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: Health Concern Act

Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/HealthConcernAct | Version: 2.1
Draft as of 2023-09-29 | Computable Name: HealthConcernAct
Other Identifiers: id: urn:hl7ii:2.16.840.1.113883.10.20.22.4.132:2022-06-01

This template represents a health concern.

It is a wrapper for a single health concern which may be derived from a variety of sources within an EHR (such as Problem List, Family History, Social History, Social Worker Note, etc.).

A Health Concern Act is used to track non-optimal physical or psychological situations drawing the patient to the healthcare system. These may be from the perspective of the care team or from the perspective of the patient. When the underlying condition is of concern (i.e., as long as the condition, whether active or resolved, is of ongoing concern and interest), the statusCode is active. Only when the underlying condition is no longer of concern is the statusCode set to completed. The effectiveTime reflects the time that the underlying condition was felt to be a concern; it may or may not correspond to the effectiveTime of the condition (e.g., even five years later, a prior heart attack may remain a concern). Health concerns require intervention(s) to increase the likelihood of achieving the goals of care for the patient and they specify the condition oriented reasons for creating the plan.

Usage:

- Use this Logical Model: Health Concerns 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 | C | 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 4515-32962: When this Health Concern Act is a Social Determinant of Health Health Concern it **SHOULD** contain zero or more [0..*] entryRelationship subentries such that it contains an observation with an observation/value selected from ValueSet [Social Determinant of Health Conditions 2.16.840.1.113762.1.4.1196.788](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1196.788/expansion) **DYNAMIC** (CONF:4515-32962).
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:templateId1 |  | 1..1 | II | templateId
root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.132
extension |  | 1..1 | st | Required Pattern: 2022-06-01
id |  | 1..* | II |
code |  | 1..1 | CD |
code |  | 1..1 | cs | Required Pattern: 75310-3
codeSystem |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1
statusCode |  | 1..1 | CS |
code |  | 1..1 | cs | Binding: ProblemAct statusCode (required)
effectiveTime |  | 0..1 | IVL_TS |
author |  | 0..* | AuthorParticipation | Base for all types and resources
Slices for entryRelationship |  | 0..* | EntryRelationship | Slice: Unordered, Open by value:act, value:typeCode
entryRelationship:entryRelationship1 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | ProblemObservation | Base for all types and resources
entryRelationship:entryRelationship2 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | AllergyIntoleranceObservation | Base for all types and resources
entryRelationship:entryRelationship3 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
act | C | 1..1 | EntryReference | Base for all types and resources 4515-32860: The Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:4515-32860).
entryRelationship:entryRelationship4 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: COMP
act | C | 1..1 | EntryReference | Base for all types and resources 4515-32745: The Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:4515-32745).
entryRelationship:entryRelationship5 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | AssessmentScaleObservation | Base for all types and resources
entryRelationship:entryRelationship6 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | SelfCareActivitiesADLandIADL | Base for all types and resources
entryRelationship:entryRelationship7 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | MentalStatusObservation | Base for all types and resources
entryRelationship:entryRelationship8 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | SmokingStatusMeaningfulUse | Base for all types and resources
entryRelationship:entryRelationship9 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
act |  | 1..1 | EncounterDiagnosis | Base for all types and resources
entryRelationship:entryRelationship10 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
organizer |  | 1..1 | FamilyHistoryOrganizer | Base for all types and resources
entryRelationship:entryRelationship11 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | FunctionalStatusObservation | Base for all types and resources
entryRelationship:entryRelationship12 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
act |  | 1..1 | HospitalAdmissionDiagnosis | Base for all types and resources
entryRelationship:entryRelationship13 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | NutritionAssessment | Base for all types and resources
entryRelationship:entryRelationship14 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
act |  | 1..1 | PostprocedureDiagnosis | Base for all types and resources
entryRelationship:entryRelationship15 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | PregnancyObservation | Base for all types and resources
entryRelationship:entryRelationship16 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
act |  | 1..1 | PreoperativeDiagnosis | Base for all types and resources
entryRelationship:entryRelationship17 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | ReactionObservation | Base for all types and resources
entryRelationship:entryRelationship18 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | ResultObservation | Base for all types and resources
entryRelationship:entryRelationship19 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | SensoryStatus | Base for all types and resources
entryRelationship:entryRelationship20 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | SocialHistoryObservation | Base for all types and resources
entryRelationship:entryRelationship21 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | SubstanceOrDeviceAllergyIntoleranceObservation | Base for all types and resources
entryRelationship:entryRelationship22 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | TobaccoUse | Base for all types and resources
entryRelationship:entryRelationship23 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | VitalSignObservation | Base for all types and resources
entryRelationship:entryRelationship24 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | LongitudinalCareWoundObservation | Base for all types and resources
entryRelationship:entryRelationship25 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: SPRT
observation |  | 1..1 | ProblemObservation | Base for all types and resources
entryRelationship:entryRelationship26 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | CaregiverCharacteristics | Base for all types and resources
entryRelationship:entryRelationship27 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | CulturalandReligiousObservation | Base for all types and resources
entryRelationship:entryRelationship28 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | CharacteristicsofHomeEnvironment | Base for all types and resources
entryRelationship:entryRelationship29 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | NutritionalStatusObservation | Base for all types and resources
entryRelationship:entryRelationship30 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
organizer |  | 1..1 | ResultOrganizer | Base for all types and resources
entryRelationship:entryRelationship31 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | PriorityPreference | Base for all types and resources
entryRelationship:entryRelationship32 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
act |  | 1..1 | EntryReference | 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

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet
Act.statusCode.code | required | ProblemAct statusCode

#### Constraints

Id | Grade | Path(s) | Details | Requirements
4515-32745 | error | Act.entryRelationship:entryRelationship4.act | The Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:4515-32745). : |
4515-32860 | error | Act.entryRelationship:entryRelationship3.act | The Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:4515-32860). : |
4515-32962 | error | Act | When this Health Concern Act is a Social Determinant of Health Health Concern it **SHOULD** contain zero or more [0..*] entryRelationship subentries such that it contains an observation with an observation/value selected from ValueSet [Social Determinant of Health Conditions 2.16.840.1.113762.1.4.1196.788](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1196.788/expansion) **DYNAMIC** (CONF:4515-32962). : |

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Act | C | 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 4515-32962: When this Health Concern Act is a Social Determinant of Health Health Concern it **SHOULD** contain zero or more [0..*] entryRelationship subentries such that it contains an observation with an observation/value selected from ValueSet [Social Determinant of Health Conditions 2.16.840.1.113762.1.4.1196.788](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1196.788/expansion) **DYNAMIC** (CONF:4515-32962).
@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:templateId1 |  | 1..1 | II | templateId
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.132
@extension |  | 1..1 | st | Required Pattern: 2022-06-01
id |  | 1..* | II |
code |  | 1..1 | CD | Binding: v3 Code System ActCode (extensible)
@code |  | 1..1 | cs | Required Pattern: 75310-3
@codeSystem |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1
statusCode |  | 1..1 | CS | Binding: ActStatus (required)
@code |  | 1..1 | cs | Binding: ProblemAct statusCode (required)
effectiveTime |  | 0..1 | IVL_TS |
author |  | 0..* | AuthorParticipation | Base for all types and resources
Slices for entryRelationship |  | 0..* | EntryRelationship | Slice: Unordered, Open by value:act, value:typeCode
entryRelationship:entryRelationship1 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | ProblemObservation | Base for all types and resources
entryRelationship:entryRelationship2 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | AllergyIntoleranceObservation | Base for all types and resources
entryRelationship:entryRelationship3 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
act | C | 1..1 | EntryReference | Base for all types and resources 4515-32860: The Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:4515-32860).
entryRelationship:entryRelationship4 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: COMP
act | C | 1..1 | EntryReference | Base for all types and resources 4515-32745: The Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:4515-32745).
entryRelationship:entryRelationship5 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | AssessmentScaleObservation | Base for all types and resources
entryRelationship:entryRelationship6 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | SelfCareActivitiesADLandIADL | Base for all types and resources
entryRelationship:entryRelationship7 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | MentalStatusObservation | Base for all types and resources
entryRelationship:entryRelationship8 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | SmokingStatusMeaningfulUse | Base for all types and resources
entryRelationship:entryRelationship9 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
act |  | 1..1 | EncounterDiagnosis | Base for all types and resources
entryRelationship:entryRelationship10 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
organizer |  | 1..1 | FamilyHistoryOrganizer | Base for all types and resources
entryRelationship:entryRelationship11 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | FunctionalStatusObservation | Base for all types and resources
entryRelationship:entryRelationship12 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
act |  | 1..1 | HospitalAdmissionDiagnosis | Base for all types and resources
entryRelationship:entryRelationship13 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | NutritionAssessment | Base for all types and resources
entryRelationship:entryRelationship14 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
act |  | 1..1 | PostprocedureDiagnosis | Base for all types and resources
entryRelationship:entryRelationship15 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | PregnancyObservation | Base for all types and resources
entryRelationship:entryRelationship16 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
act |  | 1..1 | PreoperativeDiagnosis | Base for all types and resources
entryRelationship:entryRelationship17 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | ReactionObservation | Base for all types and resources
entryRelationship:entryRelationship18 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | ResultObservation | Base for all types and resources
entryRelationship:entryRelationship19 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | SensoryStatus | Base for all types and resources
entryRelationship:entryRelationship20 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | SocialHistoryObservation | Base for all types and resources
entryRelationship:entryRelationship21 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | SubstanceOrDeviceAllergyIntoleranceObservation | Base for all types and resources
entryRelationship:entryRelationship22 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | TobaccoUse | Base for all types and resources
entryRelationship:entryRelationship23 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | VitalSignObservation | Base for all types and resources
entryRelationship:entryRelationship24 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | LongitudinalCareWoundObservation | Base for all types and resources
entryRelationship:entryRelationship25 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: SPRT
observation |  | 1..1 | ProblemObservation | Base for all types and resources
entryRelationship:entryRelationship26 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | CaregiverCharacteristics | Base for all types and resources
entryRelationship:entryRelationship27 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | CulturalandReligiousObservation | Base for all types and resources
entryRelationship:entryRelationship28 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | CharacteristicsofHomeEnvironment | Base for all types and resources
entryRelationship:entryRelationship29 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | NutritionalStatusObservation | Base for all types and resources
entryRelationship:entryRelationship30 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
organizer |  | 1..1 | ResultOrganizer | Base for all types and resources
entryRelationship:entryRelationship31 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | PriorityPreference | Base for all types and resources
entryRelationship:entryRelationship32 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
act |  | 1..1 | EntryReference | 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.statusCode.code | required | ProblemAct statusCode
Act.entryRelationship:entryRelationship1.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship2.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship3.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship4.typeCode | required | Fixed Value: COMP
Act.entryRelationship:entryRelationship5.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship6.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship7.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship8.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship9.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship10.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship11.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship12.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship13.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship14.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship15.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship16.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship17.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship18.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship19.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship20.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship21.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship22.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship23.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship24.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship25.typeCode | required | Fixed Value: SPRT
Act.entryRelationship:entryRelationship26.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship27.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship28.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship29.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship30.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship31.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship32.typeCode | required | Fixed Value: REFR
Act.reference.typeCode | required | Fixed Value: REFR

#### Constraints

Id | Grade | Path(s) | Details | Requirements
4515-32745 | error | Act.entryRelationship:entryRelationship4.act | The Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:4515-32745). : |
4515-32860 | error | Act.entryRelationship:entryRelationship3.act | The Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:4515-32860). : |
4515-32962 | error | Act | When this Health Concern Act is a Social Determinant of Health Health Concern it **SHOULD** contain zero or more [0..*] entryRelationship subentries such that it contains an observation with an observation/value selected from ValueSet [Social Determinant of Health Conditions 2.16.840.1.113762.1.4.1196.788](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1196.788/expansion) **DYNAMIC** (CONF:4515-32962). : |
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 | C | 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 4515-32962: When this Health Concern Act is a Social Determinant of Health Health Concern it **SHOULD** contain zero or more [0..*] entryRelationship subentries such that it contains an observation with an observation/value selected from ValueSet [Social Determinant of Health Conditions 2.16.840.1.113762.1.4.1196.788](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1196.788/expansion) **DYNAMIC** (CONF:4515-32962).
@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:templateId1 |  | 1..1 | II | templateId
@nullFlavor |  | 0..1 | cs | Binding: NullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.132
@extension |  | 1..1 | st | Required Pattern: 2022-06-01
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: 75310-3
@codeSystem |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1
@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 | Binding: ProblemAct statusCode (required)
@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 value:act, value:typeCode
entryRelationship:entryRelationship1 |  | 0..* | EntryRelationship | 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 | ProblemObservation | 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:entryRelationship2 |  | 0..* | EntryRelationship | 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 | AllergyIntoleranceObservation | 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:entryRelationship3 |  | 0..* | EntryRelationship | 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 | C | 1..1 | EntryReference | Base for all types and resources 4515-32860: The Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:4515-32860).
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:entryRelationship4 |  | 0..* | EntryRelationship | 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: COMP
@inversionInd |  | 0..1 | bl |
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
act | C | 1..1 | EntryReference | Base for all types and resources 4515-32745: The Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:4515-32745).
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:entryRelationship5 |  | 0..* | EntryRelationship | 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 | AssessmentScaleObservation | 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:entryRelationship6 |  | 0..* | EntryRelationship | 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 | SelfCareActivitiesADLandIADL | 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:entryRelationship7 |  | 0..* | EntryRelationship | 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 | MentalStatusObservation | 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:entryRelationship8 |  | 0..* | EntryRelationship | 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 | SmokingStatusMeaningfulUse | 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:entryRelationship9 |  | 0..* | EntryRelationship | 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 | EncounterDiagnosis | 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:entryRelationship10 |  | 0..* | EntryRelationship | 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 |  | 1..1 | FamilyHistoryOrganizer | Base for all types and resources
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
entryRelationship:entryRelationship11 |  | 0..* | EntryRelationship | 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 | FunctionalStatusObservation | 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:entryRelationship12 |  | 0..* | EntryRelationship | 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 | HospitalAdmissionDiagnosis | 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:entryRelationship13 |  | 0..* | EntryRelationship | 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 | NutritionAssessment | 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:entryRelationship14 |  | 0..* | EntryRelationship | 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 | PostprocedureDiagnosis | 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:entryRelationship15 |  | 0..* | EntryRelationship | 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 | PregnancyObservation | 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:entryRelationship16 |  | 0..* | EntryRelationship | 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 | PreoperativeDiagnosis | 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:entryRelationship17 |  | 0..* | EntryRelationship | 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 | ReactionObservation | 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:entryRelationship18 |  | 0..* | EntryRelationship | 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 | ResultObservation | 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:entryRelationship19 |  | 0..* | EntryRelationship | 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 | SensoryStatus | 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:entryRelationship20 |  | 0..* | EntryRelationship | 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 | SocialHistoryObservation | 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:entryRelationship21 |  | 0..* | EntryRelationship | 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 | SubstanceOrDeviceAllergyIntoleranceObservation | 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:entryRelationship22 |  | 0..* | EntryRelationship | 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 | TobaccoUse | 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:entryRelationship23 |  | 0..* | EntryRelationship | 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 | VitalSignObservation | 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:entryRelationship24 |  | 0..* | EntryRelationship | 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 | LongitudinalCareWoundObservation | 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:entryRelationship25 |  | 0..* | EntryRelationship | 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: SPRT
@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 | ProblemObservation | 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:entryRelationship26 |  | 0..* | EntryRelationship | 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 | CaregiverCharacteristics | 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:entryRelationship27 |  | 0..* | EntryRelationship | 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 | CulturalandReligiousObservation | 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:entryRelationship28 |  | 0..* | EntryRelationship | 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 | CharacteristicsofHomeEnvironment | 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:entryRelationship29 |  | 0..* | EntryRelationship | 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 | NutritionalStatusObservation | 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:entryRelationship30 |  | 0..* | EntryRelationship | 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 |  | 1..1 | ResultOrganizer | Base for all types and resources
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
entryRelationship:entryRelationship31 |  | 0..* | EntryRelationship | 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 | PriorityPreference | 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:entryRelationship32 |  | 0..* | EntryRelationship | 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 | 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 |
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:templateId1.nullFlavor | required | NullFlavor
Act.code | extensible | ActCode
Act.code.nullFlavor | required | NullFlavor
Act.statusCode | required | ActStatus
Act.statusCode.nullFlavor | required | NullFlavor
Act.statusCode.code | required | ProblemAct statusCode
Act.priorityCode | extensible | ActPriority
Act.languageCode | required | HumanLanguage (a valid code from `http://terminology.hl7.org/CodeSystem/ietf3066`)
Act.entryRelationship:entryRelationship1.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship1.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship2.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship2.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship3.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship3.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship4.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship4.typeCode | required | Fixed Value: COMP
Act.entryRelationship:entryRelationship5.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship5.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship6.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship6.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship7.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship7.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship8.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship8.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship9.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship9.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship10.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship10.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship11.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship11.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship12.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship12.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship13.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship13.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship14.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship14.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship15.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship15.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship16.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship16.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship17.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship17.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship18.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship18.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship19.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship19.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship20.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship20.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship21.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship21.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship22.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship22.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship23.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship23.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship24.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship24.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship25.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship25.typeCode | required | Fixed Value: SPRT
Act.entryRelationship:entryRelationship26.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship26.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship27.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship27.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship28.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship28.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship29.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship29.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship30.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship30.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship31.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship31.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship32.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship32.typeCode | required | Fixed Value: REFR
Act.reference.nullFlavor | required | NullFlavor
Act.reference.typeCode | required | Fixed Value: REFR

#### Constraints

Id | Grade | Path(s) | Details | Requirements
4515-32745 | error | Act.entryRelationship:entryRelationship4.act | The Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:4515-32745). : |
4515-32860 | error | Act.entryRelationship:entryRelationship3.act | The Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:4515-32860). : |
4515-32962 | error | Act | When this Health Concern Act is a Social Determinant of Health Health Concern it **SHOULD** contain zero or more [0..*] entryRelationship subentries such that it contains an observation with an observation/value selected from ValueSet [Social Determinant of Health Conditions 2.16.840.1.113762.1.4.1196.788](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1196.788/expansion) **DYNAMIC** (CONF:4515-32962). : |
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 (33 nested mandatory elements)
Fixed Value: 35 elements

Structures

This structure refers to these other structures:

- Author Participation (http://hl7.org/cda/us/ccda/StructureDefinition/AuthorParticipation)
- Problem Observation (http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation)
- Allergy - Intolerance Observation (http://hl7.org/cda/us/ccda/StructureDefinition/AllergyIntoleranceObservation)
- Entry Reference (http://hl7.org/cda/us/ccda/StructureDefinition/EntryReference)
- Assessment Scale Observation (http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentScaleObservation)
- Self-Care Activities (ADL and IADL) (http://hl7.org/cda/us/ccda/StructureDefinition/SelfCareActivitiesADLandIADL)
- Mental Status Observation (http://hl7.org/cda/us/ccda/StructureDefinition/MentalStatusObservation)
- Smoking Status - Meaningful Use (http://hl7.org/cda/us/ccda/StructureDefinition/SmokingStatusMeaningfulUse)
- Encounter Diagnosis (http://hl7.org/cda/us/ccda/StructureDefinition/EncounterDiagnosis)
- Family History Organizer (http://hl7.org/cda/us/ccda/StructureDefinition/FamilyHistoryOrganizer)
- Functional Status Observation (http://hl7.org/cda/us/ccda/StructureDefinition/FunctionalStatusObservation)
- Hospital Admission Diagnosis (http://hl7.org/cda/us/ccda/StructureDefinition/HospitalAdmissionDiagnosis)
- Nutrition Assessment (http://hl7.org/cda/us/ccda/StructureDefinition/NutritionAssessment)
- Postprocedure Diagnosis (http://hl7.org/cda/us/ccda/StructureDefinition/PostprocedureDiagnosis)
- Pregnancy Observation (http://hl7.org/cda/us/ccda/StructureDefinition/PregnancyObservation)
- Preoperative Diagnosis (http://hl7.org/cda/us/ccda/StructureDefinition/PreoperativeDiagnosis)
- Reaction Observation (http://hl7.org/cda/us/ccda/StructureDefinition/ReactionObservation)
- Result Observation (http://hl7.org/cda/us/ccda/StructureDefinition/ResultObservation)
- Sensory Status (http://hl7.org/cda/us/ccda/StructureDefinition/SensoryStatus)
- Social History Observation (http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistoryObservation)
- Substance or Device Allergy - Intolerance Observation (http://hl7.org/cda/us/ccda/StructureDefinition/SubstanceOrDeviceAllergyIntoleranceObservation)
- Tobacco Use (http://hl7.org/cda/us/ccda/StructureDefinition/TobaccoUse)
- Vital Sign Observation (http://hl7.org/cda/us/ccda/StructureDefinition/VitalSignObservation)
- Longitudinal Care Wound Observation (http://hl7.org/cda/us/ccda/StructureDefinition/LongitudinalCareWoundObservation)
- Caregiver Characteristics (http://hl7.org/cda/us/ccda/StructureDefinition/CaregiverCharacteristics)
- Cultural and Religious Observation (http://hl7.org/cda/us/ccda/StructureDefinition/CulturalandReligiousObservation)
- Characteristics of Home Environment (http://hl7.org/cda/us/ccda/StructureDefinition/CharacteristicsofHomeEnvironment)
- Nutritional Status Observation (http://hl7.org/cda/us/ccda/StructureDefinition/NutritionalStatusObservation)
- Result Organizer (http://hl7.org/cda/us/ccda/StructureDefinition/ResultOrganizer)
- Priority Preference (http://hl7.org/cda/us/ccda/StructureDefinition/PriorityPreference)
- 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 value:act, value:typeCode

Differential View

This structure is derived from CDAR2.Act

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Act | C | 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 4515-32962: When this Health Concern Act is a Social Determinant of Health Health Concern it **SHOULD** contain zero or more [0..*] entryRelationship subentries such that it contains an observation with an observation/value selected from ValueSet [Social Determinant of Health Conditions 2.16.840.1.113762.1.4.1196.788](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1196.788/expansion) **DYNAMIC** (CONF:4515-32962).
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:templateId1 |  | 1..1 | II | templateId
root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.132
extension |  | 1..1 | st | Required Pattern: 2022-06-01
id |  | 1..* | II |
code |  | 1..1 | CD |
code |  | 1..1 | cs | Required Pattern: 75310-3
codeSystem |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1
statusCode |  | 1..1 | CS |
code |  | 1..1 | cs | Binding: ProblemAct statusCode (required)
effectiveTime |  | 0..1 | IVL_TS |
author |  | 0..* | AuthorParticipation | Base for all types and resources
Slices for entryRelationship |  | 0..* | EntryRelationship | Slice: Unordered, Open by value:act, value:typeCode
entryRelationship:entryRelationship1 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | ProblemObservation | Base for all types and resources
entryRelationship:entryRelationship2 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | AllergyIntoleranceObservation | Base for all types and resources
entryRelationship:entryRelationship3 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
act | C | 1..1 | EntryReference | Base for all types and resources 4515-32860: The Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:4515-32860).
entryRelationship:entryRelationship4 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: COMP
act | C | 1..1 | EntryReference | Base for all types and resources 4515-32745: The Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:4515-32745).
entryRelationship:entryRelationship5 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | AssessmentScaleObservation | Base for all types and resources
entryRelationship:entryRelationship6 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | SelfCareActivitiesADLandIADL | Base for all types and resources
entryRelationship:entryRelationship7 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | MentalStatusObservation | Base for all types and resources
entryRelationship:entryRelationship8 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | SmokingStatusMeaningfulUse | Base for all types and resources
entryRelationship:entryRelationship9 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
act |  | 1..1 | EncounterDiagnosis | Base for all types and resources
entryRelationship:entryRelationship10 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
organizer |  | 1..1 | FamilyHistoryOrganizer | Base for all types and resources
entryRelationship:entryRelationship11 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | FunctionalStatusObservation | Base for all types and resources
entryRelationship:entryRelationship12 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
act |  | 1..1 | HospitalAdmissionDiagnosis | Base for all types and resources
entryRelationship:entryRelationship13 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | NutritionAssessment | Base for all types and resources
entryRelationship:entryRelationship14 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
act |  | 1..1 | PostprocedureDiagnosis | Base for all types and resources
entryRelationship:entryRelationship15 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | PregnancyObservation | Base for all types and resources
entryRelationship:entryRelationship16 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
act |  | 1..1 | PreoperativeDiagnosis | Base for all types and resources
entryRelationship:entryRelationship17 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | ReactionObservation | Base for all types and resources
entryRelationship:entryRelationship18 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | ResultObservation | Base for all types and resources
entryRelationship:entryRelationship19 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | SensoryStatus | Base for all types and resources
entryRelationship:entryRelationship20 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | SocialHistoryObservation | Base for all types and resources
entryRelationship:entryRelationship21 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | SubstanceOrDeviceAllergyIntoleranceObservation | Base for all types and resources
entryRelationship:entryRelationship22 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | TobaccoUse | Base for all types and resources
entryRelationship:entryRelationship23 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | VitalSignObservation | Base for all types and resources
entryRelationship:entryRelationship24 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | LongitudinalCareWoundObservation | Base for all types and resources
entryRelationship:entryRelationship25 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: SPRT
observation |  | 1..1 | ProblemObservation | Base for all types and resources
entryRelationship:entryRelationship26 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | CaregiverCharacteristics | Base for all types and resources
entryRelationship:entryRelationship27 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | CulturalandReligiousObservation | Base for all types and resources
entryRelationship:entryRelationship28 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | CharacteristicsofHomeEnvironment | Base for all types and resources
entryRelationship:entryRelationship29 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | NutritionalStatusObservation | Base for all types and resources
entryRelationship:entryRelationship30 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
organizer |  | 1..1 | ResultOrganizer | Base for all types and resources
entryRelationship:entryRelationship31 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
observation |  | 1..1 | PriorityPreference | Base for all types and resources
entryRelationship:entryRelationship32 |  | 0..* | EntryRelationship | entryRelationship
typeCode |  | 1..1 | cs | Fixed Value: REFR
act |  | 1..1 | EntryReference | 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

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet
Act.statusCode.code | required | ProblemAct statusCode

#### Constraints

Id | Grade | Path(s) | Details | Requirements
4515-32745 | error | Act.entryRelationship:entryRelationship4.act | The Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:4515-32745). : |
4515-32860 | error | Act.entryRelationship:entryRelationship3.act | The Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:4515-32860). : |
4515-32962 | error | Act | When this Health Concern Act is a Social Determinant of Health Health Concern it **SHOULD** contain zero or more [0..*] entryRelationship subentries such that it contains an observation with an observation/value selected from ValueSet [Social Determinant of Health Conditions 2.16.840.1.113762.1.4.1196.788](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1196.788/expansion) **DYNAMIC** (CONF:4515-32962). : |

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Act | C | 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 4515-32962: When this Health Concern Act is a Social Determinant of Health Health Concern it **SHOULD** contain zero or more [0..*] entryRelationship subentries such that it contains an observation with an observation/value selected from ValueSet [Social Determinant of Health Conditions 2.16.840.1.113762.1.4.1196.788](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1196.788/expansion) **DYNAMIC** (CONF:4515-32962).
@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:templateId1 |  | 1..1 | II | templateId
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.132
@extension |  | 1..1 | st | Required Pattern: 2022-06-01
id |  | 1..* | II |
code |  | 1..1 | CD | Binding: v3 Code System ActCode (extensible)
@code |  | 1..1 | cs | Required Pattern: 75310-3
@codeSystem |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1
statusCode |  | 1..1 | CS | Binding: ActStatus (required)
@code |  | 1..1 | cs | Binding: ProblemAct statusCode (required)
effectiveTime |  | 0..1 | IVL_TS |
author |  | 0..* | AuthorParticipation | Base for all types and resources
Slices for entryRelationship |  | 0..* | EntryRelationship | Slice: Unordered, Open by value:act, value:typeCode
entryRelationship:entryRelationship1 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | ProblemObservation | Base for all types and resources
entryRelationship:entryRelationship2 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | AllergyIntoleranceObservation | Base for all types and resources
entryRelationship:entryRelationship3 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
act | C | 1..1 | EntryReference | Base for all types and resources 4515-32860: The Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:4515-32860).
entryRelationship:entryRelationship4 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: COMP
act | C | 1..1 | EntryReference | Base for all types and resources 4515-32745: The Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:4515-32745).
entryRelationship:entryRelationship5 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | AssessmentScaleObservation | Base for all types and resources
entryRelationship:entryRelationship6 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | SelfCareActivitiesADLandIADL | Base for all types and resources
entryRelationship:entryRelationship7 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | MentalStatusObservation | Base for all types and resources
entryRelationship:entryRelationship8 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | SmokingStatusMeaningfulUse | Base for all types and resources
entryRelationship:entryRelationship9 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
act |  | 1..1 | EncounterDiagnosis | Base for all types and resources
entryRelationship:entryRelationship10 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
organizer |  | 1..1 | FamilyHistoryOrganizer | Base for all types and resources
entryRelationship:entryRelationship11 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | FunctionalStatusObservation | Base for all types and resources
entryRelationship:entryRelationship12 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
act |  | 1..1 | HospitalAdmissionDiagnosis | Base for all types and resources
entryRelationship:entryRelationship13 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | NutritionAssessment | Base for all types and resources
entryRelationship:entryRelationship14 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
act |  | 1..1 | PostprocedureDiagnosis | Base for all types and resources
entryRelationship:entryRelationship15 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | PregnancyObservation | Base for all types and resources
entryRelationship:entryRelationship16 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
act |  | 1..1 | PreoperativeDiagnosis | Base for all types and resources
entryRelationship:entryRelationship17 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | ReactionObservation | Base for all types and resources
entryRelationship:entryRelationship18 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | ResultObservation | Base for all types and resources
entryRelationship:entryRelationship19 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | SensoryStatus | Base for all types and resources
entryRelationship:entryRelationship20 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | SocialHistoryObservation | Base for all types and resources
entryRelationship:entryRelationship21 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | SubstanceOrDeviceAllergyIntoleranceObservation | Base for all types and resources
entryRelationship:entryRelationship22 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | TobaccoUse | Base for all types and resources
entryRelationship:entryRelationship23 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | VitalSignObservation | Base for all types and resources
entryRelationship:entryRelationship24 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | LongitudinalCareWoundObservation | Base for all types and resources
entryRelationship:entryRelationship25 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: SPRT
observation |  | 1..1 | ProblemObservation | Base for all types and resources
entryRelationship:entryRelationship26 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | CaregiverCharacteristics | Base for all types and resources
entryRelationship:entryRelationship27 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | CulturalandReligiousObservation | Base for all types and resources
entryRelationship:entryRelationship28 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | CharacteristicsofHomeEnvironment | Base for all types and resources
entryRelationship:entryRelationship29 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | NutritionalStatusObservation | Base for all types and resources
entryRelationship:entryRelationship30 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
organizer |  | 1..1 | ResultOrganizer | Base for all types and resources
entryRelationship:entryRelationship31 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
observation |  | 1..1 | PriorityPreference | Base for all types and resources
entryRelationship:entryRelationship32 |  | 0..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
act |  | 1..1 | EntryReference | 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.statusCode.code | required | ProblemAct statusCode
Act.entryRelationship:entryRelationship1.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship2.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship3.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship4.typeCode | required | Fixed Value: COMP
Act.entryRelationship:entryRelationship5.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship6.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship7.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship8.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship9.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship10.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship11.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship12.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship13.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship14.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship15.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship16.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship17.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship18.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship19.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship20.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship21.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship22.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship23.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship24.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship25.typeCode | required | Fixed Value: SPRT
Act.entryRelationship:entryRelationship26.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship27.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship28.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship29.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship30.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship31.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship32.typeCode | required | Fixed Value: REFR
Act.reference.typeCode | required | Fixed Value: REFR

#### Constraints

Id | Grade | Path(s) | Details | Requirements
4515-32745 | error | Act.entryRelationship:entryRelationship4.act | The Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:4515-32745). : |
4515-32860 | error | Act.entryRelationship:entryRelationship3.act | The Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:4515-32860). : |
4515-32962 | error | Act | When this Health Concern Act is a Social Determinant of Health Health Concern it **SHOULD** contain zero or more [0..*] entryRelationship subentries such that it contains an observation with an observation/value selected from ValueSet [Social Determinant of Health Conditions 2.16.840.1.113762.1.4.1196.788](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1196.788/expansion) **DYNAMIC** (CONF:4515-32962). : |
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 | C | 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 4515-32962: When this Health Concern Act is a Social Determinant of Health Health Concern it **SHOULD** contain zero or more [0..*] entryRelationship subentries such that it contains an observation with an observation/value selected from ValueSet [Social Determinant of Health Conditions 2.16.840.1.113762.1.4.1196.788](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1196.788/expansion) **DYNAMIC** (CONF:4515-32962).
@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:templateId1 |  | 1..1 | II | templateId
@nullFlavor |  | 0..1 | cs | Binding: NullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.132
@extension |  | 1..1 | st | Required Pattern: 2022-06-01
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: 75310-3
@codeSystem |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1
@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 | Binding: ProblemAct statusCode (required)
@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 value:act, value:typeCode
entryRelationship:entryRelationship1 |  | 0..* | EntryRelationship | 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 | ProblemObservation | 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:entryRelationship2 |  | 0..* | EntryRelationship | 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 | AllergyIntoleranceObservation | 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:entryRelationship3 |  | 0..* | EntryRelationship | 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 | C | 1..1 | EntryReference | Base for all types and resources 4515-32860: The Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:4515-32860).
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:entryRelationship4 |  | 0..* | EntryRelationship | 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: COMP
@inversionInd |  | 0..1 | bl |
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
act | C | 1..1 | EntryReference | Base for all types and resources 4515-32745: The Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:4515-32745).
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:entryRelationship5 |  | 0..* | EntryRelationship | 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 | AssessmentScaleObservation | 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:entryRelationship6 |  | 0..* | EntryRelationship | 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 | SelfCareActivitiesADLandIADL | 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:entryRelationship7 |  | 0..* | EntryRelationship | 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 | MentalStatusObservation | 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:entryRelationship8 |  | 0..* | EntryRelationship | 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 | SmokingStatusMeaningfulUse | 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:entryRelationship9 |  | 0..* | EntryRelationship | 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 | EncounterDiagnosis | 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:entryRelationship10 |  | 0..* | EntryRelationship | 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 |  | 1..1 | FamilyHistoryOrganizer | Base for all types and resources
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
entryRelationship:entryRelationship11 |  | 0..* | EntryRelationship | 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 | FunctionalStatusObservation | 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:entryRelationship12 |  | 0..* | EntryRelationship | 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 | HospitalAdmissionDiagnosis | 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:entryRelationship13 |  | 0..* | EntryRelationship | 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 | NutritionAssessment | 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:entryRelationship14 |  | 0..* | EntryRelationship | 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 | PostprocedureDiagnosis | 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:entryRelationship15 |  | 0..* | EntryRelationship | 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 | PregnancyObservation | 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:entryRelationship16 |  | 0..* | EntryRelationship | 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 | PreoperativeDiagnosis | 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:entryRelationship17 |  | 0..* | EntryRelationship | 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 | ReactionObservation | 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:entryRelationship18 |  | 0..* | EntryRelationship | 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 | ResultObservation | 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:entryRelationship19 |  | 0..* | EntryRelationship | 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 | SensoryStatus | 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:entryRelationship20 |  | 0..* | EntryRelationship | 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 | SocialHistoryObservation | 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:entryRelationship21 |  | 0..* | EntryRelationship | 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 | SubstanceOrDeviceAllergyIntoleranceObservation | 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:entryRelationship22 |  | 0..* | EntryRelationship | 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 | TobaccoUse | 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:entryRelationship23 |  | 0..* | EntryRelationship | 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 | VitalSignObservation | 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:entryRelationship24 |  | 0..* | EntryRelationship | 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 | LongitudinalCareWoundObservation | 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:entryRelationship25 |  | 0..* | EntryRelationship | 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: SPRT
@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 | ProblemObservation | 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:entryRelationship26 |  | 0..* | EntryRelationship | 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 | CaregiverCharacteristics | 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:entryRelationship27 |  | 0..* | EntryRelationship | 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 | CulturalandReligiousObservation | 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:entryRelationship28 |  | 0..* | EntryRelationship | 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 | CharacteristicsofHomeEnvironment | 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:entryRelationship29 |  | 0..* | EntryRelationship | 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 | NutritionalStatusObservation | 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:entryRelationship30 |  | 0..* | EntryRelationship | 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 |  | 1..1 | ResultOrganizer | Base for all types and resources
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
entryRelationship:entryRelationship31 |  | 0..* | EntryRelationship | 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 | PriorityPreference | 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:entryRelationship32 |  | 0..* | EntryRelationship | 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 | 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 |
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:templateId1.nullFlavor | required | NullFlavor
Act.code | extensible | ActCode
Act.code.nullFlavor | required | NullFlavor
Act.statusCode | required | ActStatus
Act.statusCode.nullFlavor | required | NullFlavor
Act.statusCode.code | required | ProblemAct statusCode
Act.priorityCode | extensible | ActPriority
Act.languageCode | required | HumanLanguage (a valid code from `http://terminology.hl7.org/CodeSystem/ietf3066`)
Act.entryRelationship:entryRelationship1.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship1.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship2.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship2.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship3.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship3.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship4.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship4.typeCode | required | Fixed Value: COMP
Act.entryRelationship:entryRelationship5.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship5.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship6.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship6.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship7.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship7.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship8.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship8.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship9.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship9.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship10.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship10.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship11.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship11.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship12.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship12.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship13.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship13.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship14.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship14.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship15.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship15.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship16.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship16.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship17.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship17.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship18.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship18.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship19.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship19.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship20.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship20.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship21.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship21.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship22.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship22.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship23.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship23.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship24.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship24.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship25.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship25.typeCode | required | Fixed Value: SPRT
Act.entryRelationship:entryRelationship26.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship26.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship27.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship27.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship28.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship28.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship29.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship29.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship30.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship30.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship31.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship31.typeCode | required | Fixed Value: REFR
Act.entryRelationship:entryRelationship32.nullFlavor | required | NullFlavor
Act.entryRelationship:entryRelationship32.typeCode | required | Fixed Value: REFR
Act.reference.nullFlavor | required | NullFlavor
Act.reference.typeCode | required | Fixed Value: REFR

#### Constraints

Id | Grade | Path(s) | Details | Requirements
4515-32745 | error | Act.entryRelationship:entryRelationship4.act | The Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:4515-32745). : |
4515-32860 | error | Act.entryRelationship:entryRelationship3.act | The Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:4515-32860). : |
4515-32962 | error | Act | When this Health Concern Act is a Social Determinant of Health Health Concern it **SHOULD** contain zero or more [0..*] entryRelationship subentries such that it contains an observation with an observation/value selected from ValueSet [Social Determinant of Health Conditions 2.16.840.1.113762.1.4.1196.788](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1196.788/expansion) **DYNAMIC** (CONF:4515-32962). : |
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 (33 nested mandatory elements)
Fixed Value: 35 elements

Structures

This structure refers to these other structures:

- Author Participation (http://hl7.org/cda/us/ccda/StructureDefinition/AuthorParticipation)
- Problem Observation (http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation)
- Allergy - Intolerance Observation (http://hl7.org/cda/us/ccda/StructureDefinition/AllergyIntoleranceObservation)
- Entry Reference (http://hl7.org/cda/us/ccda/StructureDefinition/EntryReference)
- Assessment Scale Observation (http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentScaleObservation)
- Self-Care Activities (ADL and IADL) (http://hl7.org/cda/us/ccda/StructureDefinition/SelfCareActivitiesADLandIADL)
- Mental Status Observation (http://hl7.org/cda/us/ccda/StructureDefinition/MentalStatusObservation)
- Smoking Status - Meaningful Use (http://hl7.org/cda/us/ccda/StructureDefinition/SmokingStatusMeaningfulUse)
- Encounter Diagnosis (http://hl7.org/cda/us/ccda/StructureDefinition/EncounterDiagnosis)
- Family History Organizer (http://hl7.org/cda/us/ccda/StructureDefinition/FamilyHistoryOrganizer)
- Functional Status Observation (http://hl7.org/cda/us/ccda/StructureDefinition/FunctionalStatusObservation)
- Hospital Admission Diagnosis (http://hl7.org/cda/us/ccda/StructureDefinition/HospitalAdmissionDiagnosis)
- Nutrition Assessment (http://hl7.org/cda/us/ccda/StructureDefinition/NutritionAssessment)
- Postprocedure Diagnosis (http://hl7.org/cda/us/ccda/StructureDefinition/PostprocedureDiagnosis)
- Pregnancy Observation (http://hl7.org/cda/us/ccda/StructureDefinition/PregnancyObservation)
- Preoperative Diagnosis (http://hl7.org/cda/us/ccda/StructureDefinition/PreoperativeDiagnosis)
- Reaction Observation (http://hl7.org/cda/us/ccda/StructureDefinition/ReactionObservation)
- Result Observation (http://hl7.org/cda/us/ccda/StructureDefinition/ResultObservation)
- Sensory Status (http://hl7.org/cda/us/ccda/StructureDefinition/SensoryStatus)
- Social History Observation (http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistoryObservation)
- Substance or Device Allergy - Intolerance Observation (http://hl7.org/cda/us/ccda/StructureDefinition/SubstanceOrDeviceAllergyIntoleranceObservation)
- Tobacco Use (http://hl7.org/cda/us/ccda/StructureDefinition/TobaccoUse)
- Vital Sign Observation (http://hl7.org/cda/us/ccda/StructureDefinition/VitalSignObservation)
- Longitudinal Care Wound Observation (http://hl7.org/cda/us/ccda/StructureDefinition/LongitudinalCareWoundObservation)
- Caregiver Characteristics (http://hl7.org/cda/us/ccda/StructureDefinition/CaregiverCharacteristics)
- Cultural and Religious Observation (http://hl7.org/cda/us/ccda/StructureDefinition/CulturalandReligiousObservation)
- Characteristics of Home Environment (http://hl7.org/cda/us/ccda/StructureDefinition/CharacteristicsofHomeEnvironment)
- Nutritional Status Observation (http://hl7.org/cda/us/ccda/StructureDefinition/NutritionalStatusObservation)
- Result Organizer (http://hl7.org/cda/us/ccda/StructureDefinition/ResultOrganizer)
- Priority Preference (http://hl7.org/cda/us/ccda/StructureDefinition/PriorityPreference)
- 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 value:act, value:typeCode

Other representations of profile: CSV, Excel