participant:participant1.participantRole.code.code
Comments

This code SHOULD contain zero or one [0..1] @code, which SHOULD be selected from ValueSet Coverage Role Type Value Set urn:oid:2.16.840.1.113883.1.11.18877 DYNAMIC (CONF:4537-16078).

BindingThe codes SHOULD be taken from Coverage Role Type Value Set
108. Act.participant:participant1.participantRole.addr
Comments

This participantRole SHOULD contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-8956).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address (AD.US.FIELDED))
110. Act.participant:participant1.participantRole.playingEntity
Comments

This participantRole SHOULD contain zero or one [0..1] playingEntity (CONF:4537-8932).

112. Act.participant:participant1.participantRole.playingEntity.name
Comments

The playingEntity, if present, SHALL contain exactly one [1..1] name (CONF:4537-8930).

Control1..1
114. Act.participant:participant1.participantRole.playingEntity.sdtcBirthTime
Shortsdtc:birthTime
Comments

The playingEntity, if present, SHALL contain exactly one [1..1] sdtc:birthTime (CONF:4537-31344).

Control1..?
Invariants4537-31345: The prefix sdtc: **SHALL** be bound to the namespace “urn:hl7-org:sdtc”. The use of the namespace provides a necessary extension to CDA R2 for the use of the birthTime element (CONF:4537-31345). ()
116. Act.participant:participant2
Slice Nameparticipant2
Shortparticipant
Control0..1
Invariants4537-17139: When the Subscriber is the patient, the participant element describing the subscriber **SHALL NOT** be present. This information will be recorded instead in the data elements used to record member information (CONF:4537-17139). ()
118. Act.participant:participant2.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="HLD" Holder (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:4537-8935).

Control1..?
Fixed ValueHLD
120. Act.participant:participant2.templateId
Comments

SHALL contain exactly one [1..1] templateId (CONF:4537-16813), SHALL not contain [0..0] extension.

Control1..1
122. Act.participant:participant2.templateId.root
Comments

This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.90" Policy Holder Participant (CONF:4537-16815).

Control1..?
Pattern Value2.16.840.1.113883.10.20.22.4.90
124. Act.participant:participant2.templateId.extension
Control0..0
126. Act.participant:participant2.time
Comments

MAY contain zero or one [0..1] time (CONF:4537-8938).

128. Act.participant:participant2.participantRole
Comments

SHALL contain exactly one [1..1] participantRole (CONF:4537-8936).

130. Act.participant:participant2.participantRole.id
Comments

This participantRole SHALL contain at least one [1..*] id (CONF:4537-8937).

Control1..?
Invariants4537-10120: This id is a unique identifier for the subscriber of the coverage (CONF:4537-10120). ()
132. Act.participant:participant2.participantRole.addr
Comments

This participantRole SHOULD contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-8925).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address (AD.US.FIELDED))
134. Act.entryRelationship
SlicingThis 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:
  • value @ typeCode
136. Act.entryRelationship:entryRelationship1
Slice NameentryRelationship1
ShortentryRelationship
Comments

MAY contain one [0..*] entryRelationship (CONF:4537-8939) such that it

Control0..*
Invariants4537-8942: The target of a policy activity with act/entryRelationship/@typeCode="REFR" **SHALL** be an authorization activity (templateId 2.16.840.1.113883.10.20.1.19) *OR* an act, with act[@classCode="ACT"] and act[@moodCode="DEF"], representing a description of the coverage plan (CONF:4537-8942). ()
4537-8943: A description of the coverage plan **SHALL** contain one or more act/id, to represent the plan identifier, and an act/text with the name of the plan (CONF:4537-8943). ()
138. Act.entryRelationship:entryRelationship1.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:4537-8940).

Fixed ValueREFR

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.

ShortBase for all types and resources
Control10..1*
Is Modifierfalse
XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
2. Act.classCode
Definition

Element Act.classCode

Comments

SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:4537-8898).

Control1..1
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueACT
4. Act.moodCode
Comments

SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:4537-8899).

Control1..1
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueEVN
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

Comments

SHALL contain exactly one [1..1] templateId (CONF:4537-8900) such that it

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
SlicingThis 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:templateId1
Slice NametemplateId1
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

ShorttemplateId
Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
10. Act.templateId:templateId1.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="2.16.840.1.113883.10.20.22.4.61" (CONF:4537-10516).

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Pattern Value2.16.840.1.113883.10.20.22.4.61
12. Act.templateId:templateId1.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Comments

SHALL contain exactly one [1..1] @extension="2023-05-01" (CONF:4537-32595).

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
Pattern Value2023-05-01
14. Act.id
Comments

SHALL contain at least one [1..*] id (CONF:4537-8901).

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
16. Act.code
Comments

SHALL contain exactly one [1..1] code, which SHOULD be selected from CodeSystem X12N Insurance Type urn:oid:2.16.840.1.113883.6.255.1336 DYNAMIC (CONF:4537-8903).

Control1..1
BindingUnless not suitable, these codes SHALL be taken from v3 Code System ActCode
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
18. Act.code.codeSystem
Definition

Specifies the code system that defines the code.

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System
Pattern Value2.16.840.1.113883.6.255.1336
20. Act.code.translation
Definition

A set of other concept descriptors that translate this concept descriptor into other code systems.

Comments

This code SHALL contain at least one [1..*] translation (CONF:4537-32852) such that it

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
XML FormatThe type of this property is determined using the xsi:typeattribute.
LabelTranslation
SlicingThis element introduces a set of slices on Act.code.translation. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ code
22. Act.code.translation:translation1
Slice Nametranslation1
Definition

A set of other concept descriptors that translate this concept descriptor into other code systems.

Shorttranslation
Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
XML FormatThe type of this property is determined using the xsi:typeattribute.
LabelTranslation
24. Act.code.translation:translation1.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

SHOULD contain zero or one [0..1] @code, which SHOULD be selected from ValueSet Payer urn:oid:2.16.840.1.114222.4.11.3591 DYNAMIC (CONF:4537-33066).

Control0..1
BindingThe codes SHOULD be taken from Payer
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode
26. Act.statusCode
Comments

SHALL contain exactly one [1..1] statusCode (CONF:4537-8902).

