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: Intervention Act

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

- Use this Logical Model: Activities Section, Intervention Act and Planned Intervention Act

### 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 | Fixed Value: EVN
Slices for templateId |  | 1..* | II | Slice: Unordered, Open by value:root, value:extension
templateId:primary |  | 1..1 | II |
root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.131
extension |  | 1..1 | st | Required Pattern: 2015-08-01
id |  | 1..* | II |
code |  | 1..1 | CD |
code |  | 1..1 | cs | Required Pattern: 362956003
codeSystem |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.96
statusCode |  | 1..1 | CS |
code |  | 1..1 | cs | Fixed Value: completed
effectiveTime |  | 0..1 | IVL_TS |
author |  | 0..* | AuthorParticipation | Base for all types and resources
Slices for entryRelationship |  | 0..* | EntryRelationship | Slice: Unordered, Open by profile:observation, profile:substanceAdministration, profile:act, profile:procedure, profile:encounter, profile:supply
entryRelationship:advanceDirectiveObservation |  | 0..* | EntryRelationship |
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | AdvanceDirectiveObservation | Base for all types and resources
entryRelationship:immunizationActivity |  | 0..* | EntryRelationship |
typeCode |  | 1..1 | cs | Fixed Value: REFR
substanceAdministration |  | 1..1 | ImmunizationActivity | Base for all types and resources
entryRelationship:medicationActivity |  | 0..* | EntryRelationship |
typeCode |  | 1..1 | cs | Fixed Value: REFR
substanceAdministration |  | 1..1 | MedicationActivity | Base for all types and resources
entryRelationship:interventionAct |  | 0..* | EntryRelationship | The following entryRelationship represents the relationship between two Intervention Acts (Intervention RELATES TO Intervention).
typeCode |  | 1..1 | cs | Fixed Value: REFR
act |  | 1..1 | InterventionAct | Base for all types and resources
entryRelationship:procedureActivityProcedure |  | 0..* | EntryRelationship |
typeCode |  | 1..1 | cs | Fixed Value: REFR
procedure |  | 1..1 | ProcedureActivityProcedure | Base for all types and resources
entryRelationship:encounterActivity |  | 0..* | EntryRelationship |
typeCode |  | 1..1 | cs | Fixed Value: REFR
encounter |  | 1..1 | EncounterActivity | Base for all types and resources
entryRelationship:instruction |  | 0..* | EntryRelationship |
typeCode |  | 1..1 | cs | Fixed Value: REFR
act |  | 1..1 | Instruction | Base for all types and resources
entryRelationship:nonMedSupply |  | 0..* | EntryRelationship |
typeCode |  | 1..1 | cs | Fixed Value: REFR
supply |  | 1..1 | NonMedicinalSupplyActivity | Base for all types and resources
entryRelationship:nutritionRecommendation |  | 0..* | EntryRelationship |
act |  | 1..1 | NutritionRecommendation | Base for all types and resources
entryRelationship:entryReferenceRefr |  | 0..* | EntryRelationship | Where 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..1 | cs | Fixed Value: REFR
act |  | 1..1 | EntryReference | Base for all types and resources
entryRelationship:entryReferenceRson | C | 0..* | EntryRelationship | An 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..1 | cs | Fixed Value: RSON
act |  | 1..1 | EntryReference | Base for all types and resources
entryRelationship:handoffCommunicationParticipants |  | 0..* | EntryRelationship |
typeCode |  | 1..1 | cs | Fixed Value: REFR
act |  | 1..1 | HandoffCommunicationParticipants | Base for all types and resources
entryRelationship:plannedInterventionAct |  | 0..* | EntryRelationship |
typeCode |  | 1..1 | cs | Fixed Value: REFR
act |  | 1..1 | PlannedInterventionAct | Base for all types and resources
reference |  | 0..* | Reference |
typeCode |  | 1..1 | cs | Fixed Value: REFR
externalDocument |  | 1..1 | ExternalDocumentReference | Base for all types and resources
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Details | Requirements
1198-32459 | error | Act.entryRelationship:entryReferenceRson | This entryReference template **SHALL** reference an instance of a Goal Observation template (CONF:1198-32459). : |

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 | Fixed Value: EVN
Slices for templateId |  | 1..* | II | Slice: Unordered, Open by value:root, value:extension
templateId:primary |  | 1..1 | II |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.131
@extension |  | 1..1 | st | Required Pattern: 2015-08-01
id |  | 1..* | II |
code |  | 1..1 | CD | Binding: v3 Code System ActCode (extensible)
@code |  | 1..1 | cs | Required Pattern: 362956003
@codeSystem |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.96
statusCode |  | 1..1 | CS | Binding: ActStatus (required)
@code |  | 1..1 | cs | Fixed Value: completed
effectiveTime |  | 0..1 | IVL_TS |
author |  | 0..* | AuthorParticipation | Base for all types and resources
Slices for entryRelationship |  | 0..* | EntryRelationship | Slice: Unordered, Open by profile:observation, profile:substanceAdministration, profile:act, profile:procedure, profile:encounter, profile:supply
entryRelationship:advanceDirectiveObservation |  | 0..* | EntryRelationship |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | AdvanceDirectiveObservation | Base for all types and resources
entryRelationship:immunizationActivity |  | 0..* | EntryRelationship |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
substanceAdministration |  | 1..1 | ImmunizationActivity | Base for all types and resources
entryRelationship:medicationActivity |  | 0..* | EntryRelationship |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
substanceAdministration | C | 1..1 | MedicationActivity | Base for all types and resources
entryRelationship:interventionAct |  | 0..* | EntryRelationship | The following entryRelationship represents the relationship between two Intervention Acts (Intervention RELATES TO Intervention).
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
act |  | 1..1 | InterventionAct | Base for all types and resources
entryRelationship:procedureActivityProcedure |  | 0..* | EntryRelationship |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
procedure |  | 1..1 | ProcedureActivityProcedure | Base for all types and resources
entryRelationship:encounterActivity |  | 0..* | EntryRelationship |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
encounter |  | 1..1 | EncounterActivity | Base for all types and resources
entryRelationship:instruction |  | 0..* | EntryRelationship |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
act |  | 1..1 | Instruction | Base for all types and resources
entryRelationship:nonMedSupply |  | 0..* | EntryRelationship |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
supply |  | 1..1 | NonMedicinalSupplyActivity | Base for all types and resources
entryRelationship:nutritionRecommendation |  | 0..* | EntryRelationship |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required)
act |  | 1..1 | NutritionRecommendation | Base for all types and resources
entryRelationship:entryReferenceRefr |  | 0..* | EntryRelationship | Where 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..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
act |  | 1..1 | EntryReference | Base for all types and resources
entryRelationship:entryReferenceRson | C | 0..* | EntryRelationship | An 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..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: RSON
act |  | 1..1 | EntryReference | Base for all types and resources
entryRelationship:handoffCommunicationParticipants |  | 0..* | EntryRelationship |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
act |  | 1..1 | HandoffCommunicationParticipants | Base for all types and resources
entryRelationship:plannedInterventionAct |  | 0..* | EntryRelationship |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
act |  | 1..1 | PlannedInterventionAct | Base for all types and resources
reference |  | 0..* | Reference |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipExternalReference (required) Fixed Value: REFR
externalDocument |  | 1..1 | ExternalDocumentReference | Base for all types and resources
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Act.code | extensible | ActCode
Act.statusCode | required | ActStatus
Act.entryRelationship:advanceDirectiveObservation.typeCode | required | Fixed Value: REFR
Act.entryRelationship:immunizationActivity.typeCode | required | Fixed Value: REFR
Act.entryRelationship:medicationActivity.typeCode | required | Fixed Value: REFR
Act.entryRelationship:interventionAct.typeCode | required | Fixed Value: REFR
Act.entryRelationship:procedureActivityProcedure.typeCode | required | Fixed Value: REFR
Act.entryRelationship:encounterActivity.typeCode | required | Fixed Value: REFR
Act.entryRelationship:instruction.typeCode | required | Fixed Value: REFR
Act.entryRelationship:nonMedSupply.typeCode | required | Fixed Value: REFR
Act.entryRelationship:nutritionRecommendation.typeCode | required | XActRelationshipEntryRelationship
Act.entryRelationship:entryReferenceRefr.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryReferenceRson.typeCode | required | Fixed Value: RSON
Act.entryRelationship:handoffCommunicationParticipants.typeCode | required | Fixed Value: REFR
Act.entryRelationship:plannedInterventionAct.typeCode | required | Fixed Value: REFR
Act.reference.typeCode | required | Fixed Value: REFR

#### Constraints

Id | Grade | Path(s) | Details | Requirements
1098-30800 | warning | Act.entryRelationship:medicationActivity.substanceAdministration | Medication Activity **SHOULD** include doseQuantity **OR** rateQuantity (CONF:1098-30800). : |
1198-32459 | error | Act.entryRelationship:entryReferenceRson | This entryReference template **SHALL** reference an instance of a Goal Observation template (CONF:1198-32459). : |
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 | Fixed Value: EVN
realmCode |  | 0..* | CS |
typeId |  | 0..1 | II |
Slices for templateId |  | 1..* | II | Slice: Unordered, Open by value:root, value:extension
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: 2.16.840.1.113883.10.20.22.4.131
@extension |  | 1..1 | st | Required Pattern: 2015-08-01
id |  | 1..* | II |
code |  | 1..1 | CD | Binding: v3 Code System ActCode (extensible)
@nullFlavor |  | 0..1 | cs | Binding: NullFlavor (required)
@code |  | 1..1 | cs | Required Pattern: 362956003
@codeSystem |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.96
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@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)
originalText |  | 0..1 | ED |
qualifier |  | 0..* | CR |
translation |  | 0..* | CD |
@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: completed
@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 |
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..* | AuthorParticipation | Base for all types and resources
informant |  | 0..* | Informant |
participant |  | 0..* | Participant2 |
Slices for entryRelationship |  | 0..* | EntryRelationship | Slice: Unordered, Open by profile:observation, profile:substanceAdministration, profile:act, profile:procedure, profile:encounter, profile:supply
entryRelationship:advanceDirectiveObservation |  | 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 | AdvanceDirectiveObservation | 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:immunizationActivity |  | 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 | ImmunizationActivity | Base for all types and resources
supply |  | 0..1 | Supply |
entryRelationship:medicationActivity |  | 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 | C | 1..1 | MedicationActivity | Base for all types and resources
supply |  | 0..1 | Supply |
entryRelationship:interventionAct |  | 0..* | EntryRelationship | The following entryRelationship represents the relationship between two Intervention Acts (Intervention RELATES TO Intervention).
@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 | InterventionAct | 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 |
entryRelationship:procedureActivityProcedure |  | 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 | ProcedureActivityProcedure | Base for all types and resources
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
entryRelationship:encounterActivity |  | 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 | EncounterActivity | 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:instruction |  | 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 | Instruction | 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 |
entryRelationship:nonMedSupply |  | 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 | NonMedicinalSupplyActivity | Base for all types and resources
entryRelationship:nutritionRecommendation |  | 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)
@inversionInd |  | 0..1 | bl |
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
act |  | 1..1 | NutritionRecommendation | 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 |
entryRelationship:entryReferenceRefr |  | 0..* | EntryRelationship | Where 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.
@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 | EntryReference | 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 |
entryRelationship:entryReferenceRson | C | 0..* | EntryRelationship | An 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).
@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: RSON
@inversionInd |  | 0..1 | bl |
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
act |  | 1..1 | EntryReference | 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 |
entryRelationship:handoffCommunicationParticipants |  | 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 | HandoffCommunicationParticipants | 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 |
entryRelationship:plannedInterventionAct |  | 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 | PlannedInterventionAct | 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 |
@nullFlavor |  | 0..1 | cs | Binding: NullFlavor (required)
realmCode |  | 0..* | CS |
typeId |  | 0..1 | II |
templateId |  | 0..* | II |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipExternalReference (required) Fixed Value: REFR
seperatableInd |  | 0..1 | BL |
externalAct |  | 0..1 | ExternalAct |
externalObservation |  | 0..1 | ExternalObservation |
externalProcedure |  | 0..1 | ExternalProcedure |
externalDocument |  | 1..1 | ExternalDocumentReference | Base for all types and resources
precondition |  | 0..* | Precondition |
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Act.nullFlavor | required | NullFlavor
Act.templateId:primary.nullFlavor | required | NullFlavor
Act.code | extensible | ActCode
Act.code.nullFlavor | required | NullFlavor
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:advanceDirectiveObservation.nullFlavor | required | NullFlavor
Act.entryRelationship:advanceDirectiveObservation.typeCode | required | Fixed Value: REFR
Act.entryRelationship:immunizationActivity.nullFlavor | required | NullFlavor
Act.entryRelationship:immunizationActivity.typeCode | required | Fixed Value: REFR
Act.entryRelationship:medicationActivity.nullFlavor | required | NullFlavor
Act.entryRelationship:medicationActivity.typeCode | required | Fixed Value: REFR
Act.entryRelationship:interventionAct.nullFlavor | required | NullFlavor
Act.entryRelationship:interventionAct.typeCode | required | Fixed Value: REFR
Act.entryRelationship:procedureActivityProcedure.nullFlavor | required | NullFlavor
Act.entryRelationship:procedureActivityProcedure.typeCode | required | Fixed Value: REFR
Act.entryRelationship:encounterActivity.nullFlavor | required | NullFlavor
Act.entryRelationship:encounterActivity.typeCode | required | Fixed Value: REFR
Act.entryRelationship:instruction.nullFlavor | required | NullFlavor
Act.entryRelationship:instruction.typeCode | required | Fixed Value: REFR
Act.entryRelationship:nonMedSupply.nullFlavor | required | NullFlavor
Act.entryRelationship:nonMedSupply.typeCode | required | Fixed Value: REFR
Act.entryRelationship:nutritionRecommendation.nullFlavor | required | NullFlavor
Act.entryRelationship:nutritionRecommendation.typeCode | required | XActRelationshipEntryRelationship
Act.entryRelationship:entryReferenceRefr.nullFlavor | required | NullFlavor
Act.entryRelationship:entryReferenceRefr.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryReferenceRson.nullFlavor | required | NullFlavor
Act.entryRelationship:entryReferenceRson.typeCode | required | Fixed Value: RSON
Act.entryRelationship:handoffCommunicationParticipants.nullFlavor | required | NullFlavor
Act.entryRelationship:handoffCommunicationParticipants.typeCode | required | Fixed Value: REFR
Act.entryRelationship:plannedInterventionAct.nullFlavor | required | NullFlavor
Act.entryRelationship:plannedInterventionAct.typeCode | required | Fixed Value: REFR
Act.reference.nullFlavor | required | NullFlavor
Act.reference.typeCode | required | Fixed Value: REFR

#### Constraints

Id | Grade | Path(s) | Details | Requirements
1098-30800 | warning | Act.entryRelationship:medicationActivity.substanceAdministration | Medication Activity **SHOULD** include doseQuantity **OR** rateQuantity (CONF:1098-30800). : |
1198-32459 | error | Act.entryRelationship:entryReferenceRson | This entryReference template **SHALL** reference an instance of a Goal Observation template (CONF:1198-32459). : |
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: 9 elements (14 nested mandatory elements)
Fixed Value: 16 elements

Structures

This structure refers to these other structures:

- Author Participation (http://hl7.org/cda/us/ccda/StructureDefinition/AuthorParticipation)
- Advance Directive Observation (http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation)
- Immunization Activity (http://hl7.org/cda/us/ccda/StructureDefinition/ImmunizationActivity)
- Medication Activity (http://hl7.org/cda/us/ccda/StructureDefinition/MedicationActivity)
- Intervention Act (http://hl7.org/cda/us/ccda/StructureDefinition/InterventionAct)
- Procedure Activity Procedure (http://hl7.org/cda/us/ccda/StructureDefinition/ProcedureActivityProcedure)
- Encounter Activity (http://hl7.org/cda/us/ccda/StructureDefinition/EncounterActivity)
- Instruction (http://hl7.org/cda/us/ccda/StructureDefinition/Instruction)
- Non-Medicinal Supply Activity (http://hl7.org/cda/us/ccda/StructureDefinition/NonMedicinalSupplyActivity)
- Nutrition Recommendation (http://hl7.org/cda/us/ccda/StructureDefinition/NutritionRecommendation)
- Entry Reference (http://hl7.org/cda/us/ccda/StructureDefinition/EntryReference)
- Handoff Communication Participants (http://hl7.org/cda/us/ccda/StructureDefinition/HandoffCommunicationParticipants)
- Planned Intervention Act (http://hl7.org/cda/us/ccda/StructureDefinition/PlannedInterventionAct)
- External Document Reference (http://hl7.org/cda/us/ccda/StructureDefinition/ExternalDocumentReference)

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

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 | Fixed Value: EVN
Slices for templateId |  | 1..* | II | Slice: Unordered, Open by value:root, value:extension
templateId:primary |  | 1..1 | II |
root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.131
extension |  | 1..1 | st | Required Pattern: 2015-08-01
id |  | 1..* | II |
code |  | 1..1 | CD |
code |  | 1..1 | cs | Required Pattern: 362956003
codeSystem |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.96
statusCode |  | 1..1 | CS |
code |  | 1..1 | cs | Fixed Value: completed
effectiveTime |  | 0..1 | IVL_TS |
author |  | 0..* | AuthorParticipation | Base for all types and resources
Slices for entryRelationship |  | 0..* | EntryRelationship | Slice: Unordered, Open by profile:observation, profile:substanceAdministration, profile:act, profile:procedure, profile:encounter, profile:supply
entryRelationship:advanceDirectiveObservation |  | 0..* | EntryRelationship |
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | AdvanceDirectiveObservation | Base for all types and resources
entryRelationship:immunizationActivity |  | 0..* | EntryRelationship |
typeCode |  | 1..1 | cs | Fixed Value: REFR
substanceAdministration |  | 1..1 | ImmunizationActivity | Base for all types and resources
entryRelationship:medicationActivity |  | 0..* | EntryRelationship |
typeCode |  | 1..1 | cs | Fixed Value: REFR
substanceAdministration |  | 1..1 | MedicationActivity | Base for all types and resources
entryRelationship:interventionAct |  | 0..* | EntryRelationship | The following entryRelationship represents the relationship between two Intervention Acts (Intervention RELATES TO Intervention).
typeCode |  | 1..1 | cs | Fixed Value: REFR
act |  | 1..1 | InterventionAct | Base for all types and resources
entryRelationship:procedureActivityProcedure |  | 0..* | EntryRelationship |
typeCode |  | 1..1 | cs | Fixed Value: REFR
procedure |  | 1..1 | ProcedureActivityProcedure | Base for all types and resources
entryRelationship:encounterActivity |  | 0..* | EntryRelationship |
typeCode |  | 1..1 | cs | Fixed Value: REFR
encounter |  | 1..1 | EncounterActivity | Base for all types and resources
entryRelationship:instruction |  | 0..* | EntryRelationship |
typeCode |  | 1..1 | cs | Fixed Value: REFR
act |  | 1..1 | Instruction | Base for all types and resources
entryRelationship:nonMedSupply |  | 0..* | EntryRelationship |
typeCode |  | 1..1 | cs | Fixed Value: REFR
supply |  | 1..1 | NonMedicinalSupplyActivity | Base for all types and resources
entryRelationship:nutritionRecommendation |  | 0..* | EntryRelationship |
act |  | 1..1 | NutritionRecommendation | Base for all types and resources
entryRelationship:entryReferenceRefr |  | 0..* | EntryRelationship | Where 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..1 | cs | Fixed Value: REFR
act |  | 1..1 | EntryReference | Base for all types and resources
entryRelationship:entryReferenceRson | C | 0..* | EntryRelationship | An 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..1 | cs | Fixed Value: RSON
act |  | 1..1 | EntryReference | Base for all types and resources
entryRelationship:handoffCommunicationParticipants |  | 0..* | EntryRelationship |
typeCode |  | 1..1 | cs | Fixed Value: REFR
act |  | 1..1 | HandoffCommunicationParticipants | Base for all types and resources
entryRelationship:plannedInterventionAct |  | 0..* | EntryRelationship |
typeCode |  | 1..1 | cs | Fixed Value: REFR
act |  | 1..1 | PlannedInterventionAct | Base for all types and resources
reference |  | 0..* | Reference |
typeCode |  | 1..1 | cs | Fixed Value: REFR
externalDocument |  | 1..1 | ExternalDocumentReference | Base for all types and resources
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Details | Requirements
1198-32459 | error | Act.entryRelationship:entryReferenceRson | This entryReference template **SHALL** reference an instance of a Goal Observation template (CONF:1198-32459). : |

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 | Fixed Value: EVN
Slices for templateId |  | 1..* | II | Slice: Unordered, Open by value:root, value:extension
templateId:primary |  | 1..1 | II |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.131
@extension |  | 1..1 | st | Required Pattern: 2015-08-01
id |  | 1..* | II |
code |  | 1..1 | CD | Binding: v3 Code System ActCode (extensible)
@code |  | 1..1 | cs | Required Pattern: 362956003
@codeSystem |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.96
statusCode |  | 1..1 | CS | Binding: ActStatus (required)
@code |  | 1..1 | cs | Fixed Value: completed
effectiveTime |  | 0..1 | IVL_TS |
author |  | 0..* | AuthorParticipation | Base for all types and resources
Slices for entryRelationship |  | 0..* | EntryRelationship | Slice: Unordered, Open by profile:observation, profile:substanceAdministration, profile:act, profile:procedure, profile:encounter, profile:supply
entryRelationship:advanceDirectiveObservation |  | 0..* | EntryRelationship |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | AdvanceDirectiveObservation | Base for all types and resources
entryRelationship:immunizationActivity |  | 0..* | EntryRelationship |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
substanceAdministration |  | 1..1 | ImmunizationActivity | Base for all types and resources
entryRelationship:medicationActivity |  | 0..* | EntryRelationship |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
substanceAdministration | C | 1..1 | MedicationActivity | Base for all types and resources
entryRelationship:interventionAct |  | 0..* | EntryRelationship | The following entryRelationship represents the relationship between two Intervention Acts (Intervention RELATES TO Intervention).
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
act |  | 1..1 | InterventionAct | Base for all types and resources
entryRelationship:procedureActivityProcedure |  | 0..* | EntryRelationship |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
procedure |  | 1..1 | ProcedureActivityProcedure | Base for all types and resources
entryRelationship:encounterActivity |  | 0..* | EntryRelationship |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
encounter |  | 1..1 | EncounterActivity | Base for all types and resources
entryRelationship:instruction |  | 0..* | EntryRelationship |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
act |  | 1..1 | Instruction | Base for all types and resources
entryRelationship:nonMedSupply |  | 0..* | EntryRelationship |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
supply |  | 1..1 | NonMedicinalSupplyActivity | Base for all types and resources
entryRelationship:nutritionRecommendation |  | 0..* | EntryRelationship |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required)
act |  | 1..1 | NutritionRecommendation | Base for all types and resources
entryRelationship:entryReferenceRefr |  | 0..* | EntryRelationship | Where 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..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
act |  | 1..1 | EntryReference | Base for all types and resources
entryRelationship:entryReferenceRson | C | 0..* | EntryRelationship | An 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..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: RSON
act |  | 1..1 | EntryReference | Base for all types and resources
entryRelationship:handoffCommunicationParticipants |  | 0..* | EntryRelationship |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
act |  | 1..1 | HandoffCommunicationParticipants | Base for all types and resources
entryRelationship:plannedInterventionAct |  | 0..* | EntryRelationship |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
act |  | 1..1 | PlannedInterventionAct | Base for all types and resources
reference |  | 0..* | Reference |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipExternalReference (required) Fixed Value: REFR
externalDocument |  | 1..1 | ExternalDocumentReference | Base for all types and resources
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Act.code | extensible | ActCode
Act.statusCode | required | ActStatus
Act.entryRelationship:advanceDirectiveObservation.typeCode | required | Fixed Value: REFR
Act.entryRelationship:immunizationActivity.typeCode | required | Fixed Value: REFR
Act.entryRelationship:medicationActivity.typeCode | required | Fixed Value: REFR
Act.entryRelationship:interventionAct.typeCode | required | Fixed Value: REFR
Act.entryRelationship:procedureActivityProcedure.typeCode | required | Fixed Value: REFR
Act.entryRelationship:encounterActivity.typeCode | required | Fixed Value: REFR
Act.entryRelationship:instruction.typeCode | required | Fixed Value: REFR
Act.entryRelationship:nonMedSupply.typeCode | required | Fixed Value: REFR
Act.entryRelationship:nutritionRecommendation.typeCode | required | XActRelationshipEntryRelationship
Act.entryRelationship:entryReferenceRefr.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryReferenceRson.typeCode | required | Fixed Value: RSON
Act.entryRelationship:handoffCommunicationParticipants.typeCode | required | Fixed Value: REFR
Act.entryRelationship:plannedInterventionAct.typeCode | required | Fixed Value: REFR
Act.reference.typeCode | required | Fixed Value: REFR

#### Constraints

Id | Grade | Path(s) | Details | Requirements
1098-30800 | warning | Act.entryRelationship:medicationActivity.substanceAdministration | Medication Activity **SHOULD** include doseQuantity **OR** rateQuantity (CONF:1098-30800). : |
1198-32459 | error | Act.entryRelationship:entryReferenceRson | This entryReference template **SHALL** reference an instance of a Goal Observation template (CONF:1198-32459). : |
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 | Fixed Value: EVN
realmCode |  | 0..* | CS |
typeId |  | 0..1 | II |
Slices for templateId |  | 1..* | II | Slice: Unordered, Open by value:root, value:extension
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: 2.16.840.1.113883.10.20.22.4.131
@extension |  | 1..1 | st | Required Pattern: 2015-08-01
id |  | 1..* | II |
code |  | 1..1 | CD | Binding: v3 Code System ActCode (extensible)
@nullFlavor |  | 0..1 | cs | Binding: NullFlavor (required)
@code |  | 1..1 | cs | Required Pattern: 362956003
@codeSystem |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.96
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@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)
originalText |  | 0..1 | ED |
qualifier |  | 0..* | CR |
translation |  | 0..* | CD |
@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: completed
@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 |
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..* | AuthorParticipation | Base for all types and resources
informant |  | 0..* | Informant |
participant |  | 0..* | Participant2 |
Slices for entryRelationship |  | 0..* | EntryRelationship | Slice: Unordered, Open by profile:observation, profile:substanceAdministration, profile:act, profile:procedure, profile:encounter, profile:supply
entryRelationship:advanceDirectiveObservation |  | 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 | AdvanceDirectiveObservation | 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:immunizationActivity |  | 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 | ImmunizationActivity | Base for all types and resources
supply |  | 0..1 | Supply |
entryRelationship:medicationActivity |  | 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 | C | 1..1 | MedicationActivity | Base for all types and resources
supply |  | 0..1 | Supply |
entryRelationship:interventionAct |  | 0..* | EntryRelationship | The following entryRelationship represents the relationship between two Intervention Acts (Intervention RELATES TO Intervention).
@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 | InterventionAct | 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 |
entryRelationship:procedureActivityProcedure |  | 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 | ProcedureActivityProcedure | Base for all types and resources
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
entryRelationship:encounterActivity |  | 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 | EncounterActivity | 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:instruction |  | 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 | Instruction | 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 |
entryRelationship:nonMedSupply |  | 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 | NonMedicinalSupplyActivity | Base for all types and resources
entryRelationship:nutritionRecommendation |  | 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)
@inversionInd |  | 0..1 | bl |
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
act |  | 1..1 | NutritionRecommendation | 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 |
entryRelationship:entryReferenceRefr |  | 0..* | EntryRelationship | Where 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.
@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 | EntryReference | 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 |
entryRelationship:entryReferenceRson | C | 0..* | EntryRelationship | An 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).
@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: RSON
@inversionInd |  | 0..1 | bl |
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
act |  | 1..1 | EntryReference | 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 |
entryRelationship:handoffCommunicationParticipants |  | 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 | HandoffCommunicationParticipants | 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 |
entryRelationship:plannedInterventionAct |  | 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 | PlannedInterventionAct | 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 |
@nullFlavor |  | 0..1 | cs | Binding: NullFlavor (required)
realmCode |  | 0..* | CS |
typeId |  | 0..1 | II |
templateId |  | 0..* | II |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipExternalReference (required) Fixed Value: REFR
seperatableInd |  | 0..1 | BL |
externalAct |  | 0..1 | ExternalAct |
externalObservation |  | 0..1 | ExternalObservation |
externalProcedure |  | 0..1 | ExternalProcedure |
externalDocument |  | 1..1 | ExternalDocumentReference | Base for all types and resources
precondition |  | 0..* | Precondition |
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Act.nullFlavor | required | NullFlavor
Act.templateId:primary.nullFlavor | required | NullFlavor
Act.code | extensible | ActCode
Act.code.nullFlavor | required | NullFlavor
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:advanceDirectiveObservation.nullFlavor | required | NullFlavor
Act.entryRelationship:advanceDirectiveObservation.typeCode | required | Fixed Value: REFR
Act.entryRelationship:immunizationActivity.nullFlavor | required | NullFlavor
Act.entryRelationship:immunizationActivity.typeCode | required | Fixed Value: REFR
Act.entryRelationship:medicationActivity.nullFlavor | required | NullFlavor
Act.entryRelationship:medicationActivity.typeCode | required | Fixed Value: REFR
Act.entryRelationship:interventionAct.nullFlavor | required | NullFlavor
Act.entryRelationship:interventionAct.typeCode | required | Fixed Value: REFR
Act.entryRelationship:procedureActivityProcedure.nullFlavor | required | NullFlavor
Act.entryRelationship:procedureActivityProcedure.typeCode | required | Fixed Value: REFR
Act.entryRelationship:encounterActivity.nullFlavor | required | NullFlavor
Act.entryRelationship:encounterActivity.typeCode | required | Fixed Value: REFR
Act.entryRelationship:instruction.nullFlavor | required | NullFlavor
Act.entryRelationship:instruction.typeCode | required | Fixed Value: REFR
Act.entryRelationship:nonMedSupply.nullFlavor | required | NullFlavor
Act.entryRelationship:nonMedSupply.typeCode | required | Fixed Value: REFR
Act.entryRelationship:nutritionRecommendation.nullFlavor | required | NullFlavor
Act.entryRelationship:nutritionRecommendation.typeCode | required | XActRelationshipEntryRelationship
Act.entryRelationship:entryReferenceRefr.nullFlavor | required | NullFlavor
Act.entryRelationship:entryReferenceRefr.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryReferenceRson.nullFlavor | required | NullFlavor
Act.entryRelationship:entryReferenceRson.typeCode | required | Fixed Value: RSON
Act.entryRelationship:handoffCommunicationParticipants.nullFlavor | required | NullFlavor
Act.entryRelationship:handoffCommunicationParticipants.typeCode | required | Fixed Value: REFR
Act.entryRelationship:plannedInterventionAct.nullFlavor | required | NullFlavor
Act.entryRelationship:plannedInterventionAct.typeCode | required | Fixed Value: REFR
Act.reference.nullFlavor | required | NullFlavor
Act.reference.typeCode | required | Fixed Value: REFR

