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
| Active as of 2022-05-13 | 
Definitions for the 2.16.840.1.113883.10.20.22.4.140 resource profile.
| 1. Act | |
| Control | 1..1 | 
| 2. Act.classCode | |
| Control | 1..1 | 
| Type | code | 
| Requirements | SHALL contain exactly one [1..1] @classCode="PCPR" provision of care (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-30884). | 
| Pattern Value | PCPR | 
| 3. Act.moodCode | |
| Control | 1..1 | 
| Binding | The codes SHALL be taken from Patient Referral Act moodCode | 
| Type | code | 
| Requirements | SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet Patient Referral Act moodCode urn:oid:2.16.840.1.113883.11.20.9.66 STATIC 2014-09-01 (CONF:1098-30885). | 
| 4. Act.realmCode | |
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CS | 
| 5. Act.typeId | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/II | 
| 6. Act.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question | 
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/II | 
| Slicing | This element introduces a set of slices on Act.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators: 
 | 
| 7. Act.templateId:primary | |
| SliceName | primary | 
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question | 
| Control | 1..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/II | 
| Requirements | SHALL contain exactly one [1..1] templateId (CONF:1098-30886) such that it | 
| 8. Act.templateId:primary.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. | 
| Control | 0..1 | 
| Binding | The codes SHALL be taken from NullFlavor | 
| Type | code | 
| 9. Act.templateId:primary.assigningAuthorityName | |
| Definition | A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form. | 
| Control | 0..1 | 
| Type | string | 
| 10. Act.templateId:primary.displayable | |
| Definition | Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false). | 
| Control | 0..1 | 
| Type | boolean | 
| 11. Act.templateId:primary.root | |
| Definition | A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier. | 
| Control | 1..1 | 
| Type | string | 
| Requirements | SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.140" (CONF:1098-30887). | 
| Pattern Value | 2.16.840.1.113883.10.20.22.4.140 | 
| 12. Act.templateId:primary.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. | 
| Control | 0..1 | 
| Type | string | 
| 13. Act.id | |
| Control | 1..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/II | 
| Requirements | SHALL contain at least one [1..*] id (CONF:1098-30888). | 
| 14. Act.code | |
| Control | 1..1 | 
| Binding | The codes SHALL be taken from Referral Types | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CD | 
| Requirements | SHALL contain exactly one [1..1] code, which SHALL be selected from ValueSet Referral Types urn:oid:2.16.840.1.113883.11.20.9.56 DYNAMIC (CONF:1098-30889). | 
| 15. Act.negationInd | |
| Control | 0..1 | 
| Type | boolean | 
| 16. Act.text | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ED | 
| 17. Act.statusCode | |
| Control | 1..1 | 
| Binding | The codes SHALL be taken from ActStatus | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CS | 
| Requirements | SHALL contain exactly one [1..1] statusCode (CONF:1098-30892). | 
| 18. Act.statusCode.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. | 
| Control | 0..1 | 
| Binding | The codes SHALL be taken from NullFlavor | 
| Type | code | 
| 19. Act.statusCode.code | |
| Definition | The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache. | 
| Control | 1..1 | 
| Type | string | 
| Requirements | This statusCode SHALL contain exactly one [1..1] @code="active" Active (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-31598). | 
| Pattern Value | active | 
| 20. Act.statusCode.codeSystem | |
| Definition | Specifies the code system that defines the code. | 
| Control | 0..0 | 
| Type | string | 
| 21. Act.statusCode.codeSystemName | |
| Definition | The common name of the coding system. | 
| Control | 0..0 | 
| Type | string | 
| 22. Act.statusCode.codeSystemVersion | |
| Definition | If applicable, a version descriptor defined specifically for the given code system. | 
| Control | 0..0 | 
| Type | string | 
| 23. Act.statusCode.displayName | |
| Definition | A name or title for the code, under which the sending system shows the code value to its users. | 
| Control | 0..0 | 
| Type | string | 
| 24. Act.statusCode.sdtcValueSet | |
| Definition | The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept. | 
| Control | 0..1 | 
| Type | string | 
| 25. Act.statusCode.sdtcValueSetVersion | |
| Definition | The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept. | 
| Control | 0..1 | 
| Type | string | 
| 26. Act.statusCode.originalText | |
| Definition | The text or phrase used as the basis for the coding. | 
| Control | 0..0 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ED | 
| 27. Act.statusCode.qualifier | |
| Definition | Specifies additional codes that increase the specificity of the the primary code. | 
| Control | 0..0 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CR | 
| 28. Act.statusCode.translation | |
| Definition | A set of other concept descriptors that translate this concept descriptor into other code systems. | 
| Control | 0..0 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CD | 
| 29. Act.effectiveTime | |
| Control | 1..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/IVL-TS | 
| Requirements | SHALL contain exactly one [1..1] effectiveTime (CONF:1098-30893). | 
| 30. Act.priorityCode | |
| Control | 0..1 | 
| Binding | The codes SHALL be taken from ActPriority; other codes may be used where these codes are not suitable | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CE | 
| Requirements | SHOULD contain zero or one [0..1] priorityCode (CONF:1098-32623). | 
| 31. Act.languageCode | |
| Control | 0..1 | 
| Binding | The codes SHALL be taken from HumanLanguage | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CS | 
| 32. Act.subject | |
| Control | 0..1 | 
| Type | Element | 
| 33. Act.subject.typeCode | |
| Control | 1..1 | 
| Binding | The codes SHALL be taken from ParticipationTargetSubject | 
| Type | code | 
| Default Value | SBJ | 
| Fixed Value | SBJ | 
| 34. Act.subject.contextControlCode | |
| Control | 1..1 | 
| Binding | The codes SHALL be taken from ContextControl | 
| Type | code | 
| Default Value | OP | 
| Fixed Value | OP | 
| 35. Act.subject.awarenessCode | |
| Control | 0..1 | 
| Binding | The codes SHALL be taken from TargetAwareness; other codes may be used where these codes are not suitable | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CE | 
| 36. Act.subject.relatedSubject | |
| Control | 1..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/RelatedSubject | 
| 37. Act.specimen | |
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Specimen | 
| 38. Act.performer | |
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Performer2 | 
| 39. Act.author | |
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Author(AuthorParticipation) | 
| Requirements | SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-31612). | 
| 40. Act.informant | |
| Control | 0..* | 
| Type | Element | 
| 41. Act.informant.typeCode | |
| Control | 1..1 | 
| Binding | The codes SHALL be taken from ParticipationInformationGenerator | 
| Type | code | 
| Default Value | INF | 
| Fixed Value | INF | 
| 42. Act.informant.contextControlCode | |
| Control | 1..1 | 
| Binding | The codes SHALL be taken from ContextControl | 
| Type | code | 
| Default Value | OP | 
| Fixed Value | OP | 
| 43. Act.informant.assignedEntity | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity | 
| 44. Act.informant.relatedEntity | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/RelatedEntity | 
| 45. Act.participant | |
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Participant2 | 
| Requirements | MAY contain zero or more [0..*] participant (CONF:1098-32635). | 
| 46. Act.participant.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. | 
| Control | 0..1 | 
| Binding | The codes SHALL be taken from NullFlavor | 
| Type | code | 
| 47. Act.participant.typeCode | |
| Control | 1..1 | 
| Binding | The codes SHALL be taken from ParticipationType | 
| Type | code | 
| Requirements | The participant, if present, SHALL contain exactly one [1..1] @typeCode="REFT" Referred to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32638). | 
| Pattern Value | REFT | 
| 48. Act.participant.contextControlCode | |
| Control | 0..1 | 
| Binding | The codes SHALL be taken from ContextControl | 
| Type | code | 
| Fixed Value | OP | 
| 49. Act.participant.realmCode | |
| Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question | 
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CS | 
| 50. Act.participant.typeId | |
| Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question. | 
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/II | 
| 51. Act.participant.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question | 
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/II | 
| 52. Act.participant.sdtcFunctionCode | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CE | 
| 53. Act.participant.time | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/IVL-TS | 
| 54. Act.participant.awarenessCode | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CE | 
| 55. Act.participant.participantRole | |
| Control | 1..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ParticipantRole | 
| Requirements | The participant, if present, SHALL contain exactly one [1..1] participantRole (CONF:1098-32636). | 
| 56. Act.participant.participantRole.classCode | |
| Control | 1..1 | 
| Binding | The codes SHALL be taken from RoleClassRoot | 
| Type | code | 
| Default Value | ROL | 
| 57. Act.participant.participantRole.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question | 
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/II | 
| 58. Act.participant.participantRole.id | |
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/II | 
| 59. Act.participant.participantRole.sdtcIdentifiedBy | |
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/IdentifiedBy | 
| 60. Act.participant.participantRole.code | |
| Control | 0..1 | 
| Binding | The codes SHOULD be taken from Healthcare Provider Taxonomy | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CE | 
| Requirements | This participantRole MAY contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1098-32637). | 
| 61. Act.participant.participantRole.addr | |
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/AD | 
| 62. Act.participant.participantRole.telecom | |
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/TEL | 
| 63. Act.participant.participantRole.playingDevice | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Device | 
| 64. Act.participant.participantRole.playingEntity | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/PlayingEntity | 
| 65. Act.participant.participantRole.scopingEntity | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Entity | 
| 66. Act.entryRelationship | |
| Control | 0..* | 
| Type | Element | 
| Invariants | Defined on this element act-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1) | 
| Slicing | This element introduces a set of slices on Act.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators: 
 | 
| 67. Act.entryRelationship.typeCode | |
| Control | 1..1 | 
| Type | code | 
| 68. Act.entryRelationship.inversionInd | |
| Control | 0..1 | 
| Type | boolean | 
| 69. Act.entryRelationship.contextConductionInd | |
| Control | 1..1 | 
| Type | boolean | 
| Default Value | true | 
| 70. Act.entryRelationship.sequenceNumber | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/INT | 
| 71. Act.entryRelationship.negationInd | |
| Control | 0..1 | 
| Type | boolean | 
| 72. Act.entryRelationship.seperatableInd | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/BL | 
| 73. Act.entryRelationship.observation | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Observation | 
| 74. Act.entryRelationship.regionOfInterest | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest | 
| 75. Act.entryRelationship.observationMedia | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia | 
| 76. Act.entryRelationship.substanceAdministration | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration | 
| 77. Act.entryRelationship.supply | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Supply | 
| 78. Act.entryRelationship.procedure | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Procedure | 
| 79. Act.entryRelationship.encounter | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Encounter | 
| 80. Act.entryRelationship.organizer | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Organizer | 
| 81. Act.entryRelationship.act | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Act | 
| 82. Act.entryRelationship:entryRelationship1 | |
| SliceName | entryRelationship1 | 
| Control | 0..* | 
| Type | Element | 
| Requirements | MAY contain zero or more [0..*] entryRelationship (CONF:1098-31604) such that it | 
| Invariants | Defined on this element act-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1) | 
| 83. Act.entryRelationship:entryRelationship1.typeCode | |
| Control | 1..1 | 
| Type | code | 
| Requirements | SHALL contain exactly one [1..1] @typeCode="SUBJ" has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31613). | 
| Pattern Value | SUBJ | 
| 84. Act.entryRelationship:entryRelationship1.inversionInd | |
| Control | 0..1 | 
| Type | boolean | 
| 85. Act.entryRelationship:entryRelationship1.contextConductionInd | |
| Control | 1..1 | 
| Type | boolean | 
| Default Value | true | 
| 86. Act.entryRelationship:entryRelationship1.sequenceNumber | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/INT | 
| 87. Act.entryRelationship:entryRelationship1.negationInd | |
| Control | 0..1 | 
| Type | boolean | 
| 88. Act.entryRelationship:entryRelationship1.seperatableInd | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/BL | 
| 89. Act.entryRelationship:entryRelationship1.observation | |
| Control | 1..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Observation | 
| Requirements | SHALL contain exactly one [1..1] observation (CONF:1098-31605). | 
| 90. Act.entryRelationship:entryRelationship1.observation.classCode | |
| Control | 1..1 | 
| Binding | The codes SHALL be taken from ActClassObservation | 
| Type | code | 
| Requirements | This observation SHALL contain exactly one [1..1] @classCode="OBS" observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1098-31606). | 
| Pattern Value | OBS | 
| 91. Act.entryRelationship:entryRelationship1.observation.moodCode | |
| Control | 1..1 | 
| Type | code | 
| Requirements | This observation SHALL contain exactly one [1..1] @moodCode="RQO" request (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1098-31607). | 
| Pattern Value | RQO | 
| 92. Act.entryRelationship:entryRelationship1.observation.negationInd | |
| Control | 0..1 | 
| Type | boolean | 
| 93. Act.entryRelationship:entryRelationship1.observation.realmCode | |
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CS | 
| 94. Act.entryRelationship:entryRelationship1.observation.typeId | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/II | 
| 95. Act.entryRelationship:entryRelationship1.observation.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question | 
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/II | 
| 96. Act.entryRelationship:entryRelationship1.observation.id | |
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/II | 
| 97. Act.entryRelationship:entryRelationship1.observation.code | |
| Control | 1..1 | 
| Binding | The codes SHALL be taken from ObservationType; other codes may be used where these codes are not suitable | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CD | 
| Requirements | This observation SHALL contain exactly one [1..1] code (CONF:1098-31608). | 
| 98. Act.entryRelationship:entryRelationship1.observation.code.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. | 
| Control | 0..1 | 
| Binding | The codes SHALL be taken from NullFlavor | 
| Type | code | 
| 99. Act.entryRelationship:entryRelationship1.observation.code.code | |
| Definition | The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache. | 
| Control | 1..1 | 
| Type | string | 
| Requirements | This code SHALL contain exactly one [1..1] @code="ASSERTION" assertion (CONF:1098-31619). | 
| Pattern Value | ASSERTION | 
| 100. Act.entryRelationship:entryRelationship1.observation.code.codeSystem | |
| Definition | Specifies the code system that defines the code. | 
| Control | 1..1 | 
| Type | string | 
| Requirements | This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.4 " (CodeSystem: HL7ActCode urn:oid:2.16.840.1.113883.5.4) (CONF:1098-31620). | 
| Pattern Value | 2.16.840.1.113883.5.4 | 
| 101. Act.entryRelationship:entryRelationship1.observation.code.codeSystemName | |
| Definition | The common name of the coding system. | 
| Control | 0..1 | 
| Type | string | 
| 102. Act.entryRelationship:entryRelationship1.observation.code.codeSystemVersion | |
| Definition | If applicable, a version descriptor defined specifically for the given code system. | 
| Control | 0..1 | 
| Type | string | 
| 103. Act.entryRelationship:entryRelationship1.observation.code.displayName | |
| Definition | A name or title for the code, under which the sending system shows the code value to its users. | 
| Control | 0..1 | 
| Type | string | 
| 104. Act.entryRelationship:entryRelationship1.observation.code.sdtcValueSet | |
| Definition | The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept. | 
| Control | 0..1 | 
| Type | string | 
| 105. Act.entryRelationship:entryRelationship1.observation.code.sdtcValueSetVersion | |
| Definition | The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept. | 
| Control | 0..1 | 
| Type | string | 
| 106. Act.entryRelationship:entryRelationship1.observation.code.originalText | |
| Definition | The text or phrase used as the basis for the coding. | 
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ED | 
| 107. Act.entryRelationship:entryRelationship1.observation.code.qualifier | |
| Definition | Specifies additional codes that increase the specificity of the the primary code. | 
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CR | 
| 108. Act.entryRelationship:entryRelationship1.observation.code.translation | |
| Definition | A set of other concept descriptors that translate this concept descriptor into other code systems. | 
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CD | 
| 109. Act.entryRelationship:entryRelationship1.observation.derivationExpr | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ST | 
| 110. Act.entryRelationship:entryRelationship1.observation.text | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ED | 
| 111. Act.entryRelationship:entryRelationship1.observation.statusCode | |
| Control | 1..1 | 
| Binding | The codes SHALL be taken from ActStatus | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CS | 
| Requirements | This observation SHALL contain exactly one [1..1] statusCode (CONF:1098-31614). | 
| 112. Act.entryRelationship:entryRelationship1.observation.statusCode.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. | 
| Control | 0..1 | 
| Binding | The codes SHALL be taken from NullFlavor | 
| Type | code | 
| 113. Act.entryRelationship:entryRelationship1.observation.statusCode.code | |
| Definition | The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache. | 
| Control | 1..1 | 
| Type | string | 
| Requirements | This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-31615). | 
| Pattern Value | completed | 
| 114. Act.entryRelationship:entryRelationship1.observation.statusCode.codeSystem | |
| Definition | Specifies the code system that defines the code. | 
| Control | 0..0 | 
| Type | string | 
| 115. Act.entryRelationship:entryRelationship1.observation.statusCode.codeSystemName | |
| Definition | The common name of the coding system. | 
| Control | 0..0 | 
| Type | string | 
| 116. Act.entryRelationship:entryRelationship1.observation.statusCode.codeSystemVersion | |
| Definition | If applicable, a version descriptor defined specifically for the given code system. | 
| Control | 0..0 | 
| Type | string | 
| 117. Act.entryRelationship:entryRelationship1.observation.statusCode.displayName | |
| Definition | A name or title for the code, under which the sending system shows the code value to its users. | 
| Control | 0..0 | 
| Type | string | 
| 118. Act.entryRelationship:entryRelationship1.observation.statusCode.sdtcValueSet | |
| Definition | The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept. | 
| Control | 0..1 | 
| Type | string | 
| 119. Act.entryRelationship:entryRelationship1.observation.statusCode.sdtcValueSetVersion | |
| Definition | The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept. | 
| Control | 0..1 | 
| Type | string | 
| 120. Act.entryRelationship:entryRelationship1.observation.statusCode.originalText | |
| Definition | The text or phrase used as the basis for the coding. | 
| Control | 0..0 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ED | 
| 121. Act.entryRelationship:entryRelationship1.observation.statusCode.qualifier | |
| Definition | Specifies additional codes that increase the specificity of the the primary code. | 
| Control | 0..0 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CR | 
| 122. Act.entryRelationship:entryRelationship1.observation.statusCode.translation | |
| Definition | A set of other concept descriptors that translate this concept descriptor into other code systems. | 
| Control | 0..0 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CD | 
| 123. Act.entryRelationship:entryRelationship1.observation.effectiveTime | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/IVL-TS | 
| 124. Act.entryRelationship:entryRelationship1.observation.priorityCode | |
| Control | 0..1 | 
| Binding | The codes SHOULD be taken from ActPriority | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CE | 
| Requirements | This observation SHOULD contain zero or one [0..1] priorityCode, which SHOULD be selected from ValueSet ActPriority urn:oid:2.16.840.1.113883.1.11.16866 DYNAMIC (CONF:1098-32443). | 
| 125. Act.entryRelationship:entryRelationship1.observation.repeatNumber | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/IVL-INT | 
| 126. Act.entryRelationship:entryRelationship1.observation.languageCode | |
| Control | 0..1 | 
| Binding | The codes SHALL be taken from HumanLanguage | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CS | 
| 127. Act.entryRelationship:entryRelationship1.observation.value | |
| Control | 1..1 | 
| Binding | The codes SHOULD be taken from Care Model | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CD | 
| Requirements | This observation SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHOULD be selected from ValueSet Care Model urn:oid:2.16.840.1.113883.11.20.9.61 DYNAMIC (CONF:1098-31611). | 
| 128. Act.entryRelationship:entryRelationship1.observation.interpretationCode | |
| Control | 0..* | 
| Binding | The codes SHALL be taken from ObservationInterpretation | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CE | 
| 129. Act.entryRelationship:entryRelationship1.observation.methodCode | |
| Control | 0..* | 
| Binding | The codes SHALL be taken from ObservationMethod; other codes may be used where these codes are not suitable | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CE | 
| 130. Act.entryRelationship:entryRelationship1.observation.targetSiteCode | |
| Definition | Drawn from concept domain ActSite | 
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CD | 
| 131. Act.entryRelationship:entryRelationship1.observation.subject | |
| Control | 0..1 | 
| Type | Element | 
| 132. Act.entryRelationship:entryRelationship1.observation.subject.typeCode | |
| Control | 1..1 | 
| Binding | The codes SHALL be taken from ParticipationTargetSubject | 
| Type | code | 
| Default Value | SBJ | 
| Fixed Value | SBJ | 
| 133. Act.entryRelationship:entryRelationship1.observation.subject.contextControlCode | |
| Control | 1..1 | 
| Binding | The codes SHALL be taken from ContextControl | 
| Type | code | 
| Default Value | OP | 
| Fixed Value | OP | 
| 134. Act.entryRelationship:entryRelationship1.observation.subject.awarenessCode | |
| Control | 0..1 | 
| Binding | The codes SHALL be taken from TargetAwareness; other codes may be used where these codes are not suitable | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CE | 
| 135. Act.entryRelationship:entryRelationship1.observation.subject.relatedSubject | |
| Control | 1..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/RelatedSubject | 
| 136. Act.entryRelationship:entryRelationship1.observation.specimen | |
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Specimen | 
| 137. Act.entryRelationship:entryRelationship1.observation.performer | |
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Performer2 | 
| 138. Act.entryRelationship:entryRelationship1.observation.author | |
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Author | 
| 139. Act.entryRelationship:entryRelationship1.observation.informant | |
| Control | 0..* | 
| Type | Element | 
| 140. Act.entryRelationship:entryRelationship1.observation.informant.typeCode | |
| Control | 1..1 | 
| Binding | The codes SHALL be taken from ParticipationInformationGenerator | 
| Type | code | 
| Default Value | INF | 
| Fixed Value | INF | 
| 141. Act.entryRelationship:entryRelationship1.observation.informant.contextControlCode | |
| Control | 1..1 | 
| Binding | The codes SHALL be taken from ContextControl | 
| Type | code | 
| Default Value | OP | 
| Fixed Value | OP | 
| 142. Act.entryRelationship:entryRelationship1.observation.informant.assignedEntity | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity | 
| 143. Act.entryRelationship:entryRelationship1.observation.informant.relatedEntity | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/RelatedEntity | 
| 144. Act.entryRelationship:entryRelationship1.observation.participant | |
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Participant2 | 
| 145. Act.entryRelationship:entryRelationship1.observation.entryRelationship | |
| Control | 0..* | 
| Type | Element | 
| Invariants | Defined on this element obs-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1) | 
| 146. Act.entryRelationship:entryRelationship1.observation.entryRelationship.typeCode | |
| Control | 1..1 | 
| Type | code | 
| 147. Act.entryRelationship:entryRelationship1.observation.entryRelationship.inversionInd | |
| Control | 0..1 | 
| Type | boolean | 
| 148. Act.entryRelationship:entryRelationship1.observation.entryRelationship.contextConductionInd | |
| Control | 1..1 | 
| Type | boolean | 
| Default Value | true | 
| 149. Act.entryRelationship:entryRelationship1.observation.entryRelationship.sequenceNumber | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/INT | 
| 150. Act.entryRelationship:entryRelationship1.observation.entryRelationship.negationInd | |
| Control | 0..1 | 
| Type | boolean | 
| 151. Act.entryRelationship:entryRelationship1.observation.entryRelationship.seperatableInd | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/BL | 
| 152. Act.entryRelationship:entryRelationship1.observation.entryRelationship.observation | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Observation | 
| 153. Act.entryRelationship:entryRelationship1.observation.entryRelationship.regionOfInterest | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest | 
| 154. Act.entryRelationship:entryRelationship1.observation.entryRelationship.observationMedia | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia | 
| 155. Act.entryRelationship:entryRelationship1.observation.entryRelationship.substanceAdministration | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration | 
| 156. Act.entryRelationship:entryRelationship1.observation.entryRelationship.supply | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Supply | 
| 157. Act.entryRelationship:entryRelationship1.observation.entryRelationship.procedure | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Procedure | 
| 158. Act.entryRelationship:entryRelationship1.observation.entryRelationship.encounter | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Encounter | 
| 159. Act.entryRelationship:entryRelationship1.observation.entryRelationship.organizer | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Organizer | 
| 160. Act.entryRelationship:entryRelationship1.observation.entryRelationship.act | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Act | 
| 161. Act.entryRelationship:entryRelationship1.observation.reference | |
| Control | 0..* | 
| Type | Element | 
| 162. Act.entryRelationship:entryRelationship1.observation.reference.typeCode | |
| Control | 1..1 | 
| Type | code | 
| 163. Act.entryRelationship:entryRelationship1.observation.reference.seperatableInd | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/BL | 
| 164. Act.entryRelationship:entryRelationship1.observation.reference.externalAct | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ExternalAct | 
| 165. Act.entryRelationship:entryRelationship1.observation.reference.externalObservation | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ExternalObservation | 
| 166. Act.entryRelationship:entryRelationship1.observation.reference.externalProcedure | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure | 
| 167. Act.entryRelationship:entryRelationship1.observation.reference.externalDocument | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ExternalDocument | 
| 168. Act.entryRelationship:entryRelationship1.observation.precondition | |
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Precondition | 
| 169. Act.entryRelationship:entryRelationship1.observation.referenceRange | |
| Control | 0..* | 
| Type | Element | 
| 170. Act.entryRelationship:entryRelationship1.observation.referenceRange.typeCode | |
| Control | 1..1 | 
| Binding | The codes SHALL be taken from ActRelationshipPertains | 
| Type | code | 
| Default Value | REFV | 
| Fixed Value | REFV | 
| 171. Act.entryRelationship:entryRelationship1.observation.referenceRange.observationRange | |
| Control | 1..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ObservationRange | 
| 172. Act.entryRelationship:entryRelationship1.regionOfInterest | |
| Control | 0..0 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest | 
| 173. Act.entryRelationship:entryRelationship1.observationMedia | |
| Control | 0..0 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia | 
| 174. Act.entryRelationship:entryRelationship1.substanceAdministration | |
| Control | 0..0 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration | 
| 175. Act.entryRelationship:entryRelationship1.supply | |
| Control | 0..0 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Supply | 
| 176. Act.entryRelationship:entryRelationship1.procedure | |
| Control | 0..0 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Procedure | 
| 177. Act.entryRelationship:entryRelationship1.encounter | |
| Control | 0..0 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Encounter | 
| 178. Act.entryRelationship:entryRelationship1.organizer | |
| Control | 0..0 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Organizer | 
| 179. Act.entryRelationship:entryRelationship1.act | |
| Control | 0..0 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Act | 
| 180. Act.entryRelationship:indication | |
| SliceName | indication | 
| Control | 0..* | 
| Type | Element | 
| Requirements | MAY contain zero or more [0..*] entryRelationship (CONF:1098-31635) such that it | 
| Invariants | Defined on this element act-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1) | 
| 181. Act.entryRelationship:indication.typeCode | |
| Control | 1..1 | 
| Type | code | 
| Requirements | SHALL contain exactly one [1..1] @typeCode="RSON" has reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31636). | 
| Pattern Value | RSON | 
| 182. Act.entryRelationship:indication.inversionInd | |
| Control | 0..1 | 
| Type | boolean | 
| 183. Act.entryRelationship:indication.contextConductionInd | |
| Control | 1..1 | 
| Type | boolean | 
| Default Value | true | 
| 184. Act.entryRelationship:indication.sequenceNumber | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/INT | 
| 185. Act.entryRelationship:indication.negationInd | |
| Control | 0..1 | 
| Type | boolean | 
| 186. Act.entryRelationship:indication.seperatableInd | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/BL | 
| 187. Act.entryRelationship:indication.observation | |
| Control | 1..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Observation(Indication) | 
| Requirements | SHALL contain exactly one [1..1] Indication (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.19:2014-06-09) (CONF:1098-32634). | 
| 188. Act.entryRelationship:indication.regionOfInterest | |
| Control | 0..0 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest | 
| 189. Act.entryRelationship:indication.observationMedia | |
| Control | 0..0 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia | 
| 190. Act.entryRelationship:indication.substanceAdministration | |
| Control | 0..0 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration | 
| 191. Act.entryRelationship:indication.supply | |
| Control | 0..0 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Supply | 
| 192. Act.entryRelationship:indication.procedure | |
| Control | 0..0 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Procedure | 
| 193. Act.entryRelationship:indication.encounter | |
| Control | 0..0 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Encounter | 
| 194. Act.entryRelationship:indication.organizer | |
| Control | 0..0 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Organizer | 
| 195. Act.entryRelationship:indication.act | |
| Control | 0..0 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Act | 
| 196. Act.reference | |
| Control | 0..* | 
| Type | Element | 
| 197. Act.reference.typeCode | |
| Control | 1..1 | 
| Type | code | 
| 198. Act.reference.seperatableInd | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/BL | 
| 199. Act.reference.externalAct | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ExternalAct | 
| 200. Act.reference.externalObservation | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ExternalObservation | 
| 201. Act.reference.externalProcedure | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure | 
| 202. Act.reference.externalDocument | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ExternalDocument | 
| 203. Act.precondition | |
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Precondition |