Care Team Member Act - Definitions - Consolidated CDA (C-CDA) v4.0.0-ballot

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-ballot 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

Logical Model: CareTeamMemberAct - Detailed Descriptions

Draft as of 2024-12-19

Definitions for the CareTeamMemberAct logical model.

Differential Elements Table
Key Elements Table
Snapshot Elements Table

Guidance on how to interpret the contents of this table can be found here

0. Act
Logical Container	ClinicalDocument (CDA Class)
Validation	Instance of this type are validated by templateId
XML Format	In the XML format, this property has the namespace `urn:hl7-org:v3`.
Invariants	should-text-ref-value: SHOULD contain text/reference/@value (`text.reference.value.exists()`)
2. Act.templateId
Control	1..?
Slicing	This element introduces a set of slices on `Act.templateId`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ root value @ extension
4. Act.templateId:care-team-member-act
Slice Name	care-team-member-act
Control	1..1
6. Act.templateId:care-team-member-act.root
Control	1..?
Pattern Value	`2.16.840.1.113883.10.20.22.4.500.1`
8. Act.templateId:care-team-member-act.extension
Control	1..?
Pattern Value	`2024-05-01`
10. Act.classCode
Comments	SHALL contain exactly one [1..1] @classCode="PCPR" Provision of Care (CONF:4515-53).
Fixed Value	`PCPR`
12. Act.moodCode
Comments	SHALL contain exactly one [1..1] @moodCode="EVN" Event (CONF:4515-54).
Fixed Value	`EVN`
14. Act.code
Short	Care team information panel
Comments	SHALL contain exactly one [1..1] code (CONF:4515-27).
16. Act.code.code
Control	1..?
Pattern Value	`92707-9`
18. Act.code.codeSystem
Short	LOINC
Control	1..?
Pattern Value	`2.16.840.1.113883.6.1`
20. Act.text
Short	SHOULD reference the portion of section narrative text corresponding to this entry
22. Act.text.reference
Invariants	value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (`value.exists() implies value.startsWith('#')`)
24. Act.statusCode
Comments	SHALL contain exactly one [1..1] statusCode (CONF:4515-62).
Control	1..?
26. Act.statusCode.nullFlavor
Control	0..0
28. Act.statusCode.code
Control	1..?
Binding	The codes SHALL be taken from ActStatus (required to `http://terminology.hl7.org/ValueSet/v3-ActStatus`)
30. Act.effectiveTime
Comments	SHALL contain exactly one [1..1] effectiveTime (CONF:4515-33).
Control	1..?
32. Act.effectiveTime.low
Comments	This effectiveTime SHALL contain exactly one [1..1] low (CONF:4515-167).
Control	1..?
34. Act.effectiveTime.high
Comments	This effectiveTime MAY contain zero or one [0..1] high (CONF:4515-168).
36. Act.performer
Comments	SHALL contain exactly one [1..1] performer (CONF:4515-160)
Control	1..1
38. Act.performer.sdtcFunctionCode
Short	𝗨𝗦𝗖𝗗𝗜: Care Team Member Role - This sdtc:functionCode represents the function or role of the member on the care team. For example, the care team member roles on the care team can be a caregiver and a professional nurse or a primary care provider and the care coordinator.
Comments	MAY contain zero or one [0..1] sdtc:functionCode, which SHOULD be selected from ValueSet Care Team Member Function urn:oid:2.16.840.1.113762.1.4.1099.30 DYNAMIC (CONF:4515-161).
Binding	The codes SHOULD be taken from Care Team Member Function (preferred to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30`)
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`functionCode`.
40. Act.performer.assignedEntity
Comments	SHALL contain exactly one [1..1] assignedEntity (CONF:4515-175).
Invariants	4515-180: If the assignedEntity/id is not referencing a Performer elsewhere in the document with an assignedPerson populated, this assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:4515-180). (`assignedPerson.exists() or (%resource.descendants().ofType(CDA.Performer2).where(assignedEntity.assignedPerson.exists() and assignedEntity.id.exists($this.root = %context.id.first().root and $this.extension ~ %context.id.first().extension)))`) should-addr: SHOULD contain addr (`addr.exists()`) should-telecom: SHOULD contain telecom (`telecom.exists()`) should-assignedPerson: SHOULD contain assignedPerson (`assignedPerson.exists()`)
42. Act.performer.assignedEntity.id
Short	𝗨𝗦𝗖𝗗𝗜: Care Team Member Identifier
Comments	This assignedEntity SHALL contain at least one [1..*] id (CONF:4515-176).
44. Act.performer.assignedEntity.id.root
Comments	Such ids SHOULD contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4515-177).
Invariants	should-npi: SHOULD be NPI (`$this = '2.16.840.1.113883.4.6'`)
46. Act.performer.assignedEntity.addr
Short	𝗨𝗦𝗖𝗗𝗜: Care Team Member Location
Comments	This assignedEntity SHOULD contain zero or more [0..*] addr (CONF:4515-182).
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
48. Act.performer.assignedEntity.telecom
Short	𝗨𝗦𝗖𝗗𝗜: Care Team Member Telecom
Comments	This assignedEntity SHOULD contain zero or more [0..*] telecom (CONF:4515-183).
50. Act.performer.assignedEntity.assignedPerson
Short	𝗨𝗦𝗖𝗗𝗜: Care Team Member Name
Comments	This assignedEntity SHOULD contain zero or one [0..1] assignedPerson (CONF:4515-178).
52. Act.performer.assignedEntity.assignedPerson.name
Comments	The assignedPerson, if present, SHALL contain exactly one [1..1] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4515-179).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/PN(US Realm Person Name (PN.US.FIELDED))
54. Act.performer.assignedEntity.representedOrganization
Comments	This assignedEntity MAY contain zero or one [0..1] representedOrganization (CONF:4515-181).
56. Act.performer.assignedEntity.representedOrganization.telecom
Control	1..?
58. Act.performer.assignedEntity.representedOrganization.addr
Control	1..?
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
60. Act.participant
Comments	MAY contain zero or more [0..*] participant (CONF:4515-171) such that it
Slicing	This element introduces a set of slices on `Act.participant`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ typeCode
62. Act.participant:location
Slice Name	location
Short	This participant represents the location where the care team member provides the service.
Control	0..*
64. Act.participant:location.typeCode
Comments	SHALL contain exactly one [1..1] @typeCode="LOC" Location (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90) (CONF:4515-174).
Fixed Value	`LOC`
66. Act.participant:location.participantRole
Comments	SHALL contain exactly one [1..1] participantRole (CONF:4515-173).
68. Act.participant:addl-functions
Slice Name	addl-functions
Short	This participant is used to express additional care team functions performed by this member of the team. Include additional participant to record additional roles (functionCode) this Care Team member plays.
Comments	MAY contain zero or more [0..*] participant (CONF:4515-76) such that it
Control	0..*
70. Act.participant:addl-functions.typeCode
Comments	SHALL contain exactly one [1..1] @typeCode="IND" Indirect Target (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90) (CONF:4515-78).
Fixed Value	`IND`
72. Act.participant:addl-functions.sdtcFunctionCode
Short	sdtc:functionCode
Comments	SHALL contain exactly one [1..1] sdtc:functionCode, which SHALL be selected from ValueSet Care Team Member Function urn:oid:2.16.840.1.113762.1.4.1099.30 DYNAMIC (CONF:4515-169).
Control	1..?
Binding	The codes SHALL be taken from Care Team Member Function (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30`)
74. Act.participant:addl-functions.participantRole
Comments	required element with fixed nullFlavor
76. Act.participant:addl-functions.participantRole.nullFlavor
Comments	This participantRole SHALL contain exactly one [1..1] @nullFlavor="NI" No Information. (CONF:4515-172).
Control	1..?
Pattern Value	`NA`
78. Act.entryRelationship
Comments	MAY contain zero or one [0..1] entryRelationship (CONF:4515-94) such that it
Slicing	This element introduces a set of slices on `Act.entryRelationship`. The slices areUnordered and Open, and can be differentiated using the following discriminators: profile @ observation profile @ act exists @ encounter exists @ observation exists @ act
80. Act.entryRelationship:encounter
Slice Name	encounter
Short	entryRelationship
Comments	MAY contain zero or more [0..*] entryRelationship (CONF:4515-86) such that it
Control	0..*
82. Act.entryRelationship:encounter.typeCode
Comments	SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-87).
Fixed Value	`REFR`
84. Act.entryRelationship:encounter.act
Control	0..0
86. Act.entryRelationship:encounter.encounter
Comments	SHALL contain exactly one [1..1] encounter (CONF:4515-88).
Control	1..?
Invariants	4515-90: If the first id does not match an encounter/id from an encounter elsewhere within the same document and the id does not contain @nullFlavor="NA", then this entry SHALL conform to the Encounter Activity (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.49:2015-08-01) (CONF:4515-90). (`id.first().nullFlavor = 'NA' or (%resource.descendants().ofType(CDA.Encounter).where(hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/EncounterActivity') and id.exists($this.root = %context.id.first().root and $this.extension ~ %context.id.first().extension)))`)
88. Act.entryRelationship:encounter.encounter.id
Comments	This encounter SHALL contain exactly one [1..1] id (CONF:4515-89).
Control	1..1
90. Act.entryRelationship:encounter.observation
Control	0..0
92. Act.entryRelationship:note
Slice Name	note
Short	This is the note activity to narratively describe information about the member on the care team.
Comments	MAY contain zero or more [0..*] entryRelationship (CONF:4515-91) such that it
Control	0..*
94. Act.entryRelationship:note.typeCode
Comments	SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-92).
Fixed Value	`REFR`
96. Act.entryRelationship:note.act
Comments	SHALL contain exactly one [1..1] Note Activity (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.202:2016-11-01) (CONF:4515-93).
Control	1..?
Type	http://hl7.org/cda/stds/core/StructureDefinition/Act(Note Activity)
98. Act.entryRelationship:note.encounter
Control	0..0
100. Act.entryRelationship:note.observation
Control	0..0
102. Act.entryRelationship:schedule
Slice Name	schedule
Short	This is the schedule of when or how frequently the care team member participates (or provides care to the patient) on the care team.
Control	0..1
104. Act.entryRelationship:schedule.typeCode
Comments	SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-96).
Fixed Value	`REFR`
106. Act.entryRelationship:schedule.act
Control	0..0
108. Act.entryRelationship:schedule.encounter
Control	0..0
110. Act.entryRelationship:schedule.observation
Comments	SHALL contain exactly one [1..1] Care Team Member Schedule Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.500.3:2022-06-01) (CONF:4515-95).
Control	1..?
Type	http://hl7.org/cda/stds/core/StructureDefinition/Observation(Care Team Member Schedule Observation)

Guidance on how to interpret the contents of this table can be found here

0. Act
Definition	Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type. Base definition for all types defined in FHIR type system.
Short	Base for all types and resources
Control	10..1*
Is Modifier	false
Logical Container	ClinicalDocument (CDA Class)
Validation	Instance of this type are validated by templateId
XML Format	In the XML format, this property has the namespace `urn:hl7-org:v3`.
Invariants	should-text-ref-value: SHOULD contain text/reference/@value (`text.reference.value.exists()`)
2. Act.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
4. Act.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
6. Act.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
8. Act.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
10. Act.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
12. Act.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
14. Act.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
16. Act.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
18. Act.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Slicing	This element introduces a set of slices on `Act.templateId`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ root value @ extension
20. Act.templateId:care-team-member-act
Slice Name	care-team-member-act
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
22. Act.templateId:care-team-member-act.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
24. Act.templateId:care-team-member-act.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
26. Act.templateId:care-team-member-act.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
28. Act.templateId:care-team-member-act.root
Definition	A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Pattern Value	`2.16.840.1.113883.10.20.22.4.500.1`
30. Act.templateId:care-team-member-act.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
Pattern Value	`2024-05-01`
32. Act.classCode
Comments	SHALL contain exactly one [1..1] @classCode="PCPR" Provision of Care (CONF:4515-53).
Control	1..1
Binding	The codes SHALL be taken from XActClassDocumentEntryAct (2.0.0) (required to `http://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryAct\|2.0.0`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`PCPR`
34. Act.moodCode
Comments	SHALL contain exactly one [1..1] @moodCode="EVN" Event (CONF:4515-54).
Control	1..1
Binding	The codes SHALL be taken from XDocumentActMood (2.0.0) (required to `http://terminology.hl7.org/ValueSet/v3-xDocumentActMood\|2.0.0`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`EVN`
36. Act.negationInd
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
38. Act.id
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
40. Act.code
Short	Care team information panel
Comments	SHALL contain exactly one [1..1] code (CONF:4515-27).
Control	1..1
Binding	For example codes, see v3 Code System ActCode (example to `http://terminology.hl7.org/ValueSet/v3-ActCode`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CD
42. Act.code.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
44. Act.code.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Control	1..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code
Pattern Value	`92707-9`
46. Act.code.codeSystem
Definition	Specifies the code system that defines the code.
Short	LOINC
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System
Pattern Value	`2.16.840.1.113883.6.1`
48. Act.code.codeSystemName
Definition	The common name of the coding system.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Name
50. Act.code.codeSystemVersion
Definition	If applicable, a version descriptor defined specifically for the given code system.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Version
52. Act.code.displayName
Definition	A name or title for the code, under which the sending system shows the code value to its users.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Display Name
54. Act.code.sdtcValueSet
Definition	The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.
Control	0..1
Type	string(oid: ISO Object Identifier)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSet`.
56. Act.code.sdtcValueSetVersion
Definition	The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSetVersion`.
58. Act.code.originalText
Definition	The text or phrase used as the basis for the coding.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
Label	Original Text
60. Act.code.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CR
Label	Qualifier
62. Act.code.translation
Definition	A set of other concept descriptors that translate this concept descriptor into other code systems.
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CD
XML Format	The type of this property is determined using the `xsi:type`attribute.
Label	Translation
64. Act.text
Short	SHOULD reference the portion of section narrative text corresponding to this entry
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
66. Act.text.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
68. Act.text.compression
Definition	Indicates whether the raw byte data is compressed, and what compression algorithm was used.
Control	0..1
Binding	The codes SHALL be taken from CDACompressionAlgorithm (required to `http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Compression
70. Act.text.integrityCheck
Definition	The integrity check is a short binary value representing a cryptographically strong checksum that is calculated over the binary data. The purpose of this property, when communicated with a reference is for anyone to validate later whether the reference still resolved to the same data that the reference resolved to when the encapsulated data value with reference was created.
Control	0..1
Type	base64Binary(bin: Binary Data)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Integrity Check
72. Act.text.integrityCheckAlgorithm
Definition	Specifies the algorithm used to compute the integrityCheck value. The cryptographically strong checksum algorithm Secure Hash Algorithm-1 (SHA-1) is currently the industry standard. It has superseded the MD5 algorithm only a couple of years ago, when certain flaws in the security of MD5 were discovered. Currently the SHA-1 hash algorithm is the default choice for the integrity check algorithm. Note that SHA-256 is also entering widespread usage.
Control	0..1
Binding	The codes SHALL be taken from IntegrityCheckAlgorithm (2.0.0) (required to `http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm\|2.0.0`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Integrity Check Algorithm
74. Act.text.language
Definition	For character based information the language property specifies the human language of the text.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Language
76. Act.text.mediaType
Definition	Identifies the type of the encapsulated data and identifies a method to interpret or render the data.
Control	0..1
Binding	For example codes, see MediaType (example to `http://terminology.hl7.org/ValueSet/v3-MediaType`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Media Type
78. Act.text.representation
Control	0..1
Binding	The codes SHALL be taken from CDABinaryDataEncoding (required to `http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
80. Act.text.xmlText
Definition	Data that is primarily intended for human interpretation or for further machine processing is outside the scope of HL7. This includes unformatted or formatted written language, multimedia data, or structured information as defined by a different standard (e.g., XML-signatures.)
Short	Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
Comments	This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as unadorned text.
82. Act.text.reference
Definition	A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
Label	Reference
Invariants	value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (`value.exists() implies value.startsWith('#')`)
84. Act.text.thumbnail
Definition	An abbreviated rendition of the full data. A thumbnail requires significantly fewer resources than the full data, while still maintaining some distinctive similarity with the full data. A thumbnail is typically used with by-reference encapsulated data. It allows a user to select data more efficiently before actually downloading through the reference.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
Label	Thumbnail
86. Act.statusCode
Comments	SHALL contain exactly one [1..1] statusCode (CONF:4515-62).
Control	1..1
Binding	The codes SHALL be taken from ActStatus (required to `http://terminology.hl7.org/ValueSet/v3-ActStatus`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
88. Act.statusCode.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..0
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
90. Act.statusCode.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Control	1..1
Binding	The codes SHALL be taken from ActStatus (required to `http://terminology.hl7.org/ValueSet/v3-ActStatus`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code
92. Act.statusCode.codeSystem
Definition	Specifies the code system that defines the code.
Control	0..0
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System
94. Act.statusCode.codeSystemName
Definition	The common name of the coding system.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Name
96. Act.statusCode.codeSystemVersion
Definition	If applicable, a version descriptor defined specifically for the given code system.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Version
98. Act.statusCode.displayName
Definition	A name or title for the code, under which the sending system shows the code value to its users.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Display Name
100. Act.statusCode.sdtcValueSet
Definition	The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.
Control	0..1
Type	string(oid: ISO Object Identifier)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSet`.
102. Act.statusCode.sdtcValueSetVersion
Definition	The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSetVersion`.
104. Act.statusCode.originalText
Definition	The text or phrase used as the basis for the coding.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
Label	Original Text
106. Act.statusCode.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/CR
Label	Qualifier
108. Act.statusCode.translation
Definition	A set of other concept descriptors that translate this concept descriptor into other code systems.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/CD
XML Format	The type of this property is determined using the `xsi:type`attribute.
Label	Translation
110. Act.effectiveTime
Comments	SHALL contain exactly one [1..1] effectiveTime (CONF:4515-33).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
112. Act.effectiveTime.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
114. Act.effectiveTime.value
Definition	A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.
Control	0..1
Type	dateTime(ts: Point in Time)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Date Format	YYYYMMDDHHMMSS.UUUU[+\|-ZZzz]
XML Format	In the XML format, this property is represented as an attribute.
116. Act.effectiveTime.operator
Definition	A code specifying whether the set component is included (union) or excluded (set-difference) from the set, or other set operations with the current set component and the set as constructed from the representation stream up to the current point.
Control	0..1
Binding	The codes SHALL be taken from CDASetOperator (required to `http://hl7.org/cda/stds/core/ValueSet/CDASetOperator`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Default Value	`I`
118. Act.effectiveTime.low
Definition	This is the low limit of the interval.
Comments	This effectiveTime SHALL contain exactly one [1..1] low (CONF:4515-167).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
Label	Low Boundary
120. Act.effectiveTime.center
Definition	The arithmetic mean of the interval (low plus high divided by 2). The purpose of distinguishing the center as a semantic property is for conversions of intervals from and to point values.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/TS
Label	Central Value
122. Act.effectiveTime.width
Definition	The difference between high and low boundary. The purpose of distinguishing a width property is to handle all cases of incomplete information symmetrically. In any interval representation only two of the three properties high, low, and width need to be stated and the third can be derived.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/PQ
Label	Width
124. Act.effectiveTime.high
Definition	This is the high limit of the interval.
Comments	This effectiveTime MAY contain zero or one [0..1] high (CONF:4515-168).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
Label	High Boundary
126. Act.priorityCode
Control	0..1
Binding	For example codes, see ActPriority (example to `http://terminology.hl7.org/ValueSet/v3-ActPriority`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
128. Act.languageCode
Control	0..1
Binding	The codes SHALL be taken from AllLanguages (required to `http://hl7.org/fhir/ValueSet/all-languages`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
130. Act.subject
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Subject
132. Act.specimen
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Specimen
134. Act.performer
Comments	SHALL contain exactly one [1..1] performer (CONF:4515-160)
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Performer2
136. Act.performer.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
138. Act.performer.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
140. Act.performer.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
142. Act.performer.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
144. Act.performer.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
146. Act.performer.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
148. Act.performer.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
150. Act.performer.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
152. Act.performer.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
154. Act.performer.typeCode
Control	0..1
Binding	The codes SHALL be taken from ParticipationPhysicalPerformer (required to `http://terminology.hl7.org/ValueSet/v3-ParticipationPhysicalPerformer`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`PRF`
156. Act.performer.sdtcFunctionCode
Short	𝗨𝗦𝗖𝗗𝗜: Care Team Member Role - This sdtc:functionCode represents the function or role of the member on the care team. For example, the care team member roles on the care team can be a caregiver and a professional nurse or a primary care provider and the care coordinator.
Comments	MAY contain zero or one [0..1] sdtc:functionCode, which SHOULD be selected from ValueSet Care Team Member Function urn:oid:2.16.840.1.113762.1.4.1099.30 DYNAMIC (CONF:4515-161).
Control	0..1
Binding	The codes SHOULD be taken from Care Team Member Function (preferred to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`functionCode`.
158. Act.performer.time
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
160. Act.performer.modeCode
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
162. Act.performer.assignedEntity
Comments	SHALL contain exactly one [1..1] assignedEntity (CONF:4515-175).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity
Invariants	4515-180: If the assignedEntity/id is not referencing a Performer elsewhere in the document with an assignedPerson populated, this assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:4515-180). (`assignedPerson.exists() or (%resource.descendants().ofType(CDA.Performer2).where(assignedEntity.assignedPerson.exists() and assignedEntity.id.exists($this.root = %context.id.first().root and $this.extension ~ %context.id.first().extension)))`) should-addr: SHOULD contain addr (`addr.exists()`) should-telecom: SHOULD contain telecom (`telecom.exists()`) should-assignedPerson: SHOULD contain assignedPerson (`assignedPerson.exists()`)
164. Act.performer.assignedEntity.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
166. Act.performer.assignedEntity.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
168. Act.performer.assignedEntity.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
170. Act.performer.assignedEntity.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
172. Act.performer.assignedEntity.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
174. Act.performer.assignedEntity.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
176. Act.performer.assignedEntity.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
178. Act.performer.assignedEntity.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
180. Act.performer.assignedEntity.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
182. Act.performer.assignedEntity.classCode
Control	0..1
Binding	The codes SHALL be taken from RoleClassAssignedEntity (required to `http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`ASSIGNED`
184. Act.performer.assignedEntity.id
Short	𝗨𝗦𝗖𝗗𝗜: Care Team Member Identifier
Comments	This assignedEntity SHALL contain at least one [1..*] id (CONF:4515-176).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
186. Act.performer.assignedEntity.id.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
188. Act.performer.assignedEntity.id.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
190. Act.performer.assignedEntity.id.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
192. Act.performer.assignedEntity.id.root
Definition	A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Comments	Such ids SHOULD contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4515-177).
Control	0..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Invariants	should-npi: SHOULD be NPI (`$this = '2.16.840.1.113883.4.6'`)
194. Act.performer.assignedEntity.id.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
196. Act.performer.assignedEntity.sdtcIdentifiedBy
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`identifiedBy`.
198. Act.performer.assignedEntity.code
Control	0..1
Binding	For example codes, see CDARoleCode (example to `http://hl7.org/cda/stds/core/ValueSet/CDARoleCode`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
200. Act.performer.assignedEntity.addr
Definition	Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.
Short	𝗨𝗦𝗖𝗗𝗜: Care Team Member Location
Comments	This assignedEntity SHOULD contain zero or more [0..*] addr (CONF:4515-182).
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
Is Modifier	false
Invariants	shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). (`nullFlavor.exists() or item.city.count() = 1`) shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). (`nullFlavor.exists() or (item.streetAddressLine.count() >= 1 and item.streetAddressLine.count() <= 4)`) should-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`) should-country: SHOULD contain country (`nullFlavor.exists() or item.country.exists()`) 81-7296: SHALL NOT have mixed content except for white space (CONF:81-7296) (`item.xmlText.empty()`) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). (`nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state'))`) 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). (`nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?'))`) shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country (`(item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1)`)
202. Act.performer.assignedEntity.telecom
Short	𝗨𝗦𝗖𝗗𝗜: Care Team Member Telecom
Comments	This assignedEntity SHOULD contain zero or more [0..*] telecom (CONF:4515-183).
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
204. Act.performer.assignedEntity.assignedPerson
Short	𝗨𝗦𝗖𝗗𝗜: Care Team Member Name
Comments	This assignedEntity SHOULD contain zero or one [0..1] assignedPerson (CONF:4515-178).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Person
206. Act.performer.assignedEntity.assignedPerson.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
208. Act.performer.assignedEntity.assignedPerson.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
210. Act.performer.assignedEntity.assignedPerson.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
212. Act.performer.assignedEntity.assignedPerson.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
214. Act.performer.assignedEntity.assignedPerson.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
216. Act.performer.assignedEntity.assignedPerson.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
218. Act.performer.assignedEntity.assignedPerson.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
220. Act.performer.assignedEntity.assignedPerson.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
222. Act.performer.assignedEntity.assignedPerson.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
224. Act.performer.assignedEntity.assignedPerson.classCode
Control	0..1
Binding	The codes SHALL be taken from EntityClassLivingSubject (required to `http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`PSN`
226. Act.performer.assignedEntity.assignedPerson.determinerCode
Control	0..1
Binding	The codes SHALL be taken from EntityDeterminer (required to `http://terminology.hl7.org/ValueSet/v3-EntityDeterminer`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`INSTANCE`
228. Act.performer.assignedEntity.assignedPerson.name
Definition	A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are "Jim Bob Walton, Jr.", "Adam Everyman", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, "Jim", "Bob", "Walton", and "Jr.". PN differs from EN because the qualifier type cannot include LS (Legal Status). A name associated with the person.
Short	Base for all types and resourcesA name associated with the person
Comments	The assignedPerson, if present, SHALL contain exactly one [1..1] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4515-179). Person may have multiple names with different uses or applicable periods.
Control	10..1*
Type	http://hl7.org/cda/stds/core/StructureDefinition/PNHumanName(US Realm Person Name (PN.US.FIELDED))
Is Modifier	false
Requirements	Need to be able to track the person by multiple names. Examples are your official name and a partner name.
Invariants	pn-no-ls: No PN name part may have a qualifier of LS. (`(item.delimiter \| item.family \| item.given \| item.prefix \| item.suffix).where(qualifier.where($this = 'LS').exists()).empty()`) 81-9371: The content of name SHALL be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). (`conformsTo('http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPatientNamePTNUSFIELDED') or item.xmlText.exists()`) 81-9372: The string SHALL NOT contain name parts (CONF:81-9372). (`item.xmlText.exists() implies (item.delimiter \| item.family \| item.given \| item.prefix \| item.suffix).empty()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
230. Act.performer.assignedEntity.assignedPerson.sdtcDesc
Definition	The desc extension allows multimedia depictions of patients, healthcare providers, or other individuals to be included in a CDA document.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`desc`.
232. Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship
Definition	Each participant role other than an informant/relatedEntity may have zero or more relationship roles with the patient. Each of these roles can be expressed with an asPatientRelationship element which further describes the type of role using a code element.
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`asPatientRelationship`.
234. Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
236. Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
238. Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
240. Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
242. Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
244. Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
246. Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
248. Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
250. Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
252. Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.classCode
Control	1..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`PRS`
254. Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.determinerCode
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`INSTANCE`
256. Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.code
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.
258. Act.performer.assignedEntity.representedOrganization
Comments	This assignedEntity MAY contain zero or one [0..1] representedOrganization (CONF:4515-181).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Organization
260. Act.performer.assignedEntity.representedOrganization.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
262. Act.performer.assignedEntity.representedOrganization.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
264. Act.performer.assignedEntity.representedOrganization.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
266. Act.performer.assignedEntity.representedOrganization.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
268. Act.performer.assignedEntity.representedOrganization.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
270. Act.performer.assignedEntity.representedOrganization.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
272. Act.performer.assignedEntity.representedOrganization.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
274. Act.performer.assignedEntity.representedOrganization.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
276. Act.performer.assignedEntity.representedOrganization.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
278. Act.performer.assignedEntity.representedOrganization.classCode
Control	0..1
Binding	The codes SHALL be taken from EntityClassOrganization (required to `http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`ORG`
280. Act.performer.assignedEntity.representedOrganization.determinerCode
Control	0..1
Binding	The codes SHALL be taken from EntityDeterminer (required to `http://terminology.hl7.org/ValueSet/v3-EntityDeterminer`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`INSTANCE`
282. Act.performer.assignedEntity.representedOrganization.id
Definition	The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Short	Logical id of this artifact
Comments	Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.
Control	0..*1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IIid
Is Modifier	false
284. Act.performer.assignedEntity.representedOrganization.name
Definition	A name associated with the organization.
Short	Name used for the organization
Comments	If the name of an organization changes, consider putting the old name in the alias column so that it can still be located through searches.
Control	0..*1 This element is affected by the following invariants: org-1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ONstring
Is Modifier	false
Requirements	Need to use the name as the label of the organization.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
286. Act.performer.assignedEntity.representedOrganization.telecom
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
288. Act.performer.assignedEntity.representedOrganization.addr
Definition	Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.
Short	Base for all types and resources
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
Is Modifier	false
Invariants	shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). (`nullFlavor.exists() or item.city.count() = 1`) shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). (`nullFlavor.exists() or (item.streetAddressLine.count() >= 1 and item.streetAddressLine.count() <= 4)`) should-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`) should-country: SHOULD contain country (`nullFlavor.exists() or item.country.exists()`) 81-7296: SHALL NOT have mixed content except for white space (CONF:81-7296) (`item.xmlText.empty()`) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). (`nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state'))`) 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). (`nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?'))`) shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country (`(item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1)`)
290. Act.performer.assignedEntity.representedOrganization.standardIndustryClassCode
Control	0..1
Binding	For example codes, see OrganizationIndustryClassNAICS (example to `http://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
292. Act.performer.assignedEntity.representedOrganization.asOrganizationPartOf
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/OrganizationPartOf
294. Act.performer.assignedEntity.sdtcPatient
Control	0..1
Type	http://hl7.org/fhir/StructureDefinition/Base
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`patient`.
296. Act.performer.assignedEntity.sdtcPatient.id
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.
298. Act.author
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Author
300. Act.informant
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Informant
302. Act.participant
Comments	MAY contain zero or more [0..*] participant (CONF:4515-171) such that it
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Participant2
Slicing	This element introduces a set of slices on `Act.participant`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ typeCode
304. Act.participant:location
Slice Name	location
Short	This participant represents the location where the care team member provides the service.
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Participant2
306. Act.participant:location.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
308. Act.participant:location.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
310. Act.participant:location.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
312. Act.participant:location.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
314. Act.participant:location.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
316. Act.participant:location.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
318. Act.participant:location.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
320. Act.participant:location.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
322. Act.participant:location.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
324. Act.participant:location.typeCode
Comments	SHALL contain exactly one [1..1] @typeCode="LOC" Location (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90) (CONF:4515-174).
Control	1..1
Binding	The codes SHALL be taken from CDAParticipationType (required to `http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`LOC`
326. Act.participant:location.contextControlCode
Control	0..1
Binding	The codes SHALL be taken from CDAContextControl (required to `http://hl7.org/cda/stds/core/ValueSet/CDAContextControl`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`OP`
328. Act.participant:location.sdtcFunctionCode
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`functionCode`.
330. Act.participant:location.time
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
332. Act.participant:location.awarenessCode
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
334. Act.participant:location.participantRole
Comments	SHALL contain exactly one [1..1] participantRole (CONF:4515-173).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole
336. Act.participant:addl-functions
Slice Name	addl-functions
Short	This participant is used to express additional care team functions performed by this member of the team. Include additional participant to record additional roles (functionCode) this Care Team member plays.
Comments	MAY contain zero or more [0..*] participant (CONF:4515-76) such that it
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Participant2
338. Act.participant:addl-functions.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
340. Act.participant:addl-functions.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
342. Act.participant:addl-functions.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
344. Act.participant:addl-functions.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
346. Act.participant:addl-functions.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
348. Act.participant:addl-functions.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
350. Act.participant:addl-functions.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
352. Act.participant:addl-functions.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
354. Act.participant:addl-functions.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
356. Act.participant:addl-functions.typeCode
Comments	SHALL contain exactly one [1..1] @typeCode="IND" Indirect Target (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90) (CONF:4515-78).
Control	1..1
Binding	The codes SHALL be taken from CDAParticipationType (required to `http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`IND`
358. Act.participant:addl-functions.contextControlCode
Control	0..1
Binding	The codes SHALL be taken from CDAContextControl (required to `http://hl7.org/cda/stds/core/ValueSet/CDAContextControl`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`OP`
360. Act.participant:addl-functions.sdtcFunctionCode
Short	sdtc:functionCode
Comments	SHALL contain exactly one [1..1] sdtc:functionCode, which SHALL be selected from ValueSet Care Team Member Function urn:oid:2.16.840.1.113762.1.4.1099.30 DYNAMIC (CONF:4515-169).
Control	1..1
Binding	The codes SHALL be taken from Care Team Member Function (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`functionCode`.
362. Act.participant:addl-functions.time
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
364. Act.participant:addl-functions.awarenessCode
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
366. Act.participant:addl-functions.participantRole
Comments	required element with fixed nullFlavor
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole
368. Act.participant:addl-functions.participantRole.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Comments	This participantRole SHALL contain exactly one [1..1] @nullFlavor="NI" No Information. (CONF:4515-172).
Control	1..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
Pattern Value	`NA`
370. Act.participant:addl-functions.participantRole.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
372. Act.participant:addl-functions.participantRole.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
374. Act.participant:addl-functions.participantRole.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
376. Act.participant:addl-functions.participantRole.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
378. Act.participant:addl-functions.participantRole.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
380. Act.participant:addl-functions.participantRole.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
382. Act.participant:addl-functions.participantRole.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
384. Act.participant:addl-functions.participantRole.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
386. Act.participant:addl-functions.participantRole.classCode
Control	0..1
Binding	The codes SHALL be taken from CDARoleClassRoot (required to `http://hl7.org/cda/stds/core/ValueSet/CDARoleClassRoot`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Default Value	`ROL`
388. Act.participant:addl-functions.participantRole.id
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
390. Act.participant:addl-functions.participantRole.sdtcIdentifiedBy
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`identifiedBy`.
392. Act.participant:addl-functions.participantRole.code
Control	0..1
Binding	For example codes, see CDARoleCode (example to `http://hl7.org/cda/stds/core/ValueSet/CDARoleCode`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
394. Act.participant:addl-functions.participantRole.addr
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD
396. Act.participant:addl-functions.participantRole.telecom
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
398. Act.participant:addl-functions.participantRole.playingDevice
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Device
400. Act.participant:addl-functions.participantRole.playingEntity
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/PlayingEntity
402. Act.participant:addl-functions.participantRole.scopingEntity
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Entity
404. Act.entryRelationship
Comments	MAY contain zero or one [0..1] entryRelationship (CONF:4515-94) such that it
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
Slicing	This element introduces a set of slices on `Act.entryRelationship`. The slices areUnordered and Open, and can be differentiated using the following discriminators: profile @ observation profile @ act exists @ encounter exists @ observation exists @ act
406. Act.entryRelationship:encounter
Slice Name	encounter
Short	entryRelationship
Comments	MAY contain zero or more [0..*] entryRelationship (CONF:4515-86) such that it
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
408. Act.entryRelationship:encounter.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
410. Act.entryRelationship:encounter.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
412. Act.entryRelationship:encounter.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
414. Act.entryRelationship:encounter.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
416. Act.entryRelationship:encounter.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
418. Act.entryRelationship:encounter.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
420. Act.entryRelationship:encounter.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
422. Act.entryRelationship:encounter.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
424. Act.entryRelationship:encounter.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
426. Act.entryRelationship:encounter.typeCode
Comments	SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-87).
Control	1..1
Binding	The codes SHALL be taken from x_ActRelationshipEntryRelationship (required to `http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`REFR`
428. Act.entryRelationship:encounter.inversionInd
Definition	The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
430. Act.entryRelationship:encounter.contextConductionInd
Definition	The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Default Value	`true`
432. Act.entryRelationship:encounter.negationInd
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
434. Act.entryRelationship:encounter.sequenceNumber
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/INT
436. Act.entryRelationship:encounter.seperatableInd
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/BL
438. Act.entryRelationship:encounter.act
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/Act
440. Act.entryRelationship:encounter.encounter
Comments	SHALL contain exactly one [1..1] encounter (CONF:4515-88).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Encounter
Invariants	4515-90: If the first id does not match an encounter/id from an encounter elsewhere within the same document and the id does not contain @nullFlavor="NA", then this entry SHALL conform to the Encounter Activity (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.49:2015-08-01) (CONF:4515-90). (`id.first().nullFlavor = 'NA' or (%resource.descendants().ofType(CDA.Encounter).where(hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/EncounterActivity') and id.exists($this.root = %context.id.first().root and $this.extension ~ %context.id.first().extension)))`)
442. Act.entryRelationship:encounter.encounter.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
444. Act.entryRelationship:encounter.encounter.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
446. Act.entryRelationship:encounter.encounter.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
448. Act.entryRelationship:encounter.encounter.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
450. Act.entryRelationship:encounter.encounter.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
452. Act.entryRelationship:encounter.encounter.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
454. Act.entryRelationship:encounter.encounter.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
456. Act.entryRelationship:encounter.encounter.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
458. Act.entryRelationship:encounter.encounter.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
460. Act.entryRelationship:encounter.encounter.classCode
Control	1..1
Binding	The codes SHALL be taken from CDAActClass (required to `http://hl7.org/cda/stds/core/ValueSet/CDAActClass`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`ENC`
462. Act.entryRelationship:encounter.encounter.moodCode
Control	1..1
Binding	The codes SHALL be taken from XDocumentEncounterMood (2.0.0) (required to `http://terminology.hl7.org/ValueSet/v3-xDocumentEncounterMood\|2.0.0`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
464. Act.entryRelationship:encounter.encounter.id
Definition	The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Short	Logical id of this artifact
Comments	This encounter SHALL contain exactly one [1..1] id (CONF:4515-89). Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.
Control	10..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IIid
Is Modifier	false
466. Act.entryRelationship:encounter.encounter.code
Control	0..1
Binding	For example codes, see ActEncounterCode (example to `http://terminology.hl7.org/ValueSet/v3-ActEncounterCode`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CD
468. Act.entryRelationship:encounter.encounter.text
Definition	A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Short	Text summary of the resource, for human interpretation
Comments	Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
Control	0..1 This element is affected by the following invariants: dom-6
Type	http://hl7.org/cda/stds/core/StructureDefinition/EDNarrative
Is Modifier	false
Alternate Names	narrative, html, xhtml, display
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
470. Act.entryRelationship:encounter.encounter.statusCode
Control	0..1
Binding	The codes SHALL be taken from ActStatus (required to `http://terminology.hl7.org/ValueSet/v3-ActStatus`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
472. Act.entryRelationship:encounter.encounter.effectiveTime
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
474. Act.entryRelationship:encounter.encounter.sdtcDischargeDispositionCode
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`dischargeDispositionCode`.
476. Act.entryRelationship:encounter.encounter.priorityCode
Control	0..1
Binding	For example codes, see ActPriority (example to `http://terminology.hl7.org/ValueSet/v3-ActPriority`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
478. Act.entryRelationship:encounter.encounter.subject
Definition	The patient or group related to this encounter. In some use-cases the patient MAY not be present, such as a case meeting about a patient between several practitioners or a careteam.
Short	The patient or group related to this encounter
Comments	While the encounter is always about the patient, the patient might not actually be known in all contexts of use, and there may be a group of patients that could be anonymous (such as in a group therapy for Alcoholics Anonymous - where the recording of the encounter could be used for billing on the number of people/staff and not important to the context of the specific patients) or alternately in veterinary care a herd of sheep receiving treatment (where the animals are not individually tracked).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/SubjectReference(Patient, Group)
Is Modifier	false
Alternate Names	patient
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
480. Act.entryRelationship:encounter.encounter.specimen
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Specimen
482. Act.entryRelationship:encounter.encounter.performer
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Performer2
484. Act.entryRelationship:encounter.encounter.author
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Author
486. Act.entryRelationship:encounter.encounter.informant
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Informant
488. Act.entryRelationship:encounter.encounter.participant
Definition	The list of people responsible for providing the service.
Short	List of participants involved in the encounter
Comments	Any Patient or Group present in the participation.actor must also be the subject, though the subject may be absent from the participation.actor for cases where the patient (or group) is not present, such as during a case review conference.
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Participant2BackboneElement
Is Modifier	false
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) enc-1: A type must be provided when no explicit actor is specified (actor.exists() or type.exists()) enc-2: A type cannot be provided for a patient or group participant (actor.exists(resolve() is Patient or resolve() is Group) implies type.exists().not())
490. Act.entryRelationship:encounter.encounter.entryRelationship
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
492. Act.entryRelationship:encounter.encounter.reference
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Reference
494. Act.entryRelationship:encounter.encounter.precondition
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Precondition
496. Act.entryRelationship:encounter.encounter.sdtcPrecondition2
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Precondition2
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`precondition2`.
498. Act.entryRelationship:encounter.encounter.sdtcInFulfillmentOf1
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`inFulfillmentOf1`.
500. Act.entryRelationship:encounter.observation
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/Observation
502. Act.entryRelationship:encounter.observationMedia
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
504. Act.entryRelationship:encounter.organizer
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Organizer
506. Act.entryRelationship:encounter.procedure
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Procedure
508. Act.entryRelationship:encounter.regionOfInterest
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
510. Act.entryRelationship:encounter.substanceAdministration
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
512. Act.entryRelationship:encounter.supply
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Supply
514. Act.entryRelationship:note
Slice Name	note
Short	This is the note activity to narratively describe information about the member on the care team.
Comments	MAY contain zero or more [0..*] entryRelationship (CONF:4515-91) such that it
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
516. Act.entryRelationship:note.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
518. Act.entryRelationship:note.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
520. Act.entryRelationship:note.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
522. Act.entryRelationship:note.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
524. Act.entryRelationship:note.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
526. Act.entryRelationship:note.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
528. Act.entryRelationship:note.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
530. Act.entryRelationship:note.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
532. Act.entryRelationship:note.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
534. Act.entryRelationship:note.typeCode
Comments	SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-92).
Control	1..1
Binding	The codes SHALL be taken from x_ActRelationshipEntryRelationship (required to `http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`REFR`
536. Act.entryRelationship:note.inversionInd
Definition	The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
538. Act.entryRelationship:note.contextConductionInd
Definition	The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Default Value	`true`
540. Act.entryRelationship:note.negationInd
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
542. Act.entryRelationship:note.sequenceNumber
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/INT
544. Act.entryRelationship:note.seperatableInd
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/BL
546. Act.entryRelationship:note.act
Definition	Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.
Short	Base for all types and resources
Comments	SHALL contain exactly one [1..1] Note Activity (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.202:2016-11-01) (CONF:4515-93).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Act(Note Activity)
Is Modifier	false
Invariants	should-text-ref-value: SHOULD contain text/reference/@value (`text.reference.value.exists()`)
548. Act.entryRelationship:note.encounter
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/Encounter
550. Act.entryRelationship:note.observation
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/Observation
552. Act.entryRelationship:note.observationMedia
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
554. Act.entryRelationship:note.organizer
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Organizer
556. Act.entryRelationship:note.procedure
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Procedure
558. Act.entryRelationship:note.regionOfInterest
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
560. Act.entryRelationship:note.substanceAdministration
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
562. Act.entryRelationship:note.supply
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Supply
564. Act.entryRelationship:schedule
Slice Name	schedule
Short	This is the schedule of when or how frequently the care team member participates (or provides care to the patient) on the care team.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
566. Act.entryRelationship:schedule.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
568. Act.entryRelationship:schedule.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
570. Act.entryRelationship:schedule.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
572. Act.entryRelationship:schedule.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
574. Act.entryRelationship:schedule.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
576. