Consolidated CDA Release 2.1 StructureDefinition Publication
2.1 - CI Build United States of America flag

Consolidated CDA Release 2.1 StructureDefinition Publication, published by Health Level Seven. This is not an authorized publication; it is the continuous build for version 2.1). This version is based on the current content of https://github.com/HL7/CDA-ccda-2.1-sd/ and changes regularly. See the Directory of published versions

Logical Model: Nutrition Recommendation

Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/NutritionRecommendation Version: 2.1
Draft as of 2023-09-29 Computable Name: NutritionRecommendation
Other Identifiers: id: urn:oid:2.16.840.1.113883.10.20.22.4.130

This template represents nutrition regimens (e.g., fluid restrictions, calorie minimum), interventions (e.g., NPO, nutritional supplements), and procedures (e.g., G-Tube by bolus, TPN by central line). It may also depict the need for nutrition education.

Usage:

Formal Views of Profile Content

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

This structure is derived from CDAR2.Act

NameFlagsCard.TypeDescription & Constraintsdoco
.. Act CDAR2.ActXML Namespace: urn:hl7-org:v3
Elements defined in Ancestors: @nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, code, @negationInd, text, statusCode, effectiveTime, priorityCode, languageCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition
... classCode 1..1csFixed Value: ACT
... moodCode 1..1csBinding: Planned moodCode (Act/Encounter/Procedure) (required)
... Slices for templateId 1..*IISlice: Unordered, Open by value:root
.... templateId:primary 1..1II
..... root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.130
..... extension 0..0
... statusCode 1..1CS
.... code 1..1csFixed Value: active
... effectiveTime 0..1IVL_TSThe effectiveTime indicates the time when the activity is intended to take place.
... Slices for entryRelationship 0..*EntryRelationshipSlice: Unordered, Open by profile:act, profile:encounter, profile:substanceAdministration, profile:supply, profile:procedure, profile:observation
.... entryRelationship:plannedEncounter 0..*EntryRelationship
..... typeCode 1..1csFixed Value: REFR
..... encounter 1..1PlannedEncounterBase for all types and resources
.... entryRelationship:plannedMedActivity 0..*EntryRelationship
..... typeCode 1..1csFixed Value: REFR
..... substanceAdministration 1..1PlannedMedicationActivityBase for all types and resources
.... entryRelationship:plannedObs 0..*EntryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1PlannedObservationBase for all types and resources
.... entryRelationship:plannedProc 0..*EntryRelationship
..... typeCode 1..1csFixed Value: REFR
..... procedure 1..1PlannedProcedureBase for all types and resources
.... entryRelationship:plannedSupply 0..*EntryRelationship
..... typeCode 1..1csFixed Value: REFR
..... supply 1..1PlannedSupplyBase for all types and resources
.... entryRelationship:plannedAct 0..*EntryRelationship
..... typeCode 1..1csFixed Value: REFR
..... act 1..1PlannedActBase for all types and resources

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Act.moodCoderequiredPlanned moodCode (Act/Encounter/Procedure)
Act.codepreferredNutrition Recommendations
NameFlagsCard.TypeDescription & Constraintsdoco
.. Act 1..1CDAR2.ActXML Namespace: urn:hl7-org:v3
Elements defined in Ancestors: @nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, code, @negationInd, text, statusCode, effectiveTime, priorityCode, languageCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition
Base for all types and resources
... @classCode 1..1csFixed Value: ACT
... @moodCode 1..1csBinding: Planned moodCode (Act/Encounter/Procedure) (required)
... Slices for templateId 1..*IISlice: Unordered, Open by value:root
.... templateId:primary 1..1II
..... @root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.130
... statusCode 1..1CSBinding: ActStatus (required)
.... @code 1..1csFixed Value: active
... effectiveTime 0..1IVL_TSThe effectiveTime indicates the time when the activity is intended to take place.
... Slices for entryRelationship 0..*EntryRelationshipSlice: Unordered, Open by profile:act, profile:encounter, profile:substanceAdministration, profile:supply, profile:procedure, profile:observation
.... entryRelationship:plannedEncounter 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... encounter 1..1PlannedEncounterBase for all types and resources
.... entryRelationship:plannedMedActivity 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... substanceAdministration 1..1PlannedMedicationActivityBase for all types and resources
.... entryRelationship:plannedObs 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1PlannedObservationBase for all types and resources
.... entryRelationship:plannedProc 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... procedure 1..1PlannedProcedureBase for all types and resources
.... entryRelationship:plannedSupply 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... supply 1..1PlannedSupplyBase for all types and resources
.... entryRelationship:plannedAct 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... act 1..1PlannedActBase for all types and resources

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Act.moodCoderequiredPlanned moodCode (Act/Encounter/Procedure)
Act.codepreferredNutrition Recommendations
Act.statusCoderequiredActStatus
Act.entryRelationship:plannedEncounter.typeCoderequiredFixed Value: REFR
Act.entryRelationship:plannedMedActivity.typeCoderequiredFixed Value: REFR
Act.entryRelationship:plannedObs.typeCoderequiredFixed Value: REFR
Act.entryRelationship:plannedProc.typeCoderequiredFixed Value: REFR
Act.entryRelationship:plannedSupply.typeCoderequiredFixed Value: REFR
Act.entryRelationship:plannedAct.typeCoderequiredFixed Value: REFR

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
NameFlagsCard.TypeDescription & Constraintsdoco
.. Act 1..1CDAR2.ActXML Namespace: urn:hl7-org:v3
Elements defined in Ancestors: @nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, code, @negationInd, text, statusCode, effectiveTime, priorityCode, languageCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition
Base for all types and resources
... @nullFlavor 0..1csBinding: NullFlavor (required)
... @classCode 1..1csFixed Value: ACT
... @moodCode 1..1csBinding: Planned moodCode (Act/Encounter/Procedure) (required)
... typeId 0..1II
... Slices for templateId 1..*IISlice: Unordered, Open by value:root
.... templateId:primary 1..1II
..... @nullFlavor 0..1csBinding: NullFlavor (required)
..... @assigningAuthorityName 0..1st
..... @displayable 0..1bl
..... @root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.130
... id 0..*II
... code 1..1CDBinding: Nutrition Recommendations (preferred)
... @negationInd 0..1bl
... text 0..1ED
... statusCode 1..1CSBinding: ActStatus (required)
.... @nullFlavor 0..1csBinding: NullFlavor (required)
.... @code 1..1csFixed Value: active
.... @sdtcValueSet 0..1oidXML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1stXML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
... effectiveTime 0..1IVL_TSThe effectiveTime indicates the time when the activity is intended to take place.
... priorityCode 0..1CEBinding: ActPriority (extensible)
... languageCode 0..1CSBinding: HumanLanguage (required)
... subject 0..1Subject
... specimen 0..*Specimen
... performer 0..*Performer2
... author 0..*Author
... informant 0..*Informant
... participant 0..*Participant2
... Slices for entryRelationship 0..*EntryRelationshipSlice: Unordered, Open by profile:act, profile:encounter, profile:substanceAdministration, profile:supply, profile:procedure, profile:observation
.... entryRelationship:plannedEncounter 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 1..1PlannedEncounterBase for all types and resources
..... observation 0..1Observation
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:plannedMedActivity 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation 0..1Observation
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 1..1PlannedMedicationActivityBase for all types and resources
..... supply 0..1Supply
.... entryRelationship:plannedObs 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation 1..1PlannedObservationBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:plannedProc 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation 0..1Observation
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 1..1PlannedProcedureBase for all types and resources
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:plannedSupply 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation 0..1Observation
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 1..1PlannedSupplyBase for all types and resources
.... entryRelationship:plannedAct 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 1..1PlannedActBase for all types and resources
..... encounter 0..1Encounter
..... observation 0..1Observation
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
... reference 0..*Reference
... precondition 0..*Precondition

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Act.nullFlavorrequiredNullFlavor
Act.moodCoderequiredPlanned moodCode (Act/Encounter/Procedure)
Act.templateId:primary.nullFlavorrequiredNullFlavor
Act.codepreferredNutrition Recommendations
Act.statusCoderequiredActStatus
Act.statusCode.nullFlavorrequiredNullFlavor
Act.priorityCodeextensibleActPriority
Act.languageCoderequiredHumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066)
Act.entryRelationship:plannedEncounter.nullFlavorrequiredNullFlavor
Act.entryRelationship:plannedEncounter.typeCoderequiredFixed Value: REFR
Act.entryRelationship:plannedMedActivity.nullFlavorrequiredNullFlavor
Act.entryRelationship:plannedMedActivity.typeCoderequiredFixed Value: REFR
Act.entryRelationship:plannedObs.nullFlavorrequiredNullFlavor
Act.entryRelationship:plannedObs.typeCoderequiredFixed Value: REFR
Act.entryRelationship:plannedProc.nullFlavorrequiredNullFlavor
Act.entryRelationship:plannedProc.typeCoderequiredFixed Value: REFR
Act.entryRelationship:plannedSupply.nullFlavorrequiredNullFlavor
Act.entryRelationship:plannedSupply.typeCoderequiredFixed Value: REFR
Act.entryRelationship:plannedAct.nullFlavorrequiredNullFlavor
Act.entryRelationship:plannedAct.typeCoderequiredFixed Value: REFR

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())

This structure is derived from CDAR2.Act

Summary

Mandatory: 5 elements (6 nested mandatory elements)
Fixed Value: 8 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

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

Differential View

This structure is derived from CDAR2.Act

NameFlagsCard.TypeDescription & Constraintsdoco
.. Act CDAR2.ActXML Namespace: urn:hl7-org:v3
Elements defined in Ancestors: @nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, code, @negationInd, text, statusCode, effectiveTime, priorityCode, languageCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition
... classCode 1..1csFixed Value: ACT
... moodCode 1..1csBinding: Planned moodCode (Act/Encounter/Procedure) (required)
... Slices for templateId 1..*IISlice: Unordered, Open by value:root
.... templateId:primary 1..1II
..... root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.130
..... extension 0..0
... statusCode 1..1CS
.... code 1..1csFixed Value: active
... effectiveTime 0..1IVL_TSThe effectiveTime indicates the time when the activity is intended to take place.
... Slices for entryRelationship 0..*EntryRelationshipSlice: Unordered, Open by profile:act, profile:encounter, profile:substanceAdministration, profile:supply, profile:procedure, profile:observation
.... entryRelationship:plannedEncounter 0..*EntryRelationship
..... typeCode 1..1csFixed Value: REFR
..... encounter 1..1PlannedEncounterBase for all types and resources
.... entryRelationship:plannedMedActivity 0..*EntryRelationship
..... typeCode 1..1csFixed Value: REFR
..... substanceAdministration 1..1PlannedMedicationActivityBase for all types and resources
.... entryRelationship:plannedObs 0..*EntryRelationship
..... typeCode 1..1csFixed Value: REFR
..... observation 1..1PlannedObservationBase for all types and resources
.... entryRelationship:plannedProc 0..*EntryRelationship
..... typeCode 1..1csFixed Value: REFR
..... procedure 1..1PlannedProcedureBase for all types and resources
.... entryRelationship:plannedSupply 0..*EntryRelationship
..... typeCode 1..1csFixed Value: REFR
..... supply 1..1PlannedSupplyBase for all types and resources
.... entryRelationship:plannedAct 0..*EntryRelationship
..... typeCode 1..1csFixed Value: REFR
..... act 1..1PlannedActBase for all types and resources

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Act.moodCoderequiredPlanned moodCode (Act/Encounter/Procedure)
Act.codepreferredNutrition Recommendations

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Act 1..1CDAR2.ActXML Namespace: urn:hl7-org:v3
Elements defined in Ancestors: @nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, code, @negationInd, text, statusCode, effectiveTime, priorityCode, languageCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition
Base for all types and resources
... @classCode 1..1csFixed Value: ACT
... @moodCode 1..1csBinding: Planned moodCode (Act/Encounter/Procedure) (required)
... Slices for templateId 1..*IISlice: Unordered, Open by value:root
.... templateId:primary 1..1II
..... @root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.130
... statusCode 1..1CSBinding: ActStatus (required)
.... @code 1..1csFixed Value: active
... effectiveTime 0..1IVL_TSThe effectiveTime indicates the time when the activity is intended to take place.
... Slices for entryRelationship 0..*EntryRelationshipSlice: Unordered, Open by profile:act, profile:encounter, profile:substanceAdministration, profile:supply, profile:procedure, profile:observation
.... entryRelationship:plannedEncounter 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... encounter 1..1PlannedEncounterBase for all types and resources
.... entryRelationship:plannedMedActivity 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... substanceAdministration 1..1PlannedMedicationActivityBase for all types and resources
.... entryRelationship:plannedObs 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation 1..1PlannedObservationBase for all types and resources
.... entryRelationship:plannedProc 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... procedure 1..1PlannedProcedureBase for all types and resources
.... entryRelationship:plannedSupply 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... supply 1..1PlannedSupplyBase for all types and resources
.... entryRelationship:plannedAct 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... act 1..1PlannedActBase for all types and resources

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Act.moodCoderequiredPlanned moodCode (Act/Encounter/Procedure)
Act.codepreferredNutrition Recommendations
Act.statusCoderequiredActStatus
Act.entryRelationship:plannedEncounter.typeCoderequiredFixed Value: REFR
Act.entryRelationship:plannedMedActivity.typeCoderequiredFixed Value: REFR
Act.entryRelationship:plannedObs.typeCoderequiredFixed Value: REFR
Act.entryRelationship:plannedProc.typeCoderequiredFixed Value: REFR
Act.entryRelationship:plannedSupply.typeCoderequiredFixed Value: REFR
Act.entryRelationship:plannedAct.typeCoderequiredFixed Value: REFR

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Act 1..1CDAR2.ActXML Namespace: urn:hl7-org:v3
Elements defined in Ancestors: @nullFlavor, @classCode, @moodCode, realmCode, typeId, templateId, id, code, @negationInd, text, statusCode, effectiveTime, priorityCode, languageCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition
Base for all types and resources
... @nullFlavor 0..1csBinding: NullFlavor (required)
... @classCode 1..1csFixed Value: ACT
... @moodCode 1..1csBinding: Planned moodCode (Act/Encounter/Procedure) (required)
... typeId 0..1II
... Slices for templateId 1..*IISlice: Unordered, Open by value:root
.... templateId:primary 1..1II
..... @nullFlavor 0..1csBinding: NullFlavor (required)
..... @assigningAuthorityName 0..1st
..... @displayable 0..1bl
..... @root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.130
... id 0..*II
... code 1..1CDBinding: Nutrition Recommendations (preferred)
... @negationInd 0..1bl
... text 0..1ED
... statusCode 1..1CSBinding: ActStatus (required)
.... @nullFlavor 0..1csBinding: NullFlavor (required)
.... @code 1..1csFixed Value: active
.... @sdtcValueSet 0..1oidXML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1stXML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
... effectiveTime 0..1IVL_TSThe effectiveTime indicates the time when the activity is intended to take place.
... priorityCode 0..1CEBinding: ActPriority (extensible)
... languageCode 0..1CSBinding: HumanLanguage (required)
... subject 0..1Subject
... specimen 0..*Specimen
... performer 0..*Performer2
... author 0..*Author
... informant 0..*Informant
... participant 0..*Participant2
... Slices for entryRelationship 0..*EntryRelationshipSlice: Unordered, Open by profile:act, profile:encounter, profile:substanceAdministration, profile:supply, profile:procedure, profile:observation
.... entryRelationship:plannedEncounter 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 1..1PlannedEncounterBase for all types and resources
..... observation 0..1Observation
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:plannedMedActivity 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation 0..1Observation
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 1..1PlannedMedicationActivityBase for all types and resources
..... supply 0..1Supply
.... entryRelationship:plannedObs 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation 1..1PlannedObservationBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:plannedProc 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation 0..1Observation
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 1..1PlannedProcedureBase for all types and resources
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:plannedSupply 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation 0..1Observation
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 1..1PlannedSupplyBase for all types and resources
.... entryRelationship:plannedAct 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 1..1PlannedActBase for all types and resources
..... encounter 0..1Encounter
..... observation 0..1Observation
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
... reference 0..*Reference
... precondition 0..*Precondition

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Act.nullFlavorrequiredNullFlavor
Act.moodCoderequiredPlanned moodCode (Act/Encounter/Procedure)
Act.templateId:primary.nullFlavorrequiredNullFlavor
Act.codepreferredNutrition Recommendations
Act.statusCoderequiredActStatus
Act.statusCode.nullFlavorrequiredNullFlavor
Act.priorityCodeextensibleActPriority
Act.languageCoderequiredHumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066)
Act.entryRelationship:plannedEncounter.nullFlavorrequiredNullFlavor
Act.entryRelationship:plannedEncounter.typeCoderequiredFixed Value: REFR
Act.entryRelationship:plannedMedActivity.nullFlavorrequiredNullFlavor
Act.entryRelationship:plannedMedActivity.typeCoderequiredFixed Value: REFR
Act.entryRelationship:plannedObs.nullFlavorrequiredNullFlavor
Act.entryRelationship:plannedObs.typeCoderequiredFixed Value: REFR
Act.entryRelationship:plannedProc.nullFlavorrequiredNullFlavor
Act.entryRelationship:plannedProc.typeCoderequiredFixed Value: REFR
Act.entryRelationship:plannedSupply.nullFlavorrequiredNullFlavor
Act.entryRelationship:plannedSupply.typeCoderequiredFixed Value: REFR
Act.entryRelationship:plannedAct.nullFlavorrequiredNullFlavor
Act.entryRelationship:plannedAct.typeCoderequiredFixed Value: REFR

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())

This structure is derived from CDAR2.Act

Summary

Mandatory: 5 elements (6 nested mandatory elements)
Fixed Value: 8 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

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

 

Other representations of profile: CSV, Excel