#### Constraints

Id | Grade | Path(s) | Details | Requirements
1098-30800 | warning | Act.entryRelationship:medicationActivity.substanceAdministration | Medication Activity **SHOULD** include doseQuantity **OR** rateQuantity (CONF:1098-30800). : |
1198-32459 | error | Act.entryRelationship:entryReferenceRson | This entryReference template **SHALL** reference an instance of a Goal Observation template (CONF:1198-32459). : |
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: 9 elements (14 nested mandatory elements)
Fixed Value: 16 elements

Structures

This structure refers to these other structures:

- Author Participation (http://hl7.org/cda/us/ccda/StructureDefinition/AuthorParticipation)
- Advance Directive Observation (http://hl7.org/cda/us/ccda/StructureDefinition/AdvanceDirectiveObservation)
- Immunization Activity (http://hl7.org/cda/us/ccda/StructureDefinition/ImmunizationActivity)
- Medication Activity (http://hl7.org/cda/us/ccda/StructureDefinition/MedicationActivity)
- Intervention Act (http://hl7.org/cda/us/ccda/StructureDefinition/InterventionAct)
- Procedure Activity Procedure (http://hl7.org/cda/us/ccda/StructureDefinition/ProcedureActivityProcedure)
- Encounter Activity (http://hl7.org/cda/us/ccda/StructureDefinition/EncounterActivity)
- Instruction (http://hl7.org/cda/us/ccda/StructureDefinition/Instruction)
- Non-Medicinal Supply Activity (http://hl7.org/cda/us/ccda/StructureDefinition/NonMedicinalSupplyActivity)
- Nutrition Recommendation (http://hl7.org/cda/us/ccda/StructureDefinition/NutritionRecommendation)
- Entry Reference (http://hl7.org/cda/us/ccda/StructureDefinition/EntryReference)
- Handoff Communication Participants (http://hl7.org/cda/us/ccda/StructureDefinition/HandoffCommunicationParticipants)
- Planned Intervention Act (http://hl7.org/cda/us/ccda/StructureDefinition/PlannedInterventionAct)
- External Document Reference (http://hl7.org/cda/us/ccda/StructureDefinition/ExternalDocumentReference)

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

Other representations of profile: CSV, Excel