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: Planned Intervention Act

Official URL: http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.146 | Version: 2.2
Active as of 2022-05-13 | Computable Name: PlannedInterventionAct
Other Identifiers: : urn:hl7ii:2.16.840.1.113883.10.20.22.4.146:2015-08-01

This template represents a Planned Intervention Act. It is a wrapper for planned intervention-type activities considered to be parts of the same intervention. For example, an activity such as “elevate head of bed” combined with “provide humidified O2 per nasal cannula” may be the interventions planned for a health concern of “respiratory insufficiency” in order to attempt to achieve a goal of “pulse oximetry greater than 92%”. These intervention activities may be newly described or derived from a variety of sources within an EHR.

Interventions are actions taken to increase the likelihood of achieving the patient’s or providers’ goals. An Intervention Act should contain a reference to a Goal Observation representing the reason for the intervention.

Planned Intervention Acts can be related to each other or to Intervention Acts. (E.g., a Planned Intervention Act with moodCode of INT could be related to a series of Intervention Acts with moodCode of EVN, each having an effectiveTime containing the time of the intervention.)

All interventions referenced in a Planned Intervention Act must have moodCodes indicating that that are planned (have not yet occurred).

Usage:

- Use this Resource Profile: Interventions Section, 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

Summary

Mandatory: 14 elements (41 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)
- Advance Directive Observation (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.48)
- Immunization Activity (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.52)
- Medication Activity (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.16)
- Procedure Activity Act (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.12)
- Intervention Act (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.131)
- Procedure Activity Observation (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.13)
- Procedure Activity Procedure (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.14)
- Encounter Activity (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.49)
- Instruction (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.20)
- Non-Medicinal Supply Activity (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.50)
- Planned Act (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.39)
- Planned Encounter (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.40)
- Planned Observation (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.44)
- Planned Procedure (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.41)
- Planned Medication Activity (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.42)
- Planned Supply (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.43)
- Nutrition Recommendation (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.130)
- Entry Reference (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.122)
- Handoff Communication Participants (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.141)
- Planned Immunization Activity (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.120)
- 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:substanceAdministration, profile:act, profile:procedure, profile:encounter, profile:supply

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 | Binding: Planned Intervention moodCode (required)
Slices for templateId |  | 0..* | II | Slice: Unordered, Open by value:root, value:extension
templateId:primary |  | 1..1 | II |
root |  | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.146
extension |  | 1..1 | string | Required Pattern: 2015-08-01
id |  | 1..* | II |
code |  | 1..1 | CD |
code |  | 1..1 | string | Required Pattern: 362956003
codeSystem |  | 1..1 | string | Required Pattern: 2.16.840.1.113883.6.96
statusCode |  | 1..1 | CS |
code |  | 1..1 | string | Required Pattern: active
effectiveTime |  | 0..1 | IVL_TS |
author |  | 0..* | AuthorParticipation |
Slices for entryRelationship |  | 0..* | Element | Slice: Unordered, Open by profile:observation, profile:substanceAdministration, profile:act, profile:procedure, profile:encounter, profile:supply
entryRelationship:advanceDirectiveObservation |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | AdvanceDirectiveObservation |
entryRelationship:immunizationActivity |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
substanceAdministration |  | 1..1 | ImmunizationActivity |
entryRelationship:medicationActivity |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
substanceAdministration |  | 1..1 | MedicationActivity |
entryRelationship:procedureActivityAct |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
act |  | 1..1 | ProcedureActivityAct |
entryRelationship:interventionAct |  | 0..* | Element | The following entryRelationship represents the relationship between two Intervention Acts (Intervention RELATES TO Intervention).
typeCode |  | 1..1 | code | Required Pattern: REFR
act |  | 1..1 | InterventionAct |
entryRelationship:procedureActivityObservation |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | ProcedureActivityObservation |
entryRelationship:procedureActivityProcedure |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
procedure |  | 1..1 | ProcedureActivityProcedure |
entryRelationship:encounterActivity |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
encounter |  | 1..1 | EncounterActivity |
entryRelationship:instruction |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
act |  | 1..1 | Instruction |
entryRelationship:entryRelationship10 |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
supply |  | 1..1 | NonMedicinalSupplyActivity |
entryRelationship:plannedAct |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
act |  | 1..1 | PlannedAct |
entryRelationship:plannedEncounter |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
encounter |  | 1..1 | PlannedEncounter |
entryRelationship:plannedObservation |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | PlannedObservation |
entryRelationship:plannedProcedure |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
procedure |  | 1..1 | PlannedProcedure |
entryRelationship:plannedMedicationActivity |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
substanceAdministration |  | 1..1 | PlannedMedicationActivity |
entryRelationship:entryRelationship16 |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
supply |  | 1..1 | PlannedSupply |
entryRelationship:nutritionRecommendation |  | 0..* | Element |
act |  | 1..1 | NutritionRecommendation |
entryRelationship:entryReference |  | 0..* | Element | Where an Intervention 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.
typeCode |  | 1..1 | code | Required Pattern: REFR
act |  | 1..1 | EntryReference |
entryRelationship:entryReference | I | 1..* | Element | An Intervention Act SHALL reference a Goal Observation. Because the Goal Observation is already described in the CDA document instance's Goals section, rather than repeating the full content of the Goal Observation, the Entry Reference template can be used to reference this entry. The following entryRelationship represents an Entry Reference to Goal Observation. 1198-32722: This entryReference template **SHALL** reference an instance of a Goal Observation template (CONF:1198-32722).
typeCode |  | 1..1 | code | Required Pattern: RSON
act |  | 1..1 | EntryReference |
entryRelationship:handoffCommunicationParticipants |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
act |  | 1..1 | HandoffCommunicationParticipants |
entryRelationship:plannedImmunizationActivity |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
substanceAdministration |  | 1..1 | PlannedImmunizationActivity |
reference |  | 0..* | Element |
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 | Binding: Planned Intervention moodCode (required)
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: 2.16.840.1.113883.10.20.22.4.146
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: 362956003
codeSystem |  | 1..1 | string | Required Pattern: 2.16.840.1.113883.6.96
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 | Required Pattern: active
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 |
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 | Slice: Unordered, Open by profile:observation, profile:substanceAdministration, profile:act, profile:procedure, profile:encounter, profile:supply
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:advanceDirectiveObservation | 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 | AdvanceDirectiveObservation |
entryRelationship:immunizationActivity | 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 |
substanceAdministration |  | 1..1 | ImmunizationActivity |
entryRelationship:medicationActivity | 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 |
substanceAdministration | I | 1..1 | MedicationActivity |
entryRelationship:procedureActivityAct | 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 | ProcedureActivityAct |
entryRelationship:interventionAct | I | 0..* | Element | The following entryRelationship represents the relationship between two Intervention Acts (Intervention RELATES TO Intervention).
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 | InterventionAct |
entryRelationship:procedureActivityObservation | 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 | ProcedureActivityObservation |
entryRelationship:procedureActivityProcedure | 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 |
procedure |  | 1..1 | ProcedureActivityProcedure |
entryRelationship:encounterActivity | 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 |
encounter |  | 1..1 | EncounterActivity |
entryRelationship:instruction | 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 | Instruction |
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 |
supply |  | 1..1 | NonMedicinalSupplyActivity |
entryRelationship:plannedAct | 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 | PlannedAct |
entryRelationship:plannedEncounter | 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 |
encounter |  | 1..1 | PlannedEncounter |
entryRelationship:plannedObservation | 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 | PlannedObservation |
entryRelationship:plannedProcedure | 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 |
procedure |  | 1..1 | PlannedProcedure |
entryRelationship:plannedMedicationActivity | 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 |
substanceAdministration |  | 1..1 | PlannedMedicationActivity |
entryRelationship:entryRelationship16 | 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 |
supply |  | 1..1 | PlannedSupply |
entryRelationship:nutritionRecommendation | I | 0..* | Element |
typeCode |  | 1..1 | code |
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
act |  | 1..1 | NutritionRecommendation |
entryRelationship:entryReference | I | 0..* | Element | Where an Intervention 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.
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 |
entryRelationship:entryReference | I | 1..* | Element | An Intervention Act SHALL reference a Goal Observation. Because the Goal Observation is already described in the CDA document instance's Goals section, rather than repeating the full content of the Goal Observation, the Entry Reference template can be used to reference this entry. The following entryRelationship represents an Entry Reference to Goal Observation. 1198-32722: This entryReference template **SHALL** reference an instance of a Goal Observation template (CONF:1198-32722).
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 |
act |  | 1..1 | EntryReference |
entryRelationship:handoffCommunicationParticipants | 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 | HandoffCommunicationParticipants |
entryRelationship:plannedImmunizationActivity | 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 |
substanceAdministration |  | 1..1 | PlannedImmunizationActivity |
reference |  | 0..* | Element |
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: 14 elements (41 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)
- Advance Directive Observation (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.48)
- Immunization Activity (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.52)
- Medication Activity (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.16)
- Procedure Activity Act (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.12)
- Intervention Act (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.131)
- Procedure Activity Observation (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.13)
- Procedure Activity Procedure (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.14)
- Encounter Activity (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.49)
- Instruction (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.20)
- Non-Medicinal Supply Activity (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.50)
- Planned Act (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.39)
- Planned Encounter (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.40)
- Planned Observation (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.44)
- Planned Procedure (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.41)
- Planned Medication Activity (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.42)
- Planned Supply (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.43)
- Nutrition Recommendation (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.130)
- Entry Reference (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.122)
- Handoff Communication Participants (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.141)
- Planned Immunization Activity (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.120)
- 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:substanceAdministration, profile:act, profile:procedure, profile:encounter, profile:supply

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 | Binding: Planned Intervention moodCode (required)
Slices for templateId |  | 0..* | II | Slice: Unordered, Open by value:root, value:extension
templateId:primary |  | 1..1 | II |
root |  | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.146
extension |  | 1..1 | string | Required Pattern: 2015-08-01
id |  | 1..* | II |
code |  | 1..1 | CD |
code |  | 1..1 | string | Required Pattern: 362956003
codeSystem |  | 1..1 | string | Required Pattern: 2.16.840.1.113883.6.96
statusCode |  | 1..1 | CS |
code |  | 1..1 | string | Required Pattern: active
effectiveTime |  | 0..1 | IVL_TS |
author |  | 0..* | AuthorParticipation |
Slices for entryRelationship |  | 0..* | Element | Slice: Unordered, Open by profile:observation, profile:substanceAdministration, profile:act, profile:procedure, profile:encounter, profile:supply
entryRelationship:advanceDirectiveObservation |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | AdvanceDirectiveObservation |
entryRelationship:immunizationActivity |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
substanceAdministration |  | 1..1 | ImmunizationActivity |
entryRelationship:medicationActivity |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
substanceAdministration |  | 1..1 | MedicationActivity |
entryRelationship:procedureActivityAct |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
act |  | 1..1 | ProcedureActivityAct |
entryRelationship:interventionAct |  | 0..* | Element | The following entryRelationship represents the relationship between two Intervention Acts (Intervention RELATES TO Intervention).
typeCode |  | 1..1 | code | Required Pattern: REFR
act |  | 1..1 | InterventionAct |
entryRelationship:procedureActivityObservation |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | ProcedureActivityObservation |
entryRelationship:procedureActivityProcedure |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
procedure |  | 1..1 | ProcedureActivityProcedure |
entryRelationship:encounterActivity |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
encounter |  | 1..1 | EncounterActivity |
entryRelationship:instruction |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
act |  | 1..1 | Instruction |
entryRelationship:entryRelationship10 |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
supply |  | 1..1 | NonMedicinalSupplyActivity |
entryRelationship:plannedAct |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
act |  | 1..1 | PlannedAct |
entryRelationship:plannedEncounter |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
encounter |  | 1..1 | PlannedEncounter |
entryRelationship:plannedObservation |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
observation |  | 1..1 | PlannedObservation |
entryRelationship:plannedProcedure |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
procedure |  | 1..1 | PlannedProcedure |
entryRelationship:plannedMedicationActivity |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
substanceAdministration |  | 1..1 | PlannedMedicationActivity |
entryRelationship:entryRelationship16 |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
supply |  | 1..1 | PlannedSupply |
entryRelationship:nutritionRecommendation |  | 0..* | Element |
act |  | 1..1 | NutritionRecommendation |
entryRelationship:entryReference |  | 0..* | Element | Where an Intervention 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.
typeCode |  | 1..1 | code | Required Pattern: REFR
act |  | 1..1 | EntryReference |
entryRelationship:entryReference | I | 1..* | Element | An Intervention Act SHALL reference a Goal Observation. Because the Goal Observation is already described in the CDA document instance's Goals section, rather than repeating the full content of the Goal Observation, the Entry Reference template can be used to reference this entry. The following entryRelationship represents an Entry Reference to Goal Observation. 1198-32722: This entryReference template **SHALL** reference an instance of a Goal Observation template (CONF:1198-32722).
typeCode |  | 1..1 | code | Required Pattern: RSON
act |  | 1..1 | EntryReference |
entryRelationship:handoffCommunicationParticipants |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
act |  | 1..1 | HandoffCommunicationParticipants |
entryRelationship:plannedImmunizationActivity |  | 0..* | Element |
typeCode |  | 1..1 | code | Required Pattern: REFR
substanceAdministration |  | 1..1 | PlannedImmunizationActivity |
reference |  | 0..* | Element |
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 | Binding: Planned Intervention moodCode (required)
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: 2.16.840.1.113883.10.20.22.4.146
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: 362956003
codeSystem |  | 1..1 | string | Required Pattern: 2.16.840.1.113883.6.96
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 | Required Pattern: active
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 |
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 | Slice: Unordered, Open by profile:observation, profile:substanceAdministration, profile:act, profile:procedure, profile:encounter, profile:supply
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:advanceDirectiveObservation | 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 | AdvanceDirectiveObservation |
entryRelationship:immunizationActivity | 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 |
substanceAdministration |  | 1..1 | ImmunizationActivity |
entryRelationship:medicationActivity | 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 |
substanceAdministration | I | 1..1 | MedicationActivity |
entryRelationship:procedureActivityAct | 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 | ProcedureActivityAct |
entryRelationship:interventionAct | I | 0..* | Element | The following entryRelationship represents the relationship between two Intervention Acts (Intervention RELATES TO Intervention).
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 | InterventionAct |
entryRelationship:procedureActivityObservation | 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 | ProcedureActivityObservation |
entryRelationship:procedureActivityProcedure | 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 |
procedure |  | 1..1 | ProcedureActivityProcedure |
entryRelationship:encounterActivity | 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 |
encounter |  | 1..1 | EncounterActivity |
entryRelationship:instruction | 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 | Instruction |
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 |
supply |  | 1..1 | NonMedicinalSupplyActivity |
entryRelationship:plannedAct | 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 | PlannedAct |
entryRelationship:plannedEncounter | 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 |
encounter |  | 1..1 | PlannedEncounter |
entryRelationship:plannedObservation | 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 | PlannedObservation |
entryRelationship:plannedProcedure | 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 |
procedure |  | 1..1 | PlannedProcedure |
entryRelationship:plannedMedicationActivity | 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 |
substanceAdministration |  | 1..1 | PlannedMedicationActivity |
entryRelationship:entryRelationship16 | 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 |
supply |  | 1..1 | PlannedSupply |
entryRelationship:nutritionRecommendation | I | 0..* | Element |
typeCode |  | 1..1 | code |
inversionInd |  | 0..1 | boolean |
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
negationInd |  | 0..1 | boolean |
seperatableInd |  | 0..1 | BL |
act |  | 1..1 | NutritionRecommendation |
entryRelationship:entryReference | I | 0..* | Element | Where an Intervention 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.
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 |
entryRelationship:entryReference | I | 1..* | Element | An Intervention Act SHALL reference a Goal Observation. Because the Goal Observation is already described in the CDA document instance's Goals section, rather than repeating the full content of the Goal Observation, the Entry Reference template can be used to reference this entry. The following entryRelationship represents an Entry Reference to Goal Observation. 1198-32722: This entryReference template **SHALL** reference an instance of a Goal Observation template (CONF:1198-32722).
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 |
act |  | 1..1 | EntryReference |
entryRelationship:handoffCommunicationParticipants | 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 | HandoffCommunicationParticipants |
entryRelationship:plannedImmunizationActivity | 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 |
substanceAdministration |  | 1..1 | PlannedImmunizationActivity |
reference |  | 0..* | Element |
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.moodCode | required | Planned Intervention moodCode
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.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:advanceDirectiveObservation | 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:immunizationActivity | 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:medicationActivity | 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:medicationActivity.substanceAdministration | Medication Activity **SHOULD** include doseQuantity **OR** rateQuantity (CONF:1098-30800). : |
act-er-1 | error | Act.entryRelationship:procedureActivityAct | 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:interventionAct | 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:procedureActivityObservation | 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:procedureActivityProcedure | 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:encounterActivity | 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: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:plannedAct | 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:plannedEncounter | 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:plannedObservation | 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:plannedProcedure | 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:plannedMedicationActivity | 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:entryRelationship16 | 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:nutritionRecommendation | 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 |
1198-32722 | error | Act.entryRelationship:entryReference | This entryReference template **SHALL** reference an instance of a Goal Observation template (CONF:1198-32722). : |
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 |
1198-32722 | error | Act.entryRelationship:entryReference | This entryReference template **SHALL** reference an instance of a Goal Observation template (CONF:1198-32722). : |
act-er-1 | error | Act.entryRelationship:handoffCommunicationParticipants | 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:plannedImmunizationActivity | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |