Consolidated CDA Release 2.2, published by Health Level Seven. This is not an authorized publication; it is the continuous build for version 2.2). This version is based on the current content of https://github.com/HL7/CDA-ccda-2.2/ and changes regularly. See the Directory of published versions
| Active as of 2022-05-13 | 
Definitions for the 2.16.840.1.113883.10.20.22.4.51 resource profile.
| 1. Act | |
| Control | 1..1 | 
| 2. Act.classCode | |
| Control | 1..1 | 
| Type | code | 
| Requirements | SHALL contain exactly one [1..1] @classCode="ACT" (CONF:1198-8756). | 
| Pattern Value | ACT | 
| 3. Act.moodCode | |
| Control | 1..1 | 
| Type | code | 
| Requirements | SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:1198-8757). | 
| Pattern Value | EVN | 
| 4. Act.realmCode | |
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CS | 
| 5. Act.typeId | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/II | 
| 6. Act.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question | 
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/II | 
| Slicing | This element introduces a set of slices on Act.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators: 
 | 
| 7. Act.templateId:primary | |
| SliceName | primary | 
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question | 
| Control | 1..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/II | 
| Requirements | SHALL contain exactly one [1..1] templateId (CONF:1198-16766) such that it | 
| 8. Act.templateId:primary.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. | 
| Control | 0..1 | 
| Binding | The codes SHALL be taken from NullFlavor | 
| Type | code | 
| 9. Act.templateId:primary.assigningAuthorityName | |
| Definition | A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form. | 
| Control | 0..1 | 
| Type | string | 
| 10. Act.templateId:primary.displayable | |
| Definition | Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false). | 
| Control | 0..1 | 
| Type | boolean | 
| 11. Act.templateId:primary.root | |
| Definition | A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier. | 
| Control | 1..1 | 
| Type | string | 
| Requirements | SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.51" (CONF:1198-16767). | 
| Pattern Value | 2.16.840.1.113883.10.20.22.4.51 | 
| 12. Act.templateId:primary.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. | 
| Control | 1..1 | 
| Type | string | 
| Requirements | SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32539). | 
| Pattern Value | 2015-08-01 | 
| 13. Act.id | |
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/II | 
| 14. Act.code | |
| Control | 1..1 | 
| Binding | The codes SHALL be taken from v3 Code System ActCode; other codes may be used where these codes are not suitable | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CD | 
| Requirements | SHALL contain exactly one [1..1] code (CONF:1198-19151). | 
| 15. Act.code.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. | 
| Control | 0..1 | 
| Binding | The codes SHALL be taken from NullFlavor | 
| Type | code | 
| 16. Act.code.code | |
| Definition | The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache. | 
| Control | 1..1 | 
| Type | string | 
| Requirements | This code SHALL contain exactly one [1..1] @code="59769-0" Postprocedure diagnosis (CONF:1198-19152). | 
| Pattern Value | 59769-0 | 
| 17. Act.code.codeSystem | |
| Definition | Specifies the code system that defines the code. | 
| Control | 1..1 | 
| Type | string | 
| Requirements | This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:1198-32166). | 
| Pattern Value | 2.16.840.1.113883.6.1 | 
| 18. Act.code.codeSystemName | |
| Definition | The common name of the coding system. | 
| Control | 0..1 | 
| Type | string | 
| 19. Act.code.codeSystemVersion | |
| Definition | If applicable, a version descriptor defined specifically for the given code system. | 
| Control | 0..1 | 
| Type | string | 
| 20. Act.code.displayName | |
| Definition | A name or title for the code, under which the sending system shows the code value to its users. | 
| Control | 0..1 | 
| Type | string | 
| 21. Act.code.sdtcValueSet | |
| Definition | The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept. | 
| Control | 0..1 | 
| Type | string | 
| 22. Act.code.sdtcValueSetVersion | |
| Definition | The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept. | 
| Control | 0..1 | 
| Type | string | 
| 23. Act.code.originalText | |
| Definition | The text or phrase used as the basis for the coding. | 
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ED | 
| 24. Act.code.qualifier | |
| Definition | Specifies additional codes that increase the specificity of the the primary code. | 
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CR | 
| 25. Act.code.translation | |
| Definition | A set of other concept descriptors that translate this concept descriptor into other code systems. | 
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CD | 
| 26. Act.negationInd | |
| Control | 0..1 | 
| Type | boolean | 
| 27. Act.text | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ED | 
| 28. Act.statusCode | |
| Control | 0..1 | 
| Binding | The codes SHALL be taken from ActStatus | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CS | 
| 29. Act.effectiveTime | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/IVL-TS | 
| 30. Act.priorityCode | |
| Control | 0..1 | 
| Binding | The codes SHALL be taken from ActPriority; other codes may be used where these codes are not suitable | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CE | 
| 31. Act.languageCode | |
| Control | 0..1 | 
| Binding | The codes SHALL be taken from HumanLanguage | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CS | 
| 32. Act.subject | |
| Control | 0..1 | 
| Type | Element | 
| 33. Act.subject.typeCode | |
| Control | 1..1 | 
| Binding | The codes SHALL be taken from ParticipationTargetSubject | 
| Type | code | 
| Default Value | SBJ | 
| Fixed Value | SBJ | 
| 34. Act.subject.contextControlCode | |
| Control | 1..1 | 
| Binding | The codes SHALL be taken from ContextControl | 
| Type | code | 
| Default Value | OP | 
| Fixed Value | OP | 
| 35. Act.subject.awarenessCode | |
| Control | 0..1 | 
| Binding | The codes SHALL be taken from TargetAwareness; other codes may be used where these codes are not suitable | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CE | 
| 36. Act.subject.relatedSubject | |
| Control | 1..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/RelatedSubject | 
| 37. Act.specimen | |
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Specimen | 
| 38. Act.performer | |
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Performer2 | 
| 39. Act.author | |
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Author | 
| 40. Act.informant | |
| Control | 0..* | 
| Type | Element | 
| 41. Act.informant.typeCode | |
| Control | 1..1 | 
| Binding | The codes SHALL be taken from ParticipationInformationGenerator | 
| Type | code | 
| Default Value | INF | 
| Fixed Value | INF | 
| 42. Act.informant.contextControlCode | |
| Control | 1..1 | 
| Binding | The codes SHALL be taken from ContextControl | 
| Type | code | 
| Default Value | OP | 
| Fixed Value | OP | 
| 43. Act.informant.assignedEntity | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity | 
| 44. Act.informant.relatedEntity | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/RelatedEntity | 
| 45. Act.participant | |
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Participant2 | 
| 46. Act.entryRelationship | |
| Control | 0..* | 
| Type | Element | 
| Invariants | Defined on this element act-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1) | 
| Slicing | This element introduces a set of slices on Act.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators: 
 | 
| 47. Act.entryRelationship.typeCode | |
| Control | 1..1 | 
| Type | code | 
| 48. Act.entryRelationship.inversionInd | |
| Control | 0..1 | 
| Type | boolean | 
| 49. Act.entryRelationship.contextConductionInd | |
| Control | 1..1 | 
| Type | boolean | 
| Default Value | true | 
| 50. Act.entryRelationship.sequenceNumber | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/INT | 
| 51. Act.entryRelationship.negationInd | |
| Control | 0..1 | 
| Type | boolean | 
| 52. Act.entryRelationship.seperatableInd | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/BL | 
| 53. Act.entryRelationship.observation | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Observation | 
| 54. Act.entryRelationship.regionOfInterest | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest | 
| 55. Act.entryRelationship.observationMedia | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia | 
| 56. Act.entryRelationship.substanceAdministration | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration | 
| 57. Act.entryRelationship.supply | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Supply | 
| 58. Act.entryRelationship.procedure | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Procedure | 
| 59. Act.entryRelationship.encounter | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Encounter | 
| 60. Act.entryRelationship.organizer | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Organizer | 
| 61. Act.entryRelationship.act | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Act | 
| 62. Act.entryRelationship:problemObservation | |
| SliceName | problemObservation | 
| Control | 1..* | 
| Type | Element | 
| Requirements | SHALL contain at least one [1..*] entryRelationship (CONF:1198-8759) such that it | 
| Invariants | Defined on this element act-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1) | 
| 63. Act.entryRelationship:problemObservation.typeCode | |
| Control | 1..1 | 
| Type | code | 
| Requirements | SHALL contain exactly one [1..1] @typeCode="SUBJ" Has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8760). | 
| Pattern Value | SUBJ | 
| 64. Act.entryRelationship:problemObservation.inversionInd | |
| Control | 0..1 | 
| Type | boolean | 
| 65. Act.entryRelationship:problemObservation.contextConductionInd | |
| Control | 1..1 | 
| Type | boolean | 
| Default Value | true | 
| 66. Act.entryRelationship:problemObservation.sequenceNumber | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/INT | 
| 67. Act.entryRelationship:problemObservation.negationInd | |
| Control | 0..1 | 
| Type | boolean | 
| 68. Act.entryRelationship:problemObservation.seperatableInd | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/BL | 
| 69. Act.entryRelationship:problemObservation.observation | |
| Control | 1..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Observation(ProblemObservation) | 
| Requirements | 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:1198-15583). | 
| 70. Act.entryRelationship:problemObservation.regionOfInterest | |
| Control | 0..0 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest | 
| 71. Act.entryRelationship:problemObservation.observationMedia | |
| Control | 0..0 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia | 
| 72. Act.entryRelationship:problemObservation.substanceAdministration | |
| Control | 0..0 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration | 
| 73. Act.entryRelationship:problemObservation.supply | |
| Control | 0..0 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Supply | 
| 74. Act.entryRelationship:problemObservation.procedure | |
| Control | 0..0 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Procedure | 
| 75. Act.entryRelationship:problemObservation.encounter | |
| Control | 0..0 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Encounter | 
| 76. Act.entryRelationship:problemObservation.organizer | |
| Control | 0..0 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Organizer | 
| 77. Act.entryRelationship:problemObservation.act | |
| Control | 0..0 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Act | 
| 78. Act.reference | |
| Control | 0..* | 
| Type | Element | 
| 79. Act.reference.typeCode | |
| Control | 1..1 | 
| Type | code | 
| 80. Act.reference.seperatableInd | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/BL | 
| 81. Act.reference.externalAct | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ExternalAct | 
| 82. Act.reference.externalObservation | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ExternalObservation | 
| 83. Act.reference.externalProcedure | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure | 
| 84. Act.reference.externalDocument | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ExternalDocument | 
| 85. Act.precondition | |
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Precondition |