Consolidated CDA Release 2.1 StructureDefinition Publication
2.1 - CI Build

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:

- Use this Logical Model: Intervention Act, Planned Intervention Act and Plan of Treatment Section

### Formal Views of Profile Content

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

- Differential Table
- Key Elements Table
- Snapshot Table
- Statistics/References
- All

This structure is derived from CDAR2.Act

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Act |  |  | CDAR2.Act | XML 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..1 | cs | Fixed Value: ACT
moodCode |  | 1..1 | cs | Binding: Planned moodCode (Act/Encounter/Procedure) (required)
Slices for templateId |  | 1..* | II | Slice: Unordered, Open by value:root
templateId:primary |  | 1..1 | II |
root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.130
extension |  | 0..0 |  |
code |  | 1..1 | CD | Binding: Nutrition Recommendations (preferred)
statusCode |  | 1..1 | CS |
code |  | 1..1 | cs | Fixed Value: active
effectiveTime |  | 0..1 | IVL_TS | The effectiveTime indicates the time when the activity is intended to take place.
Slices for entryRelationship |  | 0..* | EntryRelationship | Slice: Unordered, Open by profile:act, profile:encounter, profile:substanceAdministration, profile:supply, profile:procedure, profile:observation
entryRelationship:plannedEncounter |  | 0..* | EntryRelationship |
typeCode |  | 1..1 | cs | Fixed Value: REFR
encounter |  | 1..1 | PlannedEncounter | Base for all types and resources
entryRelationship:plannedMedActivity |  | 0..* | EntryRelationship |
typeCode |  | 1..1 | cs | Fixed Value: REFR
substanceAdministration |  | 1..1 | PlannedMedicationActivity | Base for all types and resources
entryRelationship:plannedObs |  | 0..* | EntryRelationship |
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | PlannedObservation | Base for all types and resources
entryRelationship:plannedProc |  | 0..* | EntryRelationship |
typeCode |  | 1..1 | cs | Fixed Value: REFR
procedure |  | 1..1 | PlannedProcedure | Base for all types and resources
entryRelationship:plannedSupply |  | 0..* | EntryRelationship |
typeCode |  | 1..1 | cs | Fixed Value: REFR
supply |  | 1..1 | PlannedSupply | Base for all types and resources
entryRelationship:plannedAct |  | 0..* | EntryRelationship |
typeCode |  | 1..1 | cs | Fixed Value: REFR
act |  | 1..1 | PlannedAct | Base for all types and resources
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet
Act.moodCode | required | Planned moodCode (Act/Encounter/Procedure)
Act.code | preferred | Nutrition Recommendations

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Act |  | 1..1 | CDAR2.Act | XML 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..1 | cs | Fixed Value: ACT
@moodCode |  | 1..1 | cs | Binding: Planned moodCode (Act/Encounter/Procedure) (required)
Slices for templateId |  | 1..* | II | Slice: Unordered, Open by value:root
templateId:primary |  | 1..1 | II |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.130
code |  | 1..1 | CD | Binding: Nutrition Recommendations (preferred)
statusCode |  | 1..1 | CS | Binding: ActStatus (required)
@code |  | 1..1 | cs | Fixed Value: active
effectiveTime |  | 0..1 | IVL_TS | The effectiveTime indicates the time when the activity is intended to take place.
Slices for entryRelationship |  | 0..* | EntryRelationship | Slice: Unordered, Open by profile:act, profile:encounter, profile:substanceAdministration, profile:supply, profile:procedure, profile:observation
entryRelationship:plannedEncounter |  | 0..* | EntryRelationship |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
encounter |  | 1..1 | PlannedEncounter | Base for all types and resources
entryRelationship:plannedMedActivity |  | 0..* | EntryRelationship |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
substanceAdministration |  | 1..1 | PlannedMedicationActivity | Base for all types and resources
entryRelationship:plannedObs |  | 0..* | EntryRelationship |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | PlannedObservation | Base for all types and resources
entryRelationship:plannedProc |  | 0..* | EntryRelationship |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
procedure |  | 1..1 | PlannedProcedure | Base for all types and resources
entryRelationship:plannedSupply |  | 0..* | EntryRelationship |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
supply |  | 1..1 | PlannedSupply | Base for all types and resources
entryRelationship:plannedAct |  | 0..* | EntryRelationship |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
act |  | 1..1 | PlannedAct | Base for all types and resources
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Act.moodCode | required | Planned moodCode (Act/Encounter/Procedure)
Act.code | preferred | Nutrition Recommendations
Act.statusCode | required | ActStatus
Act.entryRelationship:plannedEncounter.typeCode | required | Fixed Value: REFR
Act.entryRelationship:plannedMedActivity.typeCode | required | Fixed Value: REFR
Act.entryRelationship:plannedObs.typeCode | required | Fixed Value: REFR
Act.entryRelationship:plannedProc.typeCode | required | Fixed Value: REFR
Act.entryRelationship:plannedSupply.typeCode | required | Fixed Value: REFR
Act.entryRelationship:plannedAct.typeCode | required | Fixed Value: REFR

#### Constraints

Id | Grade | Path(s) | Details | Requirements
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Act |  | 1..1 | CDAR2.Act | XML 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..1 | cs | Binding: NullFlavor (required)
@classCode |  | 1..1 | cs | Fixed Value: ACT
@moodCode |  | 1..1 | cs | Binding: Planned moodCode (Act/Encounter/Procedure) (required)
realmCode |  | 0..* | CS |
typeId |  | 0..1 | II |
Slices for templateId |  | 1..* | II | Slice: Unordered, Open by value:root
templateId:primary |  | 1..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: NullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.130
id |  | 0..* | II |
code |  | 1..1 | CD | Binding: Nutrition Recommendations (preferred)
@negationInd |  | 0..1 | bl |
text |  | 0..1 | ED |
statusCode |  | 1..1 | CS | Binding: ActStatus (required)
@nullFlavor |  | 0..1 | cs | Binding: NullFlavor (required)
@code |  | 1..1 | cs | Fixed Value: active
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
effectiveTime |  | 0..1 | IVL_TS | The effectiveTime indicates the time when the activity is intended to take place.
priorityCode |  | 0..1 | CE | Binding: ActPriority (extensible)
languageCode |  | 0..1 | CS | Binding: HumanLanguage (required)
subject |  | 0..1 | Subject |
specimen |  | 0..* | Specimen |
performer |  | 0..* | Performer2 |
author |  | 0..* | Author |
informant |  | 0..* | Informant |
participant |  | 0..* | Participant2 |
Slices for entryRelationship |  | 0..* | EntryRelationship | Slice: Unordered, Open by profile:act, profile:encounter, profile:substanceAdministration, profile:supply, profile:procedure, profile:observation
entryRelationship:plannedEncounter |  | 0..* | EntryRelationship |
@nullFlavor |  | 0..1 | cs | Binding: NullFlavor (required)
realmCode |  | 0..* | CS |
typeId |  | 0..1 | II |
templateId |  | 0..* | II |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
@inversionInd |  | 0..1 | bl |
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
act |  | 0..1 | Act |
encounter |  | 1..1 | PlannedEncounter | Base for all types and resources
observation |  | 0..1 | Observation |
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
entryRelationship:plannedMedActivity |  | 0..* | EntryRelationship |
@nullFlavor |  | 0..1 | cs | Binding: NullFlavor (required)
realmCode |  | 0..* | CS |
typeId |  | 0..1 | II |
templateId |  | 0..* | II |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
@inversionInd |  | 0..1 | bl |
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
act |  | 0..1 | Act |
encounter |  | 0..1 | Encounter |
observation |  | 0..1 | Observation |
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 1..1 | PlannedMedicationActivity | Base for all types and resources
supply |  | 0..1 | Supply |
entryRelationship:plannedObs |  | 0..* | EntryRelationship |
@nullFlavor |  | 0..1 | cs | Binding: NullFlavor (required)
realmCode |  | 0..* | CS |
typeId |  | 0..1 | II |
templateId |  | 0..* | II |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
@inversionInd |  | 0..1 | bl |
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
act |  | 0..1 | Act |
encounter |  | 0..1 | Encounter |
observation |  | 1..1 | PlannedObservation | Base for all types and resources
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
entryRelationship:plannedProc |  | 0..* | EntryRelationship |
@nullFlavor |  | 0..1 | cs | Binding: NullFlavor (required)
realmCode |  | 0..* | CS |
typeId |  | 0..1 | II |
templateId |  | 0..* | II |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
@inversionInd |  | 0..1 | bl |
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
act |  | 0..1 | Act |
encounter |  | 0..1 | Encounter |
observation |  | 0..1 | Observation |
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 1..1 | PlannedProcedure | Base for all types and resources
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
entryRelationship:plannedSupply |  | 0..* | EntryRelationship |
@nullFlavor |  | 0..1 | cs | Binding: NullFlavor (required)
realmCode |  | 0..* | CS |
typeId |  | 0..1 | II |
templateId |  | 0..* | II |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
@inversionInd |  | 0..1 | bl |
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
act |  | 0..1 | Act |
encounter |  | 0..1 | Encounter |
observation |  | 0..1 | Observation |
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 1..1 | PlannedSupply | Base for all types and resources
entryRelationship:plannedAct |  | 0..* | EntryRelationship |
@nullFlavor |  | 0..1 | cs | Binding: NullFlavor (required)
realmCode |  | 0..* | CS |
typeId |  | 0..1 | II |
templateId |  | 0..* | II |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
@inversionInd |  | 0..1 | bl |
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
act |  | 1..1 | PlannedAct | Base for all types and resources
encounter |  | 0..1 | Encounter |
observation |  | 0..1 | Observation |
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
reference |  | 0..* | Reference |
precondition |  | 0..* | Precondition |
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Act.nullFlavor | required | NullFlavor
Act.moodCode | required | Planned moodCode (Act/Encounter/Procedure)
Act.templateId:primary.nullFlavor | required | NullFlavor
Act.code | preferred | Nutrition Recommendations
Act.statusCode | required | ActStatus
Act.statusCode.nullFlavor | required | NullFlavor
Act.priorityCode | extensible | ActPriority
Act.languageCode | required | HumanLanguage (a valid code from `http://terminology.hl7.org/CodeSystem/ietf3066`)
Act.entryRelationship:plannedEncounter.nullFlavor | required | NullFlavor
Act.entryRelationship:plannedEncounter.typeCode | required | Fixed Value: REFR
Act.entryRelationship:plannedMedActivity.nullFlavor | required | NullFlavor
Act.entryRelationship:plannedMedActivity.typeCode | required | Fixed Value: REFR
Act.entryRelationship:plannedObs.nullFlavor | required | NullFlavor
Act.entryRelationship:plannedObs.typeCode | required | Fixed Value: REFR
Act.entryRelationship:plannedProc.nullFlavor | required | NullFlavor
Act.entryRelationship:plannedProc.typeCode | required | Fixed Value: REFR
Act.entryRelationship:plannedSupply.nullFlavor | required | NullFlavor
Act.entryRelationship:plannedSupply.typeCode | required | Fixed Value: REFR
Act.entryRelationship:plannedAct.nullFlavor | required | NullFlavor
Act.entryRelationship:plannedAct.typeCode | required | Fixed Value: REFR

#### Constraints

Id | Grade | Path(s) | Details | Requirements
ele-1 | error | **ALL** elements | All 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:

- Planned Encounter (http://hl7.org/cda/us/ccda/StructureDefinition/PlannedEncounter)
- Planned Medication Activity (http://hl7.org/cda/us/ccda/StructureDefinition/PlannedMedicationActivity)
- Planned Observation (http://hl7.org/cda/us/ccda/StructureDefinition/PlannedObservation)
- Planned Procedure (http://hl7.org/cda/us/ccda/StructureDefinition/PlannedProcedure)
- Planned Supply (http://hl7.org/cda/us/ccda/StructureDefinition/PlannedSupply)
- Planned Act (http://hl7.org/cda/us/ccda/StructureDefinition/PlannedAct)

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

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Act |  |  | CDAR2.Act | XML 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..1 | cs | Fixed Value: ACT
moodCode |  | 1..1 | cs | Binding: Planned moodCode (Act/Encounter/Procedure) (required)
Slices for templateId |  | 1..* | II | Slice: Unordered, Open by value:root
templateId:primary |  | 1..1 | II |
root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.130
extension |  | 0..0 |  |
code |  | 1..1 | CD | Binding: Nutrition Recommendations (preferred)
statusCode |  | 1..1 | CS |
code |  | 1..1 | cs | Fixed Value: active
effectiveTime |  | 0..1 | IVL_TS | The effectiveTime indicates the time when the activity is intended to take place.
Slices for entryRelationship |  | 0..* | EntryRelationship | Slice: Unordered, Open by profile:act, profile:encounter, profile:substanceAdministration, profile:supply, profile:procedure, profile:observation
entryRelationship:plannedEncounter |  | 0..* | EntryRelationship |
typeCode |  | 1..1 | cs | Fixed Value: REFR
encounter |  | 1..1 | PlannedEncounter | Base for all types and resources
entryRelationship:plannedMedActivity |  | 0..* | EntryRelationship |
typeCode |  | 1..1 | cs | Fixed Value: REFR
substanceAdministration |  | 1..1 | PlannedMedicationActivity | Base for all types and resources
entryRelationship:plannedObs |  | 0..* | EntryRelationship |
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | PlannedObservation | Base for all types and resources
entryRelationship:plannedProc |  | 0..* | EntryRelationship |
typeCode |  | 1..1 | cs | Fixed Value: REFR
procedure |  | 1..1 | PlannedProcedure | Base for all types and resources
entryRelationship:plannedSupply |  | 0..* | EntryRelationship |
typeCode |  | 1..1 | cs | Fixed Value: REFR
supply |  | 1..1 | PlannedSupply | Base for all types and resources
entryRelationship:plannedAct |  | 0..* | EntryRelationship |
typeCode |  | 1..1 | cs | Fixed Value: REFR
act |  | 1..1 | PlannedAct | Base for all types and resources
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet
Act.moodCode | required | Planned moodCode (Act/Encounter/Procedure)
Act.code | preferred | Nutrition Recommendations

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Act |  | 1..1 | CDAR2.Act | XML 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..1 | cs | Fixed Value: ACT
@moodCode |  | 1..1 | cs | Binding: Planned moodCode (Act/Encounter/Procedure) (required)
Slices for templateId |  | 1..* | II | Slice: Unordered, Open by value:root
templateId:primary |  | 1..1 | II |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.130
code |  | 1..1 | CD | Binding: Nutrition Recommendations (preferred)
statusCode |  | 1..1 | CS | Binding: ActStatus (required)
@code |  | 1..1 | cs | Fixed Value: active
effectiveTime |  | 0..1 | IVL_TS | The effectiveTime indicates the time when the activity is intended to take place.
Slices for entryRelationship |  | 0..* | EntryRelationship | Slice: Unordered, Open by profile:act, profile:encounter, profile:substanceAdministration, profile:supply, profile:procedure, profile:observation
entryRelationship:plannedEncounter |  | 0..* | EntryRelationship |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
encounter |  | 1..1 | PlannedEncounter | Base for all types and resources
entryRelationship:plannedMedActivity |  | 0..* | EntryRelationship |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
substanceAdministration |  | 1..1 | PlannedMedicationActivity | Base for all types and resources
entryRelationship:plannedObs |  | 0..* | EntryRelationship |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | PlannedObservation | Base for all types and resources
entryRelationship:plannedProc |  | 0..* | EntryRelationship |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
procedure |  | 1..1 | PlannedProcedure | Base for all types and resources
entryRelationship:plannedSupply |  | 0..* | EntryRelationship |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
supply |  | 1..1 | PlannedSupply | Base for all types and resources
entryRelationship:plannedAct |  | 0..* | EntryRelationship |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
act |  | 1..1 | PlannedAct | Base for all types and resources
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Act.moodCode | required | Planned moodCode (Act/Encounter/Procedure)
Act.code | preferred | Nutrition Recommendations
Act.statusCode | required | ActStatus
Act.entryRelationship:plannedEncounter.typeCode | required | Fixed Value: REFR
Act.entryRelationship:plannedMedActivity.typeCode | required | Fixed Value: REFR
Act.entryRelationship:plannedObs.typeCode | required | Fixed Value: REFR
Act.entryRelationship:plannedProc.typeCode | required | Fixed Value: REFR
Act.entryRelationship:plannedSupply.typeCode | required | Fixed Value: REFR
Act.entryRelationship:plannedAct.typeCode | required | Fixed Value: REFR

#### Constraints

Id | Grade | Path(s) | Details | Requirements
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Act |  | 1..1 | CDAR2.Act | XML 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..1 | cs | Binding: NullFlavor (required)
@classCode |  | 1..1 | cs | Fixed Value: ACT
@moodCode |  | 1..1 | cs | Binding: Planned moodCode (Act/Encounter/Procedure) (required)
realmCode |  | 0..* | CS |
typeId |  | 0..1 | II |
Slices for templateId |  | 1..* | II | Slice: Unordered, Open by value:root
templateId:primary |  | 1..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: NullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.130
id |  | 0..* | II |
code |  | 1..1 | CD | Binding: Nutrition Recommendations (preferred)
@negationInd |  | 0..1 | bl |
text |  | 0..1 | ED |
statusCode |  | 1..1 | CS | Binding: ActStatus (required)
@nullFlavor |  | 0..1 | cs | Binding: NullFlavor (required)
@code |  | 1..1 | cs | Fixed Value: active
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
effectiveTime |  | 0..1 | IVL_TS | The effectiveTime indicates the time when the activity is intended to take place.
priorityCode |  | 0..1 | CE | Binding: ActPriority (extensible)
languageCode |  | 0..1 | CS | Binding: HumanLanguage (required)
subject |  | 0..1 | Subject |
specimen |  | 0..* | Specimen |
performer |  | 0..* | Performer2 |
author |  | 0..* | Author |
informant |  | 0..* | Informant |
participant |  | 0..* | Participant2 |
Slices for entryRelationship |  | 0..* | EntryRelationship | Slice: Unordered, Open by profile:act, profile:encounter, profile:substanceAdministration, profile:supply, profile:procedure, profile:observation
entryRelationship:plannedEncounter |  | 0..* | EntryRelationship |
@nullFlavor |  | 0..1 | cs | Binding: NullFlavor (required)
realmCode |  | 0..* | CS |
typeId |  | 0..1 | II |
templateId |  | 0..* | II |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
@inversionInd |  | 0..1 | bl |
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
act |  | 0..1 | Act |
encounter |  | 1..1 | PlannedEncounter | Base for all types and resources
observation |  | 0..1 | Observation |
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
entryRelationship:plannedMedActivity |  | 0..* | EntryRelationship |
@nullFlavor |  | 0..1 | cs | Binding: NullFlavor (required)
realmCode |  | 0..* | CS |
typeId |  | 0..1 | II |
templateId |  | 0..* | II |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
@inversionInd |  | 0..1 | bl |
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
act |  | 0..1 | Act |
encounter |  | 0..1 | Encounter |
observation |  | 0..1 | Observation |
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 1..1 | PlannedMedicationActivity | Base for all types and resources
supply |  | 0..1 | Supply |
entryRelationship:plannedObs |  | 0..* | EntryRelationship |
@nullFlavor |  | 0..1 | cs | Binding: NullFlavor (required)
realmCode |  | 0..* | CS |
typeId |  | 0..1 | II |
templateId |  | 0..* | II |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
@inversionInd |  | 0..1 | bl |
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
act |  | 0..1 | Act |
encounter |  | 0..1 | Encounter |
observation |  | 1..1 | PlannedObservation | Base for all types and resources
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
entryRelationship:plannedProc |  | 0..* | EntryRelationship |
@nullFlavor |  | 0..1 | cs | Binding: NullFlavor (required)
realmCode |  | 0..* | CS |
typeId |  | 0..1 | II |
templateId |  | 0..* | II |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
@inversionInd |  | 0..1 | bl |
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
act |  | 0..1 | Act |
encounter |  | 0..1 | Encounter |
observation |  | 0..1 | Observation |
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 1..1 | PlannedProcedure | Base for all types and resources
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
entryRelationship:plannedSupply |  | 0..* | EntryRelationship |
@nullFlavor |  | 0..1 | cs | Binding: NullFlavor (required)
realmCode |  | 0..* | CS |
typeId |  | 0..1 | II |
templateId |  | 0..* | II |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
@inversionInd |  | 0..1 | bl |
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
act |  | 0..1 | Act |
encounter |  | 0..1 | Encounter |
observation |  | 0..1 | Observation |
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 1..1 | PlannedSupply | Base for all types and resources
entryRelationship:plannedAct |  | 0..* | EntryRelationship |
@nullFlavor |  | 0..1 | cs | Binding: NullFlavor (required)
realmCode |  | 0..* | CS |
typeId |  | 0..1 | II |
templateId |  | 0..* | II |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
@inversionInd |  | 0..1 | bl |
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
act |  | 1..1 | PlannedAct | Base for all types and resources
encounter |  | 0..1 | Encounter |
observation |  | 0..1 | Observation |
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
reference |  | 0..* | Reference |
precondition |  | 0..* | Precondition |
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Act.nullFlavor | required | NullFlavor
Act.moodCode | required | Planned moodCode (Act/Encounter/Procedure)
Act.templateId:primary.nullFlavor | required | NullFlavor
Act.code | preferred | Nutrition Recommendations
Act.statusCode | required | ActStatus
Act.statusCode.nullFlavor | required | NullFlavor
Act.priorityCode | extensible | ActPriority
Act.languageCode | required | HumanLanguage (a valid code from `http://terminology.hl7.org/CodeSystem/ietf3066`)
Act.entryRelationship:plannedEncounter.nullFlavor | required | NullFlavor
Act.entryRelationship:plannedEncounter.typeCode | required | Fixed Value: REFR
Act.entryRelationship:plannedMedActivity.nullFlavor | required | NullFlavor
Act.entryRelationship:plannedMedActivity.typeCode | required | Fixed Value: REFR
Act.entryRelationship:plannedObs.nullFlavor | required | NullFlavor
Act.entryRelationship:plannedObs.typeCode | required | Fixed Value: REFR
Act.entryRelationship:plannedProc.nullFlavor | required | NullFlavor
Act.entryRelationship:plannedProc.typeCode | required | Fixed Value: REFR
Act.entryRelationship:plannedSupply.nullFlavor | required | NullFlavor
Act.entryRelationship:plannedSupply.typeCode | required | Fixed Value: REFR
Act.entryRelationship:plannedAct.nullFlavor | required | NullFlavor
Act.entryRelationship:plannedAct.typeCode | required | Fixed Value: REFR

#### Constraints

Id | Grade | Path(s) | Details | Requirements
ele-1 | error | **ALL** elements | All 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:

- Planned Encounter (http://hl7.org/cda/us/ccda/StructureDefinition/PlannedEncounter)
- Planned Medication Activity (http://hl7.org/cda/us/ccda/StructureDefinition/PlannedMedicationActivity)
- Planned Observation (http://hl7.org/cda/us/ccda/StructureDefinition/PlannedObservation)
- Planned Procedure (http://hl7.org/cda/us/ccda/StructureDefinition/PlannedProcedure)
- Planned Supply (http://hl7.org/cda/us/ccda/StructureDefinition/PlannedSupply)
- Planned Act (http://hl7.org/cda/us/ccda/StructureDefinition/PlannedAct)

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