Consolidated CDA Release 2.2
2.2 - CI Build United States of America flag

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

Resource Profile: Patient Referral Act

Official URL: http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.140 Version: 2.2
Active as of 2022-05-13 Computable Name: PatientReferralAct
Other Identifiers: : urn:oid:2.16.840.1.113883.10.20.22.4.140

This template represents the type of referral (e.g., for dental care, to a specialist, for aging problems) and represents whether the referral is for full care or shared care. It may contain a reference to another act in the document instance representing the clinical reason for the referral (e.g., problem, concern, procedure).

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from CDAR2.Act

Summary

Mandatory: 9 elements (14 nested mandatory elements)

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Act.templateId is sliced based on the value of value:root
  • The element Act.entryRelationship is sliced based on the value of profile:observation

This structure is derived from CDAR2.Act

NameFlagsCard.TypeDescription & Constraintsdoco
.. Act 1..1CDAR2.Act
... classCode 1..1codeRequired Pattern: PCPR
... moodCode 1..1codeBinding: Patient Referral Act moodCode (required)
... Slices for templateId 0..*IISlice: Unordered, Open by value:root
.... templateId:primary 1..1II
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.4.140
... code 1..1CDBinding: Referral Types (required)
... statusCode 1..1CS
.... code 1..1stringRequired Pattern: active
... effectiveTime 1..1IVL_TSThe effectiveTime represents the time when the future referral is intended to take place.
... priorityCode 0..1CE
... author 0..*AuthorParticipation
... participant 0..*Participant2
.... typeCode 1..1codeRequired Pattern: REFT
.... participantRole 1..1ParticipantRole
..... code 0..1CEBinding: Healthcare Provider Taxonomy (preferred)
... Slices for entryRelationship 0..*ElementThe following entryRelationship represents a reference to another act in the document instance representing the clinical reason for the referral (e.g., problem, concern, procedure).
Slice: Unordered, Open by profile:observation
.... entryRelationship:entryRelationship1 0..*ElementThe following entryRelationship represents whether the referral is for full or shared care.
..... typeCode 1..1codeRequired Pattern: SUBJ
..... observation 1..1Observation
...... classCode 1..1codeRequired Pattern: OBS
...... moodCode 1..1codeRequired Pattern: RQO
...... code 1..1CD
....... code 1..1stringRequired Pattern: ASSERTION
....... codeSystem 1..1stringRequired Pattern: 2.16.840.1.113883.5.4
...... statusCode 1..1CS
....... code 1..1stringRequired Pattern: completed
...... priorityCode 0..1CEBinding: ActPriority (preferred)
...... value 1..1CDBinding: Care Model (preferred)
.... entryRelationship:indication 0..*Element
..... typeCode 1..1codeRequired Pattern: RSON
..... observation 1..1Indication

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Act 1..1CDAR2.Act
... classCode 1..1codeRequired Pattern: PCPR
... moodCode 1..1codeBinding: Patient Referral Act moodCode (required)
... realmCode 0..*CS
... Slices for templateId 0..*IISlice: Unordered, Open by value:root
.... templateId:primary 1..1II
..... nullFlavor 0..1codeBinding: NullFlavor (required)
..... assigningAuthorityName 0..1string
..... displayable 0..1boolean
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.4.140
..... extension 0..1string
... id 1..*IIIn the case of a Consultation Note where this referral is being fulfilled by this consultation, this id would be referenced in the inFullfilmentOf/order/id of the Consultation Note.
... code 1..1CDBinding: Referral Types (required)
... negationInd 0..1boolean
... text 0..1ED
... statusCode 1..1CSBinding: ActStatus (required)
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... code 1..1stringRequired Pattern: active
.... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
.... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
... effectiveTime 1..1IVL_TSThe effectiveTime represents the time when the future referral is intended to take place.
... priorityCode 0..1CEBinding: ActPriority (extensible)
... languageCode 0..1CSBinding: HumanLanguage (required)
... subject 0..1Element
.... typeCode 1..1codeBinding: ParticipationTargetSubject (required)
Fixed Value: SBJ
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... awarenessCode 0..1CEBinding: TargetAwareness (extensible)
.... relatedSubject 1..1RelatedSubject
... specimen 0..*Specimen
... performer 0..*Performer2
... author 0..*AuthorParticipation
... informant 0..*Element
.... typeCode 1..1codeBinding: ParticipationInformationGenerator (required)
Fixed Value: INF
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... assignedEntity 0..1AssignedEntity
.... relatedEntity 0..1RelatedEntity
... participant 0..*Participant2
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... typeCode 1..1codeBinding: ParticipationType (required)
Required Pattern: REFT
.... contextControlCode 0..1codeBinding: ContextControl (required)
Fixed Value: OP
.... realmCode 0..*CS
.... typeId 0..1II
.... templateId 0..*II
.... sdtcFunctionCode 0..1CEXML: functionCode (urn:hl7-org:sdtc)
.... time 0..1IVL_TS
.... awarenessCode 0..1CE
.... participantRole 1..1ParticipantRole
..... classCode 1..1codeBinding: RoleClassRoot (required)
..... templateId 0..*II
..... id 0..*II
..... sdtcIdentifiedBy 0..*IdentifiedByXML: identifiedBy (urn:hl7-org:sdtc)
..... code 0..1CEBinding: Healthcare Provider Taxonomy (preferred)
..... addr 0..*AD
..... telecom 0..*TEL
..... playingDevice 0..1Device
..... playingEntity 0..1PlayingEntity
..... scopingEntity 0..1Entity
... Slices for entryRelationship I0..*ElementThe following entryRelationship represents a reference to another act in the document instance representing the clinical reason for the referral (e.g., problem, concern, procedure).
Slice: Unordered, Open by profile:observation
.... entryRelationship:All Slices Content/Rules for all slices
..... typeCode 1..1code
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... (Choice of one) 1..1
...... observation 0..1Observation
...... regionOfInterest 0..1RegionOfInterest
...... observationMedia 0..1ObservationMedia
...... substanceAdministration 0..1SubstanceAdministration
...... supply 0..1Supply
...... procedure 0..1Procedure
...... encounter 0..1Encounter
...... organizer 0..1Organizer
...... act 0..1Act
.... entryRelationship:entryRelationship1 I0..*ElementThe following entryRelationship represents whether the referral is for full or shared care.
..... typeCode 1..1codeRequired Pattern: SUBJ
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... observation 1..1Observation
...... classCode 1..1codeBinding: ActClassObservation (required)
Required Pattern: OBS
...... moodCode 1..1codeRequired Pattern: RQO
...... negationInd 0..1boolean
...... realmCode 0..*CS
...... typeId 0..1II
...... templateId 0..*II
...... id 0..*II
...... code 1..1CDBinding: ObservationType (extensible)
....... nullFlavor 0..1codeBinding: NullFlavor (required)
....... code 1..1stringRequired Pattern: ASSERTION
....... codeSystem 1..1stringRequired Pattern: 2.16.840.1.113883.5.4
....... codeSystemName 0..1string
....... codeSystemVersion 0..1string
....... displayName 0..1string
....... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
....... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
....... originalText 0..1ED
....... qualifier 0..*CR
....... translation 0..*CD
...... derivationExpr 0..1ED
...... text 0..1ED
...... statusCode 1..1CSBinding: ActStatus (required)
....... nullFlavor 0..1codeBinding: NullFlavor (required)
....... code 1..1stringRequired Pattern: completed
....... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
....... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
...... effectiveTime 0..1IVL_TS
...... priorityCode 0..1CEBinding: ActPriority (preferred)
...... repeatNumber 0..1IVL_INT
...... languageCode 0..1CSBinding: HumanLanguage (required)
...... value 1..1CDBinding: Care Model (preferred)
...... interpretationCode 0..*CEBinding: ObservationInterpretation (required)
...... methodCode 0..*CEBinding: ObservationMethod (extensible)
...... targetSiteCode 0..*CD
...... subject 0..1Element
....... typeCode 1..1codeBinding: ParticipationTargetSubject (required)
Fixed Value: SBJ
....... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
....... awarenessCode 0..1CEBinding: TargetAwareness (extensible)
....... relatedSubject 1..1RelatedSubject
...... specimen 0..*Specimen
...... performer 0..*Performer2
...... author 0..*Author
...... informant 0..*Element
....... typeCode 1..1codeBinding: ParticipationInformationGenerator (required)
Fixed Value: INF
....... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
....... assignedEntity 0..1AssignedEntity
....... relatedEntity 0..1RelatedEntity
...... participant 0..*Participant2
...... entryRelationship I0..*Element
....... typeCode 1..1code
....... inversionInd 0..1boolean
....... contextConductionInd 1..1boolean
....... sequenceNumber 0..1INT
....... negationInd 0..1boolean
....... seperatableInd 0..1BL
....... (Choice of one) 1..1
........ observation 0..1Observation
........ regionOfInterest 0..1RegionOfInterest
........ observationMedia 0..1ObservationMedia
........ substanceAdministration 0..1SubstanceAdministration
........ supply 0..1Supply
........ procedure 0..1Procedure
........ encounter 0..1Encounter
........ organizer 0..1Organizer
........ act 0..1Act
...... reference 0..*Element
....... typeCode 1..1code
....... seperatableInd 0..1BL
....... externalAct 0..1ExternalAct
....... externalObservation 0..1ExternalObservation
....... externalProcedure 0..1ExternalProcedure
....... externalDocument 0..1ExternalDocument
...... precondition 0..*Precondition
...... referenceRange 0..*Element
....... typeCode 1..1codeBinding: ActRelationshipPertains (required)
Fixed Value: REFV
....... observationRange 1..1ObservationRange
.... entryRelationship:indication I0..*Element
..... typeCode 1..1codeRequired Pattern: RSON
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... observation 1..1Indication
... reference 0..*Element
.... typeCode 1..1code
.... seperatableInd 0..1BL
.... externalAct 0..1ExternalAct
.... externalObservation 0..1ExternalObservation
.... externalProcedure 0..1ExternalProcedure
.... externalDocument 0..1ExternalDocument
... precondition 0..*Precondition

doco Documentation for this format

This structure is derived from CDAR2.Act

Summary

Mandatory: 9 elements (14 nested mandatory elements)

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Act.templateId is sliced based on the value of value:root
  • The element Act.entryRelationship is sliced based on the value of profile:observation

Differential View

This structure is derived from CDAR2.Act

NameFlagsCard.TypeDescription & Constraintsdoco
.. Act 1..1CDAR2.Act
... classCode 1..1codeRequired Pattern: PCPR
... moodCode 1..1codeBinding: Patient Referral Act moodCode (required)
... Slices for templateId 0..*IISlice: Unordered, Open by value:root
.... templateId:primary 1..1II
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.4.140
... code 1..1CDBinding: Referral Types (required)
... statusCode 1..1CS
.... code 1..1stringRequired Pattern: active
... effectiveTime 1..1IVL_TSThe effectiveTime represents the time when the future referral is intended to take place.
... priorityCode 0..1CE
... author 0..*AuthorParticipation
... participant 0..*Participant2
.... typeCode 1..1codeRequired Pattern: REFT
.... participantRole 1..1ParticipantRole
..... code 0..1CEBinding: Healthcare Provider Taxonomy (preferred)
... Slices for entryRelationship 0..*ElementThe following entryRelationship represents a reference to another act in the document instance representing the clinical reason for the referral (e.g., problem, concern, procedure).
Slice: Unordered, Open by profile:observation
.... entryRelationship:entryRelationship1 0..*ElementThe following entryRelationship represents whether the referral is for full or shared care.
..... typeCode 1..1codeRequired Pattern: SUBJ
..... observation 1..1Observation
...... classCode 1..1codeRequired Pattern: OBS
...... moodCode 1..1codeRequired Pattern: RQO
...... code 1..1CD
....... code 1..1stringRequired Pattern: ASSERTION
....... codeSystem 1..1stringRequired Pattern: 2.16.840.1.113883.5.4
...... statusCode 1..1CS
....... code 1..1stringRequired Pattern: completed
...... priorityCode 0..1CEBinding: ActPriority (preferred)
...... value 1..1CDBinding: Care Model (preferred)
.... entryRelationship:indication 0..*Element
..... typeCode 1..1codeRequired Pattern: RSON
..... observation 1..1Indication

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Act 1..1CDAR2.Act
... classCode 1..1codeRequired Pattern: PCPR
... moodCode 1..1codeBinding: Patient Referral Act moodCode (required)
... realmCode 0..*CS
... Slices for templateId 0..*IISlice: Unordered, Open by value:root
.... templateId:primary 1..1II
..... nullFlavor 0..1codeBinding: NullFlavor (required)
..... assigningAuthorityName 0..1string
..... displayable 0..1boolean
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.4.140
..... extension 0..1string
... id 1..*IIIn the case of a Consultation Note where this referral is being fulfilled by this consultation, this id would be referenced in the inFullfilmentOf/order/id of the Consultation Note.
... code 1..1CDBinding: Referral Types (required)
... negationInd 0..1boolean
... text 0..1ED
... statusCode 1..1CSBinding: ActStatus (required)
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... code 1..1stringRequired Pattern: active
.... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
.... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
... effectiveTime 1..1IVL_TSThe effectiveTime represents the time when the future referral is intended to take place.
... priorityCode 0..1CEBinding: ActPriority (extensible)
... languageCode 0..1CSBinding: HumanLanguage (required)
... subject 0..1Element
.... typeCode 1..1codeBinding: ParticipationTargetSubject (required)
Fixed Value: SBJ
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... awarenessCode 0..1CEBinding: TargetAwareness (extensible)
.... relatedSubject 1..1RelatedSubject
... specimen 0..*Specimen
... performer 0..*Performer2
... author 0..*AuthorParticipation
... informant 0..*Element
.... typeCode 1..1codeBinding: ParticipationInformationGenerator (required)
Fixed Value: INF
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... assignedEntity 0..1AssignedEntity
.... relatedEntity 0..1RelatedEntity
... participant 0..*Participant2
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... typeCode 1..1codeBinding: ParticipationType (required)
Required Pattern: REFT
.... contextControlCode 0..1codeBinding: ContextControl (required)
Fixed Value: OP
.... realmCode 0..*CS
.... typeId 0..1II
.... templateId 0..*II
.... sdtcFunctionCode 0..1CEXML: functionCode (urn:hl7-org:sdtc)
.... time 0..1IVL_TS
.... awarenessCode 0..1CE
.... participantRole 1..1ParticipantRole
..... classCode 1..1codeBinding: RoleClassRoot (required)
..... templateId 0..*II
..... id 0..*II
..... sdtcIdentifiedBy 0..*IdentifiedByXML: identifiedBy (urn:hl7-org:sdtc)
..... code 0..1CEBinding: Healthcare Provider Taxonomy (preferred)
..... addr 0..*AD
..... telecom 0..*TEL
..... playingDevice 0..1Device
..... playingEntity 0..1PlayingEntity
..... scopingEntity 0..1Entity
... Slices for entryRelationship I0..*ElementThe following entryRelationship represents a reference to another act in the document instance representing the clinical reason for the referral (e.g., problem, concern, procedure).
Slice: Unordered, Open by profile:observation
.... entryRelationship:All Slices Content/Rules for all slices
..... typeCode 1..1code
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... (Choice of one) 1..1
...... observation 0..1Observation
...... regionOfInterest 0..1RegionOfInterest
...... observationMedia 0..1ObservationMedia
...... substanceAdministration 0..1SubstanceAdministration
...... supply 0..1Supply
...... procedure 0..1Procedure
...... encounter 0..1Encounter
...... organizer 0..1Organizer
...... act 0..1Act
.... entryRelationship:entryRelationship1 I0..*ElementThe following entryRelationship represents whether the referral is for full or shared care.
..... typeCode 1..1codeRequired Pattern: SUBJ
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... observation 1..1Observation
...... classCode 1..1codeBinding: ActClassObservation (required)
Required Pattern: OBS
...... moodCode 1..1codeRequired Pattern: RQO
...... negationInd 0..1boolean
...... realmCode 0..*CS
...... typeId 0..1II
...... templateId 0..*II
...... id 0..*II
...... code 1..1CDBinding: ObservationType (extensible)
....... nullFlavor 0..1codeBinding: NullFlavor (required)
....... code 1..1stringRequired Pattern: ASSERTION
....... codeSystem 1..1stringRequired Pattern: 2.16.840.1.113883.5.4
....... codeSystemName 0..1string
....... codeSystemVersion 0..1string
....... displayName 0..1string
....... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
....... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
....... originalText 0..1ED
....... qualifier 0..*CR
....... translation 0..*CD
...... derivationExpr 0..1ED
...... text 0..1ED
...... statusCode 1..1CSBinding: ActStatus (required)
....... nullFlavor 0..1codeBinding: NullFlavor (required)
....... code 1..1stringRequired Pattern: completed
....... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
....... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
...... effectiveTime 0..1IVL_TS
...... priorityCode 0..1CEBinding: ActPriority (preferred)
...... repeatNumber 0..1IVL_INT
...... languageCode 0..1CSBinding: HumanLanguage (required)
...... value 1..1CDBinding: Care Model (preferred)
...... interpretationCode 0..*CEBinding: ObservationInterpretation (required)
...... methodCode 0..*CEBinding: ObservationMethod (extensible)
...... targetSiteCode 0..*CD
...... subject 0..1Element
....... typeCode 1..1codeBinding: ParticipationTargetSubject (required)
Fixed Value: SBJ
....... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
....... awarenessCode 0..1CEBinding: TargetAwareness (extensible)
....... relatedSubject 1..1RelatedSubject
...... specimen 0..*Specimen
...... performer 0..*Performer2
...... author 0..*Author
...... informant 0..*Element
....... typeCode 1..1codeBinding: ParticipationInformationGenerator (required)
Fixed Value: INF
....... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
....... assignedEntity 0..1AssignedEntity
....... relatedEntity 0..1RelatedEntity
...... participant 0..*Participant2
...... entryRelationship I0..*Element
....... typeCode 1..1code
....... inversionInd 0..1boolean
....... contextConductionInd 1..1boolean
....... sequenceNumber 0..1INT
....... negationInd 0..1boolean
....... seperatableInd 0..1BL
....... (Choice of one) 1..1
........ observation 0..1Observation
........ regionOfInterest 0..1RegionOfInterest
........ observationMedia 0..1ObservationMedia
........ substanceAdministration 0..1SubstanceAdministration
........ supply 0..1Supply
........ procedure 0..1Procedure
........ encounter 0..1Encounter
........ organizer 0..1Organizer
........ act 0..1Act
...... reference 0..*Element
....... typeCode 1..1code
....... seperatableInd 0..1BL
....... externalAct 0..1ExternalAct
....... externalObservation 0..1ExternalObservation
....... externalProcedure 0..1ExternalProcedure
....... externalDocument 0..1ExternalDocument
...... precondition 0..*Precondition
...... referenceRange 0..*Element
....... typeCode 1..1codeBinding: ActRelationshipPertains (required)
Fixed Value: REFV
....... observationRange 1..1ObservationRange
.... entryRelationship:indication I0..*Element
..... typeCode 1..1codeRequired Pattern: RSON
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... observation 1..1Indication
... reference 0..*Element
.... typeCode 1..1code
.... seperatableInd 0..1BL
.... externalAct 0..1ExternalAct
.... externalObservation 0..1ExternalObservation
.... externalProcedure 0..1ExternalProcedure
.... externalDocument 0..1ExternalDocument
... precondition 0..*Precondition

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet / Code
Act.moodCoderequiredPatient Referral Act moodCode
Act.templateId:primary.nullFlavorrequiredNullFlavor
Act.coderequiredReferralTypes
Act.statusCoderequiredActStatus
Act.statusCode.nullFlavorrequiredNullFlavor
Act.priorityCodeextensibleActPriority
Act.languageCoderequiredHumanLanguage
Act.subject.typeCoderequiredFixed Value: SBJ
Act.subject.contextControlCoderequiredFixed Value: OP
Act.subject.awarenessCodeextensibleTargetAwareness
Act.informant.typeCoderequiredFixed Value: INF
Act.informant.contextControlCoderequiredFixed Value: OP
Act.participant.nullFlavorrequiredNullFlavor
Act.participant.typeCoderequiredPattern: REFT
Act.participant.contextControlCoderequiredFixed Value: OP
Act.participant.participantRole.classCoderequiredRoleClassRoot
Act.participant.participantRole.codepreferredHealthcareProviderTaxonomy
Act.entryRelationship:entryRelationship1.observation.classCoderequiredPattern: OBS
Act.entryRelationship:entryRelationship1.observation.codeextensibleObservationType
Act.entryRelationship:entryRelationship1.observation.code.nullFlavorrequiredNullFlavor
Act.entryRelationship:entryRelationship1.observation.statusCoderequiredActStatus
Act.entryRelationship:entryRelationship1.observation.statusCode.nullFlavorrequiredNullFlavor
Act.entryRelationship:entryRelationship1.observation.priorityCodepreferredActPriority
Act.entryRelationship:entryRelationship1.observation.languageCoderequiredHumanLanguage
Act.entryRelationship:entryRelationship1.observation.valuepreferredCare Model
Act.entryRelationship:entryRelationship1.observation.interpretationCoderequiredObservationInterpretation
Act.entryRelationship:entryRelationship1.observation.methodCodeextensibleObservationMethod
Act.entryRelationship:entryRelationship1.observation.subject.typeCoderequiredFixed Value: SBJ
Act.entryRelationship:entryRelationship1.observation.subject.contextControlCoderequiredFixed Value: OP
Act.entryRelationship:entryRelationship1.observation.subject.awarenessCodeextensibleTargetAwareness
Act.entryRelationship:entryRelationship1.observation.informant.typeCoderequiredFixed Value: INF
Act.entryRelationship:entryRelationship1.observation.informant.contextControlCoderequiredFixed Value: OP
Act.entryRelationship:entryRelationship1.observation.referenceRange.typeCoderequiredFixed Value: REFV

Constraints

IdGradePathDetailsRequirements
act-er-1errorAct.entryRelationshipOnly 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-1errorAct.entryRelationship:entryRelationship1Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act
: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1
obs-er-1errorAct.entryRelationship:entryRelationship1.observation.entryRelationshipOnly 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-1errorAct.entryRelationship:indicationOnly one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act
: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1