Consolidated CDA Release 2.2
2.2 - CI Build United States of America flag

Consolidated CDA Release 2.2, published by Health Level Seven. This is not an authorized publication; it is the continuous build for version 2.2). This version is based on the current content of https://github.com/HL7/CDA-ccda-2.2/ and changes regularly. See the Directory of published versions

Resource Profile: ProcedureActivityAct - Detailed Descriptions

Active as of 2022-05-13

Definitions for the 2.16.840.1.113883.10.20.22.4.12 resource profile.

1. Act
Control1..1
2. Act.classCode
Control1..1
Typecode
Requirements

SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-8289).

Pattern ValueACT
3. Act.moodCode
Control1..1
Typecode
Requirements

SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-8290).

Pattern ValueEVN
4. Act.realmCode
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
5. Act.typeId
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
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

Control0..*
Typehttp://hl7.org/fhir/cda/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:
  • value @ root
  • ,
  • value @ extension
7. Act.templateId:primary
SliceNameprimary
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

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

SHALL contain exactly one [1..1] templateId (CONF:1098-8291) such that it

8. Act.templateId:primary.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
9. Act.templateId:primary.assigningAuthorityName
Definition

A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

Control0..1
Typestring
10. Act.templateId:primary.displayable
Definition

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

Control0..1
Typeboolean
11. Act.templateId:primary.root
Definition

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

Control1..1
Typestring
Requirements

SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.12" (CONF:1098-10519).

Pattern Value2.16.840.1.113883.10.20.22.4.12
12. Act.templateId:primary.extension
Definition

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

Control1..1
Typestring
Requirements

SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32505).

Pattern Value2014-06-09
13. Act.id
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

SHALL contain at least one [1..*] id (CONF:1098-8292).

14. Act.code
Control1..1
BindingThe codes SHALL be taken from v3 Code System ActCode; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
Requirements

SHALL contain exactly one [1..1] code (CONF:1098-8293).

InvariantsDefined on this element
1098-19190: This @code **SHOULD** be selected from LOINC (CodeSystem: 2.16.840.1.113883.6.1) or SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96), and **MAY** be selected from CPT-4 (CodeSystem: 2.16.840.1.113883.6.12) or ICD10 PCS (CodeSystem: 2.16.840.1.113883.6.4) or CDT-2 (Code System: 2.16.840.1.113883.6.13) (CONF:1098-19190). (: )
15. 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
16. 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
Typestring
17. Act.code.codeSystem
Definition

Specifies the code system that defines the code.

Control0..1
Typestring
18. Act.code.codeSystemName
Definition

The common name of the coding system.

Control0..1
Typestring
19. Act.code.codeSystemVersion
Definition

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

Control0..1
Typestring
20. 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
21. 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
22. 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
23. Act.code.originalText
Definition

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

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
Requirements

This code SHOULD contain zero or one [0..1] originalText (CONF:1098-19186).

24. Act.code.originalText.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
25. Act.code.originalText.charset
Definition

For character-based encoding types, this property specifies the character set and character encoding used. The charset shall be identified by an Internet Assigned Numbers Authority (IANA) Charset Registration [] in accordance with RFC 2978 [].

Control0..1
Typecode
26. Act.code.originalText.compression
Definition

Indicates whether the raw byte data is compressed, and what compression algorithm was used.

Control0..1
BindingThe codes SHALL be taken from CompressionAlgorithm
Typecode
27. Act.code.originalText.integrityCheck
Definition

The integrity check is a short binary value representing a cryptographically strong checksum that is calculated over the binary data. The purpose of this property, when communicated with a reference is for anyone to validate later whether the reference still resolved to the same data that the reference resolved to when the encapsulated data value with reference was created.

Control0..1
Typebase64Binary
28. Act.code.originalText.integrityCheckAlgorithm
Definition

Specifies the algorithm used to compute the integrityCheck value. The cryptographically strong checksum algorithm Secure Hash Algorithm-1 (SHA-1) is currently the industry standard. It has superseded the MD5 algorithm only a couple of years ago, when certain flaws in the security of MD5 were discovered. Currently the SHA-1 hash algorithm is the default choice for the integrity check algorithm. Note that SHA-256 is also entering widespread usage.

Control0..1
BindingThe codes SHALL be taken from IntegrityCheckAlgorithm
Typecode
29. Act.code.originalText.language
Definition

For character based information the language property specifies the human language of the text.

Control0..1
Typecode
30. Act.code.originalText.mediaType
Definition

Identifies the type of the encapsulated data and identifies a method to interpret or render the data.

Control0..1
Typecode
31. Act.code.originalText.representation
Control0..1
Typecode
32. Act.code.originalText.data[x]
Definition

Data that is primarily intended for human interpretation or for further machine processing is outside the scope of HL7. This includes unformatted or formatted written language, multimedia data, or structured information as defined by a different standard (e.g., XML-signatures.)

Control0..1
TypeChoice of: string, base64Binary
[x] NoteSee Choice of Data Types for further information about how to use [x]
33. Act.code.originalText.reference
Definition

A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/TEL
Requirements

The originalText, if present, MAY contain zero or one [0..1] reference (CONF:1098-19187).

34. Act.code.originalText.reference.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
35. Act.code.originalText.reference.value
Control0..1
Typeuri
Requirements

The reference, if present, MAY contain zero or one [0..1] @value (CONF:1098-19188).

InvariantsDefined on this element
1098-19189: This reference/@value **SHALL** begin with a '#' and **SHALL** point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:1098-19189). (: )
36. Act.code.originalText.reference.useablePeriod
Definition

Specifies the periods of time during which the telecommunication address can be used. For a telephone number, this can indicate the time of day in which the party can be reached on that telephone. For a web address, it may specify a time range in which the web content is promised to be available under the given address.

Control0..*
TypeChoice of: http://hl7.org/fhir/cda/StructureDefinition/IVL-TS, http://hl7.org/fhir/cda/StructureDefinition/EIVL-TS, http://hl7.org/fhir/cda/StructureDefinition/PIVL-TS, http://hl7.org/fhir/cda/StructureDefinition/SXPR-TS
37. Act.code.originalText.reference.use
Definition

One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need.

Control0..*
BindingThe codes SHALL be taken from AddressUse
Typecode
38. Act.code.originalText.thumbnail
Definition

An abbreviated rendition of the full data. A thumbnail requires significantly fewer resources than the full data, while still maintaining some distinctive similarity with the full data. A thumbnail is typically used with by-reference encapsulated data. It allows a user to select data more efficiently before actually downloading through the reference.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
39. Act.code.qualifier
Definition

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

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CR
40. Act.code.translation
Definition

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

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
41. Act.negationInd
Control0..1
Typeboolean
42. Act.text
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
43. Act.statusCode
Control1..1
BindingThe codes SHALL be taken from ActStatus
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
Requirements

SHALL contain exactly one [1..1] statusCode (CONF:1098-8298).

44. 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
45. 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.

Control1..1
BindingThe codes SHALL be taken from ProcedureAct statusCode
Typestring
Requirements

This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ProcedureAct statusCode urn:oid:2.16.840.1.113883.11.20.9.22 STATIC 2014-04-23 (CONF:1098-32364).

46. Act.statusCode.codeSystem
Definition

Specifies the code system that defines the code.

Control0..0
Typestring
47. Act.statusCode.codeSystemName
Definition

The common name of the coding system.

Control0..0
Typestring
48. Act.statusCode.codeSystemVersion
Definition

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

Control0..0
Typestring
49. 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
50. 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
51. 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
52. Act.statusCode.originalText
Definition

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

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
53. Act.statusCode.qualifier
Definition

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

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CR
54. Act.statusCode.translation
Definition

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

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
55. Act.effectiveTime
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
Requirements

SHALL contain exactly one [1..1] effectiveTime (CONF:1098-8299).

56. Act.priorityCode
Control0..1
BindingThe codes SHALL be taken from ActPriority
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
Requirements

MAY contain zero or one [0..1] priorityCode, which SHALL be selected from ValueSet ActPriority urn:oid:2.16.840.1.113883.1.11.16866 DYNAMIC (CONF:1098-8300).

57. Act.languageCode
Control0..1
BindingThe codes SHALL be taken from HumanLanguage
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
58. Act.subject
Control0..1
TypeElement
59. Act.subject.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationTargetSubject
Typecode
Default ValueSBJ
Fixed ValueSBJ
60. Act.subject.contextControlCode
Control1..1
BindingThe codes SHALL be taken from ContextControl
Typecode
Default ValueOP
Fixed ValueOP
61. Act.subject.awarenessCode
Control0..1
BindingThe codes SHALL be taken from TargetAwareness; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
62. Act.subject.relatedSubject
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RelatedSubject
63. Act.specimen
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Specimen
64. Act.performer
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Performer2
Requirements

SHOULD contain zero or more [0..*] performer (CONF:1098-8301).

65. Act.performer.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
66. Act.performer.typeCode
Control0..1
BindingThe codes SHALL be taken from ParticipationPhysicalPerformer
Typecode(cs)
Fixed ValuePRF
67. Act.performer.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/fhir/cda/StructureDefinition/CS
68. Act.performer.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/fhir/cda/StructureDefinition/II
69. Act.performer.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/fhir/cda/StructureDefinition/II
70. Act.performer.functionCode
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
71. Act.performer.time
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
72. Act.performer.modeCode
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
73. Act.performer.assignedEntity
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AssignedEntity
Requirements

The performer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1098-8302).

74. Act.performer.assignedEntity.classCode
Control1..1
BindingThe codes SHALL be taken from RoleClassAssignedEntity
Typecode
Default ValueASSIGNED
Fixed ValueASSIGNED
75. Act.performer.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/fhir/cda/StructureDefinition/II
76. Act.performer.assignedEntity.id
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

This assignedEntity SHALL contain at least one [1..*] id (CONF:1098-8303).

77. Act.performer.assignedEntity.sdtcIdentifiedBy
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/IdentifiedBy
78. Act.performer.assignedEntity.code
Control0..1
BindingThe codes SHALL be taken from v3 Code System RoleCode; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
79. Act.performer.assignedEntity.addr
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/AD
Requirements

This assignedEntity SHALL contain at least one [1..*] addr (CONF:1098-8304).

80. Act.performer.assignedEntity.telecom
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/TEL
Requirements

This assignedEntity SHALL contain at least one [1..*] telecom (CONF:1098-8305).

81. Act.performer.assignedEntity.assignedPerson
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Person
82. Act.performer.assignedEntity.representedOrganization
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organization
Requirements

This assignedEntity SHOULD contain zero or one [0..1] representedOrganization (CONF:1098-8306).

83. Act.performer.assignedEntity.representedOrganization.classCode
Control1..1
BindingThe codes SHALL be taken from EntityClassOrganization
Typecode
Default ValueORG
Fixed ValueORG
84. Act.performer.assignedEntity.representedOrganization.determinerCode
Control1..1
BindingThe codes SHALL be taken from EntityDeterminer
Typecode
Default ValueINSTANCE
Fixed ValueINSTANCE
85. Act.performer.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/fhir/cda/StructureDefinition/II
86. Act.performer.assignedEntity.representedOrganization.id
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

The representedOrganization, if present, SHOULD contain zero or more [0..*] id (CONF:1098-8307).

87. Act.performer.assignedEntity.representedOrganization.name
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/ON
Requirements

The representedOrganization, if present, MAY contain zero or more [0..*] name (CONF:1098-8308).

88. Act.performer.assignedEntity.representedOrganization.telecom
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/TEL
Requirements

The representedOrganization, if present, SHALL contain at least one [1..*] telecom (CONF:1098-8310).

89. Act.performer.assignedEntity.representedOrganization.addr
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/AD
Requirements

The representedOrganization, if present, SHALL contain at least one [1..*] addr (CONF:1098-8309).

90. Act.performer.assignedEntity.representedOrganization.standardIndustryClassCode
Control0..1
BindingThe codes SHALL be taken from OrganizationIndustryClassNAICS; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
91. Act.performer.assignedEntity.representedOrganization.asOrganizationPartOf
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/OrganizationPartOf
92. Act.author
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Author(AuthorParticipation)
Requirements

SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-32477).

Comments

201810 Errata STU Comment 1619: Updated cardinality from incorrect [1..] to correct [0..]

93. Act.informant
Control0..*
TypeElement
94. Act.informant.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationInformationGenerator
Typecode
Default ValueINF
Fixed ValueINF
95. Act.informant.contextControlCode
Control1..1
BindingThe codes SHALL be taken from ContextControl
Typecode
Default ValueOP
Fixed ValueOP
96. Act.informant.assignedEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AssignedEntity
97. Act.informant.relatedEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RelatedEntity
98. Act.participant
Control0..*
Typehttp://hl7.org/fhir/cda/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:
  • value @ typeCode
99. Act.participant:location
SliceNamelocation
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Participant2
Requirements

MAY contain zero or more [0..*] participant (CONF:1098-8311) such that it

100. Act.participant:location.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
101. Act.participant:location.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationType
Typecode
Requirements

SHALL contain exactly one [1..1] @typeCode="LOC" Location (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1098-8312).

Pattern ValueLOC
102. Act.participant:location.contextControlCode
Control0..1
BindingThe codes SHALL be taken from ContextControl
Typecode
Fixed ValueOP
103. Act.participant:location.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/fhir/cda/StructureDefinition/CS
104. Act.participant:location.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/fhir/cda/StructureDefinition/II
105. Act.participant:location.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/fhir/cda/StructureDefinition/II
106. Act.participant:location.sdtcFunctionCode
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
107. Act.participant:location.time
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
108. Act.participant:location.awarenessCode
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
109. Act.participant:location.participantRole
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ParticipantRole(ServiceDeliveryLocation)
Requirements

SHALL contain exactly one [1..1] Service Delivery Location (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.32) (CONF:1098-15599).

110. Act.entryRelationship
Control0..*
TypeElement
InvariantsDefined on this element
act-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
SlicingThis element introduces a set of slices on Act.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • profile @ encounter
  • ,
  • profile @ act
  • ,
  • profile @ observation
  • ,
  • profile @ substanceAdministration
111. Act.entryRelationship.typeCode
Control1..1
Typecode
112. Act.entryRelationship.inversionInd
Control0..1
Typeboolean
113. Act.entryRelationship.contextConductionInd
Control1..1
Typeboolean
Default Valuetrue
114. Act.entryRelationship.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
115. Act.entryRelationship.negationInd
Control0..1
Typeboolean
116. Act.entryRelationship.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
117. Act.entryRelationship.observation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
118. Act.entryRelationship.regionOfInterest
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
119. Act.entryRelationship.observationMedia
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
120. Act.entryRelationship.substanceAdministration
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
121. Act.entryRelationship.supply
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
122. Act.entryRelationship.procedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
123. Act.entryRelationship.encounter
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
124. Act.entryRelationship.organizer
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
125. Act.entryRelationship.act
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
126. Act.entryRelationship:encounter
SliceNameencounter
Control0..*
TypeElement
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1098-8314) such that it

InvariantsDefined on this element
act-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
127. Act.entryRelationship:encounter.typeCode
Control1..1
Typecode
Requirements

SHALL contain exactly one [1..1] @typeCode="COMP" Has Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-8315).

Pattern ValueCOMP
128. Act.entryRelationship:encounter.inversionInd
Control1..1
Typeboolean
Requirements

SHALL contain exactly one [1..1] @inversionInd="true" true (CONF:1098-8316).

Pattern Valuetrue
129. Act.entryRelationship:encounter.contextConductionInd
Control1..1
Typeboolean
Default Valuetrue
130. Act.entryRelationship:encounter.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
131. Act.entryRelationship:encounter.negationInd
Control0..1
Typeboolean
132. Act.entryRelationship:encounter.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
133. Act.entryRelationship:encounter.observation
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
134. Act.entryRelationship:encounter.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
135. Act.entryRelationship:encounter.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
136. Act.entryRelationship:encounter.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
137. Act.entryRelationship:encounter.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
138. Act.entryRelationship:encounter.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
139. Act.entryRelationship:encounter.encounter
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
Requirements

SHALL contain exactly one [1..1] encounter (CONF:1098-8317).

140. Act.entryRelationship:encounter.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
141. Act.entryRelationship:encounter.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
142. Act.entryRelationship:instruction
SliceNameinstruction
Control0..1
TypeElement
Requirements

MAY contain zero or one [0..1] entryRelationship (CONF:1098-8322) such that it

InvariantsDefined on this element
act-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
143. Act.entryRelationship:instruction.typeCode
Control1..1
Typecode
Requirements

SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-8323).

Pattern ValueSUBJ
144. Act.entryRelationship:instruction.inversionInd
Control1..1
Typeboolean
Requirements

SHALL contain exactly one [1..1] @inversionInd="true" true (CONF:1098-8324).

Pattern Valuetrue
145. Act.entryRelationship:instruction.contextConductionInd
Control1..1
Typeboolean
Default Valuetrue
146. Act.entryRelationship:instruction.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
147. Act.entryRelationship:instruction.negationInd
Control0..1
Typeboolean
148. Act.entryRelationship:instruction.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
149. Act.entryRelationship:instruction.observation
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
150. Act.entryRelationship:instruction.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
151. Act.entryRelationship:instruction.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
152. Act.entryRelationship:instruction.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
153. Act.entryRelationship:instruction.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
154. Act.entryRelationship:instruction.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
155. Act.entryRelationship:instruction.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
156. Act.entryRelationship:instruction.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
157. Act.entryRelationship:instruction.act
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act(Instruction)
Requirements

SHALL contain exactly one [1..1] Instruction (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.20:2014-06-09) (CONF:1098-31396).

158. Act.entryRelationship:indication
SliceNameindication
Control0..*
TypeElement
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1098-8326) such that it

InvariantsDefined on this element
act-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
159. Act.entryRelationship:indication.typeCode
Control1..1
Typecode
Requirements

SHALL contain exactly one [1..1] @typeCode="RSON" Has Reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-8327).

Pattern ValueRSON
160. Act.entryRelationship:indication.inversionInd
Control0..1
Typeboolean
161. Act.entryRelationship:indication.contextConductionInd
Control1..1
Typeboolean
Default Valuetrue
162. Act.entryRelationship:indication.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
163. Act.entryRelationship:indication.negationInd
Control0..1
Typeboolean
164. Act.entryRelationship:indication.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
165. Act.entryRelationship:indication.observation
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(Indication)
Requirements

SHALL contain exactly one [1..1] Indication (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.19:2014-06-09) (CONF:1098-15601).

166. Act.entryRelationship:indication.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
167. Act.entryRelationship:indication.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
168. Act.entryRelationship:indication.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
169. Act.entryRelationship:indication.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
170. Act.entryRelationship:indication.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
171. Act.entryRelationship:indication.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
172. Act.entryRelationship:indication.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
173. Act.entryRelationship:indication.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
174. Act.entryRelationship:medication
SliceNamemedication
Control0..*
TypeElement
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1098-8329) such that it

InvariantsDefined on this element
act-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
175. Act.entryRelationship:medication.typeCode
Control1..1
Typecode
Requirements

SHALL contain exactly one [1..1] @typeCode="COMP" Has Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-8330).

Pattern ValueCOMP
176. Act.entryRelationship:medication.inversionInd
Control0..1
Typeboolean
177. Act.entryRelationship:medication.contextConductionInd
Control1..1
Typeboolean
Default Valuetrue
178. Act.entryRelationship:medication.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
179. Act.entryRelationship:medication.negationInd
Control0..1
Typeboolean
180. Act.entryRelationship:medication.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
181. Act.entryRelationship:medication.observation
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
182. Act.entryRelationship:medication.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
183. Act.entryRelationship:medication.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
184. Act.entryRelationship:medication.substanceAdministration
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration(MedicationActivity)
Requirements

SHALL contain exactly one [1..1] Medication Activity (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.16:2014-06-09) (CONF:1098-15602).

InvariantsDefined on this element
1098-30800: Medication Activity **SHOULD** include doseQuantity **OR** rateQuantity (CONF:1098-30800). (: )
185. Act.entryRelationship:medication.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
186. Act.entryRelationship:medication.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
187. Act.entryRelationship:medication.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
188. Act.entryRelationship:medication.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
189. Act.entryRelationship:medication.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
190. Act.reference
Control0..*
TypeElement
191. Act.reference.typeCode
Control1..1
Typecode
192. Act.reference.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
193. Act.reference.externalAct
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalAct
194. Act.reference.externalObservation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalObservation
195. Act.reference.externalProcedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure
196. Act.reference.externalDocument
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalDocument
197. Act.precondition
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Precondition