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: Risk Concern Act

Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/RiskConcernAct Version: 2.1
Draft as of 2023-09-29 Computable Name: RiskConcernAct
Other Identifiers: id: urn:hl7ii:2.16.840.1.113883.10.20.22.4.136:2015-08-01

This template represents a risk concern.

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

A Risk Concern Act represents a health concern that is a risk. A risk is a clinical or socioeconomic condition that the patient does not currently have, but the probability of developing that condition rises to the level of concern such that an intervention and/or monitoring is needed.

Usage:

Formal Views of Profile Content

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

This structure is derived from CDAR2.Act

NameFlagsCard.TypeDescription & Constraintsdoco
.. Act CDAR2.ActXML Namespace: urn:hl7-org:v3
Elements defined in Ancestors: @nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, code, @negationInd, text, statusCode, effectiveTime, priorityCode, languageCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition
... classCode 1..1csFixed Value: ACT
... moodCode 1..1csFixed Value: EVN
... Slices for templateId 1..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:primary 1..1II
..... root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.136
..... extension 1..1stRequired Pattern: 2015-08-01
... code 1..1CD
.... code 1..1csRequired Pattern: 281694009
.... codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.6.96
... statusCode 1..1CS
.... code 1..1csBinding: ProblemAct statusCode (required)
... effectiveTime 0..1IVL_TS
... author 0..*AuthorParticipationBase for all types and resources
... Slices for entryRelationship 0..*EntryRelationshipWhere a Health Concern needs to reference another entry already described in the CDA document instance, rather than repeating the full content of the entry, the Entry Reference template may be used to reference this entry.
Slice: Unordered, Open by profile:observation, profile:act, profile:organizer
.... entryRelationship:problemObservation1 0..*EntryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1ProblemObservationBase for all types and resources
.... entryRelationship:allergy-IntoleranceObservation 0..*EntryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1AllergyIntoleranceObservationBase for all types and resources
.... entryRelationship:entryReferenceRefr 0..*EntryRelationshipThe following entryRelationship represents the relationship between two Health Concern Acts where there is a general relationship between the source and the target (Health Concern RELATES TO Health Concern). The Entry Reference template is used here because the target Health Concern Act will be defined elsewhere in the Health Concerns Section and thus a reference to that template is all that is required.
..... typeCode 1..1csFixed Value: REFR
..... act 1..1EntryReferenceBase for all types and resources
.... entryRelationship:entryReferenceComp 0..*EntryRelationshipThe following entryRelationship represents the relationship between two Health Concern Acts where the target is a component of the source (Health Concern HAS COMPONENT Health Concern). The Enry Reference template is used here because the target Health Concern Act will be defined elsewhere in the Health Concerns Section and thus a reference to that template is all that is required.
..... typeCode 1..1csFixed Value: COMP
..... act 1..1EntryReferenceBase for all types and resources
.... entryRelationship:assessmentScaleObservation 0..*EntryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1AssessmentScaleObservationBase for all types and resources
.... entryRelationship:mentalStatusObservation1 0..*EntryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1MentalStatusObservationBase for all types and resources
.... entryRelationship:self-CareActivitiesADLandIADL 0..*EntryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1SelfCareActivitiesADLandIADLBase for all types and resources
.... entryRelationship:mentalStatusObservation2 0..*EntryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1MentalStatusObservationBase for all types and resources
.... entryRelationship:smokingStatus-MeaningfulUse 0..*EntryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1SmokingStatusMeaningfulUseBase for all types and resources
.... entryRelationship:encounterDiagnosis 0..*EntryRelationship
..... typeCode 1..1csFixed Value: REFR
..... act 1..1EncounterDiagnosisBase for all types and resources
.... entryRelationship:entryRelationship11 0..*EntryRelationship
