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: Procedure Activity Act

Official URL: http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.12 Version: 2.2
Active as of 2022-05-13 Computable Name: ProcedureActivityAct
Other Identifiers: : urn:hl7ii:2.16.840.1.113883.10.20.22.4.12:2014-06-09

This template represents any act that cannot be classified as an observation or procedure according to the HL7 RIM. Examples of these acts are a dressing change, teaching or feeding a patient, or providing comfort measures. The common notion of “procedure” is broader than that specified by the HL7 Version 3 Reference Information Model (RIM). Procedure templates can be represented with various RIM classes: act (e.g., dressing change), observation (e.g., EEG), procedure (e.g., splenectomy).

Usage:

Formal Views of Profile Content

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

This structure is derived from CDAR2.Act

This structure is derived from CDAR2.Act

NameFlagsCard.TypeDescription & Constraintsdoco
.. Act 1..1CDAR2.Act
... classCode 1..1codeRequired Pattern: ACT
... moodCode 1..1codeRequired Pattern: EVN
... Slices for templateId 0..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:primary 1..1II
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.4.12
..... extension 1..1stringRequired Pattern: 2014-06-09
... code I1..1CD1098-19190: 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).
.... originalText 0..1ED
..... reference 0..1TEL
...... value I0..1uri1098-19189: 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).
... statusCode 1..1CS
.... code 1..1stringBinding: ProcedureAct statusCode (required)
... effectiveTime 1..1IVL_TS
... priorityCode 0..1CEBinding: ActPriority (required)
... performer 0..*Performer2
.... assignedEntity 1..1AssignedEntity
..... id 1..*II
..... addr 1..*AD
..... telecom 1..*TEL
..... representedOrganization 0..1Organization
...... id 0..*II
...... name 0..*ON
...... telecom 1..*TEL
...... addr 1..*AD
... author 0..*AuthorParticipation
... Slices for participant 0..*Participant2Slice: Unordered, Open by value:typeCode
.... participant:location 0..*Participant2
..... typeCode 1..1codeRequired Pattern: LOC
..... participantRole 1..1ServiceDeliveryLocation
... Slices for entryRelationship 0..*ElementSlice: Unordered, Open by profile:encounter, profile:act, profile:observation, profile:substanceAdministration
.... entryRelationship:encounter 0..*Element
..... typeCode 1..1codeRequired Pattern: COMP
..... inversionInd 1..1booleanRequired Pattern: true
..... encounter 1..1Encounter
​...... classCode 1..1codeRequired Pattern: ENC
​...... moodCode 1..1codeRequired Pattern: EVN
​...... id I1..1II1098-16849: Set the encounter ID to the ID of an encounter in another section to signify they are the same encounter (CONF:1098-16849).
.... entryRelationship:instruction 0..1Element
..... typeCode 1..1codeRequired Pattern: SUBJ
..... inversionInd 1..1booleanRequired Pattern: true
..... act 1..1Instruction
.... entryRelationship:indication 0..*Element
..... typeCode 1..1codeRequired Pattern: RSON
..... observation 1..1Indication
.... entryRelationship:medication 0..*Element
..... typeCode 1..1codeRequired Pattern: COMP
..... substanceAdministration 1..1MedicationActivity

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Act 1..1CDAR2.Act
... classCode 1..1codeRequired Pattern: ACT
... moodCode 1..1codeRequired Pattern: EVN
... realmCode 0..*CS
... Slices for templateId 0..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:primary 1..1II
..... nullFlavor 0..1codeBinding: NullFlavor (required)
..... assigningAuthorityName 0..1string
..... displayable 0..1boolean
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.4.12
..... extension 1..1stringRequired Pattern: 2014-06-09
... id 1..*II
... code I1..1CDBinding: v3 Code System ActCode (extensible)
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).
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... code 0..1string
.... codeSystem 0..1string
.... codeSystemName 0..1string
.... codeSystemVersion 0..1string
.... displayName 0..1string
.... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
.... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText 0..1ED
..... nullFlavor 0..1codeBinding: NullFlavor (required)
..... charset 0..1code
..... compression 0..1codeBinding: CompressionAlgorithm (required)
..... integrityCheck 0..1base64Binary
..... integrityCheckAlgorithm 0..1codeBinding: IntegrityCheckAlgorithm (required)
..... language 0..1code
..... mediaType 0..1code
..... representation 0..1code
..... data[x] 0..1
...... dataStringstring
...... dataBase64Binarybase64Binary
..... reference 0..1TEL
...... nullFlavor 0..1codeBinding: NullFlavor (required)
...... value I0..1uri1098-19189: 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).
...... useablePeriod 0..*
....... useablePeriodIVL_TS
....... useablePeriodEIVL_TS
....... useablePeriodPIVL_TS
....... useablePeriodSXPR_TS
...... use 0..*codeBinding: AddressUse (required)
..... thumbnail 0..1ED
.... qualifier 0..*CR
.... translation 0..*CD
... negationInd 0..1boolean
... text 0..1ED
... statusCode 1..1CSBinding: ActStatus (required)
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... code 1..1stringBinding: ProcedureAct statusCode (required)
.... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
.... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
... effectiveTime 1..1IVL_TS
... priorityCode 0..1CEBinding: ActPriority (required)
... languageCode 0..1CSBinding: HumanLanguage (required)
... subject 0..1Element
.... typeCode 1..1codeBinding: ParticipationTargetSubject (required)
Fixed Value: SBJ
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... awarenessCode 0..1CEBinding: TargetAwareness (extensible)
.... relatedSubject 1..1RelatedSubject
... specimen 0..*Specimen
... performer 0..*Performer2
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... typeCode 0..1csBinding: ParticipationPhysicalPerformer (required)
Fixed Value: PRF
.... realmCode 0..*CS
.... typeId 0..1II
.... templateId 0..*II
.... functionCode 0..1CEXML Namespace: urn:hl7-org:sdtc
.... time 0..1IVL_TS
.... modeCode 0..1CE
.... assignedEntity 1..1AssignedEntity
..... classCode 1..1codeBinding: RoleClassAssignedEntity (required)
Fixed Value: ASSIGNED
..... templateId 0..*II
..... id 1..*II
..... sdtcIdentifiedBy 0..*IdentifiedByXML: identifiedBy (urn:hl7-org:sdtc)
..... code 0..1CEBinding: v3 Code System RoleCode (extensible)
..... addr 1..*AD
..... telecom 1..*TEL
..... assignedPerson 0..1Person
..... representedOrganization 0..1Organization
...... classCode 1..1codeBinding: EntityClassOrganization (required)
Fixed Value: ORG
...... determinerCode 1..1codeBinding: EntityDeterminer (required)
Fixed Value: INSTANCE
...... templateId 0..*II
...... id 0..*II
...... name 0..*ON
...... telecom 1..*TEL
...... addr 1..*AD
...... standardIndustryClassCode 0..1CEBinding: OrganizationIndustryClassNAICS (extensible)
...... asOrganizationPartOf 0..1OrganizationPartOf
... author 0..*AuthorParticipation
... informant 0..*Element
.... typeCode 1..1codeBinding: ParticipationInformationGenerator (required)
Fixed Value: INF
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... assignedEntity 0..1AssignedEntity
.... relatedEntity 0..1RelatedEntity
... Slices for participant 0..*Participant2Slice: Unordered, Open by value:typeCode
.... participant:location 0..*Participant2
..... nullFlavor 0..1codeBinding: NullFlavor (required)
..... typeCode 1..1codeBinding: ParticipationType (required)
Required Pattern: LOC
..... contextControlCode 0..1codeBinding: ContextControl (required)
Fixed Value: OP
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... sdtcFunctionCode 0..1CEXML: functionCode (urn:hl7-org:sdtc)
..... time 0..1IVL_TS
..... awarenessCode 0..1CE
..... participantRole 1..1ServiceDeliveryLocation
... Slices for entryRelationship I0..*ElementSlice: Unordered, Open by profile:encounter, profile:act, profile:observation, profile:substanceAdministration
.... entryRelationship:All Slices Content/Rules for all slices
..... typeCode 1..1code
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... (Choice of one) 1..1
...... observation 0..1Observation
...... regionOfInterest 0..1RegionOfInterest
...... observationMedia 0..1ObservationMedia
...... substanceAdministration 0..1SubstanceAdministration
...... supply 0..1Supply
...... procedure 0..1Procedure
...... encounter 0..1Encounter
...... organizer 0..1Organizer
...... act 0..1Act
.... entryRelationship:encounter I0..*Element
..... typeCode 1..1codeRequired Pattern: COMP
..... inversionInd 1..1booleanRequired Pattern: true
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... encounter 1..1Encounter
.... entryRelationship:instruction I0..1Element
..... typeCode 1..1codeRequired Pattern: SUBJ
..... inversionInd 1..1booleanRequired Pattern: true
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... act 1..1Instruction
.... entryRelationship:indication I0..*Element
..... typeCode 1..1codeRequired Pattern: RSON
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... observation 1..1Indication
.... entryRelationship:medication I0..*Element
..... typeCode 1..1codeRequired Pattern: COMP
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... substanceAdministration I1..1MedicationActivity
... reference 0..*Element
.... typeCode 1..1code
.... seperatableInd 0..1BL
.... externalAct 0..1ExternalAct
.... externalObservation 0..1ExternalObservation
.... externalProcedure 0..1ExternalProcedure
.... externalDocument 0..1ExternalDocument
... precondition 0..*Precondition

doco Documentation for this format

This structure is derived from CDAR2.Act

Differential View

This structure is derived from CDAR2.Act

NameFlagsCard.TypeDescription & Constraintsdoco
.. Act 1..1CDAR2.Act
... classCode 1..1codeRequired Pattern: ACT
... moodCode 1..1codeRequired Pattern: EVN
... Slices for templateId 0..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:primary 1..1II
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.4.12
..... extension 1..1stringRequired Pattern: 2014-06-09
... code I1..1CD1098-19190: 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).
.... originalText 0..1ED
..... reference 0..1TEL
...... value I0..1uri1098-19189: 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).
... statusCode 1..1CS
.... code 1..1stringBinding: ProcedureAct statusCode (required)
... effectiveTime 1..1IVL_TS
... priorityCode 0..1CEBinding: ActPriority (required)
... performer 0..*Performer2
.... assignedEntity 1..1AssignedEntity
..... id 1..*II
..... addr 1..*AD
..... telecom 1..*TEL
..... representedOrganization 0..1Organization
...... id 0..*II
...... name 0..*ON
...... telecom 1..*TEL
...... addr 1..*AD
... author 0..*AuthorParticipation
... Slices for participant 0..*Participant2Slice: Unordered, Open by value:typeCode
.... participant:location 0..*Participant2
..... typeCode 1..1codeRequired Pattern: LOC
..... participantRole 1..1ServiceDeliveryLocation
... Slices for entryRelationship 0..*ElementSlice: Unordered, Open by profile:encounter, profile:act, profile:observation, profile:substanceAdministration
.... entryRelationship:encounter 0..*Element
..... typeCode 1..1codeRequired Pattern: COMP
..... inversionInd 1..1booleanRequired Pattern: true
..... encounter 1..1Encounter
​...... classCode 1..1codeRequired Pattern: ENC
​...... moodCode 1..1codeRequired Pattern: EVN
​...... id I1..1II1098-16849: Set the encounter ID to the ID of an encounter in another section to signify they are the same encounter (CONF:1098-16849).
.... entryRelationship:instruction 0..1Element
..... typeCode 1..1codeRequired Pattern: SUBJ
..... inversionInd 1..1booleanRequired Pattern: true
..... act 1..1Instruction
.... entryRelationship:indication 0..*Element
..... typeCode 1..1codeRequired Pattern: RSON
..... observation 1..1Indication
.... entryRelationship:medication 0..*Element
..... typeCode 1..1codeRequired Pattern: COMP
..... substanceAdministration 1..1MedicationActivity

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Act 1..1CDAR2.Act
... classCode 1..1codeRequired Pattern: ACT
... moodCode 1..1codeRequired Pattern: EVN
... realmCode 0..*CS
... Slices for templateId 0..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:primary 1..1II
..... nullFlavor 0..1codeBinding: NullFlavor (required)
..... assigningAuthorityName 0..1string
..... displayable 0..1boolean
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.4.12
..... extension 1..1stringRequired Pattern: 2014-06-09
... id 1..*II
... code I1..1CDBinding: v3 Code System ActCode (extensible)
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).
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... code 0..1string
.... codeSystem 0..1string
.... codeSystemName 0..1string
.... codeSystemVersion 0..1string
.... displayName 0..1string
.... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
.... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText 0..1ED
..... nullFlavor 0..1codeBinding: NullFlavor (required)
..... charset 0..1code
..... compression 0..1codeBinding: CompressionAlgorithm (required)
..... integrityCheck 0..1base64Binary
..... integrityCheckAlgorithm 0..1codeBinding: IntegrityCheckAlgorithm (required)
..... language 0..1code
..... mediaType 0..1code
..... representation 0..1code
..... data[x] 0..1
...... dataStringstring
...... dataBase64Binarybase64Binary
..... reference 0..1TEL
...... nullFlavor 0..1codeBinding: NullFlavor (required)
...... value I0..1uri1098-19189: 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).
...... useablePeriod 0..*
....... useablePeriodIVL_TS
....... useablePeriodEIVL_TS
....... useablePeriodPIVL_TS
....... useablePeriodSXPR_TS
...... use 0..*codeBinding: AddressUse (required)
..... thumbnail 0..1ED
.... qualifier 0..*CR
.... translation 0..*CD
... negationInd 0..1boolean
... text 0..1ED
... statusCode 1..1CSBinding: ActStatus (required)
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... code 1..1stringBinding: ProcedureAct statusCode (required)
.... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
.... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
... effectiveTime 1..1IVL_TS
... priorityCode 0..1CEBinding: ActPriority (required)
... languageCode 0..1CSBinding: HumanLanguage (required)
... subject 0..1Element
.... typeCode 1..1codeBinding: ParticipationTargetSubject (required)
Fixed Value: SBJ
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... awarenessCode 0..1CEBinding: TargetAwareness (extensible)
.... relatedSubject 1..1RelatedSubject
... specimen 0..*Specimen
... performer 0..*Performer2
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... typeCode 0..1csBinding: ParticipationPhysicalPerformer (required)
Fixed Value: PRF
.... realmCode 0..*CS
.... typeId 0..1II
.... templateId 0..*II
.... functionCode 0..1CEXML Namespace: urn:hl7-org:sdtc
.... time 0..1IVL_TS
.... modeCode 0..1CE
.... assignedEntity 1..1AssignedEntity
..... classCode 1..1codeBinding: RoleClassAssignedEntity (required)
Fixed Value: ASSIGNED
..... templateId 0..*II
..... id 1..*II
..... sdtcIdentifiedBy 0..*IdentifiedByXML: identifiedBy (urn:hl7-org:sdtc)
..... code 0..1CEBinding: v3 Code System RoleCode (extensible)
..... addr 1..*AD
..... telecom 1..*TEL
..... assignedPerson 0..1Person
..... representedOrganization 0..1Organization
...... classCode 1..1codeBinding: EntityClassOrganization (required)
Fixed Value: ORG
...... determinerCode 1..1codeBinding: EntityDeterminer (required)
Fixed Value: INSTANCE
...... templateId 0..*II
...... id 0..*II
...... name 0..*ON
...... telecom 1..*TEL
...... addr 1..*AD
...... standardIndustryClassCode 0..1CEBinding: OrganizationIndustryClassNAICS (extensible)
...... asOrganizationPartOf 0..1OrganizationPartOf
... author 0..*AuthorParticipation
... informant 0..*Element
.... typeCode 1..1codeBinding: ParticipationInformationGenerator (required)
Fixed Value: INF
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... assignedEntity 0..1AssignedEntity
.... relatedEntity 0..1RelatedEntity
... Slices for participant 0..*Participant2Slice: Unordered, Open by value:typeCode
.... participant:location 0..*Participant2
..... nullFlavor 0..1codeBinding: NullFlavor (required)
..... typeCode 1..1codeBinding: ParticipationType (required)
Required Pattern: LOC
..... contextControlCode 0..1codeBinding: ContextControl (required)
Fixed Value: OP
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... sdtcFunctionCode 0..1CEXML: functionCode (urn:hl7-org:sdtc)
..... time 0..1IVL_TS
..... awarenessCode 0..1CE
..... participantRole 1..1ServiceDeliveryLocation
... Slices for entryRelationship I0..*ElementSlice: Unordered, Open by profile:encounter, profile:act, profile:observation, profile:substanceAdministration
.... entryRelationship:All Slices Content/Rules for all slices
..... typeCode 1..1code
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... (Choice of one) 1..1
...... observation 0..1Observation
...... regionOfInterest 0..1RegionOfInterest
...... observationMedia 0..1ObservationMedia
...... substanceAdministration 0..1SubstanceAdministration
...... supply 0..1Supply
...... procedure 0..1Procedure
...... encounter 0..1Encounter
...... organizer 0..1Organizer
...... act 0..1Act
.... entryRelationship:encounter I0..*Element
..... typeCode 1..1codeRequired Pattern: COMP
..... inversionInd 1..1booleanRequired Pattern: true
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... encounter 1..1Encounter
.... entryRelationship:instruction I0..1Element
..... typeCode 1..1codeRequired Pattern: SUBJ
..... inversionInd 1..1booleanRequired Pattern: true
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... act 1..1Instruction
.... entryRelationship:indication I0..*Element
..... typeCode 1..1codeRequired Pattern: RSON
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... observation 1..1Indication
.... entryRelationship:medication I0..*Element
..... typeCode 1..1codeRequired Pattern: COMP
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... substanceAdministration I1..1MedicationActivity
... reference 0..*Element
.... typeCode 1..1code
.... seperatableInd 0..1BL
.... externalAct 0..1ExternalAct
.... externalObservation 0..1ExternalObservation
.... externalProcedure 0..1ExternalProcedure
.... externalDocument 0..1ExternalDocument
... precondition 0..*Precondition

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet / Code
Act.templateId:primary.nullFlavorrequiredNullFlavor
Act.codeextensibleActCode
Act.code.nullFlavorrequiredNullFlavor
Act.code.originalText.nullFlavorrequiredNullFlavor
Act.code.originalText.compressionrequiredCompressionAlgorithm
Act.code.originalText.integrityCheckAlgorithmrequiredIntegrityCheckAlgorithm
Act.code.originalText.reference.nullFlavorrequiredNullFlavor
Act.code.originalText.reference.userequiredAddressUse
Act.statusCoderequiredActStatus
Act.statusCode.nullFlavorrequiredNullFlavor
Act.statusCode.coderequiredProcedureAct statusCode
Act.priorityCoderequiredActPriority
Act.languageCoderequiredHumanLanguage
Act.subject.typeCoderequiredFixed Value: SBJ
Act.subject.contextControlCoderequiredFixed Value: OP
Act.subject.awarenessCodeextensibleTargetAwareness
Act.performer.nullFlavorrequiredNullFlavor
Act.performer.typeCoderequiredFixed Value: PRF
Act.performer.assignedEntity.classCoderequiredFixed Value: ASSIGNED
Act.performer.assignedEntity.codeextensibleRoleCode
Act.performer.assignedEntity.representedOrganization.classCoderequiredFixed Value: ORG
Act.performer.assignedEntity.representedOrganization.determinerCoderequiredFixed Value: INSTANCE
Act.performer.assignedEntity.representedOrganization.standardIndustryClassCodeextensibleOrganizationIndustryClassNAICS
Act.informant.typeCoderequiredFixed Value: INF
Act.informant.contextControlCoderequiredFixed Value: OP
Act.participant:location.nullFlavorrequiredNullFlavor
Act.participant:location.typeCoderequiredPattern: LOC
Act.participant:location.contextControlCoderequiredFixed Value: OP

Constraints

IdGradePathDetailsRequirements
1098-19190warningAct.codeThis @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).
:
1098-19189errorAct.code.originalText.reference.valueThis 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).
:
act-er-1errorAct.entryRelationshipOnly one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act
: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1
act-er-1errorAct.entryRelationship:encounterOnly one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act
: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1
act-er-1errorAct.entryRelationship:instructionOnly one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act
: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1
act-er-1errorAct.entryRelationship:indicationOnly one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act
: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1
act-er-1errorAct.entryRelationship:medicationOnly one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act
: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1
1098-30800warningAct.entryRelationship:medication.substanceAdministrationMedication Activity **SHOULD** include doseQuantity **OR** rateQuantity (CONF:1098-30800).
: