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

## Example Binary: Policy Activity Example

This content is an example of the Policy Activity Logical Model and is not a FHIR Resource

    <act classCode="ACT" moodCode="EVN" xmlns="urn:hl7-org:v3">
      <templateId root="2.16.840.1.113883.10.20.22.4.61" extension="2015-08-01" />
      <id root="3e676a50-7aac-11db-9fe1-0800200c9a66" />
      <code code="12" displayName="Medicare Secondary Working Aged Beneficiary or Spouse with Employer Group Health Plan"
                 codeSystemName="Insurance Type Code (x12N-1336)"
                 codeSystem="2.16.840.1.113883.6.255.1336">
        <translation code="2" displayName="Medicare"
                                        codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="Source of Payment Typology (PHDSC)"></translation>
      </code>
      <statusCode code="completed" />
      <!-- Insurance company information -->
      <performer typeCode="PRF">
        <templateId root="2.16.840.1.113883.10.20.22.4.87" />
        <time>
          <low nullFlavor="UNK" />
          <high nullFlavor="UNK" />
        </time>
        <assignedEntity>
          <id root="2.16.840.1.113883.19" />
          <code code="PAYOR" codeSystem="2.16.840.1.113883.5.110" codeSystemName="HL7 RoleCode" />
          <addr use="WP">
            <streetAddressLine>123 Insurance Road</streetAddressLine>
            <city>Blue Bell</city>
            <state>MA</state>
            <postalCode>02368</postalCode>
            <country>US</country>
            <!-- US is "United States" from ISO 3166-1 Country Codes: 1.0.3166.1 -->
          </addr>
          <telecom value="tel:+(555)555-1515" use="WP" />
          <representedOrganization>
            <name>Good Health Insurance</name>
            <telecom value="tel:+(555)555-1515" use="WP" />
            <addr use="WP">
              <streetAddressLine>123 Insurance Road</streetAddressLine>
              <city>Blue Bell</city>
              <state>MA</state>
              <postalCode>02368</postalCode>
              <country>US</country>
            </addr>
          </representedOrganization>
        </assignedEntity>
      </performer>
      <!-- Guarantor information (the person responsible for the final bill) -->
      <performer typeCode="PRF">
        <templateId root="2.16.840.1.113883.10.20.22.4.88" />
        <time>
          <low nullFlavor="UNK" />
          <high nullFlavor="UNK" />
        </time>
        <assignedEntity>
          <id root="329fcdf0-7ab3-11db-9fe1-0800200c9a66" />
          <code code="GUAR" codeSystem="2.16.840.1.113883.5.111" codeSystemName="HL7 RoleCode" />
          <addr use="HP">
            <streetAddressLine>17 Daws Rd.</streetAddressLine>
            <city>Blue Bell</city>
            <state>MA</state>
            <postalCode>02368</postalCode>
            <country>US</country>
          </addr>
          <telecom value="tel:+(781)555-1212" use="HP" />
          <assignedPerson>
            <name>
              <prefix>Mr.</prefix>
              <given>Adam</given>
              <given>Frankie</given>
              <family>Everyman</family>
            </name>
          </assignedPerson>
        </assignedEntity>
      </performer>
      <!-- Covered party -->
      <participant typeCode="COV">
        <templateId root="2.16.840.1.113883.10.20.22.4.89.2" />
        <time>
          <low nullFlavor="UNK" />
          <high nullFlavor="UNK" />
        </time>
        <participantRole classCode="PAT">
          <!-- Health plan ID for patient. -->
          <id root="1.1.1.1.1.1.1.1.14" extension="1138345" />
          <code code="SELF" codeSystem="2.16.840.1.113883.5.111" />
          <addr use="HP">
            <streetAddressLine>17 Daws Rd.</streetAddressLine>
            <city>Blue Bell</city>
            <state>MA</state>
            <postalCode>02368</postalCode>
            <country>US</country>
          </addr>
          <playingEntity>
            <name>
              <!-- Name is needed if different than name on health plan. -->
              <prefix>Mr.</prefix>
              <given>Frank</given>
              <given>A.</given>
              <family>Everyman</family>
            </name>
          </playingEntity>
        </participantRole>
      </participant>
      <!-- Policy holder -->
      <participant typeCode="HLD">
        <templateId root="2.16.840.1.113883.10.20.22.4.90.2" />
        <participantRole>
          <id extension="1138345" root="2.16.840.1.113883.19" />
          <addr use="HP">
            <streetAddressLine>17 Daws Rd.</streetAddressLine>
            <city>Blue Bell</city>
            <state>MA</state>
            <postalCode>02368</postalCode>
            <country>US</country>
          </addr>
        </participantRole>
      </participant>
      <entryRelationship typeCode="REFR">
        <act classCode="ACT" moodCode="EVN">
          <templateId root="2.16.840.1.113883.10.20.1.19" />
                 . . .

        </act>
      </entryRelationship>
    </act>