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: Handoff Communication Participants

Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/HandoffCommunicationParticipants | Version: 2.1
Draft as of 2023-09-29 | Computable Name: HandoffCommunicationParticipants
Other Identifiers: id: urn:oid:2.16.840.1.113883.10.20.22.4.141

This template represents the sender (author) and receivers (participants) of a handoff communication in a plan of treatment. It does not convey details about the communication. The “handoff” process involves senders, those transmitting the patient’s information and releasing the care of that patient to the next clinician, and receivers, those who accept the patient information and care of that patient.

Usage:

- Use this Logical Model: Activities Section, 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 | Fixed Value: EVN
Slices for templateId |  | 1..* | II | Slice: Unordered, Open by value:root
templateId:primary |  | 1..1 | II |
root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.141
extension |  | 0..0 |  |
code |  | 1..1 | CD |
code |  | 1..1 | cs | Required Pattern: 432138007
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 |  | 1..1 | IVL_TS | The effective time is the time when the handoff process took place between the sender and receiver of the patient information. This could be the time the information was transmitted, released, or verbally communicated to the next clinician.
author |  | 1..* | AuthorParticipation | The Author Participant contains the sender's contact information and is a resource for the Information Recipient for any follow-up questions.
Slices for participant |  | 1..* | Participant2 | Documentation of the Information Recipient's name and address verifies that the information was exchanged. Slice: Unordered, Open by value:typeCode
participant:infoRecipient |  | 1..* | Participant2 |
typeCode |  | 1..1 | cs | Fixed Value: IRCP
participantRole |  | 1..1 | ParticipantRole |
id |  | 1..* | II |
code |  | 0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred)
addr |  | 1..* | AD |
playingEntity |  | 0..1 | PlayingEntity |
name |  | 1..* | PN |
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet
Act.participant:infoRecipient.participantRole.code | preferred | Healthcare Provider Taxonomy (a valid code from `http://nucc.org/provider-taxonomy`)

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
templateId:primary |  | 1..1 | II |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.141
code |  | 1..1 | CD | Binding: v3 Code System ActCode (extensible)
@code |  | 1..1 | cs | Required Pattern: 432138007
@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 |  | 1..1 | IVL_TS | The effective time is the time when the handoff process took place between the sender and receiver of the patient information. This could be the time the information was transmitted, released, or verbally communicated to the next clinician.
author |  | 1..* | AuthorParticipation | The Author Participant contains the sender's contact information and is a resource for the Information Recipient for any follow-up questions.
Slices for participant |  | 1..* | Participant2 | Documentation of the Information Recipient's name and address verifies that the information was exchanged. Slice: Unordered, Open by value:typeCode
participant:infoRecipient |  | 1..* | Participant2 |
@typeCode |  | 1..1 | cs | Binding: ParticipationType (required) Fixed Value: IRCP
participantRole |  | 1..1 | ParticipantRole |
@classCode |  | 1..1 | cs | Binding: RoleClassRoot (required)
id |  | 1..* | II |
code |  | 0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred)
addr |  | 1..* | AD |
playingEntity |  | 0..1 | PlayingEntity |
@classCode |  | 1..1 | cs | Binding: EntityClassRoot (required)
name |  | 1..* | PN |
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Act.code | extensible | ActCode
Act.statusCode | required | ActStatus
Act.participant:infoRecipient.typeCode | required | Fixed Value: IRCP
Act.participant:infoRecipient.participantRole.classCode | required | RoleClassRoot
Act.participant:infoRecipient.participantRole.code | preferred | Healthcare Provider Taxonomy (a valid code from `http://nucc.org/provider-taxonomy`)
Act.participant:infoRecipient.participantRole.playingEntity.classCode | required | EntityClassRoot

#### 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 | Fixed Value: EVN
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: 2.16.840.1.113883.10.20.22.4.141
id |  | 0..* | II |
code |  | 1..1 | CD | Binding: v3 Code System ActCode (extensible)
@nullFlavor |  | 0..1 | cs | Binding: NullFlavor (required)
@code |  | 1..1 | cs | Required Pattern: 432138007
@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 |  | 1..1 | IVL_TS | The effective time is the time when the handoff process took place between the sender and receiver of the patient information. This could be the time the information was transmitted, released, or verbally communicated to the next clinician.
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 |  | 1..* | AuthorParticipation | The Author Participant contains the sender's contact information and is a resource for the Information Recipient for any follow-up questions.
informant |  | 0..* | Informant |
Slices for participant |  | 1..* | Participant2 | Documentation of the Information Recipient's name and address verifies that the information was exchanged. Slice: Unordered, Open by value:typeCode
participant:infoRecipient |  | 1..* | Participant2 |
@nullFlavor |  | 0..1 | cs | Binding: NullFlavor (required)
@typeCode |  | 1..1 | cs | Binding: ParticipationType (required) Fixed Value: IRCP
@contextControlCode |  | 0..1 | cs | Binding: ContextControl (required) Fixed Value: OP
realmCode |  | 0..* | CS |
typeId |  | 0..1 | II |
templateId |  | 0..* | II |
sdtcFunctionCode |  | 0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: functionCode (urn:hl7-org:sdtc)
time |  | 0..1 | IVL_TS |
awarenessCode |  | 0..1 | CE |
participantRole |  | 1..1 | ParticipantRole |
@classCode |  | 1..1 | cs | Binding: RoleClassRoot (required)
templateId |  | 0..* | II |
id |  | 1..* | II |
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code |  | 0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred)
addr |  | 1..* | AD |
telecom |  | 0..* | TEL |
playingDevice |  | 0..1 | Device |
playingEntity |  | 0..1 | PlayingEntity |
@classCode |  | 1..1 | cs | Binding: EntityClassRoot (required)
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE
templateId |  | 0..* | II |
code |  | 0..1 | CE | Binding: EntityCode (extensible)
quantity |  | 0..* | PQ |
name |  | 1..* | PN |
sdtcBirthTime |  | 0..1 | TS | XML Namespace: urn:hl7-org:sdtc XML: birthTime (urn:hl7-org:sdtc)
desc |  | 0..1 | ED |
scopingEntity |  | 0..1 | Entity |
entryRelationship |  | 0..* | EntryRelationship |
reference |  | 0..* | Reference |
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.participant:infoRecipient.nullFlavor | required | NullFlavor
Act.participant:infoRecipient.typeCode | required | Fixed Value: IRCP
Act.participant:infoRecipient.contextControlCode | required | Fixed Value: OP
Act.participant:infoRecipient.participantRole.classCode | required | RoleClassRoot
Act.participant:infoRecipient.participantRole.code | preferred | Healthcare Provider Taxonomy (a valid code from `http://nucc.org/provider-taxonomy`)
Act.participant:infoRecipient.participantRole.playingEntity.classCode | required | EntityClassRoot
Act.participant:infoRecipient.participantRole.playingEntity.determinerCode | required | Fixed Value: INSTANCE
Act.participant:infoRecipient.participantRole.playingEntity.code | extensible | EntityCode

#### 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: 14 elements (1 nested mandatory element)
Fixed Value: 4 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

- Author Participation (http://hl7.org/cda/us/ccda/StructureDefinition/AuthorParticipation)

Slices

This structure defines the following Slices:

- The element Act.templateId is sliced based on the value of value:root
- The element Act.participant is sliced based on the value of value:typeCode

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
templateId:primary |  | 1..1 | II |
root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.141
extension |  | 0..0 |  |
code |  | 1..1 | CD |
code |  | 1..1 | cs | Required Pattern: 432138007
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 |  | 1..1 | IVL_TS | The effective time is the time when the handoff process took place between the sender and receiver of the patient information. This could be the time the information was transmitted, released, or verbally communicated to the next clinician.
author |  | 1..* | AuthorParticipation | The Author Participant contains the sender's contact information and is a resource for the Information Recipient for any follow-up questions.
Slices for participant |  | 1..* | Participant2 | Documentation of the Information Recipient's name and address verifies that the information was exchanged. Slice: Unordered, Open by value:typeCode
participant:infoRecipient |  | 1..* | Participant2 |
typeCode |  | 1..1 | cs | Fixed Value: IRCP
participantRole |  | 1..1 | ParticipantRole |
id |  | 1..* | II |
code |  | 0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred)
addr |  | 1..* | AD |
playingEntity |  | 0..1 | PlayingEntity |
name |  | 1..* | PN |
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet
Act.participant:infoRecipient.participantRole.code | preferred | Healthcare Provider Taxonomy (a valid code from `http://nucc.org/provider-taxonomy`)

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
templateId:primary |  | 1..1 | II |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.141
code |  | 1..1 | CD | Binding: v3 Code System ActCode (extensible)
@code |  | 1..1 | cs | Required Pattern: 432138007
@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 |  | 1..1 | IVL_TS | The effective time is the time when the handoff process took place between the sender and receiver of the patient information. This could be the time the information was transmitted, released, or verbally communicated to the next clinician.
author |  | 1..* | AuthorParticipation | The Author Participant contains the sender's contact information and is a resource for the Information Recipient for any follow-up questions.
Slices for participant |  | 1..* | Participant2 | Documentation of the Information Recipient's name and address verifies that the information was exchanged. Slice: Unordered, Open by value:typeCode
participant:infoRecipient |  | 1..* | Participant2 |
@typeCode |  | 1..1 | cs | Binding: ParticipationType (required) Fixed Value: IRCP
participantRole |  | 1..1 | ParticipantRole |
@classCode |  | 1..1 | cs | Binding: RoleClassRoot (required)
id |  | 1..* | II |
code |  | 0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred)
addr |  | 1..* | AD |
playingEntity |  | 0..1 | PlayingEntity |
@classCode |  | 1..1 | cs | Binding: EntityClassRoot (required)
name |  | 1..* | PN |
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Act.code | extensible | ActCode
Act.statusCode | required | ActStatus
Act.participant:infoRecipient.typeCode | required | Fixed Value: IRCP
Act.participant:infoRecipient.participantRole.classCode | required | RoleClassRoot
Act.participant:infoRecipient.participantRole.code | preferred | Healthcare Provider Taxonomy (a valid code from `http://nucc.org/provider-taxonomy`)
Act.participant:infoRecipient.participantRole.playingEntity.classCode | required | EntityClassRoot

#### 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 | Fixed Value: EVN
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: 2.16.840.1.113883.10.20.22.4.141
id |  | 0..* | II |
code |  | 1..1 | CD | Binding: v3 Code System ActCode (extensible)
@nullFlavor |  | 0..1 | cs | Binding: NullFlavor (required)
@code |  | 1..1 | cs | Required Pattern: 432138007
@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 |  | 1..1 | IVL_TS | The effective time is the time when the handoff process took place between the sender and receiver of the patient information. This could be the time the information was transmitted, released, or verbally communicated to the next clinician.
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 |  | 1..* | AuthorParticipation | The Author Participant contains the sender's contact information and is a resource for the Information Recipient for any follow-up questions.
informant |  | 0..* | Informant |
Slices for participant |  | 1..* | Participant2 | Documentation of the Information Recipient's name and address verifies that the information was exchanged. Slice: Unordered, Open by value:typeCode
participant:infoRecipient |  | 1..* | Participant2 |
@nullFlavor |  | 0..1 | cs | Binding: NullFlavor (required)
@typeCode |  | 1..1 | cs | Binding: ParticipationType (required) Fixed Value: IRCP
@contextControlCode |  | 0..1 | cs | Binding: ContextControl (required) Fixed Value: OP
realmCode |  | 0..* | CS |
typeId |  | 0..1 | II |
templateId |  | 0..* | II |
sdtcFunctionCode |  | 0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: functionCode (urn:hl7-org:sdtc)
time |  | 0..1 | IVL_TS |
awarenessCode |  | 0..1 | CE |
participantRole |  | 1..1 | ParticipantRole |
@classCode |  | 1..1 | cs | Binding: RoleClassRoot (required)
templateId |  | 0..* | II |
id |  | 1..* | II |
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code |  | 0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred)
addr |  | 1..* | AD |
telecom |  | 0..* | TEL |
playingDevice |  | 0..1 | Device |
playingEntity |  | 0..1 | PlayingEntity |
@classCode |  | 1..1 | cs | Binding: EntityClassRoot (required)
@determinerCode |  | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE
templateId |  | 0..* | II |
code |  | 0..1 | CE | Binding: EntityCode (extensible)
quantity |  | 0..* | PQ |
name |  | 1..* | PN |
sdtcBirthTime |  | 0..1 | TS | XML Namespace: urn:hl7-org:sdtc XML: birthTime (urn:hl7-org:sdtc)
desc |  | 0..1 | ED |
scopingEntity |  | 0..1 | Entity |
entryRelationship |  | 0..* | EntryRelationship |
reference |  | 0..* | Reference |
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.participant:infoRecipient.nullFlavor | required | NullFlavor
Act.participant:infoRecipient.typeCode | required | Fixed Value: IRCP
Act.participant:infoRecipient.contextControlCode | required | Fixed Value: OP
Act.participant:infoRecipient.participantRole.classCode | required | RoleClassRoot
Act.participant:infoRecipient.participantRole.code | preferred | Healthcare Provider Taxonomy (a valid code from `http://nucc.org/provider-taxonomy`)
Act.participant:infoRecipient.participantRole.playingEntity.classCode | required | EntityClassRoot
Act.participant:infoRecipient.participantRole.playingEntity.determinerCode | required | Fixed Value: INSTANCE
Act.participant:infoRecipient.participantRole.playingEntity.code | extensible | EntityCode

#### 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: 14 elements (1 nested mandatory element)
Fixed Value: 4 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

- Author Participation (http://hl7.org/cda/us/ccda/StructureDefinition/AuthorParticipation)

Slices

This structure defines the following Slices:

- The element Act.templateId is sliced based on the value of value:root
- The element Act.participant is sliced based on the value of value:typeCode

Other representations of profile: CSV, Excel