..... typeCode 1..1csFixed Value: REFR
..... organizer 1..1FamilyHistoryOrganizerBase for all types and resources
.... entryRelationship:functionalStatusObservation 0..*EntryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1FunctionalStatusObservationBase for all types and resources
.... entryRelationship:hospitalAdmissionDiagnosis 0..*EntryRelationship
..... typeCode 1..1csFixed Value: REFR
..... act 1..1HospitalAdmissionDiagnosisBase for all types and resources
.... entryRelationship:nutritionAssessment 0..*EntryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1NutritionAssessmentBase for all types and resources
.... entryRelationship:postprocedureDiagnosis 0..*EntryRelationship
..... typeCode 1..1csFixed Value: REFR
..... act 1..1PostprocedureDiagnosisBase for all types and resources
.... entryRelationship:pregnancyObservation 0..*EntryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1PregnancyObservationBase for all types and resources
.... entryRelationship:preoperativeDiagnosis 0..*EntryRelationship
..... typeCode 1..1csFixed Value: REFR
..... act 1..1PreoperativeDiagnosisBase for all types and resources
.... entryRelationship:reactionObservation 0..*EntryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1ReactionObservationBase for all types and resources
.... entryRelationship:resultObservation 0..*EntryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1ResultObservationBase for all types and resources
.... entryRelationship:sensoryStatus 0..*EntryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1SensoryStatusBase for all types and resources
.... entryRelationship:socialHistoryObservation 0..*EntryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1SocialHistoryObservationBase for all types and resources
.... entryRelationship:substanceorDeviceAllergy-IntoleranceObservation 0..*EntryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1SubstanceOrDeviceAllergyIntoleranceObservationBase for all types and resources
.... entryRelationship:tobaccoUse 0..*EntryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1TobaccoUseBase for all types and resources
.... entryRelationship:vitalSignObservation 0..*EntryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1VitalSignObservationBase for all types and resources
.... entryRelationship:longitudinalCareWoundObservation 0..*EntryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1LongitudinalCareWoundObservationBase for all types and resources
.... entryRelationship:problemObservation2 0..*EntryRelationshipThe following entryRelationship represents the relationship Health Concern HAS SUPPORT Observation.
..... typeCode 1..1csFixed Value: SPRT
..... observation 1..1ProblemObservationBase for all types and resources
.... entryRelationship:caregiverCharacteristics 0..*EntryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1CaregiverCharacteristicsBase for all types and resources
.... entryRelationship:culturalandReligiousObservation 0..*EntryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1CulturalandReligiousObservationBase for all types and resources
.... entryRelationship:characteristicsofHomeEnvironment 0..*EntryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1CharacteristicsofHomeEnvironmentBase for all types and resources
.... entryRelationship:nutritionalStatusObservation 0..*EntryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1NutritionalStatusObservationBase for all types and resources
.... entryRelationship:resultOrganizer 0..*EntryRelationship
..... typeCode 1..1csFixed Value: REFR
..... organizer 1..1ResultOrganizerBase for all types and resources
.... entryRelationship:priorityPreference1 0..*EntryRelationshipThe following entryRelationship represents the priority that the patient puts on the health concern.
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1PriorityPreferenceBase for all types and resources
.... entryRelationship:priorityPreference2 0..*EntryRelationshipThe following entryRelationship represents the priority that the provider puts on the health concern.
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1PriorityPreferenceBase for all types and resources
.... entryRelationship:problemConcernAct 0..*EntryRelationship
..... typeCode 1..1csFixed Value: REFR
..... act 1..1ProblemConcernActBase for all types and resources
.... entryRelationship:entryReference3 0..*EntryRelationship
..... typeCode 1..1csFixed Value: REFR
..... act 1..1EntryReferenceBase for all types and resources
... reference 0..*Reference
.... typeCode 1..1csFixed Value: REFR
.... externalDocument 1..1ExternalDocumentReferenceBase for all types and resources

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Act.statusCode.coderequiredProblemAct statusCode
NameFlagsCard.TypeDescription & Constraintsdoco
.. Act 1..1CDAR2.ActXML Namespace: urn:hl7-org:v3
Elements defined in Ancestors: @nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, code, @negationInd, text, statusCode, effectiveTime, priorityCode, languageCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition
Base for all types and resources
... @classCode 1..1csFixed Value: ACT
... @moodCode 1..1csFixed Value: EVN
... Slices for templateId 1..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:primary 1..1II
..... @root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.136
..... @extension 1..1stRequired Pattern: 2015-08-01
... code 1..1CDBinding: v3 Code System ActCode (extensible)
.... @code 1..1csRequired Pattern: 281694009
.... @codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.6.96
... statusCode 1..1CSBinding: ActStatus (required)
.... @code 1..1csBinding: ProblemAct statusCode (required)
... effectiveTime 0..1IVL_TS
... author 0..*AuthorParticipationBase for all types and resources
... Slices for entryRelationship 0..*EntryRelationshipWhere a Health Concern needs to reference another entry already described in the CDA document instance, rather than repeating the full content of the entry, the Entry Reference template may be used to reference this entry.
Slice: Unordered, Open by profile:observation, profile:act, profile:organizer
.... entryRelationship:problemObservation1 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1ProblemObservationBase for all types and resources
.... entryRelationship:allergy-IntoleranceObservation 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1AllergyIntoleranceObservationBase for all types and resources
.... entryRelationship:entryReferenceRefr 0..*EntryRelationshipThe following entryRelationship represents the relationship between two Health Concern Acts where there is a general relationship between the source and the target (Health Concern RELATES TO Health Concern). The Entry Reference template is used here because the target Health Concern Act will be defined elsewhere in the Health Concerns Section and thus a reference to that template is all that is required.
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... act 1..1EntryReferenceBase for all types and resources
.... entryRelationship:entryReferenceComp 0..*EntryRelationshipThe following entryRelationship represents the relationship between two Health Concern Acts where the target is a component of the source (Health Concern HAS COMPONENT Health Concern). The Enry Reference template is used here because the target Health Concern Act will be defined elsewhere in the Health Concerns Section and thus a reference to that template is all that is required.
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: COMP
..... act 1..1EntryReferenceBase for all types and resources
.... entryRelationship:assessmentScaleObservation 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1AssessmentScaleObservationBase for all types and resources
.... entryRelationship:mentalStatusObservation1 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1MentalStatusObservationBase for all types and resources
.... entryRelationship:self-CareActivitiesADLandIADL 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1SelfCareActivitiesADLandIADLBase for all types and resources
.... entryRelationship:mentalStatusObservation2 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1MentalStatusObservationBase for all types and resources
.... entryRelationship:smokingStatus-MeaningfulUse 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1SmokingStatusMeaningfulUseBase for all types and resources
.... entryRelationship:encounterDiagnosis 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... act 1..1EncounterDiagnosisBase for all types and resources
.... entryRelationship:entryRelationship11 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... organizer 1..1FamilyHistoryOrganizerBase for all types and resources
.... entryRelationship:functionalStatusObservation 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1FunctionalStatusObservationBase for all types and resources
.... entryRelationship:hospitalAdmissionDiagnosis 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... act 1..1HospitalAdmissionDiagnosisBase for all types and resources
.... entryRelationship:nutritionAssessment 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1NutritionAssessmentBase for all types and resources
.... entryRelationship:postprocedureDiagnosis 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... act 1..1PostprocedureDiagnosisBase for all types and resources
.... entryRelationship:pregnancyObservation 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1PregnancyObservationBase for all types and resources
.... entryRelationship:preoperativeDiagnosis 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... act 1..1PreoperativeDiagnosisBase for all types and resources
.... entryRelationship:reactionObservation 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1ReactionObservationBase for all types and resources
.... entryRelationship:resultObservation 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1ResultObservationBase for all types and resources
.... entryRelationship:sensoryStatus 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1SensoryStatusBase for all types and resources
.... entryRelationship:socialHistoryObservation 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1SocialHistoryObservationBase for all types and resources
.... entryRelationship:substanceorDeviceAllergy-IntoleranceObservation 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1SubstanceOrDeviceAllergyIntoleranceObservationBase for all types and resources
.... entryRelationship:tobaccoUse 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1TobaccoUseBase for all types and resources
.... entryRelationship:vitalSignObservation 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1VitalSignObservationBase for all types and resources
.... entryRelationship:longitudinalCareWoundObservation 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1LongitudinalCareWoundObservationBase for all types and resources
.... entryRelationship:problemObservation2 0..*EntryRelationshipThe following entryRelationship represents the relationship Health Concern HAS SUPPORT Observation.
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: SPRT
..... observation 1..1ProblemObservationBase for all types and resources
.... entryRelationship:caregiverCharacteristics 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1CaregiverCharacteristicsBase for all types and resources
.... entryRelationship:culturalandReligiousObservation 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1CulturalandReligiousObservationBase for all types and resources
.... entryRelationship:characteristicsofHomeEnvironment 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1CharacteristicsofHomeEnvironmentBase for all types and resources
.... entryRelationship:nutritionalStatusObservation 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1NutritionalStatusObservationBase for all types and resources
.... entryRelationship:resultOrganizer 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... organizer 1..1ResultOrganizerBase for all types and resources
.... entryRelationship:priorityPreference1 0..*EntryRelationshipThe following entryRelationship represents the priority that the patient puts on the health concern.
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1PriorityPreferenceBase for all types and resources
.... entryRelationship:priorityPreference2 0..*EntryRelationshipThe following entryRelationship represents the priority that the provider puts on the health concern.
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1PriorityPreferenceBase for all types and resources
.... entryRelationship:problemConcernAct 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... act 1..1ProblemConcernActBase for all types and resources
.... entryRelationship:entryReference3 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... act 1..1EntryReferenceBase for all types and resources
... reference 0..*Reference
.... @typeCode 1..1csBinding: x_ActRelationshipExternalReference (required)
Fixed Value: REFR
.... externalDocument 1..1ExternalDocumentReferenceBase for all types and resources

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Act.codeextensibleActCode
Act.statusCoderequiredActStatus
Act.statusCode.coderequiredProblemAct statusCode
Act.entryRelationship:problemObservation1.typeCoderequiredFixed Value: REFR
Act.entryRelationship:allergy-IntoleranceObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryReferenceRefr.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryReferenceComp.typeCoderequiredFixed Value: COMP
Act.entryRelationship:assessmentScaleObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:mentalStatusObservation1.typeCoderequiredFixed Value: REFR
Act.entryRelationship:self-CareActivitiesADLandIADL.typeCoderequiredFixed Value: REFR
Act.entryRelationship:mentalStatusObservation2.typeCoderequiredFixed Value: REFR
Act.entryRelationship:smokingStatus-MeaningfulUse.typeCoderequiredFixed Value: REFR
Act.entryRelationship:encounterDiagnosis.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryRelationship11.typeCoderequiredFixed Value: REFR
Act.entryRelationship:functionalStatusObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:hospitalAdmissionDiagnosis.typeCoderequiredFixed Value: REFR
Act.entryRelationship:nutritionAssessment.typeCoderequiredFixed Value: REFR
Act.entryRelationship:postprocedureDiagnosis.typeCoderequiredFixed Value: REFR
Act.entryRelationship:pregnancyObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:preoperativeDiagnosis.typeCoderequiredFixed Value: REFR
Act.entryRelationship:reactionObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:resultObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:sensoryStatus.typeCoderequiredFixed Value: REFR
Act.entryRelationship:socialHistoryObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:substanceorDeviceAllergy-IntoleranceObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:tobaccoUse.typeCoderequiredFixed Value: REFR
Act.entryRelationship:vitalSignObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:longitudinalCareWoundObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:problemObservation2.typeCoderequiredFixed Value: SPRT
Act.entryRelationship:caregiverCharacteristics.typeCoderequiredFixed Value: REFR
Act.entryRelationship:culturalandReligiousObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:characteristicsofHomeEnvironment.typeCoderequiredFixed Value: REFR
Act.entryRelationship:nutritionalStatusObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:resultOrganizer.typeCoderequiredFixed Value: REFR
Act.entryRelationship:priorityPreference1.typeCoderequiredFixed Value: REFR
Act.entryRelationship:priorityPreference2.typeCoderequiredFixed Value: REFR
Act.entryRelationship:problemConcernAct.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryReference3.typeCoderequiredFixed Value: REFR
Act.reference.typeCoderequiredFixed Value: REFR

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
NameFlagsCard.TypeDescription & Constraintsdoco
.. Act 1..1CDAR2.ActXML Namespace: urn:hl7-org:v3
Elements defined in Ancestors: @nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, code, @negationInd, text, statusCode, effectiveTime, priorityCode, languageCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition
Base for all types and resources
... @nullFlavor 0..1csBinding: NullFlavor (required)
... @classCode 1..1csFixed Value: ACT
... @moodCode 1..1csFixed Value: EVN
... typeId 0..1II
... Slices for templateId 1..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:primary 1..1II
..... @nullFlavor 0..1csBinding: NullFlavor (required)
..... @assigningAuthorityName 0..1st
..... @displayable 0..1bl
..... @root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.136
..... @extension 1..1stRequired Pattern: 2015-08-01
... id 1..*II
... code 1..1CDBinding: v3 Code System ActCode (extensible)
.... @nullFlavor 0..1csBinding: NullFlavor (required)
.... @code 1..1csRequired Pattern: 281694009
.... @codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.6.96
.... @codeSystemName 0..1st
.... @codeSystemVersion 0..1st
.... @displayName 0..1st
.... @sdtcValueSet 0..1oidXML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1stXML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText 0..1ED
.... qualifier 0..*CR
.... translation 0..*CD
... @negationInd 0..1bl
... text 0..1ED
... statusCode 1..1CSBinding: ActStatus (required)
.... @nullFlavor 0..1csBinding: NullFlavor (required)
.... @code 1..1csBinding: ProblemAct statusCode (required)
.... @sdtcValueSet 0..1oidXML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1stXML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
... effectiveTime 0..1IVL_TS
... priorityCode 0..1CEBinding: ActPriority (extensible)
... languageCode 0..1CSBinding: HumanLanguage (required)
... subject 0..1Subject
... specimen 0..*Specimen
... performer 0..*Performer2
... author 0..*AuthorParticipationBase for all types and resources
... informant 0..*Informant
... participant 0..*Participant2
... Slices for entryRelationship 0..*EntryRelationshipWhere a Health Concern needs to reference another entry already described in the CDA document instance, rather than repeating the full content of the entry, the Entry Reference template may be used to reference this entry.
Slice: Unordered, Open by profile:observation, profile:act, profile:organizer
.... entryRelationship:problemObservation1 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation 1..1ProblemObservationBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:allergy-IntoleranceObservation 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation 1..1AllergyIntoleranceObservationBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:entryReferenceRefr 0..*EntryRelationshipThe following entryRelationship represents the relationship between two Health Concern Acts where there is a general relationship between the source and the target (Health Concern RELATES TO Health Concern). The Entry Reference template is used here because the target Health Concern Act will be defined elsewhere in the Health Concerns Section and thus a reference to that template is all that is required.
..... @nullFlavor 0..1csBinding: NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 1..1EntryReferenceBase for all types and resources
..... encounter 0..1Encounter
..... observation 0..1Observation
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:entryReferenceComp 0..*EntryRelationshipThe following entryRelationship represents the relationship between two Health Concern Acts where the target is a component of the source (Health Concern HAS COMPONENT Health Concern). The Enry Reference template is used here because the target Health Concern Act will be defined elsewhere in the Health Concerns Section and thus a reference to that template is all that is required.
..... @nullFlavor 0..1csBinding: NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: COMP
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 1..1EntryReferenceBase for all types and resources
..... encounter 0..1Encounter
..... observation 0..1Observation
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:assessmentScaleObservation 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation 1..1AssessmentScaleObservationBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:mentalStatusObservation1 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation 1..1MentalStatusObservationBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:self-CareActivitiesADLandIADL 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation 1..1SelfCareActivitiesADLandIADLBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:mentalStatusObservation2 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation 1..1MentalStatusObservationBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:smokingStatus-MeaningfulUse 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation 1..1SmokingStatusMeaningfulUseBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:encounterDiagnosis 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 1..1EncounterDiagnosisBase for all types and resources
..... encounter 0..1Encounter
..... observation 0..1Observation
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:entryRelationship11 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation 0..1Observation
..... observationMedia 0..1ObservationMedia
..... organizer 1..1FamilyHistoryOrganizerBase for all types and resources
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:functionalStatusObservation 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation 1..1FunctionalStatusObservationBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:hospitalAdmissionDiagnosis 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
...<