Consolidated CDA Release 2.2
2.2 - CI Build
Consolidated CDA Release 2.2
2.2 - CI Build
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 |
XML representation of the 2.16.840.1.113883.10.20.22.4.3 resource profile.
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="2.16.840.1.113883.10.20.22.4.3"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a></th><th style="width: 100px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Additional information about the element">Description & Constraints</a><span style="float: right"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="http://hl7.org/fhir/R4/help16.png" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act">Act</a><a name="Act"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-Act.html">CDAR2.Act</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.classCode">classCode</a><a name="Act.classCode"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">ACT</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.moodCode">moodCode</a><a name="Act.moodCode"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">EVN</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Definition" class="hierarchy"/> <a style="font-style: italic" href="StructureDefinition-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.templateId">Slices for templateId</a><a name="Act.templateId"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-style: italic"/><span style="opacity: 0.5; font-style: italic">0</span><span style="opacity: 0.5; font-style: italic">..</span><span style="opacity: 0.5; font-style: italic">*</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; font-style: italic" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-II.html">II</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold; font-style: italic">Slice: </span><span style="font-style: italic">Unordered, Open by value:extension, value:root</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck125.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.templateId:primary" title="Slice primary">templateId:primary</a><a name="Act.templateId"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-II.html">II</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1250.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.templateId:primary.root">root</a><a name="Act.templateId.root"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">2.16.840.1.113883.10.20.22.4.3</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1240.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.templateId:primary.extension">extension</a><a name="Act.templateId.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">2015-08-01</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.id">id</a><a name="Act.id"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..*</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-II.html">II</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.code">code</a><a name="Act.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-CD.html">CD</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.code.code">code</a><a name="Act.code.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">CONC</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.code.codeSystem">codeSystem</a><a name="Act.code.codeSystem"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">2.16.840.1.113883.5.6</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.statusCode">statusCode</a><a name="Act.statusCode"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-CS.html">CS</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">The statusCode of the Problem Concern Act is the definitive indication of the status of the concern, whereas the effectiveTime of the nested Problem Observation is the definitive indication of whether or not the underlying condition is resolved.</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.statusCode.code">code</a><a name="Act.statusCode.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">The statusCode of the Problem Concern Act is the definitive indication of the status of the concern, whereas the effectiveTime of the nested Problem Observation is the definitive indication of whether or not the underlying condition is resolved.<br/><span style="font-weight:bold">Binding: </span><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.11.20.9.19/expansion">ProblemAct statusCode</a> (<a href="http://hl7.org/fhir/R4/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set.">required</a>)</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.effectiveTime">effectiveTime</a><a name="Act.effectiveTime"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-IVL-TS.html">IVL_TS</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.effectiveTime.low">low</a><a name="Act.effectiveTime.low"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-TS.html">TS</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">The effectiveTime/low of the Problem Concern Act asserts when the concern became active.</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.effectiveTime.high">high</a><a name="Act.effectiveTime.high"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://build.fhir.org/ig/HL7/CDA-core-2.0//StructureDefinition-TS.html">TS</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">The effectiveTime/high asserts when the concern was completed (e.g., when the clinician deemed there is no longer any need to track the underlying condition).</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: white; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.author">author</a><a name="Act.author"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.119.html" title="http://hl7.org/fhir/cda/StructureDefinition/Author">AuthorParticipation</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Definition" class="hierarchy"/> <a style="font-style: italic" href="StructureDefinition-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.entryRelationship">Slices for entryRelationship</a><a name="Act.entryRelationship"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-style: italic"/><span style="opacity: 0.5; font-style: italic">0</span><span style="opacity: 0.5; font-style: italic">..</span><span style="opacity: 0.5; font-style: italic">*</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5; font-style: italic">Element</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-style: italic">The following entryRelationship represents the importance of the concern to a provider.</span><br style="font-style: italic"/><span style="font-weight:bold; font-style: italic">Slice: </span><span style="font-style: italic">Unordered, Open by profile:observation</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck035.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.entryRelationship:problem" title="Slice problem">entryRelationship:problem</a><a name="Act.entryRelationship"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Element</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0350.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.entryRelationship:problem.typeCode">typeCode</a><a name="Act.entryRelationship.typeCode"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">SUBJ</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0340.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: white; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.entryRelationship:problem.observation">observation</a><a name="Act.entryRelationship.observation"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.4.html" title="http://hl7.org/fhir/cda/StructureDefinition/Observation">ProblemObservation</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck025.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.entryRelationship:priority" title="Slice priority">entryRelationship:priority</a><a name="Act.entryRelationship"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Element</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0250.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.entryRelationship:priority.typeCode">typeCode</a><a name="Act.entryRelationship.typeCode"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">REFR</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0240.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.3-definitions.html#Act.entryRelationship:priority.observation">observation</a><a name="Act.entryRelationship.observation"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-2.16.840.1.113883.10.20.22.4.143.html" title="http://hl7.org/fhir/cda/StructureDefinition/Observation">PriorityPreference</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="http://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="http://hl7.org/fhir/R4/help16.png" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
</text>
<url
value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.3"/>
<identifier>
<value value="urn:hl7ii:2.16.840.1.113883.10.20.22.4.3:2015-08-01"/>
</identifier>
<version value="2.2"/>
<name value="ProblemConcernAct"/>
<title value="Problem Concern Act"/>
<status value="active"/>
<date value="2022-05-13T15:50:12+00:00"/>
<publisher value="Health Level Seven"/>
<contact>
<name value="HL7 International - Structured Documents"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/structure"/>
</telecom>
</contact>
<description
value="This template reflects an ongoing concern on behalf of the provider that placed the concern on a patients problem list. So long as the underlying condition is of concern to the provider (i.e., as long as the condition, whether active or resolved, is of ongoing concern and interest to the provider), 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, the clinician may remain concerned about a prior heart attack).
The statusCode of the Problem Concern Act is the definitive indication of the status of the concern, whereas the effectiveTime of the nested Problem Observation is the definitive indication of whether or not the underlying condition is resolved.
The effectiveTime/low of the Problem Concern Act asserts when the concern became active. The effectiveTime/high asserts when the concern was completed (e.g., when the clinician deemed there is no longer any need to track the underlying condition).
A Problem Concern Act can contain many Problem Observations (templateId 2.16.840.1.113883.10.20.22.4.4). Each Problem Observation is a discrete observation of a condition, and therefore will have a statusCode of completed. The many Problem Observations nested under a Problem Concern Act reflect the change in the clinical understanding of a condition over time. For instance, a Concern may initially contain a Problem Observation of chest pain:
- Problem Concern 1
--- Problem Observation: Chest Pain
Later, a new Problem Observation of esophagitis will be added, reflecting a better understanding of the nature of the chest pain. The later problem observation will have a more recent author time stamp.
- Problem Concern 1
--- Problem Observation (author/time Jan 3, 2012): Chest Pain
--- Problem Observation (author/time Jan 6, 2012): Esophagitis
Many systems display the nested Problem Observation with the most recent author time stamp, and provide a mechanism for viewing prior observations."/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="US"/>
</coding>
</jurisdiction>
<fhirVersion value="4.0.1"/>
<kind value="resource"/>
<abstract value="false"/>
<type value="Act"/>
<baseDefinition value="http://hl7.org/fhir/cda/StructureDefinition/Act"/>
<derivation value="constraint"/>
<snapshot>
<element id="Act">
<path value="Act"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Base"/>
<min value="0"/>
<max value="*"/>
</base>
<isModifier value="false"/>
</element>
<element id="Act.classCode">
<path value="Act.classCode"/>
<representation value="xmlAttr"/>
<requirements
value="SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-9024)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Act.classCode"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<patternCode value="ACT"/>
</element>
<element id="Act.moodCode">
<path value="Act.moodCode"/>
<representation value="xmlAttr"/>
<requirements
value="SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-9025)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Act.moodCode"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<patternCode value="EVN"/>
</element>
<element id="Act.realmCode">
<path value="Act.realmCode"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Act.realmCode"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/CS"/>
</type>
</element>
<element id="Act.typeId">
<path value="Act.typeId"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Act.typeId"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
</type>
</element>
<element id="Act.templateId">
<path value="Act.templateId"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="extension"/>
</discriminator>
<discriminator>
<type value="value"/>
<path value="root"/>
</discriminator>
<rules value="open"/>
</slicing>
<definition
value="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"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Act.templateId"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
</type>
</element>
<element id="Act.templateId:primary">
<path value="Act.templateId"/>
<sliceName value="primary"/>
<definition
value="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"/>
<requirements
value="SHALL contain exactly one [1..1] templateId (CONF:1198-16772) such that it"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Act.templateId"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
</type>
</element>
<element id="Act.templateId:primary.nullFlavor">
<path value="Act.templateId.nullFlavor"/>
<representation value="xmlAttr"/>
<label value="Exceptional Value Detail"/>
<definition
value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ANY.nullFlavor"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<binding>
<strength value="required"/>
<valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
</binding>
</element>
<element id="Act.templateId:primary.assigningAuthorityName">
<path value="Act.templateId.assigningAuthorityName"/>
<representation value="xmlAttr"/>
<label value="Assigning Authority Name"/>
<definition
value="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."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="II.assigningAuthorityName"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
</element>
<element id="Act.templateId:primary.displayable">
<path value="Act.templateId.displayable"/>
<representation value="xmlAttr"/>
<label value="Displayable"/>
<definition
value="Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="II.displayable"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
</element>
<element id="Act.templateId:primary.root">
<path value="Act.templateId.root"/>
<representation value="xmlAttr"/>
<label value="Root"/>
<definition
value="A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier."/>
<requirements
value="SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.3" (CONF:1198-16773)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="II.root"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<patternString value="2.16.840.1.113883.10.20.22.4.3"/>
</element>
<element id="Act.templateId:primary.extension">
<path value="Act.templateId.extension"/>
<representation value="xmlAttr"/>
<label value="Extension"/>
<definition
value="A character string as a unique identifier within the scope of the identifier root."/>
<requirements
value="SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32509)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="II.extension"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<patternString value="2015-08-01"/>
</element>
<element id="Act.id">
<path value="Act.id"/>
<requirements
value="SHALL contain at least one [1..*] id (CONF:1198-9026)."/>
<min value="1"/>
<max value="*"/>
<base>
<path value="Act.id"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/II"/>
</type>
</element>
<element id="Act.code">
<path value="Act.code"/>
<requirements
value="SHALL contain exactly one [1..1] code (CONF:1198-9027)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Act.code"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/CD"/>
</type>
<binding>
<strength value="extensible"/>
<valueSet value="http://terminology.hl7.org/ValueSet/v3-ActCode"/>
</binding>
</element>
<element id="Act.code.nullFlavor">
<path value="Act.code.nullFlavor"/>
<representation value="xmlAttr"/>
<label value="Exceptional Value Detail"/>
<definition
value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ANY.nullFlavor"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<binding>
<strength value="required"/>
<valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
</binding>
</element>
<element id="Act.code.code">
<path value="Act.code.code"/>
<representation value="xmlAttr"/>
<label value="Code"/>
<definition
value="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."/>
<requirements
value="This code SHALL contain exactly one [1..1] @code="CONC" Concern (CONF:1198-19184)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="CD.code"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<patternString value="CONC"/>
</element>
<element id="Act.code.codeSystem">
<path value="Act.code.codeSystem"/>
<representation value="xmlAttr"/>
<label value="Code System"/>
<definition value="Specifies the code system that defines the code."/>
<requirements
value="This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.6" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1198-32168)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="CD.codeSystem"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<patternString value="2.16.840.1.113883.5.6"/>
</element>
<element id="Act.code.codeSystemName">
<path value="Act.code.codeSystemName"/>
<representation value="xmlAttr"/>
<label value="Code System Name"/>
<definition value="The common name of the coding system."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="CD.codeSystemName"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
</element>
<element id="Act.code.codeSystemVersion">
<path value="Act.code.codeSystemVersion"/>
<representation value="xmlAttr"/>
<label value="Code System Version"/>
<definition
value="If applicable, a version descriptor defined specifically for the given code system."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="CD.codeSystemVersion"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
</element>
<element id="Act.code.displayName">
<path value="Act.code.displayName"/>
<representation value="xmlAttr"/>
<label value="Display Name"/>
<definition
value="A name or title for the code, under which the sending system shows the code value to its users."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="CD.displayName"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
</element>
<element id="Act.code.sdtcValueSet">
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
<valueUri value="urn:hl7-org:sdtc"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
<valueString value="valueSet"/>
</extension>
<path value="Act.code.sdtcValueSet"/>
<representation value="xmlAttr"/>
<definition
value="The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="CD.valueSet"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
</element>
<element id="Act.code.sdtcValueSetVersion">
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
<valueUri value="urn:hl7-org:sdtc"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
<valueString value="valueSetVersion"/>
</extension>
<path value="Act.code.sdtcValueSetVersion"/>
<representation value="xmlAttr"/>
<definition
value="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."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="CD.sdtcValueSetVersion"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
</element>
<element id="Act.code.originalText">
<path value="Act.code.originalText"/>
<label value="Original Text"/>
<definition value="The text or phrase used as the basis for the coding."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="CD.originalText"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/ED"/>
</type>
</element>
<element id="Act.code.qualifier">
<path value="Act.code.qualifier"/>
<label value="Qualifier"/>
<definition
value="Specifies additional codes that increase the specificity of the the primary code."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="CD.qualifier"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/CR"/>
</type>
</element>
<element id="Act.code.translation">
<path value="Act.code.translation"/>
<representation value="typeAttr"/>
<label value="Translation"/>
<definition
value="A set of other concept descriptors that translate this concept descriptor into other code systems."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="CD.translation"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/CD"/>
</type>
</element>
<element id="Act.negationInd">
<path value="Act.negationInd"/>
<representation value="xmlAttr"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Act.negationInd"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
</element>
<element id="Act.text">
<path value="Act.text"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Act.text"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/ED"/>
</type>
</element>
<element id="Act.statusCode">
<path value="Act.statusCode"/>
<short
value="The statusCode of the Problem Concern Act is the definitive indication of the status of the concern, whereas the effectiveTime of the nested Problem Observation is the definitive indication of whether or not the underlying condition is resolved."/>
<requirements
value="SHALL contain exactly one [1..1] statusCode (CONF:1198-9029)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Act.statusCode"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/CS"/>
</type>
<binding>
<strength value="required"/>
<valueSet value="http://terminology.hl7.org/ValueSet/v3-ActStatus"/>
</binding>
</element>
<element id="Act.statusCode.nullFlavor">
<path value="Act.statusCode.nullFlavor"/>
<representation value="xmlAttr"/>
<label value="Exceptional Value Detail"/>
<definition
value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ANY.nullFlavor"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<binding>
<strength value="required"/>
<valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
</binding>
</element>
<element id="Act.statusCode.code">
<path value="Act.statusCode.code"/>
<representation value="xmlAttr"/>
<label value="Code"/>
<short
value="The statusCode of the Problem Concern Act is the definitive indication of the status of the concern, whereas the effectiveTime of the nested Problem Observation is the definitive indication of whether or not the underlying condition is resolved."/>
<definition
value="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."/>
<requirements
value="This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ProblemAct statusCode urn:oid:2.16.840.1.113883.11.20.9.19 STATIC (CONF:1198-31525)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="CD.code"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.19"/>
</binding>
</element>
<element id="Act.statusCode.codeSystem">
<path value="Act.statusCode.codeSystem"/>
<representation value="xmlAttr"/>
<label value="Code System"/>
<definition value="Specifies the code system that defines the code."/>
<min value="0"/>
<max value="0"/>
<base>
<path value="CD.codeSystem"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
</element>
<element id="Act.statusCode.codeSystemName">
<path value="Act.statusCode.codeSystemName"/>
<representation value="xmlAttr"/>
<label value="Code System Name"/>
<definition value="The common name of the coding system."/>
<min value="0"/>
<max value="0"/>
<base>
<path value="CD.codeSystemName"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
</element>
<element id="Act.statusCode.codeSystemVersion">
<path value="Act.statusCode.codeSystemVersion"/>
<representation value="xmlAttr"/>
<label value="Code System Version"/>
<definition
value="If applicable, a version descriptor defined specifically for the given code system."/>
<min value="0"/>
<max value="0"/>
<base>
<path value="CD.codeSystemVersion"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
</element>
<element id="Act.statusCode.displayName">
<path value="Act.statusCode.displayName"/>
<representation value="xmlAttr"/>
<label value="Display Name"/>
<definition
value="A name or title for the code, under which the sending system shows the code value to its users."/>
<min value="0"/>
<max value="0"/>
<base>
<path value="CD.displayName"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
</element>
<element id="Act.statusCode.sdtcValueSet">
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
<valueUri value="urn:hl7-org:sdtc"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
<valueString value="valueSet"/>
</extension>
<path value="Act.statusCode.sdtcValueSet"/>
<representation value="xmlAttr"/>
<definition
value="The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="CD.valueSet"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
</element>
<element id="Act.statusCode.sdtcValueSetVersion">
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
<valueUri value="urn:hl7-org:sdtc"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
<valueString value="valueSetVersion"/>
</extension>
<path value="Act.statusCode.sdtcValueSetVersion"/>
<representation value="xmlAttr"/>
<definition
value="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."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="CD.sdtcValueSetVersion"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
</element>
<element id="Act.statusCode.originalText">
<path value="Act.statusCode.originalText"/>
<label value="Original Text"/>
<definition value="The text or phrase used as the basis for the coding."/>
<min value="0"/>
<max value="0"/>
<base>
<path value="CD.originalText"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/ED"/>
</type>
</element>
<element id="Act.statusCode.qualifier">
<path value="Act.statusCode.qualifier"/>
<label value="Qualifier"/>
<definition
value="Specifies additional codes that increase the specificity of the the primary code."/>
<min value="0"/>
<max value="0"/>
<base>
<path value="CD.qualifier"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/CR"/>
</type>
</element>
<element id="Act.statusCode.translation">
<path value="Act.statusCode.translation"/>
<representation value="typeAttr"/>
<label value="Translation"/>
<definition
value="A set of other concept descriptors that translate this concept descriptor into other code systems."/>
<min value="0"/>
<max value="0"/>
<base>
<path value="CD.translation"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/CD"/>
</type>
</element>
<element id="Act.effectiveTime">
<path value="Act.effectiveTime"/>
<requirements
value="SHALL contain exactly one [1..1] effectiveTime (CONF:1198-9030)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Act.effectiveTime"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/IVL-TS"/>
</type>
</element>
<element id="Act.effectiveTime.nullFlavor">
<path value="Act.effectiveTime.nullFlavor"/>
<representation value="xmlAttr"/>
<label value="Exceptional Value Detail"/>
<definition
value="If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ANY.nullFlavor"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<binding>
<strength value="required"/>
<valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"/>
</binding>
</element>
<element id="Act.effectiveTime.value">
<extension
url="http://www.healthintersections.com.au/fhir/StructureDefinition/elementdefinition-dateformat">
<valueString value="v3"/>
</extension>
<path value="Act.effectiveTime.value"/>
<representation value="xmlAttr"/>
<definition
value="A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="TS.value"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="dateTime"/>
</type>
</element>
<element id="Act.effectiveTime.inclusive">
<path value="Act.effectiveTime.inclusive"/>
<representation value="xmlAttr"/>
<definition
value="Specifies whether the limit is included in the interval (interval is closed) or excluded from the interval (interval is open)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="TS.inclusive"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
</element>
<element id="Act.effectiveTime.operator">
<path value="Act.effectiveTime.operator"/>
<representation value="xmlAttr"/>
<definition
value="A code specifying whether the set component is included (union) or excluded (set-difference) from the set, or other set operations with the current set component and the set as constructed from the representation stream up to the current point."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="SXCM_TS.operator"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
</element>
<element id="Act.effectiveTime.low">
<path value="Act.effectiveTime.low"/>
<label
value="The effectiveTime/low of the Problem Concern Act asserts when the concern became active."/>
<short
value="The effectiveTime/low of the Problem Concern Act asserts when the concern became active."/>
<definition value="This is the low limit of the interval."/>
<requirements
value="This effectiveTime SHALL contain exactly one [1..1] low (CONF:1198-9032)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="IVL_TS.low"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/TS"/>
</type>
</element>
<element id="Act.effectiveTime.high">
<path value="Act.effectiveTime.high"/>
<label
value="The effectiveTime/high asserts when the concern was completed (e.g., when the clinician deemed there is no longer any need to track the underlying condition)."/>
<short
value="The effectiveTime/high asserts when the concern was completed (e.g., when the clinician deemed there is no longer any need to track the underlying condition)."/>
<definition value="This is the high limit of the interval."/>
<requirements
value="This effectiveTime MAY contain zero or one [0..1] high (CONF:1198-9033)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="IVL_TS.high"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/TS"/>
</type>
</element>
<element id="Act.effectiveTime.width">
<path value="Act.effectiveTime.width"/>
<label value="Width"/>
<definition
value="The difference between high and low boundary. The purpose of distinguishing a width property is to handle all cases of incomplete information symmetrically. In any interval representation only two of the three properties high, low, and width need to be stated and the third can be derived."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="IVL_TS.width"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/PQ"/>
</type>
</element>
<element id="Act.effectiveTime.center">
<path value="Act.effectiveTime.center"/>
<label value="Central Value"/>
<definition
value="The arithmetic mean of the interval (low plus high divided by 2). The purpose of distinguishing the center as a semantic property is for conversions of intervals from and to point values."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="IVL_TS.center"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/TS"/>
</type>
</element>
<element id="Act.priorityCode">
<path value="Act.priorityCode"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Act.priorityCode"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
</type>
<binding>
<strength value="extensible"/>
<valueSet value="http://terminology.hl7.org/ValueSet/v3-ActPriority"/>
</binding>
</element>
<element id="Act.languageCode">
<path value="Act.languageCode"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Act.languageCode"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/CS"/>
</type>
<binding>
<strength value="required"/>
<valueSet value="http://terminology.hl7.org/ValueSet/v3-HumanLanguage"/>
</binding>
</element>
<element id="Act.subject">
<path value="Act.subject"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Act.subject"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Element"/>
</type>
</element>
<element id="Act.subject.typeCode">
<path value="Act.subject.typeCode"/>
<representation value="xmlAttr"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Act.subject.typeCode"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<defaultValueCode value="SBJ"/>
<fixedCode value="SBJ"/>
<binding>
<strength value="required"/>
<valueSet
value="http://terminology.hl7.org/ValueSet/v3-ParticipationTargetSubject"/>
</binding>
</element>
<element id="Act.subject.contextControlCode">
<path value="Act.subject.contextControlCode"/>
<representation value="xmlAttr"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Act.subject.contextControlCode"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<defaultValueCode value="OP"/>
<fixedCode value="OP"/>
<binding>
<strength value="required"/>
<valueSet value="http://terminology.hl7.org/ValueSet/v3-ContextControl"/>
</binding>
</element>
<element id="Act.subject.awarenessCode">
<path value="Act.subject.awarenessCode"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Act.subject.awarenessCode"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/CE"/>
</type>
<binding>
<strength value="extensible"/>
<valueSet value="http://terminology.hl7.org/ValueSet/v3-TargetAwareness"/>
</binding>
</element>
<element id="Act.subject.relatedSubject">
<path value="Act.subject.relatedSubject"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Act.subject.relatedSubject"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/RelatedSubject"/>
</type>
</element>
<element id="Act.specimen">
<path value="Act.specimen"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Act.specimen"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/Specimen"/>
</type>
</element>
<element id="Act.performer">
<path value="Act.performer"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Act.performer"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/Performer2"/>
</type>
</element>
<element id="Act.author">
<path value="Act.author"/>
<requirements
value="SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1198-31146)."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Act.author"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/Author"/>
<profile
value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.119"/>
</type>
<isModifier value="false"/>
</element>
<element id="Act.informant">
<path value="Act.informant"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Act.informant"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Element"/>
</type>
</element>
<element id="Act.informant.typeCode">
<path value="Act.informant.typeCode"/>
<representation value="xmlAttr"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Act.informant.typeCode"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<defaultValueCode value="INF"/>
<fixedCode value="INF"/>
<binding>
<strength value="required"/>
<valueSet
value="http://terminology.hl7.org/ValueSet/v3-ParticipationInformationGenerator"/>
</binding>
</element>
<element id="Act.informant.contextControlCode">
<path value="Act.informant.contextControlCode"/>
<representation value="xmlAttr"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Act.informant.contextControlCode"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<defaultValueCode value="OP"/>
<fixedCode value="OP"/>
<binding>
<strength value="required"/>
<valueSet value="http://terminology.hl7.org/ValueSet/v3-ContextControl"/>
</binding>
</element>
<element id="Act.informant.assignedEntity">
<path value="Act.informant.assignedEntity"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Act.informant.assignedEntity"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity"/>
</type>
</element>
<element id="Act.informant.relatedEntity">
<path value="Act.informant.relatedEntity"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Act.informant.relatedEntity"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/RelatedEntity"/>
</type>
</element>
<element id="Act.participant">
<path value="Act.participant"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Act.participant"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/Participant2"/>
</type>
</element>
<element id="Act.entryRelationship">
<path value="Act.entryRelationship"/>
<slicing>
<discriminator>
<type value="profile"/>
<path value="observation"/>
</discriminator>
<rules value="open"/>
</slicing>
<short
value="The following entryRelationship represents the importance of the concern to a provider."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Act.entryRelationship"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Element"/>
</type>
<constraint>
<key value="act-er-1"/>
<severity value="error"/>
<human
value="Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act"/>
<expression
value="(observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1"/>
<source value="http://hl7.org/fhir/cda/StructureDefinition/Act"/>
</constraint>
</element>
<element id="Act.entryRelationship.typeCode">
<path value="Act.entryRelationship.typeCode"/>
<representation value="xmlAttr"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Act.entryRelationship.typeCode"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
</element>
<element id="Act.entryRelationship.inversionInd">
<path value="Act.entryRelationship.inversionInd"/>
<representation value="xmlAttr"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Act.entryRelationship.inversionInd"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
</element>
<element id="Act.entryRelationship.contextConductionInd">
<path value="Act.entryRelationship.contextConductionInd"/>
<representation value="xmlAttr"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Act.entryRelationship.contextConductionInd"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
<defaultValueBoolean value="true"/>
</element>
<element id="Act.entryRelationship.sequenceNumber">
<path value="Act.entryRelationship.sequenceNumber"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Act.entryRelationship.sequenceNumber"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/INT"/>
</type>
</element>
<element id="Act.entryRelationship.negationInd">
<path value="Act.entryRelationship.negationInd"/>
<representation value="xmlAttr"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Act.entryRelationship.negationInd"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
</element>
<element id="Act.entryRelationship.seperatableInd">
<path value="Act.entryRelationship.seperatableInd"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Act.entryRelationship.seperatableInd"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/BL"/>
</type>
</element>
<element id="Act.entryRelationship.observation">
<path value="Act.entryRelationship.observation"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Act.entryRelationship.observation"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/Observation"/>
</type>
</element>
<element id="Act.entryRelationship.regionOfInterest">
<path value="Act.entryRelationship.regionOfInterest"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Act.entryRelationship.regionOfInterest"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest"/>
</type>
</element>
<element id="Act.entryRelationship.observationMedia">
<path value="Act.entryRelationship.observationMedia"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Act.entryRelationship.observationMedia"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"/>
</type>
</element>
<element id="Act.entryRelationship.substanceAdministration">
<path value="Act.entryRelationship.substanceAdministration"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Act.entryRelationship.substanceAdministration"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"/>
</type>
</element>
<element id="Act.entryRelationship.supply">
<path value="Act.entryRelationship.supply"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Act.entryRelationship.supply"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/Supply"/>
</type>
</element>
<element id="Act.entryRelationship.procedure">
<path value="Act.entryRelationship.procedure"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Act.entryRelationship.procedure"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/Procedure"/>
</type>
</element>
<element id="Act.entryRelationship.encounter">
<path value="Act.entryRelationship.encounter"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Act.entryRelationship.encounter"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/Encounter"/>
</type>
</element>
<element id="Act.entryRelationship.organizer">
<path value="Act.entryRelationship.organizer"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Act.entryRelationship.organizer"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/Organizer"/>
</type>
</element>
<element id="Act.entryRelationship.act">
<path value="Act.entryRelationship.act"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Act.entryRelationship.act"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/Act"/>
</type>
</element>
<element id="Act.entryRelationship:problem">
<path value="Act.entryRelationship"/>
<sliceName value="problem"/>
<requirements
value="SHALL contain at least one [1..*] entryRelationship (CONF:1198-9034) such that it"/>
<min value="1"/>
<max value="*"/>
<base>
<path value="Act.entryRelationship"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Element"/>
</type>
<constraint>
<key value="act-er-1"/>
<severity value="error"/>
<human
value="Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act"/>
<expression
value="(observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1"/>
<source value="http://hl7.org/fhir/cda/StructureDefinition/Act"/>
</constraint>
</element>
<element id="Act.entryRelationship:problem.typeCode">
<path value="Act.entryRelationship.typeCode"/>
<representation value="xmlAttr"/>
<requirements
value="SHALL contain exactly one [1..1] @typeCode="SUBJ" Has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-9035)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Act.entryRelationship.typeCode"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<patternCode value="SUBJ"/>
</element>
<element id="Act.entryRelationship:problem.inversionInd">
<path value="Act.entryRelationship.inversionInd"/>
<representation value="xmlAttr"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Act.entryRelationship.inversionInd"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
</element>
<element id="Act.entryRelationship:problem.contextConductionInd">
<path value="Act.entryRelationship.contextConductionInd"/>
<representation value="xmlAttr"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Act.entryRelationship.contextConductionInd"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
<defaultValueBoolean value="true"/>
</element>
<element id="Act.entryRelationship:problem.sequenceNumber">
<path value="Act.entryRelationship.sequenceNumber"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Act.entryRelationship.sequenceNumber"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/INT"/>
</type>
</element>
<element id="Act.entryRelationship:problem.negationInd">
<path value="Act.entryRelationship.negationInd"/>
<representation value="xmlAttr"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Act.entryRelationship.negationInd"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
</element>
<element id="Act.entryRelationship:problem.seperatableInd">
<path value="Act.entryRelationship.seperatableInd"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Act.entryRelationship.seperatableInd"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/BL"/>
</type>
</element>
<element id="Act.entryRelationship:problem.observation">
<path value="Act.entryRelationship.observation"/>
<requirements
value="SHALL contain exactly one [1..1] Problem Observation (V3) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.4:2015-08-01) (CONF:1198-15980)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Act.entryRelationship.observation"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/Observation"/>
<profile
value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.4"/>
</type>
<isModifier value="false"/>
</element>
<element id="Act.entryRelationship:problem.regionOfInterest">
<path value="Act.entryRelationship.regionOfInterest"/>
<min value="0"/>
<max value="0"/>
<base>
<path value="Act.entryRelationship.regionOfInterest"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest"/>
</type>
</element>
<element id="Act.entryRelationship:problem.observationMedia">
<path value="Act.entryRelationship.observationMedia"/>
<min value="0"/>
<max value="0"/>
<base>
<path value="Act.entryRelationship.observationMedia"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"/>
</type>
</element>
<element id="Act.entryRelationship:problem.substanceAdministration">
<path value="Act.entryRelationship.substanceAdministration"/>
<min value="0"/>
<max value="0"/>
<base>
<path value="Act.entryRelationship.substanceAdministration"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"/>
</type>
</element>
<element id="Act.entryRelationship:problem.supply">
<path value="Act.entryRelationship.supply"/>
<min value="0"/>
<max value="0"/>
<base>
<path value="Act.entryRelationship.supply"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/Supply"/>
</type>
</element>
<element id="Act.entryRelationship:problem.procedure">
<path value="Act.entryRelationship.procedure"/>
<min value="0"/>
<max value="0"/>
<base>
<path value="Act.entryRelationship.procedure"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/Procedure"/>
</type>
</element>
<element id="Act.entryRelationship:problem.encounter">
<path value="Act.entryRelationship.encounter"/>
<min value="0"/>
<max value="0"/>
<base>
<path value="Act.entryRelationship.encounter"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/Encounter"/>
</type>
</element>
<element id="Act.entryRelationship:problem.organizer">
<path value="Act.entryRelationship.organizer"/>
<min value="0"/>
<max value="0"/>
<base>
<path value="Act.entryRelationship.organizer"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/Organizer"/>
</type>
</element>
<element id="Act.entryRelationship:problem.act">
<path value="Act.entryRelationship.act"/>
<min value="0"/>
<max value="0"/>
<base>
<path value="Act.entryRelationship.act"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/Act"/>
</type>
</element>
<element id="Act.entryRelationship:priority">
<path value="Act.entryRelationship"/>
<sliceName value="priority"/>
<requirements
value="MAY contain zero or more [0..*] entryRelationship (CONF:1198-31638) such that it"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Act.entryRelationship"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Element"/>
</type>
<constraint>
<key value="act-er-1"/>
<severity value="error"/>
<human
value="Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act"/>
<expression
value="(observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1"/>
<source value="http://hl7.org/fhir/cda/StructureDefinition/Act"/>
</constraint>
</element>
<element id="Act.entryRelationship:priority.typeCode">
<path value="Act.entryRelationship.typeCode"/>
<representation value="xmlAttr"/>
<requirements
value="SHALL contain exactly one [1..1] @typeCode="REFR" refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31639)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Act.entryRelationship.typeCode"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<patternCode value="REFR"/>
</element>
<element id="Act.entryRelationship:priority.inversionInd">
<path value="Act.entryRelationship.inversionInd"/>
<representation value="xmlAttr"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Act.entryRelationship.inversionInd"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
</element>
<element id="Act.entryRelationship:priority.contextConductionInd">
<path value="Act.entryRelationship.contextConductionInd"/>
<representation value="xmlAttr"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Act.entryRelationship.contextConductionInd"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
<defaultValueBoolean value="true"/>
</element>
<element id="Act.entryRelationship:priority.sequenceNumber">
<path value="Act.entryRelationship.sequenceNumber"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Act.entryRelationship.sequenceNumber"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/INT"/>
</type>
</element>
<element id="Act.entryRelationship:priority.negationInd">
<path value="Act.entryRelationship.negationInd"/>
<representation value="xmlAttr"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Act.entryRelationship.negationInd"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
</element>
<element id="Act.entryRelationship:priority.seperatableInd">
<path value="Act.entryRelationship.seperatableInd"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Act.entryRelationship.seperatableInd"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/BL"/>
</type>
</element>
<element id="Act.entryRelationship:priority.observation">
<path value="Act.entryRelationship.observation"/>
<requirements
value="SHALL contain exactly one [1..1] Priority Preference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.143) (CONF:1198-31640)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Act.entryRelationship.observation"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/Observation"/>
<profile
value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.143"/>
</type>
<isModifier value="false"/>
</element>
<element id="Act.entryRelationship:priority.regionOfInterest">
<path value="Act.entryRelationship.regionOfInterest"/>
<min value="0"/>
<max value="0"/>
<base>
<path value="Act.entryRelationship.regionOfInterest"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest"/>
</type>
</element>
<element id="Act.entryRelationship:priority.observationMedia">
<path value="Act.entryRelationship.observationMedia"/>
<min value="0"/>
<max value="0"/>
<base>
<path value="Act.entryRelationship.observationMedia"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"/>
</type>
</element>
<element id="Act.entryRelationship:priority.substanceAdministration">
<path value="Act.entryRelationship.substanceAdministration"/>
<min value="0"/>
<max value="0"/>
<base>
<path value="Act.entryRelationship.substanceAdministration"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"/>
</type>
</element>
<element id="Act.entryRelationship:priority.supply">
<path value="Act.entryRelationship.supply"/>
<min value="0"/>
<max value="0"/>
<base>
<path value="Act.entryRelationship.supply"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/Supply"/>
</type>
</element>
<element id="Act.entryRelationship:priority.procedure">
<path value="Act.entryRelationship.procedure"/>
<min value="0"/>
<max value="0"/>
<base>
<path value="Act.entryRelationship.procedure"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/Procedure"/>
</type>
</element>
<element id="Act.entryRelationship:priority.encounter">
<path value="Act.entryRelationship.encounter"/>
<min value="0"/>
<max value="0"/>
<base>
<path value="Act.entryRelationship.encounter"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/Encounter"/>
</type>
</element>
<element id="Act.entryRelationship:priority.organizer">
<path value="Act.entryRelationship.organizer"/>
<min value="0"/>
<max value="0"/>
<base>
<path value="Act.entryRelationship.organizer"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/Organizer"/>
</type>
</element>
<element id="Act.entryRelationship:priority.act">
<path value="Act.entryRelationship.act"/>
<min value="0"/>
<max value="0"/>
<base>
<path value="Act.entryRelationship.act"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/Act"/>
</type>
</element>
<element id="Act.reference">
<path value="Act.reference"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Act.reference"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Element"/>
</type>
</element>
<element id="Act.reference.typeCode">
<path value="Act.reference.typeCode"/>
<representation value="xmlAttr"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Act.reference.typeCode"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
</element>
<element id="Act.reference.seperatableInd">
<path value="Act.reference.seperatableInd"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Act.reference.seperatableInd"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/BL"/>
</type>
</element>
<element id="Act.reference.externalAct">
<path value="Act.reference.externalAct"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Act.reference.externalAct"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/ExternalAct"/>
</type>
</element>
<element id="Act.reference.externalObservation">
<path value="Act.reference.externalObservation"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Act.reference.externalObservation"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/fhir/cda/StructureDefinition/ExternalObservation"/>
</type>
</element>
<element id="Act.reference.externalProcedure">
<path value="Act.reference.externalProcedure"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Act.reference.externalProcedure"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure"/>
</type>
</element>
<element id="Act.reference.externalDocument">
<path value="Act.reference.externalDocument"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Act.reference.externalDocument"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.org/fhir/cda/StructureDefinition/ExternalDocument"/>
</type>
</element>
<element id="Act.precondition">
<path value="Act.precondition"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Act.precondition"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/Precondition"/>
</type>
</element>
</snapshot>
<differential>
<element id="Act">
<path value="Act"/>
</element>
<element id="Act.classCode">
<path value="Act.classCode"/>
<requirements
value="SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-9024)."/>
<min value="1"/>
<max value="1"/>
<patternCode value="ACT"/>
</element>
<element id="Act.moodCode">
<path value="Act.moodCode"/>
<requirements
value="SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-9025)."/>
<min value="1"/>
<max value="1"/>
<patternCode value="EVN"/>
</element>
<element id="Act.templateId">
<path value="Act.templateId"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="extension"/>
</discriminator>
<discriminator>
<type value="value"/>
<path value="root"/>
</discriminator>
<rules value="open"/>
</slicing>
</element>
<element id="Act.templateId:primary">
<path value="Act.templateId"/>
<sliceName value="primary"/>
<requirements
value="SHALL contain exactly one [1..1] templateId (CONF:1198-16772) such that it"/>
<min value="1"/>
<max value="1"/>
</element>
<element id="Act.templateId:primary.root">
<path value="Act.templateId.root"/>
<requirements
value="SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.3" (CONF:1198-16773)."/>
<min value="1"/>
<max value="1"/>
<patternString value="2.16.840.1.113883.10.20.22.4.3"/>
</element>
<element id="Act.templateId:primary.extension">
<path value="Act.templateId.extension"/>
<requirements
value="SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32509)."/>
<min value="1"/>
<max value="1"/>
<patternString value="2015-08-01"/>
</element>
<element id="Act.id">
<path value="Act.id"/>
<requirements
value="SHALL contain at least one [1..*] id (CONF:1198-9026)."/>
<min value="1"/>
<max value="*"/>
</element>
<element id="Act.code">
<path value="Act.code"/>
<requirements
value="SHALL contain exactly one [1..1] code (CONF:1198-9027)."/>
<min value="1"/>
<max value="1"/>
</element>
<element id="Act.code.code">
<path value="Act.code.code"/>
<requirements
value="This code SHALL contain exactly one [1..1] @code="CONC" Concern (CONF:1198-19184)."/>
<min value="1"/>
<max value="1"/>
<patternString value="CONC"/>
</element>
<element id="Act.code.codeSystem">
<path value="Act.code.codeSystem"/>
<requirements
value="This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.6" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1198-32168)."/>
<min value="1"/>
<max value="1"/>
<patternString value="2.16.840.1.113883.5.6"/>
</element>
<element id="Act.statusCode">
<path value="Act.statusCode"/>
<short
value="The statusCode of the Problem Concern Act is the definitive indication of the status of the concern, whereas the effectiveTime of the nested Problem Observation is the definitive indication of whether or not the underlying condition is resolved."/>
<requirements
value="SHALL contain exactly one [1..1] statusCode (CONF:1198-9029)."/>
<min value="1"/>
<max value="1"/>
</element>
<element id="Act.statusCode.code">
<path value="Act.statusCode.code"/>
<short
value="The statusCode of the Problem Concern Act is the definitive indication of the status of the concern, whereas the effectiveTime of the nested Problem Observation is the definitive indication of whether or not the underlying condition is resolved."/>
<requirements
value="This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ProblemAct statusCode urn:oid:2.16.840.1.113883.11.20.9.19 STATIC (CONF:1198-31525)."/>
<min value="1"/>
<max value="1"/>
<binding>
<strength value="required"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.19"/>
</binding>
</element>
<element id="Act.effectiveTime">
<path value="Act.effectiveTime"/>
<requirements
value="SHALL contain exactly one [1..1] effectiveTime (CONF:1198-9030)."/>
<min value="1"/>
<max value="1"/>
</element>
<element id="Act.effectiveTime.low">
<path value="Act.effectiveTime.low"/>
<label
value="The effectiveTime/low of the Problem Concern Act asserts when the concern became active."/>
<short
value="The effectiveTime/low of the Problem Concern Act asserts when the concern became active."/>
<requirements
value="This effectiveTime SHALL contain exactly one [1..1] low (CONF:1198-9032)."/>
<min value="1"/>
<max value="1"/>
</element>
<element id="Act.effectiveTime.high">
<path value="Act.effectiveTime.high"/>
<label
value="The effectiveTime/high asserts when the concern was completed (e.g., when the clinician deemed there is no longer any need to track the underlying condition)."/>
<short
value="The effectiveTime/high asserts when the concern was completed (e.g., when the clinician deemed there is no longer any need to track the underlying condition)."/>
<requirements
value="This effectiveTime MAY contain zero or one [0..1] high (CONF:1198-9033)."/>
<min value="0"/>
<max value="1"/>
</element>
<element id="Act.author">
<path value="Act.author"/>
<requirements
value="SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1198-31146)."/>
<min value="0"/>
<max value="*"/>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/Author"/>
<profile
value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.119"/>
</type>
</element>
<element id="Act.entryRelationship">
<path value="Act.entryRelationship"/>
<slicing>
<discriminator>
<type value="profile"/>
<path value="observation"/>
</discriminator>
<rules value="open"/>
</slicing>
<short
value="The following entryRelationship represents the importance of the concern to a provider."/>
</element>
<element id="Act.entryRelationship:problem">
<path value="Act.entryRelationship"/>
<sliceName value="problem"/>
<requirements
value="SHALL contain at least one [1..*] entryRelationship (CONF:1198-9034) such that it"/>
<min value="1"/>
<max value="*"/>
</element>
<element id="Act.entryRelationship:problem.typeCode">
<path value="Act.entryRelationship.typeCode"/>
<requirements
value="SHALL contain exactly one [1..1] @typeCode="SUBJ" Has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-9035)."/>
<min value="1"/>
<max value="1"/>
<patternCode value="SUBJ"/>
</element>
<element id="Act.entryRelationship:problem.observation">
<path value="Act.entryRelationship.observation"/>
<requirements
value="SHALL contain exactly one [1..1] Problem Observation (V3) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.4:2015-08-01) (CONF:1198-15980)."/>
<min value="1"/>
<max value="1"/>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/Observation"/>
<profile
value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.4"/>
</type>
</element>
<element id="Act.entryRelationship:priority">
<path value="Act.entryRelationship"/>
<sliceName value="priority"/>
<requirements
value="MAY contain zero or more [0..*] entryRelationship (CONF:1198-31638) such that it"/>
<min value="0"/>
<max value="*"/>
</element>
<element id="Act.entryRelationship:priority.typeCode">
<path value="Act.entryRelationship.typeCode"/>
<requirements
value="SHALL contain exactly one [1..1] @typeCode="REFR" refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31639)."/>
<min value="1"/>
<max value="1"/>
<patternCode value="REFR"/>
</element>
<element id="Act.entryRelationship:priority.observation">
<path value="Act.entryRelationship.observation"/>
<requirements
value="SHALL contain exactly one [1..1] Priority Preference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.143) (CONF:1198-31640)."/>
<min value="1"/>
<max value="1"/>
<type>
<code value="http://hl7.org/fhir/cda/StructureDefinition/Observation"/>
<profile
value="http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.143"/>
</type>
</element>
</differential>
</StructureDefinition>
IG © 2019+ Health Level Seven. Package hl7.cda.us.ccdar2dot2#2.2 based on FHIR 4.0.1. Generated 2022-05-13
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