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

## Resource Profile: Health Concern Act (V2)

Official URL: http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.132 | Version: 2.2
Active as of 2022-05-13 | Computable Name: HealthConcernAct
Other Identifiers: : urn:hl7ii:2.16.840.1.113883.10.20.22.4.132:2015-08-01

This template represents a health concern.

It is a wrapper for a single health concern which may be derived from a variety of sources within an EHR (such as Problem List, Family History, Social History, Social Worker Note, etc.).

A Health Concern Act is used to track non-optimal physical or psychological situations drawing the patient to the healthcare system. These may be from the perspective of the care team or from the perspective of the patient. When the underlying condition is of concern (i.e., as long as the condition, whether active or resolved, is of ongoing concern and interest), 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, a prior heart attack may remain a concern). Health concerns require intervention(s) to increase the likelihood of achieving the goals of care for the patient and they specify the condition oriented reasons for creating the plan.

Usage:

- Use this Resource Profile: Health Concerns Section

### Formal Views of Profile Content

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

- Text Summary
- Differential Table
- Snapshot Table
- Snapshot Table (Must Support)
- All

This structure is derived from CDAR2.Act

Summary

Mandatory: 11 elements (68 nested mandatory elements)

Structures

This structure refers to these other structures:

- Author Participation (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.119)
- Problem Observation (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.4)
- Allergy - Intolerance Observation (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.7)
- Entry Reference (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.122)
- Assessment Scale Observation (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.69)
- Self-Care Activities (ADL and IADL) (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.128)
- Mental Status Observation (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.74)
- Smoking Status - Meaningful Use (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.78)
- Encounter Diagnosis (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.80)
- Family History Organizer (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.45)
- Functional Status Observation (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.67)
- Hospital Admission Diagnosis (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.34)
- Nutrition Assessment (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.138)
- Postprocedure Diagnosis (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.51)
- Pregnancy Observation (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.15.3.8)
- Preoperative Diagnosis (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.65)
- Reaction Observation (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.9)
- Result Observation (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.2)
- Sensory Status (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.127)
- Social History Observation (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.38)
- Substance or Device Allergy - Intolerance Observation (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.24.3.90)
- Tobacco Use (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.85)
- Vital Sign Observation (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.27)
- Longitudinal Care Wound Observation (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.114)
- Caregiver Characteristics (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.72)
- Cultural and Religious Observation (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.111)
- Characteristics of Home Environment (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.109)
- Nutritional Status Observation (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.124)
- Result Organizer (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.1)
- Priority Preference (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.143)
- Problem Concern Act (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.3)
- External Document Reference (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.115)

Slices

This structure defines the following Slices:

- The element Act.templateId is sliced based on the values of value:root, value:extension
- The element Act.entryRelationship is sliced based on the values of profile:observation, profile:act, profile:organizer

This structure is derived from CDAR2.Act

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Act |  | 1..1 | CDAR2.Act |
classCode |  | 1..1 | code | Required Pattern: ACT
moodCode |  | 1..1 | code | Required Pattern: EVN
Slices for templateId |  | 0..* | II | Slice: Unordered, Open by value:root, value:extension
templateId:primary |  | 1..1 | II |
root |  | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.132
extension |  | 1..1 | string | Required Pattern: 2015-08-01
id |  | 1..* | II |
code |  | 1..1 | CD |
code |  | 1..1 | string | Required Pattern: 75310-3
codeSystem |  | 1..1 | string | Required Pattern: 2.16.840.1.113883.6.1
statusCode |  | 1..1 | CS |
code |  | 1..1 | string | Binding: ProblemAct statusCode (required)
effectiveTime |  | 0..1 | IVL_TS |
author |  | 0..* | AuthorParticipation | A health concern may be a patient or provider concern. If the author is set to the recordTarget (patient), this is a patient concern. If the author is set to a provider, this is a provider concern. If both patient and provider are set as authors, this is a concern of both the patient and the provider.
Slices for entryRelationship |  | 0..* | Element | Where a Health Concern needs to reference another entry already described in the CDA document instance, rather than repeating the full content of the entry, the Entry Reference template may be used to reference this entry. Slice: Unordered, Open by profile:observation, profile:act, profile:organizer
entryRelationship:problemObservation |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | ProblemObservation |
entryRelationship:allergy-IntoleranceObservation |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | AllergyIntoleranceObservation |
entryRelationship:entryReference |  | 0..* | Element | The following entryRelationship represents the relationship between two Health Concern Acts where there is a general relationship between the source and the target (Health Concern REFERS TO Health Concern). For example, a patient has 2 health concerns identified in a CARE Plan: Failure to Thrive and Poor Feeding, while it could be that one may have caused the other, at the time of care planning and documentation it is not necessary, nor desirable to have to assert what caused what. The Entry Reference template is used here because the target Health Concern Act will be defined elsewhere in the Health Concerns Section and thus a reference to that template is all that is required.
typeCode |  | 1..1 | code | Required Pattern: REFR
act | I | 1..1 | EntryReference | 1198-32860: The Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:1198-32860).
entryRelationship:entryReference |  | 0..* | Element | The following entryRelationship represents the relationship between two Health Concern Acts where the target is a component of the source (Health Concern HAS COMPONENT Health Concern). For example, a patient has an Impaired Mobility Health Concern. There may then be the need to document several component health concerns, such as "Unable to Transfer Bed to Chair", "Unable to Rise from Commode", "Short of Breath Walking with Walker". The Entry Reference template is used here because the target Health Concern Act will be defined elsewhere in the Health Concerns Section and thus a reference to that template is all that is required.
typeCode |  | 1..1 | code | Required Pattern: COMP
act | I | 1..1 | EntryReference | 1198-32745: The Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:1198-32745).
entryRelationship:assessmentScaleObservation |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | AssessmentScaleObservation |
entryRelationship:self-CareActivities(ADLandIADL) |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | SelfCareActivitiesADLandIADL |
entryRelationship:mentalStatusObservation |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | MentalStatusObservation |
entryRelationship:smokingStatus-MeaningfulUse |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | SmokingStatusMeaningfulUse |
entryRelationship:encounterDiagnosis |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
act |  | 1..1 | EncounterDiagnosis |
entryRelationship:entryRelationship10 |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
organizer |  | 1..1 | FamilyHistoryOrganizer |
entryRelationship:functionalStatusObservation |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | FunctionalStatusObservation |
entryRelationship:hospitalAdmissionDiagnosis |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
act |  | 1..1 | HospitalAdmissionDiagnosis |
entryRelationship:nutritionAssessment |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | NutritionAssessment |
entryRelationship:postprocedureDiagnosis |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
act |  | 1..1 | PostprocedureDiagnosis |
entryRelationship:pregnancyObservation |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | PregnancyObservation |
entryRelationship:preoperativeDiagnosis |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
act |  | 1..1 | PreoperativeDiagnosis |
entryRelationship:reactionObservation |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | ReactionObservation |
entryRelationship:resultObservation |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | ResultObservation |
entryRelationship:sensoryStatus |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | SensoryStatus |
entryRelationship:socialHistoryObservation |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | SocialHistoryObservation |
entryRelationship:substanceorDeviceAllergy-IntoleranceObservation |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | SubstanceOrDeviceAllergyIntoleranceObservation |
entryRelationship:tobaccoUse |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | TobaccoUse |
entryRelationship:vitalSignObservation |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | VitalSignObservation |
entryRelationship:longitudinalCareWoundObservation |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | LongitudinalCareWoundObservation |
entryRelationship:problemObservation |  | 0..* | Element | The following entryRelationship represents the relationship Health Concern HAS SUPPORT Observation.
typeCode |  | 1..1 | code | Required Pattern: SPRT
observation |  | 1..1 | ProblemObservation |
entryRelationship:caregiverCharacteristics |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | CaregiverCharacteristics |
entryRelationship:culturalandReligiousObservation |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | CulturalandReligiousObservation |
entryRelationship:characteristicsofHomeEnvironment |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | CharacteristicsofHomeEnvironment |
entryRelationship:nutritionalStatusObservation |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | NutritionalStatusObservation |
entryRelationship:entryRelationship30 |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
organizer |  | 1..1 | ResultOrganizer |
entryRelationship:priorityPreference |  | 0..* | Element | The following entryRelationship represents the priority that the patient or a provider puts on the health concern.
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | PriorityPreference |
entryRelationship:problemConcernAct |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
act |  | 1..1 | ProblemConcernAct |
entryRelationship:entryReference |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
act |  | 1..1 | EntryReference |
reference |  | 0..* | Element | Where it is necessary to reference an external clinical document such a Referral document, Discharge Summary document etc., the External Document Reference template can be used to reference this document. However, if this Care Plan document is replacing or appending another Care Plan document in the same set, that relationship is set in the header, using ClinicalDocument/relatedDocument.
typeCode |  | 1..1 | code | Required Pattern: REFR
externalDocument |  | 1..1 | ExternalDocumentReference |
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Act |  | 1..1 | CDAR2.Act |
classCode |  | 1..1 | code | Required Pattern: ACT
moodCode |  | 1..1 | code | Required Pattern: EVN
realmCode |  | 0..* | CS |
typeId |  | 0..1 | II |
Slices for templateId |  | 0..* | II | Slice: Unordered, Open by value:root, value:extension
templateId:primary |  | 1..1 | II |
nullFlavor |  | 0..1 | code | Binding: NullFlavor (required)
assigningAuthorityName |  | 0..1 | string |
displayable |  | 0..1 | boolean |
root |  | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.132
extension |  | 1..1 | string | Required Pattern: 2015-08-01
id |  | 1..* | II |
code |  | 1..1 | CD | Binding: v3 Code System ActCode (extensible)
nullFlavor |  | 0..1 | code | Binding: NullFlavor (required)
code |  | 1..1 | string | Required Pattern: 75310-3
codeSystem |  | 1..1 | string | Required Pattern: 2.16.840.1.113883.6.1
codeSystemName |  | 0..1 | string |
codeSystemVersion |  | 0..1 | string |
displayName |  | 0..1 | string |
sdtcValueSet |  | 0..1 | string | XML: valueSet (urn:hl7-org:sdtc)
sdtcValueSetVersion |  | 0..1 | string | XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
qualifier |  | 0..* | CR |
translation |  | 0..* | CD |
negationInd |  | 0..1 | boolean |
text |  | 0..1 | ED |
statusCode |  | 1..1 | CS | Binding: ActStatus (required)
nullFlavor |  | 0..1 | code | Binding: NullFlavor (required)
code |  | 1..1 | string | Binding: ProblemAct statusCode (required)
sdtcValueSet |  | 0..1 | string | XML: valueSet (urn:hl7-org:sdtc)
sdtcValueSetVersion |  | 0..1 | string | XML: valueSetVersion (urn:hl7-org:sdtc)
effectiveTime |  | 0..1 | IVL_TS |
priorityCode |  | 0..1 | CE | Binding: ActPriority (extensible)
languageCode |  | 0..1 | CS | Binding: HumanLanguage (required)
subject |  | 0..1 | Element |
typeCode |  | 1..1 | code | Binding: ParticipationTargetSubject (required) Fixed Value: SBJ
contextControlCode |  | 1..1 | code | Binding: ContextControl (required) Fixed Value: OP
awarenessCode |  | 0..1 | CE | Binding: TargetAwareness (extensible)
relatedSubject |  | 1..1 | RelatedSubject |
specimen |  | 0..* | Specimen |
performer |  | 0..* | Performer2 |
author |  | 0..* | AuthorParticipation | A health concern may be a patient or provider concern. If the author is set to the recordTarget (patient), this is a patient concern. If the author is set to a provider, this is a provider concern. If both patient and provider are set as authors, this is a concern of both the patient and the provider.
informant |  | 0..* | Element |
typeCode |  | 1..1 | code | Binding: ParticipationInformationGenerator (required) Fixed Value: INF
contextControlCode |  | 1..1 | code | Binding: ContextControl (required) Fixed Value: OP
assignedEntity |  | 0..1 | AssignedEntity |
relatedEntity |  | 0..1 | RelatedEntity |
participant |  | 0..* | Participant2 |
Slices for entryRelationship | I | 0..* | Element | Where a Health Concern needs to reference another entry already described in the CDA document instance, rather than repeating the full content of the entry, the Entry Reference template may be used to reference this entry. Slice: Unordered, Open by profile:observation, profile:act, profile:organizer
entryRelationship:All Slices |  |  |  | Content/Rules for all slices
typeCode |  | 1..1 | code |
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
(Choice of one) |  | 1..1 |  |
observation |  | 0..1 | Observation |
regionOfInterest |  | 0..1 | RegionOfInterest |
observationMedia |  | 0..1 | ObservationMedia |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
procedure |  | 0..1 | Procedure |
encounter |  | 0..1 | Encounter |
organizer |  | 0..1 | Organizer |
act |  | 0..1 | Act |
entryRelationship:problemObservation | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | ProblemObservation |
entryRelationship:allergy-IntoleranceObservation | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | AllergyIntoleranceObservation |
entryRelationship:entryReference | I | 0..* | Element | The following entryRelationship represents the relationship between two Health Concern Acts where there is a general relationship between the source and the target (Health Concern REFERS TO Health Concern). For example, a patient has 2 health concerns identified in a CARE Plan: Failure to Thrive and Poor Feeding, while it could be that one may have caused the other, at the time of care planning and documentation it is not necessary, nor desirable to have to assert what caused what. The Entry Reference template is used here because the target Health Concern Act will be defined elsewhere in the Health Concerns Section and thus a reference to that template is all that is required.
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
act | I | 1..1 | EntryReference | 1198-32860: The Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:1198-32860).
entryRelationship:entryReference | I | 0..* | Element | The following entryRelationship represents the relationship between two Health Concern Acts where the target is a component of the source (Health Concern HAS COMPONENT Health Concern). For example, a patient has an Impaired Mobility Health Concern. There may then be the need to document several component health concerns, such as "Unable to Transfer Bed to Chair", "Unable to Rise from Commode", "Short of Breath Walking with Walker". The Entry Reference template is used here because the target Health Concern Act will be defined elsewhere in the Health Concerns Section and thus a reference to that template is all that is required.
typeCode |  | 1..1 | code | Required Pattern: COMP
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
act | I | 1..1 | EntryReference | 1198-32745: The Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:1198-32745).
entryRelationship:assessmentScaleObservation | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | AssessmentScaleObservation |
entryRelationship:self-CareActivities(ADLandIADL) | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | SelfCareActivitiesADLandIADL |
entryRelationship:mentalStatusObservation | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | MentalStatusObservation |
entryRelationship:smokingStatus-MeaningfulUse | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | SmokingStatusMeaningfulUse |
entryRelationship:encounterDiagnosis | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
act |  | 1..1 | EncounterDiagnosis |
entryRelationship:entryRelationship10 | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
organizer |  | 1..1 | FamilyHistoryOrganizer |
entryRelationship:functionalStatusObservation | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | FunctionalStatusObservation |
entryRelationship:hospitalAdmissionDiagnosis | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
act |  | 1..1 | HospitalAdmissionDiagnosis |
entryRelationship:nutritionAssessment | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | NutritionAssessment |
entryRelationship:postprocedureDiagnosis | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
act |  | 1..1 | PostprocedureDiagnosis |
entryRelationship:pregnancyObservation | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | PregnancyObservation |
entryRelationship:preoperativeDiagnosis | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
act |  | 1..1 | PreoperativeDiagnosis |
entryRelationship:reactionObservation | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | ReactionObservation |
entryRelationship:resultObservation | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | ResultObservation |
entryRelationship:sensoryStatus | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | SensoryStatus |
entryRelationship:socialHistoryObservation | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | SocialHistoryObservation |
entryRelationship:substanceorDeviceAllergy-IntoleranceObservation | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | SubstanceOrDeviceAllergyIntoleranceObservation |
entryRelationship:tobaccoUse | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | TobaccoUse |
entryRelationship:vitalSignObservation | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | VitalSignObservation |
entryRelationship:longitudinalCareWoundObservation | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | LongitudinalCareWoundObservation |
entryRelationship:problemObservation | I | 0..* | Element | The following entryRelationship represents the relationship Health Concern HAS SUPPORT Observation.
typeCode |  | 1..1 | code | Required Pattern: SPRT
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | ProblemObservation |
entryRelationship:caregiverCharacteristics | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | CaregiverCharacteristics |
entryRelationship:culturalandReligiousObservation | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | CulturalandReligiousObservation |
entryRelationship:characteristicsofHomeEnvironment | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | CharacteristicsofHomeEnvironment |
entryRelationship:nutritionalStatusObservation | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | NutritionalStatusObservation |
entryRelationship:entryRelationship30 | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
organizer |  | 1..1 | ResultOrganizer |
entryRelationship:priorityPreference | I | 0..* | Element | The following entryRelationship represents the priority that the patient or a provider puts on the health concern.
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | PriorityPreference |
entryRelationship:problemConcernAct | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
act |  | 1..1 | ProblemConcernAct |
entryRelationship:entryReference | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
act |  | 1..1 | EntryReference |
reference |  | 0..* | Element | Where it is necessary to reference an external clinical document such a Referral document, Discharge Summary document etc., the External Document Reference template can be used to reference this document. However, if this Care Plan document is replacing or appending another Care Plan document in the same set, that relationship is set in the header, using ClinicalDocument/relatedDocument.
typeCode |  | 1..1 | code | Required Pattern: REFR
seperatableInd |  | 0..1 | BL |
externalAct |  | 0..1 | ExternalAct |
externalObservation |  | 0..1 | ExternalObservation |
externalProcedure |  | 0..1 | ExternalProcedure |
externalDocument |  | 1..1 | ExternalDocumentReference |
precondition |  | 0..* | Precondition |
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Act |  | 1..1 | CDAR2.Act |
Documentation for this format

This structure is derived from CDAR2.Act

Summary

Mandatory: 11 elements (68 nested mandatory elements)

Structures

This structure refers to these other structures:

- Author Participation (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.119)
- Problem Observation (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.4)
- Allergy - Intolerance Observation (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.7)
- Entry Reference (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.122)
- Assessment Scale Observation (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.69)
- Self-Care Activities (ADL and IADL) (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.128)
- Mental Status Observation (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.74)
- Smoking Status - Meaningful Use (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.78)
- Encounter Diagnosis (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.80)
- Family History Organizer (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.45)
- Functional Status Observation (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.67)
- Hospital Admission Diagnosis (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.34)
- Nutrition Assessment (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.138)
- Postprocedure Diagnosis (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.51)
- Pregnancy Observation (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.15.3.8)
- Preoperative Diagnosis (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.65)
- Reaction Observation (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.9)
- Result Observation (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.2)
- Sensory Status (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.127)
- Social History Observation (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.38)
- Substance or Device Allergy - Intolerance Observation (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.24.3.90)
- Tobacco Use (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.85)
- Vital Sign Observation (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.27)
- Longitudinal Care Wound Observation (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.114)
- Caregiver Characteristics (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.72)
- Cultural and Religious Observation (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.111)
- Characteristics of Home Environment (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.109)
- Nutritional Status Observation (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.124)
- Result Organizer (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.1)
- Priority Preference (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.143)
- Problem Concern Act (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.3)
- External Document Reference (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.115)

Slices

This structure defines the following Slices:

- The element Act.templateId is sliced based on the values of value:root, value:extension
- The element Act.entryRelationship is sliced based on the values of profile:observation, profile:act, profile:organizer

Differential View

This structure is derived from CDAR2.Act

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Act |  | 1..1 | CDAR2.Act |
classCode |  | 1..1 | code | Required Pattern: ACT
moodCode |  | 1..1 | code | Required Pattern: EVN
Slices for templateId |  | 0..* | II | Slice: Unordered, Open by value:root, value:extension
templateId:primary |  | 1..1 | II |
root |  | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.132
extension |  | 1..1 | string | Required Pattern: 2015-08-01
id |  | 1..* | II |
code |  | 1..1 | CD |
code |  | 1..1 | string | Required Pattern: 75310-3
codeSystem |  | 1..1 | string | Required Pattern: 2.16.840.1.113883.6.1
statusCode |  | 1..1 | CS |
code |  | 1..1 | string | Binding: ProblemAct statusCode (required)
effectiveTime |  | 0..1 | IVL_TS |
author |  | 0..* | AuthorParticipation | A health concern may be a patient or provider concern. If the author is set to the recordTarget (patient), this is a patient concern. If the author is set to a provider, this is a provider concern. If both patient and provider are set as authors, this is a concern of both the patient and the provider.
Slices for entryRelationship |  | 0..* | Element | Where a Health Concern needs to reference another entry already described in the CDA document instance, rather than repeating the full content of the entry, the Entry Reference template may be used to reference this entry. Slice: Unordered, Open by profile:observation, profile:act, profile:organizer
entryRelationship:problemObservation |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | ProblemObservation |
entryRelationship:allergy-IntoleranceObservation |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | AllergyIntoleranceObservation |
entryRelationship:entryReference |  | 0..* | Element | The following entryRelationship represents the relationship between two Health Concern Acts where there is a general relationship between the source and the target (Health Concern REFERS TO Health Concern). For example, a patient has 2 health concerns identified in a CARE Plan: Failure to Thrive and Poor Feeding, while it could be that one may have caused the other, at the time of care planning and documentation it is not necessary, nor desirable to have to assert what caused what. The Entry Reference template is used here because the target Health Concern Act will be defined elsewhere in the Health Concerns Section and thus a reference to that template is all that is required.
typeCode |  | 1..1 | code | Required Pattern: REFR
act | I | 1..1 | EntryReference | 1198-32860: The Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:1198-32860).
entryRelationship:entryReference |  | 0..* | Element | The following entryRelationship represents the relationship between two Health Concern Acts where the target is a component of the source (Health Concern HAS COMPONENT Health Concern). For example, a patient has an Impaired Mobility Health Concern. There may then be the need to document several component health concerns, such as "Unable to Transfer Bed to Chair", "Unable to Rise from Commode", "Short of Breath Walking with Walker". The Entry Reference template is used here because the target Health Concern Act will be defined elsewhere in the Health Concerns Section and thus a reference to that template is all that is required.
typeCode |  | 1..1 | code | Required Pattern: COMP
act | I | 1..1 | EntryReference | 1198-32745: The Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:1198-32745).
entryRelationship:assessmentScaleObservation |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | AssessmentScaleObservation |
entryRelationship:self-CareActivities(ADLandIADL) |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | SelfCareActivitiesADLandIADL |
entryRelationship:mentalStatusObservation |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | MentalStatusObservation |
entryRelationship:smokingStatus-MeaningfulUse |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | SmokingStatusMeaningfulUse |
entryRelationship:encounterDiagnosis |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
act |  | 1..1 | EncounterDiagnosis |
entryRelationship:entryRelationship10 |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
organizer |  | 1..1 | FamilyHistoryOrganizer |
entryRelationship:functionalStatusObservation |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | FunctionalStatusObservation |
entryRelationship:hospitalAdmissionDiagnosis |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
act |  | 1..1 | HospitalAdmissionDiagnosis |
entryRelationship:nutritionAssessment |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | NutritionAssessment |
entryRelationship:postprocedureDiagnosis |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
act |  | 1..1 | PostprocedureDiagnosis |
entryRelationship:pregnancyObservation |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | PregnancyObservation |
entryRelationship:preoperativeDiagnosis |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
act |  | 1..1 | PreoperativeDiagnosis |
entryRelationship:reactionObservation |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | ReactionObservation |
entryRelationship:resultObservation |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | ResultObservation |
entryRelationship:sensoryStatus |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | SensoryStatus |
entryRelationship:socialHistoryObservation |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | SocialHistoryObservation |
entryRelationship:substanceorDeviceAllergy-IntoleranceObservation |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | SubstanceOrDeviceAllergyIntoleranceObservation |
entryRelationship:tobaccoUse |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | TobaccoUse |
entryRelationship:vitalSignObservation |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | VitalSignObservation |
entryRelationship:longitudinalCareWoundObservation |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | LongitudinalCareWoundObservation |
entryRelationship:problemObservation |  | 0..* | Element | The following entryRelationship represents the relationship Health Concern HAS SUPPORT Observation.
typeCode |  | 1..1 | code | Required Pattern: SPRT
observation |  | 1..1 | ProblemObservation |
entryRelationship:caregiverCharacteristics |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | CaregiverCharacteristics |
entryRelationship:culturalandReligiousObservation |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | CulturalandReligiousObservation |
entryRelationship:characteristicsofHomeEnvironment |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | CharacteristicsofHomeEnvironment |
entryRelationship:nutritionalStatusObservation |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | NutritionalStatusObservation |
entryRelationship:entryRelationship30 |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
organizer |  | 1..1 | ResultOrganizer |
entryRelationship:priorityPreference |  | 0..* | Element | The following entryRelationship represents the priority that the patient or a provider puts on the health concern.
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | PriorityPreference |
entryRelationship:problemConcernAct |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
act |  | 1..1 | ProblemConcernAct |
entryRelationship:entryReference |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
act |  | 1..1 | EntryReference |
reference |  | 0..* | Element | Where it is necessary to reference an external clinical document such a Referral document, Discharge Summary document etc., the External Document Reference template can be used to reference this document. However, if this Care Plan document is replacing or appending another Care Plan document in the same set, that relationship is set in the header, using ClinicalDocument/relatedDocument.
typeCode |  | 1..1 | code | Required Pattern: REFR
externalDocument |  | 1..1 | ExternalDocumentReference |
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Act |  | 1..1 | CDAR2.Act |
classCode |  | 1..1 | code | Required Pattern: ACT
moodCode |  | 1..1 | code | Required Pattern: EVN
realmCode |  | 0..* | CS |
typeId |  | 0..1 | II |
Slices for templateId |  | 0..* | II | Slice: Unordered, Open by value:root, value:extension
templateId:primary |  | 1..1 | II |
nullFlavor |  | 0..1 | code | Binding: NullFlavor (required)
assigningAuthorityName |  | 0..1 | string |
displayable |  | 0..1 | boolean |
root |  | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.132
extension |  | 1..1 | string | Required Pattern: 2015-08-01
id |  | 1..* | II |
code |  | 1..1 | CD | Binding: v3 Code System ActCode (extensible)
nullFlavor |  | 0..1 | code | Binding: NullFlavor (required)
code |  | 1..1 | string | Required Pattern: 75310-3
codeSystem |  | 1..1 | string | Required Pattern: 2.16.840.1.113883.6.1
codeSystemName |  | 0..1 | string |
codeSystemVersion |  | 0..1 | string |
displayName |  | 0..1 | string |
sdtcValueSet |  | 0..1 | string | XML: valueSet (urn:hl7-org:sdtc)
sdtcValueSetVersion |  | 0..1 | string | XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
qualifier |  | 0..* | CR |
translation |  | 0..* | CD |
negationInd |  | 0..1 | boolean |
text |  | 0..1 | ED |
statusCode |  | 1..1 | CS | Binding: ActStatus (required)
nullFlavor |  | 0..1 | code | Binding: NullFlavor (required)
code |  | 1..1 | string | Binding: ProblemAct statusCode (required)
sdtcValueSet |  | 0..1 | string | XML: valueSet (urn:hl7-org:sdtc)
sdtcValueSetVersion |  | 0..1 | string | XML: valueSetVersion (urn:hl7-org:sdtc)
effectiveTime |  | 0..1 | IVL_TS |
priorityCode |  | 0..1 | CE | Binding: ActPriority (extensible)
languageCode |  | 0..1 | CS | Binding: HumanLanguage (required)
subject |  | 0..1 | Element |
typeCode |  | 1..1 | code | Binding: ParticipationTargetSubject (required) Fixed Value: SBJ
contextControlCode |  | 1..1 | code | Binding: ContextControl (required) Fixed Value: OP
awarenessCode |  | 0..1 | CE | Binding: TargetAwareness (extensible)
relatedSubject |  | 1..1 | RelatedSubject |
specimen |  | 0..* | Specimen |
performer |  | 0..* | Performer2 |
author |  | 0..* | AuthorParticipation | A health concern may be a patient or provider concern. If the author is set to the recordTarget (patient), this is a patient concern. If the author is set to a provider, this is a provider concern. If both patient and provider are set as authors, this is a concern of both the patient and the provider.
informant |  | 0..* | Element |
typeCode |  | 1..1 | code | Binding: ParticipationInformationGenerator (required) Fixed Value: INF
contextControlCode |  | 1..1 | code | Binding: ContextControl (required) Fixed Value: OP
assignedEntity |  | 0..1 | AssignedEntity |
relatedEntity |  | 0..1 | RelatedEntity |
participant |  | 0..* | Participant2 |
Slices for entryRelationship | I | 0..* | Element | Where a Health Concern needs to reference another entry already described in the CDA document instance, rather than repeating the full content of the entry, the Entry Reference template may be used to reference this entry. Slice: Unordered, Open by profile:observation, profile:act, profile:organizer
entryRelationship:All Slices |  |  |  | Content/Rules for all slices
typeCode |  | 1..1 | code |
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
(Choice of one) |  | 1..1 |  |
observation |  | 0..1 | Observation |
regionOfInterest |  | 0..1 | RegionOfInterest |
observationMedia |  | 0..1 | ObservationMedia |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
procedure |  | 0..1 | Procedure |
encounter |  | 0..1 | Encounter |
organizer |  | 0..1 | Organizer |
act |  | 0..1 | Act |
entryRelationship:problemObservation | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | ProblemObservation |
entryRelationship:allergy-IntoleranceObservation | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | AllergyIntoleranceObservation |
entryRelationship:entryReference | I | 0..* | Element | The following entryRelationship represents the relationship between two Health Concern Acts where there is a general relationship between the source and the target (Health Concern REFERS TO Health Concern). For example, a patient has 2 health concerns identified in a CARE Plan: Failure to Thrive and Poor Feeding, while it could be that one may have caused the other, at the time of care planning and documentation it is not necessary, nor desirable to have to assert what caused what. The Entry Reference template is used here because the target Health Concern Act will be defined elsewhere in the Health Concerns Section and thus a reference to that template is all that is required.
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
act | I | 1..1 | EntryReference | 1198-32860: The Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:1198-32860).
entryRelationship:entryReference | I | 0..* | Element | The following entryRelationship represents the relationship between two Health Concern Acts where the target is a component of the source (Health Concern HAS COMPONENT Health Concern). For example, a patient has an Impaired Mobility Health Concern. There may then be the need to document several component health concerns, such as "Unable to Transfer Bed to Chair", "Unable to Rise from Commode", "Short of Breath Walking with Walker". The Entry Reference template is used here because the target Health Concern Act will be defined elsewhere in the Health Concerns Section and thus a reference to that template is all that is required.
typeCode |  | 1..1 | code | Required Pattern: COMP
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
act | I | 1..1 | EntryReference | 1198-32745: The Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:1198-32745).
entryRelationship:assessmentScaleObservation | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | AssessmentScaleObservation |
entryRelationship:self-CareActivities(ADLandIADL) | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | SelfCareActivitiesADLandIADL |
entryRelationship:mentalStatusObservation | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | MentalStatusObservation |
entryRelationship:smokingStatus-MeaningfulUse | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | SmokingStatusMeaningfulUse |
entryRelationship:encounterDiagnosis | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
act |  | 1..1 | EncounterDiagnosis |
entryRelationship:entryRelationship10 | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
organizer |  | 1..1 | FamilyHistoryOrganizer |
entryRelationship:functionalStatusObservation | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | FunctionalStatusObservation |
entryRelationship:hospitalAdmissionDiagnosis | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
act |  | 1..1 | HospitalAdmissionDiagnosis |
entryRelationship:nutritionAssessment | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | NutritionAssessment |
entryRelationship:postprocedureDiagnosis | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
act |  | 1..1 | PostprocedureDiagnosis |
entryRelationship:pregnancyObservation | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | PregnancyObservation |
entryRelationship:preoperativeDiagnosis | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
act |  | 1..1 | PreoperativeDiagnosis |
entryRelationship:reactionObservation | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | ReactionObservation |
entryRelationship:resultObservation | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | ResultObservation |
entryRelationship:sensoryStatus | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | SensoryStatus |
entryRelationship:socialHistoryObservation | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | SocialHistoryObservation |
entryRelationship:substanceorDeviceAllergy-IntoleranceObservation | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | SubstanceOrDeviceAllergyIntoleranceObservation |
entryRelationship:tobaccoUse | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | TobaccoUse |
entryRelationship:vitalSignObservation | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | VitalSignObservation |
entryRelationship:longitudinalCareWoundObservation | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | LongitudinalCareWoundObservation |
entryRelationship:problemObservation | I | 0..* | Element | The following entryRelationship represents the relationship Health Concern HAS SUPPORT Observation.
typeCode |  | 1..1 | code | Required Pattern: SPRT
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | ProblemObservation |
entryRelationship:caregiverCharacteristics | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | CaregiverCharacteristics |
entryRelationship:culturalandReligiousObservation | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | CulturalandReligiousObservation |
entryRelationship:characteristicsofHomeEnvironment | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | CharacteristicsofHomeEnvironment |
entryRelationship:nutritionalStatusObservation | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | NutritionalStatusObservation |
entryRelationship:entryRelationship30 | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
organizer |  | 1..1 | ResultOrganizer |
entryRelationship:priorityPreference | I | 0..* | Element | The following entryRelationship represents the priority that the patient or a provider puts on the health concern.
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | PriorityPreference |
entryRelationship:problemConcernAct | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
act |  | 1..1 | ProblemConcernAct |
entryRelationship:entryReference | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
act |  | 1..1 | EntryReference |
reference |  | 0..* | Element | Where it is necessary to reference an external clinical document such a Referral document, Discharge Summary document etc., the External Document Reference template can be used to reference this document. However, if this Care Plan document is replacing or appending another Care Plan document in the same set, that relationship is set in the header, using ClinicalDocument/relatedDocument.
typeCode |  | 1..1 | code | Required Pattern: REFR
seperatableInd |  | 0..1 | BL |
externalAct |  | 0..1 | ExternalAct |
externalObservation |  | 0..1 | ExternalObservation |
externalProcedure |  | 0..1 | ExternalProcedure |
externalDocument |  | 1..1 | ExternalDocumentReference |
precondition |  | 0..* | Precondition |
Documentation for this format

Other representations of profile: CSV, Excel, Schematron

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Act.templateId:primary.nullFlavor | required | NullFlavor
Act.code | extensible | ActCode
Act.code.nullFlavor | required | NullFlavor
Act.statusCode | required | ActStatus
Act.statusCode.nullFlavor | required | NullFlavor
Act.statusCode.code | required | ProblemAct statusCode
Act.priorityCode | extensible | ActPriority
Act.languageCode | required | HumanLanguage
Act.subject.typeCode | required | Fixed Value: SBJ
Act.subject.contextControlCode | required | Fixed Value: OP
Act.subject.awarenessCode | extensible | TargetAwareness
Act.informant.typeCode | required | Fixed Value: INF
Act.informant.contextControlCode | required | Fixed Value: OP

#### Constraints

Id | Grade | Path | Details | Requirements
act-er-1 | error | Act.entryRelationship | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
act-er-1 | error | Act.entryRelationship:problemObservation | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
act-er-1 | error | Act.entryRelationship:allergy-IntoleranceObservation | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
act-er-1 | error | Act.entryRelationship:entryReference | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
act-er-1 | error | Act.entryRelationship:entryReference | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
act-er-1 | error | Act.entryRelationship:assessmentScaleObservation | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
act-er-1 | error | Act.entryRelationship:self-CareActivities(ADLandIADL) | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
act-er-1 | error | Act.entryRelationship:mentalStatusObservation | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
act-er-1 | error | Act.entryRelationship:smokingStatus-MeaningfulUse | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
act-er-1 | error | Act.entryRelationship:encounterDiagnosis | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
act-er-1 | error | Act.entryRelationship:entryRelationship10 | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
act-er-1 | error | Act.entryRelationship:functionalStatusObservation | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
act-er-1 | error | Act.entryRelationship:hospitalAdmissionDiagnosis | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
act-er-1 | error | Act.entryRelationship:nutritionAssessment | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
act-er-1 | error | Act.entryRelationship:postprocedureDiagnosis | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
act-er-1 | error | Act.entryRelationship:pregnancyObservation | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
act-er-1 | error | Act.entryRelationship:preoperativeDiagnosis | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
act-er-1 | error | Act.entryRelationship:reactionObservation | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
act-er-1 | error | Act.entryRelationship:resultObservation | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
act-er-1 | error | Act.entryRelationship:sensoryStatus | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
act-er-1 | error | Act.entryRelationship:socialHistoryObservation | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
act-er-1 | error | Act.entryRelationship:substanceorDeviceAllergy-IntoleranceObservation | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
act-er-1 | error | Act.entryRelationship:tobaccoUse | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
act-er-1 | error | Act.entryRelationship:vitalSignObservation | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
act-er-1 | error | Act.entryRelationship:longitudinalCareWoundObservation | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
act-er-1 | error | Act.entryRelationship:problemObservation | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
act-er-1 | error | Act.entryRelationship:caregiverCharacteristics | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
act-er-1 | error | Act.entryRelationship:culturalandReligiousObservation | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
act-er-1 | error | Act.entryRelationship:characteristicsofHomeEnvironment | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
act-er-1 | error | Act.entryRelationship:nutritionalStatusObservation | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
act-er-1 | error | Act.entryRelationship:entryRelationship30 | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
act-er-1 | error | Act.entryRelationship:priorityPreference | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
act-er-1 | error | Act.entryRelationship:problemConcernAct | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
act-er-1 | error | Act.entryRelationship:entryReference | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |