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: Procedure Activity Act

Official URL: http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.12 | Version: 2.2
Active as of 2022-05-13 | Computable Name: ProcedureActivityAct
Other Identifiers: : urn:hl7ii:2.16.840.1.113883.10.20.22.4.12:2014-06-09

This template represents any act that cannot be classified as an observation or procedure according to the HL7 RIM. Examples of these acts are a dressing change, teaching or feeding a patient, or providing comfort measures. The common notion of “procedure” is broader than that specified by the HL7 Version 3 Reference Information Model (RIM). Procedure templates can be represented with various RIM classes: act (e.g., dressing change), observation (e.g., EEG), procedure (e.g., splenectomy).

Usage:

- Use this Resource Profile: Procedures Section (entries required), Procedures Section (entries optional), Intervention Act, Planned Intervention Act

### 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

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: 2.16.840.1.113883.10.20.22.4.12
extension |  | 1..1 | string | Required Pattern: 2014-06-09
id |  | 1..* | II |
code | I | 1..1 | CD | 1098-19190: This @code **SHOULD** be selected from LOINC (CodeSystem: 2.16.840.1.113883.6.1) or SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96), and **MAY** be selected from CPT-4 (CodeSystem: 2.16.840.1.113883.6.12) or ICD10 PCS (CodeSystem: 2.16.840.1.113883.6.4) or CDT-2 (Code System: 2.16.840.1.113883.6.13) (CONF:1098-19190).
originalText |  | 0..1 | ED |
reference |  | 0..1 | TEL |
value | I | 0..1 | uri | 1098-19189: This reference/@value **SHALL** begin with a '#' and **SHALL** point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:1098-19189).
statusCode |  | 1..1 | CS |
code |  | 1..1 | string | Binding: ProcedureAct statusCode (required)
effectiveTime |  | 1..1 | IVL_TS |
priorityCode |  | 0..1 | CE | Binding: ActPriority (required)
performer |  | 0..* | Performer2 |
assignedEntity |  | 1..1 | AssignedEntity |
id |  | 1..* | II |
addr |  | 1..* | AD |
telecom |  | 1..* | TEL |
representedOrganization |  | 0..1 | Organization |
id |  | 0..* | II |
name |  | 0..* | ON |
telecom |  | 1..* | TEL |
addr |  | 1..* | AD |
author |  | 0..* | AuthorParticipation |
Slices for participant |  | 0..* | Participant2 | Slice: Unordered, Open by value:typeCode
participant:location |  | 0..* | Participant2 |
typeCode |  | 1..1 | code | Required Pattern: LOC
participantRole |  | 1..1 | ServiceDeliveryLocation |
Slices for entryRelationship |  | 0..* | Element | Slice: Unordered, Open by profile:encounter, profile:act, profile:observation, profile:substanceAdministration
entryRelationship:encounter |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: COMP
inversionInd |  | 1..1 | boolean | Required Pattern: true
encounter |  | 1..1 | Encounter |
​ classCode |  | 1..1 | code | Required Pattern: ENC
​ moodCode |  | 1..1 | code | Required Pattern: EVN
​ id | I | 1..1 | II | 1098-16849: Set the encounter ID to the ID of an encounter in another section to signify they are the same encounter (CONF:1098-16849).
entryRelationship:instruction |  | 0..1 | Element |
typeCode |  | 1..1 | code | Required Pattern: SUBJ
inversionInd |  | 1..1 | boolean | Required Pattern: true
act |  | 1..1 | Instruction |
entryRelationship:indication |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: RSON
observation |  | 1..1 | Indication |
entryRelationship:medication |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: COMP
substanceAdministration |  | 1..1 | MedicationActivity |
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: 2.16.840.1.113883.10.20.22.4.12
extension |  | 1..1 | string | Required Pattern: 2014-06-09
id |  | 1..* | II |
code | I | 1..1 | CD | Binding: v3 Code System ActCode (extensible) 1098-19190: This @code **SHOULD** be selected from LOINC (CodeSystem: 2.16.840.1.113883.6.1) or SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96), and **MAY** be selected from CPT-4 (CodeSystem: 2.16.840.1.113883.6.12) or ICD10 PCS (CodeSystem: 2.16.840.1.113883.6.4) or CDT-2 (Code System: 2.16.840.1.113883.6.13) (CONF:1098-19190).
nullFlavor |  | 0..1 | code | Binding: NullFlavor (required)
code |  | 0..1 | string |
codeSystem |  | 0..1 | string |
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 |
nullFlavor |  | 0..1 | code | Binding: NullFlavor (required)
charset |  | 0..1 | code |
compression |  | 0..1 | code | Binding: CompressionAlgorithm (required)
integrityCheck |  | 0..1 | base64Binary |
integrityCheckAlgorithm |  | 0..1 | code | Binding: IntegrityCheckAlgorithm (required)
language |  | 0..1 | code |
mediaType |  | 0..1 | code |
representation |  | 0..1 | code |
data[x] |  | 0..1 |  |
dataString |  |  | string |
dataBase64Binary |  |  | base64Binary |
reference |  | 0..1 | TEL |
nullFlavor |  | 0..1 | code | Binding: NullFlavor (required)
value | I | 0..1 | uri | 1098-19189: This reference/@value **SHALL** begin with a '#' and **SHALL** point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:1098-19189).
useablePeriod |  | 0..* |  |
useablePeriod |  |  | IVL_TS |
useablePeriod |  |  | EIVL_TS |
useablePeriod |  |  | PIVL_TS |
useablePeriod |  |  | SXPR_TS |
use |  | 0..* | code | Binding: AddressUse (required)
thumbnail |  | 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: ProcedureAct statusCode (required)
sdtcValueSet |  | 0..1 | string | XML: valueSet (urn:hl7-org:sdtc)
sdtcValueSetVersion |  | 0..1 | string | XML: valueSetVersion (urn:hl7-org:sdtc)
effectiveTime |  | 1..1 | IVL_TS |
priorityCode |  | 0..1 | CE | Binding: ActPriority (required)
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 |
nullFlavor |  | 0..1 | code | Binding: NullFlavor (required)
typeCode |  | 0..1 | cs | Binding: ParticipationPhysicalPerformer (required) Fixed Value: PRF
realmCode |  | 0..* | CS |
typeId |  | 0..1 | II |
templateId |  | 0..* | II |
functionCode |  | 0..1 | CE | XML Namespace: urn:hl7-org:sdtc
time |  | 0..1 | IVL_TS |
modeCode |  | 0..1 | CE |
assignedEntity |  | 1..1 | AssignedEntity |
classCode |  | 1..1 | code | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED
templateId |  | 0..* | II |
id |  | 1..* | II |
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML: identifiedBy (urn:hl7-org:sdtc)
code |  | 0..1 | CE | Binding: v3 Code System RoleCode (extensible)
addr |  | 1..* | AD |
telecom |  | 1..* | TEL |
assignedPerson |  | 0..1 | Person |
representedOrganization |  | 0..1 | Organization |
classCode |  | 1..1 | code | Binding: EntityClassOrganization (required) Fixed Value: ORG
determinerCode |  | 1..1 | code | Binding: EntityDeterminer (required) Fixed Value: INSTANCE
templateId |  | 0..* | II |
id |  | 0..* | II |
name |  | 0..* | ON |
telecom |  | 1..* | TEL |
addr |  | 1..* | AD |
standardIndustryClassCode |  | 0..1 | CE | Binding: OrganizationIndustryClassNAICS (extensible)
asOrganizationPartOf |  | 0..1 | OrganizationPartOf |
author |  | 0..* | AuthorParticipation |
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 |
Slices for participant |  | 0..* | Participant2 | Slice: Unordered, Open by value:typeCode
participant:location |  | 0..* | Participant2 |
nullFlavor |  | 0..1 | code | Binding: NullFlavor (required)
typeCode |  | 1..1 | code | Binding: ParticipationType (required) Required Pattern: LOC
contextControlCode |  | 0..1 | code | Binding: ContextControl (required) Fixed Value: OP
realmCode |  | 0..* | CS |
typeId |  | 0..1 | II |
templateId |  | 0..* | II |
sdtcFunctionCode |  | 0..1 | CE | XML: functionCode (urn:hl7-org:sdtc)
time |  | 0..1 | IVL_TS |
awarenessCode |  | 0..1 | CE |
participantRole |  | 1..1 | ServiceDeliveryLocation |
Slices for entryRelationship | I | 0..* | Element | Slice: Unordered, Open by profile:encounter, profile:act, profile:observation, profile:substanceAdministration
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:encounter | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: COMP
inversionInd |  | 1..1 | boolean | Required Pattern: true
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
encounter |  | 1..1 | Encounter |
entryRelationship:instruction | I | 0..1 | Element |
typeCode |  | 1..1 | code | Required Pattern: SUBJ
inversionInd |  | 1..1 | boolean | Required Pattern: true
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
act |  | 1..1 | Instruction |
entryRelationship:indication | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: RSON
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | Indication |
entryRelationship:medication | I | 0..* | Element |
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 |
substanceAdministration | I | 1..1 | MedicationActivity |
reference |  | 0..* | Element |
typeCode |  | 1..1 | code |
seperatableInd |  | 0..1 | BL |
externalAct |  | 0..1 | ExternalAct |
externalObservation |  | 0..1 | ExternalObservation |
externalProcedure |  | 0..1 | ExternalProcedure |
externalDocument |  | 0..1 | ExternalDocument |
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

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: 2.16.840.1.113883.10.20.22.4.12
extension |  | 1..1 | string | Required Pattern: 2014-06-09
id |  | 1..* | II |
code | I | 1..1 | CD | 1098-19190: This @code **SHOULD** be selected from LOINC (CodeSystem: 2.16.840.1.113883.6.1) or SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96), and **MAY** be selected from CPT-4 (CodeSystem: 2.16.840.1.113883.6.12) or ICD10 PCS (CodeSystem: 2.16.840.1.113883.6.4) or CDT-2 (Code System: 2.16.840.1.113883.6.13) (CONF:1098-19190).
originalText |  | 0..1 | ED |
reference |  | 0..1 | TEL |
value | I | 0..1 | uri | 1098-19189: This reference/@value **SHALL** begin with a '#' and **SHALL** point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:1098-19189).
statusCode |  | 1..1 | CS |
code |  | 1..1 | string | Binding: ProcedureAct statusCode (required)
effectiveTime |  | 1..1 | IVL_TS |
priorityCode |  | 0..1 | CE | Binding: ActPriority (required)
performer |  | 0..* | Performer2 |
assignedEntity |  | 1..1 | AssignedEntity |
id |  | 1..* | II |
addr |  | 1..* | AD |
telecom |  | 1..* | TEL |
representedOrganization |  | 0..1 | Organization |
id |  | 0..* | II |
name |  | 0..* | ON |
telecom |  | 1..* | TEL |
addr |  | 1..* | AD |
author |  | 0..* | AuthorParticipation |
Slices for participant |  | 0..* | Participant2 | Slice: Unordered, Open by value:typeCode
participant:location |  | 0..* | Participant2 |
typeCode |  | 1..1 | code | Required Pattern: LOC
participantRole |  | 1..1 | ServiceDeliveryLocation |
Slices for entryRelationship |  | 0..* | Element | Slice: Unordered, Open by profile:encounter, profile:act, profile:observation, profile:substanceAdministration
entryRelationship:encounter |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: COMP
inversionInd |  | 1..1 | boolean | Required Pattern: true
encounter |  | 1..1 | Encounter |
​ classCode |  | 1..1 | code | Required Pattern: ENC
​ moodCode |  | 1..1 | code | Required Pattern: EVN
​ id | I | 1..1 | II | 1098-16849: Set the encounter ID to the ID of an encounter in another section to signify they are the same encounter (CONF:1098-16849).
entryRelationship:instruction |  | 0..1 | Element |
typeCode |  | 1..1 | code | Required Pattern: SUBJ
inversionInd |  | 1..1 | boolean | Required Pattern: true
act |  | 1..1 | Instruction |
entryRelationship:indication |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: RSON
observation |  | 1..1 | Indication |
entryRelationship:medication |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: COMP
substanceAdministration |  | 1..1 | MedicationActivity |
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: 2.16.840.1.113883.10.20.22.4.12
extension |  | 1..1 | string | Required Pattern: 2014-06-09
id |  | 1..* | II |
code | I | 1..1 | CD | Binding: v3 Code System ActCode (extensible) 1098-19190: This @code **SHOULD** be selected from LOINC (CodeSystem: 2.16.840.1.113883.6.1) or SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96), and **MAY** be selected from CPT-4 (CodeSystem: 2.16.840.1.113883.6.12) or ICD10 PCS (CodeSystem: 2.16.840.1.113883.6.4) or CDT-2 (Code System: 2.16.840.1.113883.6.13) (CONF:1098-19190).
nullFlavor |  | 0..1 | code | Binding: NullFlavor (required)
code |  | 0..1 | string |
codeSystem |  | 0..1 | string |
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 |
nullFlavor |  | 0..1 | code | Binding: NullFlavor (required)
charset |  | 0..1 | code |
compression |  | 0..1 | code | Binding: CompressionAlgorithm (required)
integrityCheck |  | 0..1 | base64Binary |
integrityCheckAlgorithm |  | 0..1 | code | Binding: IntegrityCheckAlgorithm (required)
language |  | 0..1 | code |
mediaType |  | 0..1 | code |
representation |  | 0..1 | code |
data[x] |  | 0..1 |  |
dataString |  |  | string |
dataBase64Binary |  |  | base64Binary |
reference |  | 0..1 | TEL |
nullFlavor |  | 0..1 | code | Binding: NullFlavor (required)
value | I | 0..1 | uri | 1098-19189: This reference/@value **SHALL** begin with a '#' and **SHALL** point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:1098-19189).
useablePeriod |  | 0..* |  |
useablePeriod |  |  | IVL_TS |
useablePeriod |  |  | EIVL_TS |
useablePeriod |  |  | PIVL_TS |
useablePeriod |  |  | SXPR_TS |
use |  | 0..* | code | Binding: AddressUse (required)
thumbnail |  | 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: ProcedureAct statusCode (required)
sdtcValueSet |  | 0..1 | string | XML: valueSet (urn:hl7-org:sdtc)
sdtcValueSetVersion |  | 0..1 | string | XML: valueSetVersion (urn:hl7-org:sdtc)
effectiveTime |  | 1..1 | IVL_TS |
priorityCode |  | 0..1 | CE | Binding: ActPriority (required)
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 |
nullFlavor |  | 0..1 | code | Binding: NullFlavor (required)
typeCode |  | 0..1 | cs | Binding: ParticipationPhysicalPerformer (required) Fixed Value: PRF
realmCode |  | 0..* | CS |
typeId |  | 0..1 | II |
templateId |  | 0..* | II |
functionCode |  | 0..1 | CE | XML Namespace: urn:hl7-org:sdtc
time |  | 0..1 | IVL_TS |
modeCode |  | 0..1 | CE |
assignedEntity |  | 1..1 | AssignedEntity |
classCode |  | 1..1 | code | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED
templateId |  | 0..* | II |
id |  | 1..* | II |
sdtcIdentifiedBy |  | 0..* | IdentifiedBy | XML: identifiedBy (urn:hl7-org:sdtc)
code |  | 0..1 | CE | Binding: v3 Code System RoleCode (extensible)
addr |  | 1..* | AD |
telecom |  | 1..* | TEL |
assignedPerson |  | 0..1 | Person |
representedOrganization |  | 0..1 | Organization |
classCode |  | 1..1 | code | Binding: EntityClassOrganization (required) Fixed Value: ORG
determinerCode |  | 1..1 | code | Binding: EntityDeterminer (required) Fixed Value: INSTANCE
templateId |  | 0..* | II |
id |  | 0..* | II |
name |  | 0..* | ON |
telecom |  | 1..* | TEL |
addr |  | 1..* | AD |
standardIndustryClassCode |  | 0..1 | CE | Binding: OrganizationIndustryClassNAICS (extensible)
asOrganizationPartOf |  | 0..1 | OrganizationPartOf |
author |  | 0..* | AuthorParticipation |
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 |
Slices for participant |  | 0..* | Participant2 | Slice: Unordered, Open by value:typeCode
participant:location |  | 0..* | Participant2 |
nullFlavor |  | 0..1 | code | Binding: NullFlavor (required)
typeCode |  | 1..1 | code | Binding: ParticipationType (required) Required Pattern: LOC
contextControlCode |  | 0..1 | code | Binding: ContextControl (required) Fixed Value: OP
realmCode |  | 0..* | CS |
typeId |  | 0..1 | II |
templateId |  | 0..* | II |
sdtcFunctionCode |  | 0..1 | CE | XML: functionCode (urn:hl7-org:sdtc)
time |  | 0..1 | IVL_TS |
awarenessCode |  | 0..1 | CE |
participantRole |  | 1..1 | ServiceDeliveryLocation |
Slices for entryRelationship | I | 0..* | Element | Slice: Unordered, Open by profile:encounter, profile:act, profile:observation, profile:substanceAdministration
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:encounter | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: COMP
inversionInd |  | 1..1 | boolean | Required Pattern: true
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
encounter |  | 1..1 | Encounter |
entryRelationship:instruction | I | 0..1 | Element |
typeCode |  | 1..1 | code | Required Pattern: SUBJ
inversionInd |  | 1..1 | boolean | Required Pattern: true
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
act |  | 1..1 | Instruction |
entryRelationship:indication | I | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: RSON
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | Indication |
entryRelationship:medication | I | 0..* | Element |
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 |
substanceAdministration | I | 1..1 | MedicationActivity |
reference |  | 0..* | Element |
typeCode |  | 1..1 | code |
seperatableInd |  | 0..1 | BL |
externalAct |  | 0..1 | ExternalAct |
externalObservation |  | 0..1 | ExternalObservation |
externalProcedure |  | 0..1 | ExternalProcedure |
externalDocument |  | 0..1 | ExternalDocument |
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.code.originalText.nullFlavor | required | NullFlavor
Act.code.originalText.compression | required | CompressionAlgorithm
Act.code.originalText.integrityCheckAlgorithm | required | IntegrityCheckAlgorithm
Act.code.originalText.reference.nullFlavor | required | NullFlavor
Act.code.originalText.reference.use | required | AddressUse
Act.statusCode | required | ActStatus
Act.statusCode.nullFlavor | required | NullFlavor
Act.statusCode.code | required | ProcedureAct statusCode
Act.priorityCode | required | 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.performer.nullFlavor | required | NullFlavor
Act.performer.typeCode | required | Fixed Value: PRF
Act.performer.assignedEntity.classCode | required | Fixed Value: ASSIGNED
Act.performer.assignedEntity.code | extensible | RoleCode
Act.performer.assignedEntity.representedOrganization.classCode | required | Fixed Value: ORG
Act.performer.assignedEntity.representedOrganization.determinerCode | required | Fixed Value: INSTANCE
Act.performer.assignedEntity.representedOrganization.standardIndustryClassCode | extensible | OrganizationIndustryClassNAICS
Act.informant.typeCode | required | Fixed Value: INF
Act.informant.contextControlCode | required | Fixed Value: OP
Act.participant:location.nullFlavor | required | NullFlavor
Act.participant:location.typeCode | required | Pattern: LOC
Act.participant:location.contextControlCode | required | Fixed Value: OP

#### Constraints

Id | Grade | Path | Details | Requirements
1098-19190 | warning | Act.code | This @code **SHOULD** be selected from LOINC (CodeSystem: 2.16.840.1.113883.6.1) or SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96), and **MAY** be selected from CPT-4 (CodeSystem: 2.16.840.1.113883.6.12) or ICD10 PCS (CodeSystem: 2.16.840.1.113883.6.4) or CDT-2 (Code System: 2.16.840.1.113883.6.13) (CONF:1098-19190). : |
1098-19189 | error | Act.code.originalText.reference.value | This reference/@value **SHALL** begin with a '#' and **SHALL** point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:1098-19189). : |
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:encounter | 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:instruction | 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:indication | 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:medication | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
1098-30800 | warning | Act.entryRelationship:medication.substanceAdministration | Medication Activity **SHOULD** include doseQuantity **OR** rateQuantity (CONF:1098-30800). : |