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

Consolidated CDA Release 2.2, published by Health Level Seven. This is not an authorized publication; it is the continuous build for version 2.2). This version is based on the current content of https://github.com/HL7/CDA-ccda-2.2/ and changes regularly. See the Directory of published versions

Resource Profile: PolicyActivity - Detailed Descriptions

Active as of 2022-05-13

Definitions for the 2.16.840.1.113883.10.20.22.4.61 resource profile.

1. Act
Control1..1
2. Act.classCode
Control1..1
Typecode
Requirements

SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-8898).

Pattern ValueACT
3. Act.moodCode
Control1..1
Typecode
Requirements

SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-8899).

Pattern ValueEVN
4. Act.realmCode
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
5. Act.typeId
Control0..1
Typehttp://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

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
SlicingThis element introduces a set of slices on Act.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ root
  • ,
  • value @ extension
7. Act.templateId:primary
SliceNameprimary
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

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

SHALL contain exactly one [1..1] templateId (CONF:1198-8900) 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.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
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.

Control0..1
Typestring
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).

Control0..1
Typeboolean
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.

Control1..1
Typestring
Requirements

SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.61" (CONF:1198-10516).

Pattern Value2.16.840.1.113883.10.20.22.4.61
12. Act.templateId:primary.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control1..1
Typestring
Requirements

SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32595).

Pattern Value2015-08-01
13. Act.id
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

SHALL contain at least one [1..*] id (CONF:1198-8901).

14. Act.code
Control1..1
BindingThe codes SHOULD be taken from VSAC 2.16.840.1.113883.3.88.12.3221.5.2
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
Requirements

SHALL contain exactly one [1..1] code, which SHOULD be selected from ValueSet Health Insurance Type urn:oid:2.16.840.1.113883.3.88.12.3221.5.2 DYNAMIC (CONF:1198-8903).

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.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
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.

Control0..1
Typestring
17. Act.code.codeSystem
Definition

Specifies the code system that defines the code.

Control0..1
Typestring
18. Act.code.codeSystemName
Definition

The common name of the coding system.

Control0..1
Typestring
19. Act.code.codeSystemVersion
Definition

If applicable, a version descriptor defined specifically for the given code system.

Control0..1
Typestring
20. Act.code.displayName
Definition

A name or title for the code, under which the sending system shows the code value to its users.

Control0..1
Typestring
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.

Control0..1
Typestring
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.

Control0..1
Typestring
23. Act.code.originalText
Definition

The text or phrase used as the basis for the coding.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
24. Act.code.qualifier
Definition

Specifies additional codes that increase the specificity of the the primary code.

Control0..*
Typehttp://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.

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
SlicingThis element introduces a set of slices on Act.code.translation. The slices are unordered and Open, and defines no discriminators to differentiate the slices
26. Act.code.translation:translation1
SliceNametranslation1
Definition

A set of other concept descriptors that translate this concept descriptor into other code systems.

Control1..*
BindingThe codes SHOULD be taken from Payer
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
Requirements

This code SHALL contain at least one [1..*] translation, which SHOULD be selected from ValueSet Payer urn:oid:2.16.840.1.114222.4.11.3591 (CONF:1198-32852).

27. Act.negationInd
Control0..1
Typeboolean
28. Act.text
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
29. Act.statusCode
Control1..1
BindingThe codes SHALL be taken from ActStatus
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
Requirements

SHALL contain exactly one [1..1] statusCode (CONF:1198-8902).

30. Act.statusCode.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
31. Act.statusCode.code
Definition

The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

Control1..1
Typestring
Requirements

This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1198-19109).

Pattern Valuecompleted
32. Act.statusCode.codeSystem
Definition

Specifies the code system that defines the code.

Control0..0
Typestring
33. Act.statusCode.codeSystemName
Definition

The common name of the coding system.

Control0..0
Typestring
34. Act.statusCode.codeSystemVersion
Definition

If applicable, a version descriptor defined specifically for the given code system.

Control0..0
Typestring
35. Act.statusCode.displayName
Definition

A name or title for the code, under which the sending system shows the code value to its users.

Control0..0
Typestring
36. Act.statusCode.sdtcValueSet
Definition

The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.

Control0..1
Typestring
37. Act.statusCode.sdtcValueSetVersion
Definition

The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.

Control0..1
Typestring
38. Act.statusCode.originalText
Definition

The text or phrase used as the basis for the coding.

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
39. Act.statusCode.qualifier
Definition

Specifies additional codes that increase the specificity of the the primary code.

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CR
40. Act.statusCode.translation
Definition

A set of other concept descriptors that translate this concept descriptor into other code systems.

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
41. Act.effectiveTime
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
42. Act.priorityCode
Control0..1
BindingThe codes SHALL be taken from ActPriority; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
43. Act.languageCode
Control0..1
BindingThe codes SHALL be taken from HumanLanguage
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
44. Act.subject
Control0..1
TypeElement
45. Act.subject.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationTargetSubject
Typecode
Default ValueSBJ
Fixed ValueSBJ
46. Act.subject.contextControlCode
Control1..1
BindingThe codes SHALL be taken from ContextControl
Typecode
Default ValueOP
Fixed ValueOP
47. Act.subject.awarenessCode
Control0..1
BindingThe codes SHALL be taken from TargetAwareness; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
48. Act.subject.relatedSubject
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RelatedSubject
49. Act.specimen
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Specimen
50. Act.performer
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Performer2
SlicingThis element introduces a set of slices on Act.performer. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ templateId
  • ,
  • value @ assignedEntity
51. Act.performer:performer1
SliceNameperformer1
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Performer2
Requirements

SHALL contain exactly one [1..1] performer (CONF:1198-8906) such that it

52. Act.performer:performer1.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
53. Act.performer:performer1.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationPhysicalPerformer
Typecode(cs)
Requirements

SHALL contain exactly one [1..1] @typeCode="PRF" Performer (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8907).

Fixed ValuePRF
Pattern ValuePRF
54. Act.performer:performer1.realmCode
Definition

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
55. Act.performer:performer1.typeId
Definition

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
56. Act.performer:performer1.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

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

SHALL contain exactly one [1..1] templateId (CONF:1198-16808).

57. Act.performer:performer1.templateId.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
58. Act.performer:performer1.templateId.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.

Control0..1
Typestring
59. Act.performer:performer1.templateId.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean
60. Act.performer:performer1.templateId.root
Definition

A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

Control1..1
Typestring
Requirements

This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.87" Payer Performer (CONF:1198-16809).

Pattern Value2.16.840.1.113883.10.20.22.4.87
61. Act.performer:performer1.templateId.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control0..1
Typestring
62. Act.performer:performer1.functionCode
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
63. Act.performer:performer1.time
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
64. Act.performer:performer1.modeCode
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
65. Act.performer:performer1.assignedEntity
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AssignedEntity
Requirements

SHALL contain exactly one [1..1] assignedEntity (CONF:1198-8908).

66. Act.performer:performer1.assignedEntity.classCode
Control1..1
BindingThe codes SHALL be taken from RoleClassAssignedEntity
Typecode
Default ValueASSIGNED
Fixed ValueASSIGNED
67. Act.performer:performer1.assignedEntity.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

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
68. Act.performer:performer1.assignedEntity.id
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

This assignedEntity SHALL contain at least one [1..*] id (CONF:1198-8909).

69. Act.performer:performer1.assignedEntity.sdtcIdentifiedBy
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/IdentifiedBy
70. Act.performer:performer1.assignedEntity.code
Control0..1
BindingThe codes SHALL be taken from v3 Code System RoleCode; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
Requirements

This assignedEntity SHOULD contain zero or one [0..1] code (CONF:1198-8914).

71. Act.performer:performer1.assignedEntity.code.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
72. Act.performer:performer1.assignedEntity.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.

Control1..1
BindingThe codes SHOULD be taken from Financially Responsible Party Type Value Set
Typestring
Requirements

The code, if present, SHALL contain exactly one [1..1] @code, which SHOULD be selected from ValueSet Financially Responsible Party Type Value Set urn:oid:2.16.840.1.113883.1.11.10416 DYNAMIC (CONF:1198-15992).

73. Act.performer:performer1.assignedEntity.code.codeSystem
Definition

Specifies the code system that defines the code.

Control0..1
Typestring
74. Act.performer:performer1.assignedEntity.code.codeSystemName
Definition

The common name of the coding system.

Control0..1
Typestring
75. Act.performer:performer1.assignedEntity.code.codeSystemVersion
Definition

If applicable, a version descriptor defined specifically for the given code system.

Control0..1
Typestring
76. Act.performer:performer1.assignedEntity.code.displayName
Definition

A name or title for the code, under which the sending system shows the code value to its users.

Control0..1
Typestring
77. Act.performer:performer1.assignedEntity.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.

Control0..1
Typestring
78. Act.performer:performer1.assignedEntity.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.

Control0..1
Typestring
79. Act.performer:performer1.assignedEntity.code.originalText
Definition

The text or phrase used as the basis for the coding.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
80. Act.performer:performer1.assignedEntity.code.qualifier
Definition

Specifies additional codes that increase the specificity of the the primary code.

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CR
81. Act.performer:performer1.assignedEntity.code.translation
Definition

A set of other concept descriptors that translate this concept descriptor into other code systems.

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
82. Act.performer:performer1.assignedEntity.addr
Definition

Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AD(USRealmAddressADUSFIELDED)
Requirements

This assignedEntity MAY contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:1198-8910).

InvariantsDefined on this element
81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296). (: )
83. Act.performer:performer1.assignedEntity.telecom
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/TEL
Requirements

This assignedEntity MAY contain zero or more [0..*] telecom (CONF:1198-8911).

84. Act.performer:performer1.assignedEntity.assignedPerson
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Person
85. Act.performer:performer1.assignedEntity.representedOrganization
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organization
Requirements

This assignedEntity SHOULD contain zero or one [0..1] representedOrganization (CONF:1198-8912).

86. Act.performer:performer1.assignedEntity.representedOrganization.classCode
Control1..1
BindingThe codes SHALL be taken from EntityClassOrganization
Typecode
Default ValueORG
Fixed ValueORG
87. Act.performer:performer1.assignedEntity.representedOrganization.determinerCode
Control1..1
BindingThe codes SHALL be taken from EntityDeterminer
Typecode
Default ValueINSTANCE
Fixed ValueINSTANCE
88. Act.performer:performer1.assignedEntity.representedOrganization.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

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
89. Act.performer:performer1.assignedEntity.representedOrganization.id
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
90. Act.performer:performer1.assignedEntity.representedOrganization.name
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ON
Requirements

The representedOrganization, if present, SHOULD contain zero or one [0..1] name (CONF:1198-8913).

91. Act.performer:performer1.assignedEntity.representedOrganization.telecom
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/TEL
92. Act.performer:performer1.assignedEntity.representedOrganization.addr
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/AD
93. Act.performer:performer1.assignedEntity.representedOrganization.standardIndustryClassCode
Control0..1
BindingThe codes SHALL be taken from OrganizationIndustryClassNAICS; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
94. Act.performer:performer1.assignedEntity.representedOrganization.asOrganizationPartOf
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/OrganizationPartOf
95. Act.performer:performer2
SliceNameperformer2
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Performer2
Requirements

SHOULD contain zero or more [0..*] performer="PRF" Performer (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8961) such that it

Pattern ValuePRF
96. Act.performer:performer2.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
97. Act.performer:performer2.typeCode
Control0..1
BindingThe codes SHALL be taken from ParticipationPhysicalPerformer
Typecode(cs)
Fixed ValuePRF
98. Act.performer:performer2.realmCode
Definition

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
99. Act.performer:performer2.typeId
Definition

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
100. Act.performer:performer2.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

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

SHALL contain exactly one [1..1] templateId (CONF:1198-16810).

101. Act.performer:performer2.templateId.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
102. Act.performer:performer2.templateId.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.

Control0..1
Typestring
103. Act.performer:performer2.templateId.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean
104. Act.performer:performer2.templateId.root
Definition

A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

Control1..1
Typestring
Requirements

This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.88" Guarantor Performer (CONF:1198-16811).

Pattern Value2.16.840.1.113883.10.20.22.4.88
105. Act.performer:performer2.templateId.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control0..1
Typestring
106. Act.performer:performer2.functionCode
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
107. Act.performer:performer2.time
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
Requirements

SHOULD contain zero or one [0..1] time (CONF:1198-8963).

108. Act.performer:performer2.modeCode
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
109. Act.performer:performer2.assignedEntity
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AssignedEntity
Requirements

SHALL contain exactly one [1..1] assignedEntity (CONF:1198-8962).

InvariantsDefined on this element
1198-8967: **SHOULD** include assignedEntity/assignedPerson/name AND/OR assignedEntity/representedOrganization/name (CONF:1198-8967). (: )
110. Act.performer:performer2.assignedEntity.classCode
Control1..1
BindingThe codes SHALL be taken from RoleClassAssignedEntity
Typecode
Default ValueASSIGNED
Fixed ValueASSIGNED
111. Act.performer:performer2.assignedEntity.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

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
112. Act.performer:performer2.assignedEntity.id
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
113. Act.performer:performer2.assignedEntity.sdtcIdentifiedBy
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/IdentifiedBy
114. Act.performer:performer2.assignedEntity.code
Control1..1
BindingThe codes SHALL be taken from v3 Code System RoleCode; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
Requirements

This assignedEntity SHALL contain exactly one [1..1] code (CONF:1198-8968).

115. Act.performer:performer2.assignedEntity.code.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
116. Act.performer:performer2.assignedEntity.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.

Control1..1
Typestring
Requirements

This code SHALL contain exactly one [1..1] @code="GUAR" Guarantor (CONF:1198-16096).

Pattern ValueGUAR
117. Act.performer:performer2.assignedEntity.code.codeSystem
Definition

Specifies the code system that defines the code.

Control1..1
Typestring
Requirements

This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.110" (CONF:1198-32165).

Pattern Value2.16.840.1.113883.5.110
118. Act.performer:performer2.assignedEntity.code.codeSystemName
Definition

The common name of the coding system.

Control0..1
Typestring
119. Act.performer:performer2.assignedEntity.code.codeSystemVersion
Definition

If applicable, a version descriptor defined specifically for the given code system.

Control0..1
Typestring
120. Act.performer:performer2.assignedEntity.code.displayName
Definition

A name or title for the code, under which the sending system shows the code value to its users.

Control0..1
Typestring
121. Act.performer:performer2.assignedEntity.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.

Control0..1
Typestring
122. Act.performer:performer2.assignedEntity.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.

Control0..1
Typestring
123. Act.performer:performer2.assignedEntity.code.originalText
Definition

The text or phrase used as the basis for the coding.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
124. Act.performer:performer2.assignedEntity.code.qualifier
Definition

Specifies additional codes that increase the specificity of the the primary code.

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CR
125. Act.performer:performer2.assignedEntity.code.translation
Definition

A set of other concept descriptors that translate this concept descriptor into other code systems.

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
126. Act.performer:performer2.assignedEntity.addr
Definition

Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AD(USRealmAddressADUSFIELDED)
Requirements

This assignedEntity SHOULD contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:1198-8964).

InvariantsDefined on this element
81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296). (: )
127. Act.performer:performer2.assignedEntity.telecom
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/TEL
Requirements

This assignedEntity SHOULD contain zero or more [0..*] telecom (CONF:1198-8965).

128. Act.performer:performer2.assignedEntity.assignedPerson
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Person
129. Act.performer:performer2.assignedEntity.representedOrganization
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organization
130. Act.author
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Author
131. Act.informant
Control0..*
TypeElement
132. Act.informant.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationInformationGenerator
Typecode
Default ValueINF
Fixed ValueINF
133. Act.informant.contextControlCode
Control1..1
BindingThe codes SHALL be taken from ContextControl
Typecode
Default ValueOP
Fixed ValueOP
134. Act.informant.assignedEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AssignedEntity
135. Act.informant.relatedEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RelatedEntity
136. Act.participant
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Participant2
SlicingThis element introduces a set of slices on Act.participant. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ templateId
  • ,
  • value @ participantRole
  • ,
  • value @ typeCode
137. Act.participant:participant1
SliceNameparticipant1
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Participant2
Requirements

SHALL contain exactly one [1..1] participant (CONF:1198-8916) such that it

138. Act.participant:participant1.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
139. Act.participant:participant1.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationType
Typecode
Requirements

SHALL contain exactly one [1..1] @typeCode="COV" Coverage target (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8917).

Pattern ValueCOV
140. Act.participant:participant1.contextControlCode
Control0..1
BindingThe codes SHALL be taken from ContextControl
Typecode
Fixed ValueOP
141. Act.participant:participant1.realmCode
Definition

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
142. Act.participant:participant1.typeId
Definition

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
143. Act.participant:participant1.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

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

SHALL contain exactly one [1..1] templateId (CONF:1198-16812).

144. Act.participant:participant1.templateId.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
145. Act.participant:participant1.templateId.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.

Control0..1
Typestring
146. Act.participant:participant1.templateId.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean
147. Act.participant:participant1.templateId.root
Definition

A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

Control1..1
Typestring
Requirements

This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.89" Covered Party Participant (CONF:1198-16814).

Pattern Value2.16.840.1.113883.10.20.22.4.89
148. Act.participant:participant1.templateId.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control0..1
Typestring
149. Act.participant:participant1.sdtcFunctionCode
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
150. Act.participant:participant1.time
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
Requirements

SHOULD contain zero or one [0..1] time (CONF:1198-8918).

151. Act.participant:participant1.time.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
152. Act.participant:participant1.time.value
Definition

A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.

Control0..1
TypedateTime
153. Act.participant:participant1.time.inclusive
Definition

Specifies whether the limit is included in the interval (interval is closed) or excluded from the interval (interval is open).

Control0..1
Typeboolean
154. Act.participant:participant1.time.operator
Definition

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.

Control0..1
Typecode
155. Act.participant:participant1.time.low
Definition

This is the low limit of the interval.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/TS
Requirements

The time, if present, SHOULD contain zero or one [0..1] low (CONF:1198-8919).

156. Act.participant:participant1.time.high
Definition

This is the high limit of the interval.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/TS
Requirements

The time, if present, SHOULD contain zero or one [0..1] high (CONF:1198-8920).

157. Act.participant:participant1.time.width
Definition

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.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/PQ
158. Act.participant:participant1.time.center
Definition

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.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/TS
159. Act.participant:participant1.awarenessCode
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
160. Act.participant:participant1.participantRole
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ParticipantRole
Requirements

SHALL contain exactly one [1..1] participantRole (CONF:1198-8921).

161. Act.participant:participant1.participantRole.classCode
Control1..1
BindingThe codes SHALL be taken from RoleClassRoot
Typecode
Default ValueROL
162. Act.participant:participant1.participantRole.templateId
Definition

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
163. Act.participant:participant1.participantRole.id
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

This participantRole SHALL contain at least one [1..*] id (CONF:1198-8922).

InvariantsDefined on this element
1198-8984: This id is a unique identifier for the covered party member. Implementers **SHOULD** use the same GUID for each instance of a member identifier from the same health plan (CONF:1198-8984). (: )
164. Act.participant:participant1.participantRole.sdtcIdentifiedBy
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/IdentifiedBy
165. Act.participant:participant1.participantRole.code
Control1..1
BindingThe codes SHALL be taken from v3 Code System RoleCode; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
Requirements

This participantRole SHALL contain exactly one [1..1] code (CONF:1198-8923).

166. Act.participant:participant1.participantRole.code.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
167. Act.participant:participant1.participantRole.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.

Control0..1
BindingThe codes SHOULD be taken from Coverage Role Type Value Set
Typestring
Requirements

This code SHOULD contain zero or one [0..1] @code, which SHOULD be selected from ValueSet Coverage Role Type Value Set urn:oid:2.16.840.1.113883.1.11.18877 DYNAMIC (CONF:1198-16078).

168. Act.participant:participant1.participantRole.code.codeSystem
Definition

Specifies the code system that defines the code.

Control0..1
Typestring
169. Act.participant:participant1.participantRole.code.codeSystemName
Definition

The common name of the coding system.

Control0..1
Typestring
170. Act.participant:participant1.participantRole.code.codeSystemVersion
Definition

If applicable, a version descriptor defined specifically for the given code system.

Control0..1
Typestring
171. Act.participant:participant1.participantRole.code.displayName
Definition

A name or title for the code, under which the sending system shows the code value to its users.

Control0..1
Typestring
172. Act.participant:participant1.participantRole.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.

Control0..1
Typestring
173. Act.participant:participant1.participantRole.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.

Control0..1
Typestring
174. Act.participant:participant1.participantRole.code.originalText
Definition

The text or phrase used as the basis for the coding.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
175. Act.participant:participant1.participantRole.code.qualifier
Definition

Specifies additional codes that increase the specificity of the the primary code.

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CR
176. Act.participant:participant1.participantRole.code.translation
Definition

A set of other concept descriptors that translate this concept descriptor into other code systems.

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
177. Act.participant:participant1.participantRole.addr
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AD
Requirements

This participantRole SHOULD contain zero or one [0..1] addr (CONF:1198-8956).

InvariantsDefined on this element
1198-10484: The content of addr **SHALL** be a conformant US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2) (CONF:1198-10484). (: )
178. Act.participant:participant1.participantRole.telecom
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/TEL
179. Act.participant:participant1.participantRole.playingDevice
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Device
180. Act.participant:participant1.participantRole.playingEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/PlayingEntity
Requirements

This participantRole SHOULD contain zero or one [0..1] playingEntity (CONF:1198-8932).

181. Act.participant:participant1.participantRole.playingEntity.classCode
Control1..1
BindingThe codes SHALL be taken from EntityClassRoot
Typecode
Default ValueENT
182. Act.participant:participant1.participantRole.playingEntity.determinerCode
Control1..1
BindingThe codes SHALL be taken from EntityDeterminer
Typecode
Default ValueINSTANCE
Fixed ValueINSTANCE
183. Act.participant:participant1.participantRole.playingEntity.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

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
184. Act.participant:participant1.participantRole.playingEntity.code
Control0..1
BindingThe codes SHALL be taken from EntityCode; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
185. Act.participant:participant1.participantRole.playingEntity.quantity
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/PQ
186. Act.participant:participant1.participantRole.playingEntity.name
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/EN
Requirements

The playingEntity, if present, SHALL contain at least one [1..*] name (CONF:1198-8930).

187. Act.participant:participant1.participantRole.playingEntity.desc
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
188. Act.participant:participant1.participantRole.scopingEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Entity
189. Act.participant:participant2
SliceNameparticipant2
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Participant2
Requirements

SHOULD contain zero or one [0..1] participant (CONF:1198-8934) such that it

InvariantsDefined on this element
1198-17139: When the Subscriber is the patient, the participant element describing the subscriber **SHALL NOT** be present. This information will be recorded instead in the data elements used to record member information (CONF:1198-17139). (: )
190. Act.participant:participant2.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
191. Act.participant:participant2.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationType
Typecode
Requirements

SHALL contain exactly one [1..1] @typeCode="HLD" Holder (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8935).

Pattern ValueHLD
192. Act.participant:participant2.contextControlCode
Control0..1
BindingThe codes SHALL be taken from ContextControl
Typecode
Fixed ValueOP
193. Act.participant:participant2.realmCode
Definition

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
194. Act.participant:participant2.typeId
Definition

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
195. Act.participant:participant2.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

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

SHALL contain exactly one [1..1] templateId (CONF:1198-16813).

196. Act.participant:participant2.templateId.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
197. Act.participant:participant2.templateId.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.

Control0..1
Typestring
198. Act.participant:participant2.templateId.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean
199. Act.participant:participant2.templateId.root
Definition

A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

Control1..1
Typestring
Requirements

This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.90" Policy Holder Participant (CONF:1198-16815).

Pattern Value2.16.840.1.113883.10.20.22.4.90
200. Act.participant:participant2.templateId.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control0..1
Typestring
201. Act.participant:participant2.sdtcFunctionCode
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
202. Act.participant:participant2.time
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
Requirements

MAY contain zero or one [0..1] time (CONF:1198-8938).

203. Act.participant:participant2.awarenessCode
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
204. Act.participant:participant2.participantRole
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ParticipantRole
Requirements

SHALL contain exactly one [1..1] participantRole (CONF:1198-8936).

205. Act.participant:participant2.participantRole.classCode
Control1..1
BindingThe codes SHALL be taken from RoleClassRoot
Typecode
Default ValueROL
206. Act.participant:participant2.participantRole.templateId
Definition

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
207. Act.participant:participant2.participantRole.id
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

This participantRole SHALL contain at least one [1..*] id (CONF:1198-8937).

InvariantsDefined on this element
1198-10120: This id is a unique identifier for the subscriber of the coverage (CONF:1198-10120). (: )
208. Act.participant:participant2.participantRole.sdtcIdentifiedBy
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/IdentifiedBy
209. Act.participant:participant2.participantRole.code
Control0..1
BindingThe codes SHALL be taken from v3 Code System RoleCode; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
210. Act.participant:participant2.participantRole.addr
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AD
Requirements

This participantRole SHOULD contain zero or one [0..1] addr (CONF:1198-8925).

InvariantsDefined on this element
1198-10483: The content of addr **SHALL** be a conformant US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2) (CONF:1198-10483). (: )
211. Act.participant:participant2.participantRole.telecom
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/TEL
212. Act.participant:participant2.participantRole.playingDevice
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Device
213. Act.participant:participant2.participantRole.playingEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/PlayingEntity
214. Act.participant:participant2.participantRole.scopingEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Entity
215. Act.entryRelationship
Control0..*
TypeElement
InvariantsDefined 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)
SlicingThis element introduces a set of slices on Act.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ typeCode
216. Act.entryRelationship.typeCode
Control1..1
Typecode
217. Act.entryRelationship.inversionInd
Control0..1
Typeboolean
218. Act.entryRelationship.contextConductionInd
Control1..1
Typeboolean
Default Valuetrue
219. Act.entryRelationship.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
220. Act.entryRelationship.negationInd
Control0..1
Typeboolean
221. Act.entryRelationship.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
222. Act.entryRelationship.observation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
223. Act.entryRelationship.regionOfInterest
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
224. Act.entryRelationship.observationMedia
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
225. Act.entryRelationship.substanceAdministration
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
226. Act.entryRelationship.supply
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
227. Act.entryRelationship.procedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
228. Act.entryRelationship.encounter
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
229. Act.entryRelationship.organizer
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
230. Act.entryRelationship.act
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
231. Act.entryRelationship:entryRelationship1
SliceNameentryRelationship1
Control1..*
TypeElement
Requirements

SHALL contain at least one [1..*] entryRelationship (CONF:1198-8939) such that it

InvariantsDefined on this element
1198-8942: The target of a policy activity with act/entryRelationship/@typeCode="REFR" **SHALL** be an authorization activity (templateId 2.16.840.1.113883.10.20.1.19) *OR* an act, with act[@classCode="ACT"] and act[@moodCode="DEF"], representing a description of the coverage plan (CONF:1198-8942). (: )
1198-8943: A description of the coverage plan **SHALL** contain one or more act/id, to represent the plan identifier, and an act/text with the name of the plan (CONF:1198-8943). (: )
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)
232. Act.entryRelationship:entryRelationship1.typeCode
Control1..1
Typecode
Requirements

SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8940).

Pattern ValueREFR
233. Act.entryRelationship:entryRelationship1.inversionInd
Control0..1
Typeboolean
234. Act.entryRelationship:entryRelationship1.contextConductionInd
Control1..1
Typeboolean
Default Valuetrue
235. Act.entryRelationship:entryRelationship1.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
236. Act.entryRelationship:entryRelationship1.negationInd
Control0..1
Typeboolean
237. Act.entryRelationship:entryRelationship1.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
238. Act.entryRelationship:entryRelationship1.observation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
239. Act.entryRelationship:entryRelationship1.regionOfInterest
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
240. Act.entryRelationship:entryRelationship1.observationMedia
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
241. Act.entryRelationship:entryRelationship1.substanceAdministration
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
242. Act.entryRelationship:entryRelationship1.supply
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
243. Act.entryRelationship:entryRelationship1.procedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
244. Act.entryRelationship:entryRelationship1.encounter
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
245. Act.entryRelationship:entryRelationship1.organizer
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
246. Act.entryRelationship:entryRelationship1.act
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
247. Act.reference
Control0..*
TypeElement
248. Act.reference.typeCode
Control1..1
Typecode
249. Act.reference.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
250. Act.reference.externalAct
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalAct
251. Act.reference.externalObservation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalObservation
252. Act.reference.externalProcedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure
253. Act.reference.externalDocument
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalDocument
254. Act.precondition
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Precondition