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: Intervention Act

Official URL: http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.131 Version: 2.2
Active as of 2022-05-13 Computable Name: InterventionAct
Other Identifiers: : urn:hl7ii:2.16.840.1.113883.10.20.22.4.131:2015-08-01

This template represents an Intervention Act. It is a wrapper for intervention-type activities considered to be parts of the same intervention. For example, an activity such as “elevate head of bed” combined with “provide humidified O2 per nasal cannula” may be the interventions performed for a health concern of “respiratory insufficiency” to achieve a goal of “pulse oximetry greater than 92%”. These intervention activities may be newly described or derived from a variety of sources within an EHR.

Interventions are actions taken to increase the likelihood of achieving the patient’s or providers’ goals. An Intervention Act should contain a reference to a Goal Observation representing the reason for the intervention.

Intervention Acts can be related to each other, or to Planned Intervention Acts. (E.g., a Planned Intervention Act with moodCode of INT could be related to a series of Intervention Acts with moodCode of EVN, each having an effectiveTime containing the time of the intervention.)

All interventions referenced in an Intervention Act must have a moodCode of EVN, indicating that they have occurred.

Usage:

Formal Views of Profile Content

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

This structure is derived from CDAR2.Act

Summary

Mandatory: 11 elements (31 nested mandatory elements)

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

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

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: 2.16.840.1.113883.10.20.22.4.131
..... extension 1..1stringRequired Pattern: 2015-08-01
... code 1..1CD
.... code 1..1stringRequired Pattern: 362956003
.... codeSystem 1..1stringRequired Pattern: 2.16.840.1.113883.6.96
... statusCode 1..1CS
.... code 1..1stringRequired Pattern: completed
... effectiveTime 0..1IVL_TS
... author 0..*AuthorParticipation
... Slices for entryRelationship 0..*ElementSlice: Unordered, Open by profile:observation, profile:substanceAdministration, profile:act, profile:procedure, profile:encounter, profile:supply
.... entryRelationship:advanceDirectiveObservation 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... observation 1..1AdvanceDirectiveObservation
.... entryRelationship:immunizationActivity 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... substanceAdministration 1..1ImmunizationActivity
.... entryRelationship:medicationActivity 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... substanceAdministration 1..1MedicationActivity
.... entryRelationship:procedureActivityAct 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... act 1..1ProcedureActivityAct
.... entryRelationship:interventionAct 0..*ElementThe following entryRelationship represents the relationship between two Intervention Acts (Intervention RELATES TO Intervention).
..... typeCode 1..1codeRequired Pattern: REFR
..... act 1..1InterventionAct
.... entryRelationship:procedureActivityObservation 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... observation 1..1ProcedureActivityObservation
.... entryRelationship:procedureActivityProcedure 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... procedure 1..1ProcedureActivityProcedure
.... entryRelationship:encounterActivity 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... encounter 1..1EncounterActivity
.... entryRelationship:instruction 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... act 1..1Instruction
.... entryRelationship:nonMedSupply 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... supply 1..1NonMedicinalSupplyActivity
.... entryRelationship:nutritionRecommendation 0..*Element
..... act 1..1NutritionRecommendation
.... entryRelationship:entryReference 0..*ElementWhere an Intervention 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.
..... typeCode 1..1codeRequired Pattern: REFR
..... act 1..1EntryReference
.... entryRelationship:entryReference I0..*ElementAn Intervention Act should reference a Goal Observation. Because the Goal Observation is already described in the CDA document instance's Goals section, rather than repeating the full content of the Goal Observation, the Entry Reference template can be used to reference this entry. The following entryRelationship represents an Entry Reference to Goal Observation.
1198-32459: This entryReference template **SHALL** reference an instance of a Goal Observation template (CONF:1198-32459).
..... typeCode 1..1codeRequired Pattern: RSON
..... act 1..1EntryReference
.... entryRelationship:handoffCommunicationParticipants 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... act 1..1HandoffCommunicationParticipants
.... entryRelationship:plannedInterventionAct 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... act 1..1PlannedInterventionAct
... reference 0..*Element
.... typeCode 1..1codeRequired Pattern: REFR
.... externalDocument 1..1ExternalDocumentReference

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: 2.16.840.1.113883.10.20.22.4.131
..... extension 1..1stringRequired Pattern: 2015-08-01
... id 1..*II
... code 1..1CDBinding: v3 Code System ActCode (extensible)
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... code 1..1stringRequired Pattern: 362956003
.... codeSystem 1..1stringRequired Pattern: 2.16.840.1.113883.6.96
.... 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
.... qualifier 0..*CR
.... translation 0..*CD
... negationInd 0..1boolean
... text 0..1ED
... statusCode 1..1CSBinding: ActStatus (required)
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... code 1..1stringRequired Pattern: completed
.... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
.... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
... effectiveTime 0..1IVL_TS
... priorityCode 0..1CEBinding: ActPriority (extensible)
... 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
... 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
... participant 0..*Participant2
... Slices for entryRelationship I0..*ElementSlice: Unordered, Open by profile:observation, profile:substanceAdministration, profile:act, profile:procedure, profile:encounter, profile:supply
.... 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:advanceDirectiveObservation I0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... observation 1..1AdvanceDirectiveObservation
.... entryRelationship:immunizationActivity I0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... substanceAdministration 1..1ImmunizationActivity
.... entryRelationship:medicationActivity I0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... substanceAdministration I1..1MedicationActivity
.... entryRelationship:procedureActivityAct I0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... act 1..1ProcedureActivityAct
.... entryRelationship:interventionAct I0..*ElementThe following entryRelationship represents the relationship between two Intervention Acts (Intervention RELATES TO Intervention).
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... act 1..1InterventionAct
.... entryRelationship:procedureActivityObservation I0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... observation 1..1ProcedureActivityObservation
.... entryRelationship:procedureActivityProcedure I0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... procedure 1..1ProcedureActivityProcedure
.... entryRelationship:encounterActivity I0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... encounter 1..1EncounterActivity
.... entryRelationship:instruction I0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... act 1..1Instruction
.... entryRelationship:nonMedSupply I0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... supply 1..1NonMedicinalSupplyActivity
.... entryRelationship:nutritionRecommendation I0..*Element
..... typeCode 1..1code
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... act 1..1NutritionRecommendation
.... entryRelationship:entryReference I0..*ElementWhere an Intervention 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.
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... act 1..1EntryReference
.... entryRelationship:entryReference I0..*ElementAn Intervention Act should reference a Goal Observation. Because the Goal Observation is already described in the CDA document instance's Goals section, rather than repeating the full content of the Goal Observation, the Entry Reference template can be used to reference this entry. The following entryRelationship represents an Entry Reference to Goal Observation.
1198-32459: This entryReference template **SHALL** reference an instance of a Goal Observation template (CONF:1198-32459).
..... typeCode 1..1codeRequired Pattern: RSON
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... act 1..1EntryReference
.... entryRelationship:handoffCommunicationParticipants I0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... act 1..1HandoffCommunicationParticipants
.... entryRelationship:plannedInterventionAct I0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... act 1..1PlannedInterventionAct
... reference 0..*Element
.... typeCode 1..1codeRequired Pattern: REFR
.... seperatableInd 0..1BL
.... externalAct 0..1ExternalAct
.... externalObservation 0..1ExternalObservation
.... externalProcedure 0..1ExternalProcedure
.... externalDocument 1..1ExternalDocumentReference
... precondition 0..*Precondition

doco Documentation for this format

This structure is derived from CDAR2.Act

Summary

Mandatory: 11 elements (31 nested mandatory elements)

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

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

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: 2.16.840.1.113883.10.20.22.4.131
..... extension 1..1stringRequired Pattern: 2015-08-01
... code 1..1CD
.... code 1..1stringRequired Pattern: 362956003
.... codeSystem 1..1stringRequired Pattern: 2.16.840.1.113883.6.96
... statusCode 1..1CS
.... code 1..1stringRequired Pattern: completed
... effectiveTime 0..1IVL_TS
... author 0..*AuthorParticipation
... Slices for entryRelationship 0..*ElementSlice: Unordered, Open by profile:observation, profile:substanceAdministration, profile:act, profile:procedure, profile:encounter, profile:supply
.... entryRelationship:advanceDirectiveObservation 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... observation 1..1AdvanceDirectiveObservation
.... entryRelationship:immunizationActivity 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... substanceAdministration 1..1ImmunizationActivity
.... entryRelationship:medicationActivity 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... substanceAdministration 1..1MedicationActivity
.... entryRelationship:procedureActivityAct 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... act 1..1ProcedureActivityAct
.... entryRelationship:interventionAct 0..*ElementThe following entryRelationship represents the relationship between two Intervention Acts (Intervention RELATES TO Intervention).
..... typeCode 1..1codeRequired Pattern: REFR
..... act 1..1InterventionAct
.... entryRelationship:procedureActivityObservation 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... observation 1..1ProcedureActivityObservation
.... entryRelationship:procedureActivityProcedure 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... procedure 1..1ProcedureActivityProcedure
.... entryRelationship:encounterActivity 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... encounter 1..1EncounterActivity
.... entryRelationship:instruction 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... act 1..1Instruction
.... entryRelationship:nonMedSupply 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... supply 1..1NonMedicinalSupplyActivity
.... entryRelationship:nutritionRecommendation 0..*Element
..... act 1..1NutritionRecommendation
.... entryRelationship:entryReference 0..*ElementWhere an Intervention 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.
..... typeCode 1..1codeRequired Pattern: REFR
..... act 1..1EntryReference
.... entryRelationship:entryReference I0..*ElementAn Intervention Act should reference a Goal Observation. Because the Goal Observation is already described in the CDA document instance's Goals section, rather than repeating the full content of the Goal Observation, the Entry Reference template can be used to reference this entry. The following entryRelationship represents an Entry Reference to Goal Observation.
1198-32459: This entryReference template **SHALL** reference an instance of a Goal Observation template (CONF:1198-32459).
..... typeCode 1..1codeRequired Pattern: RSON
..... act 1..1EntryReference
.... entryRelationship:handoffCommunicationParticipants 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... act 1..1HandoffCommunicationParticipants
.... entryRelationship:plannedInterventionAct 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... act 1..1PlannedInterventionAct
... reference 0..*Element
.... typeCode 1..1codeRequired Pattern: REFR
.... externalDocument 1..1ExternalDocumentReference

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: 2.16.840.1.113883.10.20.22.4.131
..... extension 1..1stringRequired Pattern: 2015-08-01
... id 1..*II
... code 1..1CDBinding: v3 Code System ActCode (extensible)
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... code 1..1stringRequired Pattern: 362956003
.... codeSystem 1..1stringRequired Pattern: 2.16.840.1.113883.6.96
.... 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
.... qualifier 0..*CR
.... translation 0..*CD
... negationInd 0..1boolean
... text 0..1ED
... statusCode 1..1CSBinding: ActStatus (required)
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... code 1..1stringRequired Pattern: completed
.... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
.... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
... effectiveTime 0..1IVL_TS
... priorityCode 0..1CEBinding: ActPriority (extensible)
... 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
... 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
... participant 0..*Participant2
... Slices for entryRelationship I0..*ElementSlice: Unordered, Open by profile:observation, profile:substanceAdministration, profile:act, profile:procedure, profile:encounter, profile:supply
.... 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:advanceDirectiveObservation I0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... observation 1..1AdvanceDirectiveObservation
.... entryRelationship:immunizationActivity I0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... substanceAdministration 1..1ImmunizationActivity
.... entryRelationship:medicationActivity I0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... substanceAdministration I1..1MedicationActivity
.... entryRelationship:procedureActivityAct I0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... act 1..1ProcedureActivityAct
.... entryRelationship:interventionAct I0..*ElementThe following entryRelationship represents the relationship between two Intervention Acts (Intervention RELATES TO Intervention).
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... act 1..1InterventionAct
.... entryRelationship:procedureActivityObservation I0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... observation 1..1ProcedureActivityObservation
.... entryRelationship:procedureActivityProcedure I0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... procedure 1..1ProcedureActivityProcedure
.... entryRelationship:encounterActivity I0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... encounter 1..1EncounterActivity
.... entryRelationship:instruction I0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... act 1..1Instruction
.... entryRelationship:nonMedSupply I0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... supply 1..1NonMedicinalSupplyActivity
.... entryRelationship:nutritionRecommendation I0..*Element
..... typeCode 1..1code
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... act 1..1NutritionRecommendation
.... entryRelationship:entryReference I0..*ElementWhere an Intervention 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.
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... act 1..1EntryReference
.... entryRelationship:entryReference I0..*ElementAn Intervention Act should reference a Goal Observation. Because the Goal Observation is already described in the CDA document instance's Goals section, rather than repeating the full content of the Goal Observation, the Entry Reference template can be used to reference this entry. The following entryRelationship represents an Entry Reference to Goal Observation.
1198-32459: This entryReference template **SHALL** reference an instance of a Goal Observation template (CONF:1198-32459).
..... typeCode 1..1codeRequired Pattern: RSON
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... act 1..1EntryReference
.... entryRelationship:handoffCommunicationParticipants I0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... act 1..1HandoffCommunicationParticipants
.... entryRelationship:plannedInterventionAct I0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... act 1..1PlannedInterventionAct
... reference 0..*Element
.... typeCode 1..1codeRequired Pattern: REFR
.... seperatableInd 0..1BL
.... externalAct 0..1ExternalAct
.... externalObservation 0..1ExternalObservation
.... externalProcedure 0..1ExternalProcedure
.... externalDocument 1..1ExternalDocumentReference
... 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.statusCoderequiredActStatus
Act.statusCode.nullFlavorrequiredNullFlavor
Act.priorityCodeextensibleActPriority
Act.languageCoderequiredHumanLanguage
Act.subject.typeCoderequiredFixed Value: SBJ
Act.subject.contextControlCoderequiredFixed Value: OP
Act.subject.awarenessCodeextensibleTargetAwareness
Act.informant.typeCoderequiredFixed Value: INF
Act.informant.contextControlCoderequiredFixed Value: OP

Constraints

IdGradePathDetailsRequirements
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:advanceDirectiveObservationOnly 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:immunizationActivityOnly 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:medicationActivityOnly 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:medicationActivity.substanceAdministrationMedication Activity **SHOULD** include doseQuantity **OR** rateQuantity (CONF:1098-30800).
:
act-er-1errorAct.entryRelationship:procedureActivityActOnly 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:interventionActOnly 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:procedureActivityObservationOnly 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:procedureActivityProcedureOnly 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:encounterActivityOnly 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:nonMedSupplyOnly 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:nutritionRecommendationOnly 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:entryReferenceOnly one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act
: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1
1198-32459errorAct.entryRelationship:entryReferenceThis entryReference template **SHALL** reference an instance of a Goal Observation template (CONF:1198-32459).
:
act-er-1errorAct.entryRelationship:entryReferenceOnly one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act
: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1
1198-32459errorAct.entryRelationship:entryReferenceThis entryReference template **SHALL** reference an instance of a Goal Observation template (CONF:1198-32459).
:
act-er-1errorAct.entryRelationship:handoffCommunicationParticipantsOnly 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:plannedInterventionActOnly one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act
: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1