Control1..1
BindingThe codes SHALL be taken from ActStatus
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
28. Act.statusCode.code
Definition

The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

Comments

This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:4537-19109).

Control1..1
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode
Fixed Valuecompleted
30. Act.statusCode.codeSystem
Definition

Specifies the code system that defines the code.

Control0..0
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System
32. Act.statusCode.codeSystemName
Definition

The common name of the coding system.

Control0..0
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Name
34. Act.statusCode.codeSystemVersion
Definition

If applicable, a version descriptor defined specifically for the given code system.

Control0..0
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Version
36. Act.statusCode.displayName
Definition

A name or title for the code, under which the sending system shows the code value to its users.

Control0..0
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplay Name
38. Act.statusCode.originalText
Definition

The text or phrase used as the basis for the coding.

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
LabelOriginal Text
40. Act.statusCode.qualifier
Definition

Specifies additional codes that increase the specificity of the the primary code.

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
LabelQualifier
42. Act.statusCode.translation
Definition

A set of other concept descriptors that translate this concept descriptor into other code systems.

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
XML FormatThe type of this property is determined using the xsi:typeattribute.
LabelTranslation
44. Act.performer
Comments

SHOULD contain zero or more [0..*] performer (CONF:4537-8961) such that it

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
SlicingThis element introduces a set of slices on Act.performer. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ templateId
  • value @ assignedEntity
  • value @ typeCode
46. Act.performer:performer1
Slice Nameperformer1
Shortperformer
Comments

SHALL contain exactly one [1..1] performer (CONF:4537-8906) such that it

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
48. Act.performer:performer1.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="PRF" Performer (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:4537-8907).

Control1..1
BindingThe codes SHALL be taken from ParticipationPhysicalPerformer
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValuePRF
50. Act.performer:performer1.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

Comments

SHALL contain exactly one [1..1] templateId (CONF:4537-16808), SHALL not contain [0..0] extension..

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
52. Act.performer:performer1.templateId.root
Definition

A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

Comments

This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.87" Payer Performer (CONF:4537-16809).

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Pattern Value2.16.840.1.113883.10.20.22.4.87
54. Act.performer:performer1.templateId.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control0..0
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
56. Act.performer:performer1.assignedEntity
Comments

SHALL contain exactly one [1..1] assignedEntity (CONF:4537-8908).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity
58. Act.performer:performer1.assignedEntity.id
Comments

This assignedEntity SHALL contain at least one [1..*] id (CONF:4537-8909).

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
60. Act.performer:performer1.assignedEntity.code
Comments

This assignedEntity SHOULD contain zero or one [0..1] code (CONF:4537-8914).

Control0..1
BindingUnless not suitable, these codes SHALL be taken from v3 Code System RoleCode
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
62. Act.performer:performer1.assignedEntity.code.code
Definition

The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

Comments

The code, if present, SHALL contain exactly one [1..1] @code, which SHOULD be selected from ValueSet Financially Responsible Party Type Value Set urn:oid:2.16.840.1.113883.1.11.10416 DYNAMIC (CONF:4537-15992).

Control1..1
BindingThe codes SHOULD be taken from Financially Responsible Party Type Value Set
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode
64. Act.performer:performer1.assignedEntity.code.qualifier
Definition

Specifies additional codes that increase the specificity of the the primary code.

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
LabelQualifier
66. Act.performer:performer1.assignedEntity.addr
Definition

Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.

ShortBase for all types and resources
Comments

This assignedEntity MAY contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-8910).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address (AD.US.FIELDED))
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296). ()
68. Act.performer:performer1.assignedEntity.telecom
Comments

This assignedEntity MAY contain zero or more [0..*] telecom (CONF:4537-8911).

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
70. Act.performer:performer1.assignedEntity.representedOrganization
Comments

This assignedEntity SHOULD contain zero or one [0..1] representedOrganization (CONF:4537-8912).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organization
72. Act.performer:performer1.assignedEntity.representedOrganization.name
Definition

A name associated with the organization.

ShortName used for the organization
Comments

The representedOrganization, if present, SHOULD contain zero or one [0..1] name (CONF:4537-8913).


If the name of an organization changes, consider putting the old name in the alias column so that it can still be located through searches.

Control0..1
This element is affected by the following invariants: org-1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ONstring
Is Modifierfalse
Requirements

Need to use the name as the label of the organization.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
74. Act.performer:performer2
Slice Nameperformer2
Shortperformer
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
76. Act.performer:performer2.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="PRF" Performer (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90) (CONF:4537-32971).

Control1..1
BindingThe codes SHALL be taken from ParticipationPhysicalPerformer
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValuePRF
78. Act.performer:performer2.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

Comments

SHALL contain exactly one [1..1] templateId (CONF:4537-16810), SHALL not contain [0..0] extension.

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
80. Act.performer:performer2.templateId.root
Definition

A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

Comments

This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.88" Guarantor Performer (CONF:4537-16811).

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Pattern Value2.16.840.1.113883.10.20.22.4.88
82. Act.performer:performer2.templateId.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control0..0
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
84. Act.performer:performer2.time
Comments

SHOULD contain zero or one [0..1] time (CONF:4537-8963).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
86. Act.performer:performer2.assignedEntity
Comments

SHALL contain exactly one [1..1] assignedEntity (CONF:4537-8962).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity
Invariants4537-8967: **SHOULD** include assignedEntity/assignedPerson/name AND/OR assignedEntity/representedOrganization/name (CONF:4537-8967). ()
88. Act.performer:performer2.assignedEntity.id
Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
90. Act.performer:performer2.assignedEntity.code
Comments

This assignedEntity SHALL contain exactly one [1..1] code (CONF:4537-8968).

Control1..1
BindingUnless not suitable, these codes SHALL be taken from v3 Code System RoleCode
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
92. Act.performer:performer2.assignedEntity.code.code
Definition

The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

Comments

This code SHALL contain exactly one [1..1] @code="GUAR" Guarantor (CONF:4537-16096).

Control1..1
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode
Pattern ValueGUAR
94. Act.performer:performer2.assignedEntity.code.codeSystem
Definition

Specifies the code system that defines the code.

Comments

This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.110" (CONF:4537-32165).

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System
Pattern Value2.16.840.1.113883.5.110
96. Act.performer:performer2.assignedEntity.code.qualifier
Definition

Specifies additional codes that increase the specificity of the the primary code.

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
LabelQualifier
98. Act.performer:performer2.assignedEntity.addr
Definition

Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.

ShortBase for all types and resources
Comments

This assignedEntity SHOULD contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-8964).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address (AD.US.FIELDED))
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296). ()
100. Act.performer:performer2.assignedEntity.telecom
Comments

This assignedEntity SHOULD contain zero or more [0..*] telecom (CONF:4537-8965).

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
102. Act.participant
Comments

SHOULD contain zero or one [0..1] participant (CONF:4537-8934) such that it

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
SlicingThis element introduces a set of slices on Act.participant. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ templateId
  • value @ participantRole
  • value @ typeCode
104. Act.participant:participant1
Slice Nameparticipant1
Shortparticipant
Comments

SHALL contain exactly one [1..1] participant (CONF:4537-8916) such that it

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
106. Act.participant:participant1.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="COV" Coverage target (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:4537-8917).

Control1..1
BindingThe codes SHALL be taken from ParticipationType
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueCOV
108. Act.participant:participant1.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

Comments

SHALL contain exactly one [1..1] templateId (CONF:4537-16812), SHALL not contain [0..0] extension.

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
110. Act.participant:participant1.templateId.root
Definition

A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

Comments

This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.89" Covered Party Participant (CONF:4537-16814).

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Pattern Value2.16.840.1.113883.10.20.22.4.89
112. Act.participant:participant1.templateId.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control0..0
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
114. Act.participant:participant1.time
Comments

SHOULD contain zero or one [0..1] time (CONF:4537-8918).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
116. Act.participant:participant1.time.low
Definition

This is the low limit of the interval.

Comments

The time, if present, SHOULD contain zero or one [0..1] low (CONF:4537-8919).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
LabelLow Boundary
118. Act.participant:participant1.time.high
Definition

This is the high limit of the interval.

Comments

The time, if present, SHOULD contain zero or one [0..1] high (CONF:4537-8920).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
LabelHigh Boundary
120. Act.participant:participant1.participantRole
Comments

SHALL contain exactly one [1..1] participantRole (CONF:4537-8921).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole
122. Act.participant:participant1.participantRole.classCode
Control1..1
BindingThe codes SHALL be taken from RoleClassRoot
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default ValueROL
124. Act.participant:participant1.participantRole.id
Comments

This participantRole SHALL contain at least one [1..*] id (CONF:4537-8922).

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
Invariants4537-8984: This id is a unique identifier for the covered party member. Implementers **SHOULD** use the same GUID for each instance of a member identifier from the same health plan (CONF:4537-8984). ()
126. Act.participant:participant1.participantRole.code
Comments

This participantRole SHALL contain exactly one [1..1] code (CONF:4537-8923).

Control1..1
BindingUnless not suitable, these codes SHALL be taken from v3 Code System RoleCode
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
128. Act.participant:participant1.participantRole.code.code
Definition

The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

Comments

This code SHOULD contain zero or one [0..1] @code, which SHOULD be selected from ValueSet Coverage Role Type Value Set urn:oid:2.16.840.1.113883.1.11.18877 DYNAMIC (CONF:4537-16078).

Control0..1
BindingThe codes SHOULD be taken from Coverage Role Type Value Set
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode
130. Act.participant:participant1.participantRole.code.qualifier
Definition

Specifies additional codes that increase the specificity of the the primary code.

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
LabelQualifier
132. Act.participant:participant1.participantRole.addr
Definition

Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.

ShortBase for all types and resources
Comments

This participantRole SHOULD contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-8956).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address (AD.US.FIELDED))
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296). ()
134. Act.participant:participant1.participantRole.playingEntity
Comments

This participantRole SHOULD contain zero or one [0..1] playingEntity (CONF:4537-8932).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PlayingEntity
136. Act.participant:participant1.participantRole.playingEntity.classCode
Control1..1
BindingThe codes SHALL be taken from EntityClassRoot
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default ValueENT
138. Act.participant:participant1.participantRole.playingEntity.name
Comments

The playingEntity, if present, SHALL contain exactly one [1..1] name (CONF:4537-8930).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PN
140. Act.participant:participant1.participantRole.playingEntity.sdtcBirthTime
Shortsdtc:birthTime
Comments

The playingEntity, if present, SHALL contain exactly one [1..1] sdtc:birthTime (CONF:4537-31344).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TS
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namebirthTime.
Invariants4537-31345: The prefix sdtc: **SHALL** be bound to the namespace “urn:hl7-org:sdtc”. The use of the namespace provides a necessary extension to CDA R2 for the use of the birthTime element (CONF:4537-31345). ()
142. Act.participant:participant2
Slice Nameparticipant2
Shortparticipant
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
Invariants4537-17139: When the Subscriber is the patient, the participant element describing the subscriber **SHALL NOT** be present. This information will be recorded instead in the data elements used to record member information (CONF:4537-17139). ()
144. Act.participant:participant2.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="HLD" Holder (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:4537-8935).

Control1..1
BindingThe codes SHALL be taken from ParticipationType
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueHLD
146. Act.participant:participant2.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

Comments

SHALL contain exactly one [1..1] templateId (CONF:4537-16813), SHALL not contain [0..0] extension.

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
148. Act.participant:participant2.templateId.root
Definition

A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

Comments

This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.90" Policy Holder Participant (CONF:4537-16815).

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Pattern Value2.16.840.1.113883.10.20.22.4.90
150. Act.participant:participant2.templateId.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control0..0
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
152. Act.participant:participant2.time
Comments

MAY contain zero or one [0..1] time (CONF:4537-8938).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
154. Act.participant:participant2.participantRole
Comments

SHALL contain exactly one [1..1] participantRole (CONF:4537-8936).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole
156. Act.participant:participant2.participantRole.classCode
Control1..1
BindingThe codes SHALL be taken from RoleClassRoot
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default ValueROL
158. Act.participant:participant2.participantRole.id
Comments

This participantRole SHALL contain at least one [1..*] id (CONF:4537-8937).

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
Invariants4537-10120: This id is a unique identifier for the subscriber of the coverage (CONF:4537-10120). ()
160. Act.participant:participant2.participantRole.addr
Definition

Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.

