Consolidated CDA Release 2.2, published by Health Level Seven. This is not an authorized publication; it is the continuous build for version 2.2). This version is based on the current content of https://github.com/HL7/CDA-ccda-2.2/ and changes regularly. See the Directory of published versions
Official URL: http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.129 | Version: 2.2 | |||
Active as of 2022-05-13 | Computable Name: PlannedCoverage | |||
Other Identifiers: : urn:oid:2.16.840.1.113883.10.20.22.4.129 |
This template represents the insurance coverage intended to cover an act or procedure.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from CDAR2.Act
Summary
Mandatory: 19 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
This structure is derived from CDAR2.Act
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Act | 1..1 | CDAR2.Act | ||
classCode | 1..1 | code | Required Pattern: ACT | |
moodCode | 1..1 | code | Required Pattern: INT | |
Slices for templateId | 0..* | II | Slice: Unordered, Open by value:root | |
templateId:primary | 1..1 | II | ||
root | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.129 | |
id | 1..* | II | ||
code | 1..1 | CD | ||
code | 1..1 | string | Required Pattern: 48768-6 | |
codeSystem | 1..1 | string | Required Pattern: 2.16.840.1.113883.6.1 | |
statusCode | 1..1 | CS | ||
code | 1..1 | string | Required Pattern: active | |
author | 0..* | AuthorParticipation | ||
Slices for entryRelationship | 0..* | Element | Slice: Unordered, Open by profile:act | |
entryRelationship:entryRelationship1 | 1..1 | Element | ||
typeCode | 1..1 | code | Required Pattern: COMP | |
act | 1..1 | Act | ||
classCode | 1..1 | code | Required Pattern: ACT | |
moodCode | 1..1 | code | Required Pattern: INT | |
id | 1..* | II | These act/identifiers are unique identifiers for the policy or program providing the coverage. | |
code | 1..1 | CD | Binding: Payer (required) | |
statusCode | 1..1 | CS | ||
code | 1..1 | string | Required Pattern: active | |
Documentation for this format |
This structure is derived from CDAR2.Act
Summary
Mandatory: 19 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from CDAR2.Act
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Act | 1..1 | CDAR2.Act | ||
classCode | 1..1 | code | Required Pattern: ACT | |
moodCode | 1..1 | code | Required Pattern: INT | |
Slices for templateId | 0..* | II | Slice: Unordered, Open by value:root | |
templateId:primary | 1..1 | II | ||
root | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.129 | |
id | 1..* | II | ||
code | 1..1 | CD | ||
code | 1..1 | string | Required Pattern: 48768-6 | |
codeSystem | 1..1 | string | Required Pattern: 2.16.840.1.113883.6.1 | |
statusCode | 1..1 | CS | ||
code | 1..1 | string | Required Pattern: active | |
author | 0..* | AuthorParticipation | ||
Slices for entryRelationship | 0..* | Element | Slice: Unordered, Open by profile:act | |
entryRelationship:entryRelationship1 | 1..1 | Element | ||
typeCode | 1..1 | code | Required Pattern: COMP | |
act | 1..1 | Act | ||
classCode | 1..1 | code | Required Pattern: ACT | |
moodCode | 1..1 | code | Required Pattern: INT | |
id | 1..* | II | These act/identifiers are unique identifiers for the policy or program providing the coverage. | |
code | 1..1 | CD | Binding: Payer (required) | |
statusCode | 1..1 | CS | ||
code | 1..1 | string | Required Pattern: active | |
Documentation for this format |
Snapshot View
Other representations of profile: CSV, Excel, Schematron
Path | Conformance | ValueSet / Code |
Act.templateId:primary.nullFlavor | required | NullFlavor |
Act.code | extensible | ActCode |
Act.code.nullFlavor | required | NullFlavor |
Act.statusCode | required | ActStatus |
Act.statusCode.nullFlavor | required | NullFlavor |
Act.priorityCode | extensible | ActPriority |
Act.languageCode | required | HumanLanguage |
Act.subject.typeCode | required | Fixed Value: SBJ |
Act.subject.contextControlCode | required | Fixed Value: OP |
Act.subject.awarenessCode | extensible | TargetAwareness |
Act.informant.typeCode | required | Fixed Value: INF |
Act.informant.contextControlCode | required | Fixed Value: OP |
Act.entryRelationship:entryRelationship1.act.code | required | Payer |
Act.entryRelationship:entryRelationship1.act.statusCode | required | ActStatus |
Act.entryRelationship:entryRelationship1.act.statusCode.nullFlavor | required | NullFlavor |
Act.entryRelationship:entryRelationship1.act.priorityCode | extensible | ActPriority |
Act.entryRelationship:entryRelationship1.act.languageCode | required | HumanLanguage |
Act.entryRelationship:entryRelationship1.act.subject.typeCode | required | Fixed Value: SBJ |
Act.entryRelationship:entryRelationship1.act.subject.contextControlCode | required | Fixed Value: OP |
Act.entryRelationship:entryRelationship1.act.subject.awarenessCode | extensible | TargetAwareness |
Act.entryRelationship:entryRelationship1.act.informant.typeCode | required | Fixed Value: INF |
Act.entryRelationship:entryRelationship1.act.informant.contextControlCode | required | Fixed Value: OP |
Id | Grade | Path | Details | Requirements |
act-er-1 | error | Act.entryRelationship | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 | |
act-er-1 | error | Act.entryRelationship:entryRelationship1 | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 | |
act-er-1 | error | Act.entryRelationship:entryRelationship1.act.entryRelationship | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |