Consolidated CDA (C-CDA), published by Health Level Seven. This guide is not an authorized publication; it is the continuous build for version 4.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/CDA-ccda/ and changes regularly. See the Directory of published versions
Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/ActivitiesSection | Version: 4.0.0 | |||
Draft as of 2025-10-02 | Computable Name: ActivitiesSection | |||
Other Identifiers: urn:ietf:rfc:3986#Uniform Resource Identifier (URI)#urn:hl7ii:2.16.840.1.113883.10.20.21.2.3:2015-08-01 |
This template represents Activities. Activities are actions taken to maximize the prospects of the goals of care for the patient, including the removal of barriers to success. Activities can be planned, ordered, historical, etc.
Activities include actions that may be ongoing (e.g., maintenance medications that the patient is taking, or monitoring the patient's health status or the status of an intervention).
Instructions are nested within interventions and may include self-care instructions. Instructions are information or directions to the patient and other providers including how to care for the individual's condition, what to do at home, when to call for help, any additional appointments, testing, and changes to the medication list or medication instructions, clinical guidelines and a summary of best practice.
Instructions are information or directions to the patient. Use the Instructions Section when instructions are included as part of a document that is not a Care Plan. Use the Activities Section, containing the Intervention Act containing the Instruction entry, when instructions are part of a structured care plan.
Although open templates may contain any valid CDA content, the following templates are specifically called out by this template:
Recommended Entries: InterventionAct, PlannedInterventionAct
Optional Entries: HandoffCommunicationParticipants
Usages:
You can also check for usages in the FHIR IG Statistics
Changes since version 3.0.0:
Description of Template, Differentials, Snapshots and how the different presentations work.
This structure is derived from Section
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
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C | 1..1 | Section | XML Namespace: urn:hl7-org:v3 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: should-intervention-act, should-planned-intervention-act |
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1..* | II | Slice: Unordered, Open by value:root, value:extension | |
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1..1 | II | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.21.2.3 | |
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1..1 | st | Required Pattern: 2015-08-01 | |
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1..1 | CE | Interventions Narrative | |
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1..1 | cs | Required Pattern: 62387-6 | |
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
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1..1 | ST | ||
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1..1 | xhtml | ||
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0..* | Entry | Slice: Unordered, Open by profile:act | |
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0..* | Entry | ||
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1..1 | InterventionAct | ||
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0..* | Entry | ||
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1..1 | PlannedInterventionAct | ||
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0..* | Entry | ||
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1..1 | HandoffCommunicationParticipants | ||
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Id | Grade | Path(s) | Description | Expression |
should-intervention-act | warning | Section | SHOULD contain Intervention Act |
entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/InterventionAct'))
|
should-planned-intervention-act | warning | Section | SHOULD contain Planned Intervention Act |
entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/PlannedInterventionAct'))
|
Path | Status | Usage | ValueSet | Version | Source |
Section.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.templateId:section.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.classCode | Base | required | ActClassRecordOrganizer | 📦3.0.0 | THO v6.5 |
Section.moodCode | Base | required | CDAActMood | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.code.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std. |
Section.entry:intervention.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.entry:intervention.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.entry:intervention.​typeCode | Base | required | x_ActRelationshipEntry | 📦3.0.0 | THO v6.5 |
Section.entry:plannedIntervention.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.entry:plannedIntervention.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.entry:plannedIntervention.​typeCode | Base | required | x_ActRelationshipEntry | 📦3.0.0 | THO v6.5 |
Section.entry:handoffCommParticipants.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.entry:handoffCommParticipants.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.entry:handoffCommParticipants.​typeCode | Base | required | x_ActRelationshipEntry | 📦3.0.0 | THO v6.5 |
Section.component.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.component.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Id | Grade | Path(s) | Description | Expression |
II-1 | error | Section.typeId, Section.entry:intervention.typeId, Section.entry:plannedIntervention.typeId, Section.entry:handoffCommParticipants.typeId, Section.component.typeId | An II instance must have either a root or an nullFlavor. |
root.exists() or nullFlavor.exists()
|
should-intervention-act | warning | Section | SHOULD contain Intervention Act |
entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/InterventionAct'))
|
should-planned-intervention-act | warning | Section | SHOULD contain Planned Intervention Act |
entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/PlannedInterventionAct'))
|
Path | Status | Usage | ValueSet | Version | Source |
Section.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.templateId:section.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.classCode | Base | required | ActClassRecordOrganizer | 📦3.0.0 | THO v6.5 |
Section.moodCode | Base | required | CDAActMood | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.code.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std. |
Section.entry:intervention.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.entry:intervention.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.entry:intervention.​typeCode | Base | required | x_ActRelationshipEntry | 📦3.0.0 | THO v6.5 |
Section.entry:plannedIntervention.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.entry:plannedIntervention.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.entry:plannedIntervention.​typeCode | Base | required | x_ActRelationshipEntry | 📦3.0.0 | THO v6.5 |
Section.entry:handoffCommParticipants.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.entry:handoffCommParticipants.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.entry:handoffCommParticipants.​typeCode | Base | required | x_ActRelationshipEntry | 📦3.0.0 | THO v6.5 |
Section.component.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.component.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Id | Grade | Path(s) | Description | Expression |
II-1 | error | Section.typeId, Section.entry:intervention.typeId, Section.entry:plannedIntervention.typeId, Section.entry:handoffCommParticipants.typeId, Section.component.typeId | An II instance must have either a root or an nullFlavor. |
root.exists() or nullFlavor.exists()
|
should-intervention-act | warning | Section | SHOULD contain Intervention Act |
entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/InterventionAct'))
|
should-planned-intervention-act | warning | Section | SHOULD contain Planned Intervention Act |
entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/PlannedInterventionAct'))
|
This structure is derived from Section
Summary
Mandatory: 9 elements(3 nested mandatory elements)
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from Section
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
![]() ![]() |
C | 1..1 | Section | XML Namespace: urn:hl7-org:v3 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: should-intervention-act, should-planned-intervention-act |
![]() ![]() ![]() |
1..* | II | Slice: Unordered, Open by value:root, value:extension | |
![]() ![]() ![]() ![]() |
1..1 | II | ||
![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.21.2.3 | |
![]() ![]() ![]() ![]() ![]() |
1..1 | st | Required Pattern: 2015-08-01 | |
![]() ![]() ![]() |
1..1 | CE | Interventions Narrative | |
![]() ![]() ![]() ![]() |
1..1 | cs | Required Pattern: 62387-6 | |
![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
![]() ![]() ![]() |
1..1 | ST | ||
![]() ![]() ![]() |
1..1 | xhtml | ||
![]() ![]() ![]() |
0..* | Entry | Slice: Unordered, Open by profile:act | |
![]() ![]() ![]() ![]() |
0..* | Entry | ||
![]() ![]() ![]() ![]() ![]() |
1..1 | InterventionAct | ||
![]() ![]() ![]() ![]() |
0..* | Entry | ||
![]() ![]() ![]() ![]() ![]() |
1..1 | PlannedInterventionAct | ||
![]() ![]() ![]() ![]() |
0..* | Entry | ||
![]() ![]() ![]() ![]() ![]() |
1..1 | HandoffCommunicationParticipants | ||
![]() |
Id | Grade | Path(s) | Description | Expression |
should-intervention-act | warning | Section | SHOULD contain Intervention Act |
entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/InterventionAct'))
|
should-planned-intervention-act | warning | Section | SHOULD contain Planned Intervention Act |
entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/PlannedInterventionAct'))
|
Key Elements View
Path | Status | Usage | ValueSet | Version | Source |
Section.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.templateId:section.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.classCode | Base | required | ActClassRecordOrganizer | 📦3.0.0 | THO v6.5 |
Section.moodCode | Base | required | CDAActMood | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.code.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std. |
Section.entry:intervention.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.entry:intervention.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.entry:intervention.​typeCode | Base | required | x_ActRelationshipEntry | 📦3.0.0 | THO v6.5 |
Section.entry:plannedIntervention.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.entry:plannedIntervention.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.entry:plannedIntervention.​typeCode | Base | required | x_ActRelationshipEntry | 📦3.0.0 | THO v6.5 |
Section.entry:handoffCommParticipants.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.entry:handoffCommParticipants.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.entry:handoffCommParticipants.​typeCode | Base | required | x_ActRelationshipEntry | 📦3.0.0 | THO v6.5 |
Section.component.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.component.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Id | Grade | Path(s) | Description | Expression |
II-1 | error | Section.typeId, Section.entry:intervention.typeId, Section.entry:plannedIntervention.typeId, Section.entry:handoffCommParticipants.typeId, Section.component.typeId | An II instance must have either a root or an nullFlavor. |
root.exists() or nullFlavor.exists()
|
should-intervention-act | warning | Section | SHOULD contain Intervention Act |
entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/InterventionAct'))
|
should-planned-intervention-act | warning | Section | SHOULD contain Planned Intervention Act |
entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/PlannedInterventionAct'))
|
Snapshot View
Path | Status | Usage | ValueSet | Version | Source |
Section.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.templateId:section.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.classCode | Base | required | ActClassRecordOrganizer | 📦3.0.0 | THO v6.5 |
Section.moodCode | Base | required | CDAActMood | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.code.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std. |
Section.entry:intervention.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.entry:intervention.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.entry:intervention.​typeCode | Base | required | x_ActRelationshipEntry | 📦3.0.0 | THO v6.5 |
Section.entry:plannedIntervention.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.entry:plannedIntervention.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.entry:plannedIntervention.​typeCode | Base | required | x_ActRelationshipEntry | 📦3.0.0 | THO v6.5 |
Section.entry:handoffCommParticipants.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.entry:handoffCommParticipants.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.entry:handoffCommParticipants.​typeCode | Base | required | x_ActRelationshipEntry | 📦3.0.0 | THO v6.5 |
Section.component.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Section.component.typeId.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Id | Grade | Path(s) | Description | Expression |
II-1 | error | Section.typeId, Section.entry:intervention.typeId, Section.entry:plannedIntervention.typeId, Section.entry:handoffCommParticipants.typeId, Section.component.typeId | An II instance must have either a root or an nullFlavor. |
root.exists() or nullFlavor.exists()
|
should-intervention-act | warning | Section | SHOULD contain Intervention Act |
entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/InterventionAct'))
|
should-planned-intervention-act | warning | Section | SHOULD contain Planned Intervention Act |
entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/PlannedInterventionAct'))
|
This structure is derived from Section
Summary
Mandatory: 9 elements(3 nested mandatory elements)
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices: