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: ProblemConcernAct - Detailed Descriptions

Active as of 2022-05-13

Definitions for the 2.16.840.1.113883.10.20.22.4.3 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:1198-9024).

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:1198-9025).

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 @ extension
  • ,
  • value @ root
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:1198-16772) 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="2.16.840.1.113883.10.20.22.4.3" (CONF:1198-16773).

Pattern Value2.16.840.1.113883.10.20.22.4.3
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="2015-08-01" (CONF:1198-32509).

Pattern Value2015-08-01
13. Act.id
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

SHALL contain at least one [1..*] id (CONF:1198-9026).

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:1198-9027).

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.

Control1..1
Typestring
Requirements

This code SHALL contain exactly one [1..1] @code="CONC" Concern (CONF:1198-19184).

Pattern ValueCONC
17. Act.code.codeSystem
Definition

Specifies the code system that defines the code.

Control1..1
Typestring
Requirements

This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.6" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1198-32168).

Pattern Value2.16.840.1.113883.5.6
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
24. Act.code.qualifier
Definition

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

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CR
25. 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
26. Act.negationInd
Control0..1
Typeboolean
27. Act.text
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
28. 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:1198-9029).

29. 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
30. 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 ProblemAct statusCode
Typestring
Requirements

This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ProblemAct statusCode urn:oid:2.16.840.1.113883.11.20.9.19 STATIC (CONF:1198-31525).

31. Act.statusCode.codeSystem
Definition

Specifies the code system that defines the code.

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

The common name of the coding system.

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

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

Control0..0
Typestring
34. 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
35. 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
36. 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
37. Act.statusCode.originalText
Definition

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

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
38. 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
39. 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
40. Act.effectiveTime
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
Requirements

SHALL contain exactly one [1..1] effectiveTime (CONF:1198-9030).

41. Act.effectiveTime.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
42. Act.effectiveTime.value
Definition

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

Control0..1
TypedateTime
43. Act.effectiveTime.inclusive
Definition

Specifies whether the limit is included in the interval (interval is closed) or excluded from the interval (interval is open).

Control0..1
Typeboolean
44. Act.effectiveTime.operator
Definition

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

Control0..1
Typecode
45. Act.effectiveTime.low
Definition

This is the low limit of the interval.

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

This effectiveTime SHALL contain exactly one [1..1] low (CONF:1198-9032).

46. Act.effectiveTime.high
Definition

This is the high limit of the interval.

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

This effectiveTime MAY contain zero or one [0..1] high (CONF:1198-9033).

47. Act.effectiveTime.width
Definition

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

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/PQ
48. Act.effectiveTime.center
Definition

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

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/TS
49. Act.priorityCode
Control0..1
BindingThe codes SHALL be taken from ActPriority; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
50. Act.languageCode
Control0..1
BindingThe codes SHALL be taken from HumanLanguage
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
51. Act.subject
Control0..1
TypeElement
52. Act.subject.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationTargetSubject
Typecode
Default ValueSBJ
Fixed ValueSBJ
53. Act.subject.contextControlCode
Control1..1
BindingThe codes SHALL be taken from ContextControl
Typecode
Default ValueOP
Fixed ValueOP
54. 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
55. Act.subject.relatedSubject
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RelatedSubject
56. Act.specimen
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Specimen
57. Act.performer
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Performer2
58. 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:1198-31146).

59. Act.informant
Control0..*
TypeElement
60. Act.informant.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationInformationGenerator
Typecode
Default ValueINF
Fixed ValueINF
61. Act.informant.contextControlCode
Control1..1
BindingThe codes SHALL be taken from ContextControl
Typecode
Default ValueOP
Fixed ValueOP
62. Act.informant.assignedEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AssignedEntity
63. Act.informant.relatedEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RelatedEntity
64. Act.participant
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Participant2
65. 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 @ observation
66. Act.entryRelationship.typeCode
Control1..1
Typecode
67. Act.entryRelationship.inversionInd
Control0..1
Typeboolean
68. Act.entryRelationship.contextConductionInd
Control1..1
Typeboolean
Default Valuetrue
69. Act.entryRelationship.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
70. Act.entryRelationship.negationInd
Control0..1
Typeboolean
71. Act.entryRelationship.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
72. Act.entryRelationship.observation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
73. Act.entryRelationship.regionOfInterest
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
74. Act.entryRelationship.observationMedia
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
75. Act.entryRelationship.substanceAdministration
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
76. Act.entryRelationship.supply
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
77. Act.entryRelationship.procedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
78. Act.entryRelationship.encounter
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
79. Act.entryRelationship.organizer
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
80. Act.entryRelationship.act
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
81. Act.entryRelationship:problem
SliceNameproblem
Control1..*
TypeElement
Requirements

SHALL contain at least one [1..*] entryRelationship (CONF:1198-9034) 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)
82. Act.entryRelationship:problem.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:1198-9035).

Pattern ValueSUBJ
83. Act.entryRelationship:problem.inversionInd
Control0..1
Typeboolean
84. Act.entryRelationship:problem.contextConductionInd
Control1..1
Typeboolean
Default Valuetrue
85. Act.entryRelationship:problem.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
86. Act.entryRelationship:problem.negationInd
Control0..1
Typeboolean
87. Act.entryRelationship:problem.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
88. Act.entryRelationship:problem.observation
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(ProblemObservation)
Requirements

SHALL contain exactly one [1..1] Problem Observation (V3) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.4:2015-08-01) (CONF:1198-15980).

89. Act.entryRelationship:problem.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
90. Act.entryRelationship:problem.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
91. Act.entryRelationship:problem.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
92. Act.entryRelationship:problem.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
93. Act.entryRelationship:problem.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
94. Act.entryRelationship:problem.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
95. Act.entryRelationship:problem.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
96. Act.entryRelationship:problem.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
97. Act.entryRelationship:priority
SliceNamepriority
Control0..*
TypeElement
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1198-31638) 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)
98. Act.entryRelationship:priority.typeCode
Control1..1
Typecode
Requirements

SHALL contain exactly one [1..1] @typeCode="REFR" refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31639).

Pattern ValueREFR
99. Act.entryRelationship:priority.inversionInd
Control0..1
Typeboolean
100. Act.entryRelationship:priority.contextConductionInd
Control1..1
Typeboolean
Default Valuetrue
101. Act.entryRelationship:priority.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
102. Act.entryRelationship:priority.negationInd
Control0..1
Typeboolean
103. Act.entryRelationship:priority.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
104. Act.entryRelationship:priority.observation
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(PriorityPreference)
Requirements

SHALL contain exactly one [1..1] Priority Preference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.143) (CONF:1198-31640).

105. Act.entryRelationship:priority.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
106. Act.entryRelationship:priority.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
107. Act.entryRelationship:priority.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
108. Act.entryRelationship:priority.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
109. Act.entryRelationship:priority.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
110. Act.entryRelationship:priority.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
111. Act.entryRelationship:priority.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
112. Act.entryRelationship:priority.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
113. Act.reference
Control0..*
TypeElement
114. Act.reference.typeCode
Control1..1
Typecode
115. Act.reference.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
116. Act.reference.externalAct
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalAct
117. Act.reference.externalObservation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalObservation
118. Act.reference.externalProcedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure
119. Act.reference.externalDocument
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalDocument
120. Act.precondition
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Precondition