ShortBase for all types and resources
Comments

This participantRole SHOULD contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-8925).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address (AD.US.FIELDED))
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296). ()
162. Act.entryRelationship
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
SlicingThis 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:
  • value @ typeCode
164. Act.entryRelationship:entryRelationship1
Slice NameentryRelationship1
ShortentryRelationship
Comments

MAY contain one [0..*] entryRelationship (CONF:4537-8939) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
Invariants4537-8942: The target of a policy activity with act/entryRelationship/@typeCode="REFR" **SHALL** be an authorization activity (templateId 2.16.840.1.113883.10.20.1.19) *OR* an act, with act[@classCode="ACT"] and act[@moodCode="DEF"], representing a description of the coverage plan (CONF:4537-8942). ()
4537-8943: A description of the coverage plan **SHALL** contain one or more act/id, to represent the plan identifier, and an act/text with the name of the plan (CONF:4537-8943). ()
166. Act.entryRelationship:entryRelationship1.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:4537-8940).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueREFR

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.

ShortBase for all types and resources
Control1..1
Is Modifierfalse
XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
Invariantsele-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.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
4. Act.classCode
Definition

Element Act.classCode

Comments

SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:4537-8898).

Control1..1
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueACT
6. Act.moodCode
Comments

SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:4537-8899).

Control1..1
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueEVN
8. Act.realmCode
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
10. Act.typeId
Control0..1
Typehttp://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

Comments

SHALL contain exactly one [1..1] templateId (CONF:4537-8900) such that it

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
SlicingThis 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:templateId1
Slice NametemplateId1
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

ShorttemplateId
Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
16. Act.templateId:templateId1.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
18. Act.templateId:templateId1.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.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
20. Act.templateId:templateId1.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
22. Act.templateId:templateId1.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="2.16.840.1.113883.10.20.22.4.61" (CONF:4537-10516).

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Pattern Value2.16.840.1.113883.10.20.22.4.61
24. Act.templateId:templateId1.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Comments

SHALL contain exactly one [1..1] @extension="2023-05-01" (CONF:4537-32595).

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
Pattern Value2023-05-01
26. Act.id
Comments

SHALL contain at least one [1..*] id (CONF:4537-8901).

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
28. Act.code
Comments

SHALL contain exactly one [1..1] code, which SHOULD be selected from CodeSystem X12N Insurance Type urn:oid:2.16.840.1.113883.6.255.1336 DYNAMIC (CONF:4537-8903).

Control1..1
BindingUnless not suitable, these codes SHALL be taken from v3 Code System ActCode
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
30. Act.code.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
32. Act.code.code
Definition

The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

Control0..1
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode
34. Act.code.codeSystem
Definition

Specifies the code system that defines the code.

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System
Pattern Value2.16.840.1.113883.6.255.1336
36. Act.code.codeSystemName
Definition

The common name of the coding system.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Name
38. Act.code.codeSystemVersion
Definition

If applicable, a version descriptor defined specifically for the given code system.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Version
40. Act.code.displayName
Definition

A name or title for the code, under which the sending system shows the code value to its users.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplay Name
42. Act.code.sdtcValueSet
Definition

The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.

Control0..1
Typestring(oid: ISO Object Identifier)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn 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 namevalueSet.
44. Act.code.sdtcValueSetVersion
Definition

The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn 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 namevalueSetVersion.
46. Act.code.originalText
Definition

The text or phrase used as the basis for the coding.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
LabelOriginal Text
48. Act.code.qualifier
Definition

Specifies additional codes that increase the specificity of the the primary code.

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
LabelQualifier
50. Act.code.translation
Definition

A set of other concept descriptors that translate this concept descriptor into other code systems.

Comments

This code SHALL contain at least one [1..*] translation (CONF:4537-32852) such that it

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
XML FormatThe type of this property is determined using the xsi:typeattribute.
LabelTranslation
SlicingThis element introduces a set of slices on Act.code.translation. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ code
52. Act.code.translation:translation1
Slice Nametranslation1
Definition

A set of other concept descriptors that translate this concept descriptor into other code systems.

Shorttranslation
Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
XML FormatThe type of this property is determined using the xsi:typeattribute.
LabelTranslation
54. Act.code.translation:translation1.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
56. Act.code.translation:translation1.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

SHOULD contain zero or one [0..1] @code, which SHOULD be selected from ValueSet Payer urn:oid:2.16.840.1.114222.4.11.3591 DYNAMIC (CONF:4537-33066).

Control0..1
BindingThe codes SHOULD be taken from Payer
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode
58. Act.code.translation:translation1.codeSystem
Definition

Specifies the code system that defines the code.

Control0..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System
60. Act.code.translation:translation1.codeSystemName
Definition

The common name of the coding system.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Name
62. Act.code.translation:translation1.codeSystemVersion
Definition

If applicable, a version descriptor defined specifically for the given code system.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Version
64. Act.code.translation:translation1.displayName
Definition

A name or title for the code, under which the sending system shows the code value to its users.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplay Name
66. Act.code.translation:translation1.sdtcValueSet
Definition

The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.

Control0..1
Typestring(oid: ISO Object Identifier)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn 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 namevalueSet.
68. Act.code.translation:translation1.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.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn 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 namevalueSetVersion.
70. Act.code.translation:translation1.originalText
Definition

The text or phrase used as the basis for the coding.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
LabelOriginal Text
72. Act.code.translation:translation1.qualifier
Definition

Specifies additional codes that increase the specificity of the the primary code.

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
LabelQualifier
74. Act.code.translation:translation1.translation
Definition

A set of other concept descriptors that translate this concept descriptor into other code systems.

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
XML FormatThe type of this property is determined using the xsi:typeattribute.
LabelTranslation
76. Act.negationInd
Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
78. Act.text
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
80. Act.statusCode
Comments

SHALL contain exactly one [1..1] statusCode (CONF:4537-8902).

Control1..1
BindingThe codes SHALL be taken from ActStatus
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
82. Act.statusCode.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
84. Act.statusCode.code
Definition

The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

Comments

This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:4537-19109).

Control1..1
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode
Fixed Valuecompleted
86. Act.statusCode.codeSystem
Definition

Specifies the code system that defines the code.

Control0..0
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System
88. Act.statusCode.codeSystemName
Definition

The common name of the coding system.

Control0..0
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Name
90. Act.statusCode.codeSystemVersion
Definition

If applicable, a version descriptor defined specifically for the given code system.

Control0..0
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Version
92. Act.statusCode.displayName
Definition

A name or title for the code, under which the sending system shows the code value to its users.

Control0..0
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplay Name
94. 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.

Control0..1
Typestring(oid: ISO Object Identifier)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn 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 namevalueSet.
96. 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.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn 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 namevalueSetVersion.
98. Act.statusCode.originalText
Definition

The text or phrase used as the basis for the coding.

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
LabelOriginal Text
100. Act.statusCode.qualifier
Definition

Specifies additional codes that increase the specificity of the the primary code.

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
LabelQualifier
102. Act.statusCode.translation
Definition

A set of other concept descriptors that translate this concept descriptor into other code systems.

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
XML FormatThe type of this property is determined using the xsi:typeattribute.
LabelTranslation
104. Act.effectiveTime
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
106. Act.priorityCode
Control0..1
BindingUnless not suitable, these codes SHALL be taken from ActPriority
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
108. Act.languageCode
Control0..1
BindingThe codes SHALL be taken from HumanLanguage
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
110. Act.subject
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Subject
112. Act.specimen
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Specimen
114. Act.performer
Comments

SHOULD contain zero or more [0..*] performer (CONF:4537-8961) such that it

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
SlicingThis element introduces a set of slices on Act.performer. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ templateId
  • value @ assignedEntity
  • value @ typeCode
116. Act.performer:performer1
Slice Nameperformer1
Shortperformer
Comments

SHALL contain exactly one [1..1] performer (CONF:4537-8906) such that it

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
118. Act.performer:performer1.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
120. Act.performer:performer1.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="PRF" Performer (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:4537-8907).

Control1..1
BindingThe codes SHALL be taken from ParticipationPhysicalPerformer
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValuePRF
122. Act.performer:performer1.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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
124. Act.performer:performer1.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.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
126. Act.performer:performer1.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

Comments

SHALL contain exactly one [1..1] templateId (CONF:4537-16808), SHALL not contain [0..0] extension..

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
128. Act.performer:performer1.templateId.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
130. Act.performer:performer1.templateId.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.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
132. Act.performer:performer1.templateId.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
134. Act.performer:performer1.templateId.root
Definition

A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

Comments

This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.87" Payer Performer (CONF:4537-16809).

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Pattern Value2.16.840.1.113883.10.20.22.4.87
136. Act.performer:performer1.templateId.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control0..0
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
138. Act.performer:performer1.sdtcFunctionCode
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namefunctionCode.
140. Act.performer:performer1.time
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
142. Act.performer:performer1.modeCode
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
144. Act.performer:performer1.assignedEntity
Comments

SHALL contain exactly one [1..1] assignedEntity (CONF:4537-8908).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity
146. Act.performer:performer1.assignedEntity.classCode
Control0..1
BindingThe codes SHALL be taken from RoleClassAssignedEntity
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueASSIGNED
148. Act.performer:performer1.assignedEntity.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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
150. Act.performer:performer1.assignedEntity.id
Comments

This assignedEntity SHALL contain at least one [1..*] id (CONF:4537-8909).

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
152. Act.performer:performer1.assignedEntity.sdtcIdentifiedBy
Definition

Element AssignedEntity.sdtcIdentifiedBy

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameidentifiedBy.
154. Act.performer:performer1.assignedEntity.code
Comments

This assignedEntity SHOULD contain zero or one [0..1] code (CONF:4537-8914).

Control0..1
BindingUnless not suitable, these codes SHALL be taken from v3 Code System RoleCode
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
156. Act.performer:performer1.assignedEntity.code.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
158. Act.performer:performer1.assignedEntity.code.code
Definition

The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

Comments

The code, if present, SHALL contain exactly one [1..1] @code, which SHOULD be selected from ValueSet Financially Responsible Party Type Value Set urn:oid:2.16.840.1.113883.1.11.10416 DYNAMIC (CONF:4537-15992).

Control1..1
BindingThe codes SHOULD be taken from Financially Responsible Party Type Value Set
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode
160. Act.performer:performer1.assignedEntity.code.codeSystem
Definition

Specifies the code system that defines the code.

Control0..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System
162. Act.performer:performer1.assignedEntity.code.codeSystemName
Definition

The common name of the coding system.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Name
164. Act.performer:performer1.assignedEntity.code.codeSystemVersion
Definition

If applicable, a version descriptor defined specifically for the given code system.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Version
166. Act.performer:performer1.assignedEntity.code.displayName
Definition

A name or title for the code, under which the sending system shows the code value to its users.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplay Name
168. Act.performer:performer1.assignedEntity.code.sdtcValueSet
Definition

The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.

Control0..1
Typestring(oid: ISO Object Identifier)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn 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 namevalueSet.
170. Act.performer:performer1.assignedEntity.code.sdtcValueSetVersion
Definition

The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn 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 namevalueSetVersion.
172. Act.performer:performer1.assignedEntity.code.originalText
Definition

The text or phrase used as the basis for the coding.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
LabelOriginal Text
174. Act.performer:performer1.assignedEntity.code.qualifier
Definition

Specifies additional codes that increase the specificity of the the primary code.

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
LabelQualifier
176. Act.performer:performer1.assignedEntity.code.translation
Definition

A set of other concept descriptors that translate this concept descriptor into other code systems.

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
XML FormatThe type of this property is determined using the xsi:typeattribute.
LabelTranslation
178. Act.performer:performer1.assignedEntity.addr
Definition

Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.

ShortBase for all types and resources
Comments

This assignedEntity MAY contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-8910).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address (AD.US.FIELDED))
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296). ()
180. Act.performer:performer1.assignedEntity.telecom
Comments

This assignedEntity MAY contain zero or more [0..*] telecom (CONF:4537-8911).

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
182. Act.performer:performer1.assignedEntity.assignedPerson
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Person
184. Act.performer:performer1.assignedEntity.representedOrganization
Comments

This assignedEntity SHOULD contain zero or one [0..1] representedOrganization (CONF:4537-8912).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organization
186. Act.performer:performer1.assignedEntity.representedOrganization.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
188. Act.performer:performer1.assignedEntity.representedOrganization.classCode
Control0..1
BindingThe codes SHALL be taken from EntityClassOrganization
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueORG
190. Act.performer:performer1.assignedEntity.representedOrganization.determinerCode
Control0..1
BindingThe codes SHALL be taken from EntityDeterminer
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueINSTANCE
192. Act.performer:performer1.assignedEntity.representedOrganization.realmCode
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
194. Act.performer:performer1.assignedEntity.representedOrganization.typeId
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
196. Act.performer:performer1.assignedEntity.representedOrganization.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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
198. Act.performer:performer1.assignedEntity.representedOrganization.id
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
200. Act.performer:performer1.assignedEntity.representedOrganization.name
Comments

The representedOrganization, if present, SHOULD contain zero or one [0..1] name (CONF:4537-8913).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ON
202. Act.performer:performer1.assignedEntity.representedOrganization.telecom
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
204. Act.performer:performer1.assignedEntity.representedOrganization.addr
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/AD
206. Act.performer:performer1.assignedEntity.representedOrganization.standardIndustryClassCode
Control0..1
BindingUnless not suitable, these codes SHALL be taken from OrganizationIndustryClassNAICS
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
208. Act.performer:performer1.assignedEntity.representedOrganization.asOrganizationPartOf
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/OrganizationPartOf
210. Act.performer:performer2
Slice Nameperformer2
Shortperformer
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
212. Act.performer:performer2.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
214. Act.performer:performer2.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="PRF" Performer (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90) (CONF:4537-32971).

Control1..1
BindingThe codes SHALL be taken from ParticipationPhysicalPerformer
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValuePRF
216. Act.performer:performer2.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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
218. Act.performer:performer2.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.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
220. Act.performer:performer2.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

Comments

SHALL contain exactly one [1..1] templateId (CONF:4537-16810), SHALL not contain [0..0] extension.

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
222. Act.performer:performer2.templateId.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
224. Act.performer:performer2.templateId.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.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
226. Act.performer:performer2.templateId.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
228. Act.performer:performer2.templateId.root
Definition

A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

Comments

This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.88" Guarantor Performer (CONF:4537-16811).

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Pattern Value2.16.840.1.113883.10.20.22.4.88
230. Act.performer:performer2.templateId.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control0..0
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
232. Act.performer:performer2.sdtcFunctionCode
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namefunctionCode.
234. Act.performer:performer2.time
Comments

SHOULD contain zero or one [0..1] time (CONF:4537-8963).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
236. Act.performer:performer2.modeCode
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
238. Act.performer:performer2.assignedEntity
Comments

SHALL contain exactly one [1..1] assignedEntity (CONF:4537-8962).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity
Invariants4537-8967: **SHOULD** include assignedEntity/assignedPerson/name AND/OR assignedEntity/representedOrganization/name (CONF:4537-8967). ()
240. Act.performer:performer2.assignedEntity.classCode
Control0..1
BindingThe codes SHALL be taken from RoleClassAssignedEntity
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueASSIGNED
242. Act.performer:performer2.assignedEntity.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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
244. Act.performer:performer2.assignedEntity.id
Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
246. Act.performer:performer2.assignedEntity.sdtcIdentifiedBy
Definition

Element AssignedEntity.sdtcIdentifiedBy

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameidentifiedBy.
248. Act.performer:performer2.assignedEntity.code
Comments

This assignedEntity SHALL contain exactly one [1..1] code (CONF:4537-8968).

Control1..1
BindingUnless not suitable, these codes SHALL be taken from v3 Code System RoleCode
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
250. Act.performer:performer2.assignedEntity.code.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
252. Act.performer:performer2.assignedEntity.code.code
Definition

The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

Comments

This code SHALL contain exactly one [1..1] @code="GUAR" Guarantor (CONF:4537-16096).

Control1..1
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode
Pattern ValueGUAR
254. Act.performer:performer2.assignedEntity.code.codeSystem
Definition

Specifies the code system that defines the code.

Comments

This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.110" (CONF:4537-32165).

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System
Pattern Value2.16.840.1.113883.5.110
256. Act.performer:performer2.assignedEntity.code.codeSystemName
Definition

The common name of the coding system.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Name
258. Act.performer:performer2.assignedEntity.code.codeSystemVersion
Definition

If applicable, a version descriptor defined specifically for the given code system.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Version
260. Act.performer:performer2.assignedEntity.code.displayName
Definition

A name or title for the code, under which the sending system shows the code value to its users.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplay Name
262. Act.performer:performer2.assignedEntity.code.sdtcValueSet
Definition

The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.

Control0..1
Typestring(oid: ISO Object Identifier)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn 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 namevalueSet.
264. Act.performer:performer2.assignedEntity.code.sdtcValueSetVersion
Definition

The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn 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 namevalueSetVersion.
266. Act.performer:performer2.assignedEntity.code.originalText
Definition

The text or phrase used as the basis for the coding.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
LabelOriginal Text
268. Act.performer:performer2.assignedEntity.code.qualifier
Definition

Specifies additional codes that increase the specificity of the the primary code.

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
LabelQualifier
270. Act.performer:performer2.assignedEntity.code.translation
Definition

A set of other concept descriptors that translate this concept descriptor into other code systems.

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
XML FormatThe type of this property is determined using the xsi:typeattribute.
LabelTranslation
272. Act.performer:performer2.assignedEntity.addr
Definition

Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.

ShortBase for all types and resources
Comments

This assignedEntity SHOULD contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-8964).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address (AD.US.FIELDED))
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296). ()
274. Act.performer:performer2.assignedEntity.telecom
Comments

This assignedEntity SHOULD contain zero or more [0..*] telecom (CONF:4537-8965).

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
276. Act.performer:performer2.assignedEntity.assignedPerson
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Person
278. Act.performer:performer2.assignedEntity.representedOrganization
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organization
280. Act.author
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author
282. Act.informant
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Informant
284. Act.participant
Comments

SHOULD contain zero or one [0..1] participant (CONF:4537-8934) such that it

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
SlicingThis element introduces a set of slices on Act.participant. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ templateId
  • value @ participantRole
  • value @ typeCode
286. Act.participant:participant1
Slice Nameparticipant1
Shortparticipant
Comments

SHALL contain exactly one [1..1] participant (CONF:4537-8916) such that it

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
288. Act.participant:participant1.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
290. Act.participant:participant1.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="COV" Coverage target (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:4537-8917).

Control1..1
BindingThe codes SHALL be taken from ParticipationType
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueCOV
292. Act.participant:participant1.contextControlCode
Control0..1
BindingThe codes SHALL be taken from ContextControl
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueOP
294. Act.participant:participant1.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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
296. Act.participant:participant1.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.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
298. Act.participant:participant1.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

Comments

SHALL contain exactly one [1..1] templateId (CONF:4537-16812), SHALL not contain [0..0] extension.

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
300. Act.participant:participant1.templateId.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
302. Act.participant:participant1.templateId.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.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
304. Act.participant:participant1.templateId.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
306. Act.participant:participant1.templateId.root
Definition

A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

Comments

This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.89" Covered Party Participant (CONF:4537-16814).

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Pattern Value2.16.840.1.113883.10.20.22.4.89
308. Act.participant:participant1.templateId.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control0..0
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
310. Act.participant:participant1.sdtcFunctionCode
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namefunctionCode.
312. Act.participant:participant1.time
Comments

SHOULD contain zero or one [0..1] time (CONF:4537-8918).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
314. Act.participant:participant1.time.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
316. Act.participant:participant1.time.value
Definition

A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.

Control0..1
Typestring(ts: Point in Time)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Date FormatYYYYMMDDHHMMSS.UUUU[+|-ZZzz]
XML FormatIn the XML format, this property is represented as an attribute.
318. Act.participant:participant1.time.operator
Definition

A code specifying whether the set component is included (union) or excluded (set-difference) from the set, or other set operations with the current set component and the set as constructed from the representation stream up to the current point.

Control0..1
BindingThe codes SHALL be taken from SetOperator
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default ValueI
320. Act.participant:participant1.time.low
Definition

This is the low limit of the interval.

Comments

The time, if present, SHOULD contain zero or one [0..1] low (CONF:4537-8919).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
LabelLow Boundary
322. Act.participant:participant1.time.center
Definition

The arithmetic mean of the interval (low plus high divided by 2). The purpose of distinguishing the center as a semantic property is for conversions of intervals from and to point values.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TS
LabelCentral Value
324. Act.participant:participant1.time.width
Definition

The difference between high and low boundary. The purpose of distinguishing a width property is to handle all cases of incomplete information symmetrically. In any interval representation only two of the three properties high, low, and width need to be stated and the third can be derived.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PQ
LabelWidth
326. Act.participant:participant1.time.high
Definition

This is the high limit of the interval.

Comments

The time, if present, SHOULD contain zero or one [0..1] high (CONF:4537-8920).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
LabelHigh Boundary
328. Act.participant:participant1.awarenessCode
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
330. Act.participant:participant1.participantRole
Comments

SHALL contain exactly one [1..1] participantRole (CONF:4537-8921).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole
332. Act.participant:participant1.participantRole.classCode
Control1..1
BindingThe codes SHALL be taken from RoleClassRoot
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default ValueROL
334. Act.participant:participant1.participantRole.templateId
Definition

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
336. Act.participant:participant1.participantRole.id
Comments

This participantRole SHALL contain at least one [1..*] id (CONF:4537-8922).

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
Invariants4537-8984: This id is a unique identifier for the covered party member. Implementers **SHOULD** use the same GUID for each instance of a member identifier from the same health plan (CONF:4537-8984). ()
338. Act.participant:participant1.participantRole.sdtcIdentifiedBy
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameidentifiedBy.
340. Act.participant:participant1.participantRole.code
Comments

This participantRole SHALL contain exactly one [1..1] code (CONF:4537-8923).

Control1..1
BindingUnless not suitable, these codes SHALL be taken from v3 Code System RoleCode
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
342. Act.participant:participant1.participantRole.code.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
344. Act.participant:participant1.participantRole.code.code
Definition

The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

Comments

This code SHOULD contain zero or one [0..1] @code, which SHOULD be selected from ValueSet Coverage Role Type Value Set urn:oid:2.16.840.1.113883.1.11.18877 DYNAMIC (CONF:4537-16078).

Control0..1
BindingThe codes SHOULD be taken from Coverage Role Type Value Set
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode
346. Act.participant:participant1.participantRole.code.codeSystem
Definition

Specifies the code system that defines the code.

Control0..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System
348. Act.participant:participant1.participantRole.code.codeSystemName
Definition

The common name of the coding system.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Name
350. Act.participant:participant1.participantRole.code.codeSystemVersion
Definition

If applicable, a version descriptor defined specifically for the given code system.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Version
352. Act.participant:participant1.participantRole.code.displayName
Definition

A name or title for the code, under which the sending system shows the code value to its users.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplay Name
354. Act.participant:participant1.participantRole.code.sdtcValueSet
Definition

The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.

Control0..1
Typestring(oid: ISO Object Identifier)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn 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 namevalueSet.
356. Act.participant:participant1.participantRole.code.sdtcValueSetVersion
Definition

The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn 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 namevalueSetVersion.
358. Act.participant:participant1.participantRole.code.originalText
Definition

The text or phrase used as the basis for the coding.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
LabelOriginal Text
360. Act.participant:participant1.participantRole.code.qualifier
Definition

Specifies additional codes that increase the specificity of the the primary code.

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
LabelQualifier
362. Act.participant:participant1.participantRole.code.translation
Definition

A set of other concept descriptors that translate this concept descriptor into other code systems.

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
XML FormatThe type of this property is determined using the xsi:typeattribute.
LabelTranslation
364. Act.participant:participant1.participantRole.addr
Definition

Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.

ShortBase for all types and resources
Comments

This participantRole SHOULD contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-8956).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address (AD.US.FIELDED))
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296). ()
366. Act.participant:participant1.participantRole.telecom
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
368. Act.participant:participant1.participantRole.playingDevice
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Device
370. Act.participant:participant1.participantRole.playingEntity
Comments

This participantRole SHOULD contain zero or one [0..1] playingEntity (CONF:4537-8932).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PlayingEntity
372. Act.participant:participant1.participantRole.playingEntity.classCode
Control1..1
BindingThe codes SHALL be taken from EntityClassRoot
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default ValueENT
374. Act.participant:participant1.participantRole.playingEntity.determinerCode
Control0..1
BindingThe codes SHALL be taken from EntityDeterminer
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueINSTANCE
376. Act.participant:participant1.participantRole.playingEntity.templateId
Definition

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
378. Act.participant:participant1.participantRole.playingEntity.code
Control0..1
BindingUnless not suitable, these codes SHALL be taken from EntityCode
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
380. Act.participant:participant1.participantRole.playingEntity.quantity
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PQ
382. Act.participant:participant1.participantRole.playingEntity.name
Comments

The playingEntity, if present, SHALL contain exactly one [1..1] name (CONF:4537-8930).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PN
384. Act.participant:participant1.participantRole.playingEntity.sdtcBirthTime
Shortsdtc:birthTime
Comments

The playingEntity, if present, SHALL contain exactly one [1..1] sdtc:birthTime (CONF:4537-31344).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TS
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namebirthTime.
Invariants4537-31345: The prefix sdtc: **SHALL** be bound to the namespace “urn:hl7-org:sdtc”. The use of the namespace provides a necessary extension to CDA R2 for the use of the birthTime element (CONF:4537-31345). ()
386. Act.participant:participant1.participantRole.playingEntity.desc
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
388. Act.participant:participant1.participantRole.scopingEntity
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Entity
390. Act.participant:participant2
Slice Nameparticipant2
Shortparticipant
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
Invariants4537-17139: When the Subscriber is the patient, the participant element describing the subscriber **SHALL NOT** be present. This information will be recorded instead in the data elements used to record member information (CONF:4537-17139). ()
392. Act.participant:participant2.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
394. Act.participant:participant2.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="HLD" Holder (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:4537-8935).

Control1..1
BindingThe codes SHALL be taken from ParticipationType
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueHLD
396. Act.participant:participant2.contextControlCode
Control0..1
BindingThe codes SHALL be taken from ContextControl
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueOP
398. Act.participant:participant2.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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
400. Act.participant:participant2.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.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
402. Act.participant:participant2.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

Comments

SHALL contain exactly one [1..1] templateId (CONF:4537-16813), SHALL not contain [0..0] extension.

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
404. Act.participant:participant2.templateId.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
406. Act.participant:participant2.templateId.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.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
408. Act.participant:participant2.templateId.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
410. Act.participant:participant2.templateId.root
Definition

A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

Comments

This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.90" Policy Holder Participant (CONF:4537-16815).

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Pattern Value2.16.840.1.113883.10.20.22.4.90
412. Act.participant:participant2.templateId.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control0..0
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
414. Act.participant:participant2.sdtcFunctionCode
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namefunctionCode.
416. Act.participant:participant2.time
Comments

MAY contain zero or one [0..1] time (CONF:4537-8938).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
418. Act.participant:participant2.awarenessCode
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
420. Act.participant:participant2.participantRole
Comments

SHALL contain exactly one [1..1] participantRole (CONF:4537-8936).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole
422. Act.participant:participant2.participantRole.classCode
Control1..1
BindingThe codes SHALL be taken from RoleClassRoot
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default ValueROL
424. Act.participant:participant2.participantRole.templateId
Definition

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
426. Act.participant:participant2.participantRole.id
Comments

This participantRole SHALL contain at least one [1..*] id (CONF:4537-8937).

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
Invariants4537-10120: This id is a unique identifier for the subscriber of the coverage (CONF:4537-10120). ()
428. Act.participant:participant2.participantRole.sdtcIdentifiedBy
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameidentifiedBy.
430. Act.participant:participant2.participantRole.code
Control0..1
BindingUnless not suitable, these codes SHALL be taken from v3 Code System RoleCode
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
432. Act.participant:participant2.participantRole.addr
Definition

Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.

ShortBase for all types and resources
Comments

This participantRole SHOULD contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-8925).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address (AD.US.FIELDED))
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296). ()
434. Act.participant:participant2.participantRole.telecom
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
436. Act.participant:participant2.participantRole.playingDevice
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Device
438. Act.participant:participant2.participantRole.playingEntity
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PlayingEntity
440. Act.participant:participant2.participantRole.scopingEntity
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Entity
442. Act.entryRelationship
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
SlicingThis 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:
  • value @ typeCode
444. Act.entryRelationship:entryRelationship1
Slice NameentryRelationship1
ShortentryRelationship
Comments

MAY contain one [0..*] entryRelationship (CONF:4537-8939) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
Invariants4537-8942: The target of a policy activity with act/entryRelationship/@typeCode="REFR" **SHALL** be an authorization activity (templateId 2.16.840.1.113883.10.20.1.19) *OR* an act, with act[@classCode="ACT"] and act[@moodCode="DEF"], representing a description of the coverage plan (CONF:4537-8942). ()
4537-8943: A description of the coverage plan **SHALL** contain one or more act/id, to represent the plan identifier, and an act/text with the name of the plan (CONF:4537-8943). ()
446. Act.entryRelationship:entryRelationship1.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
448. Act.entryRelationship:entryRelationship1.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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
450. Act.entryRelationship:entryRelationship1.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.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
452. Act.entryRelationship:entryRelationship1.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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
454. Act.entryRelationship:entryRelationship1.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:4537-8940).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueREFR
456. Act.entryRelationship:entryRelationship1.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.

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
458. Act.entryRelationship:entryRelationship1.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.

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default Valuetrue
460. Act.entryRelationship:entryRelationship1.negationInd
Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
462. Act.entryRelationship:entryRelationship1.sequenceNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
464. Act.entryRelationship:entryRelationship1.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
466. Act.entryRelationship:entryRelationship1.act
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
468. Act.entryRelationship:entryRelationship1.encounter
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
470. Act.entryRelationship:entryRelationship1.observation
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
472. Act.entryRelationship:entryRelationship1.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
474. Act.entryRelationship:entryRelationship1.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
476. Act.entryRelationship:entryRelationship1.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
478. Act.entryRelationship:entryRelationship1.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
480. Act.entryRelationship:entryRelationship1.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
482. Act.entryRelationship:entryRelationship1.supply
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
484. Act.reference
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Reference
486. Act.precondition
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition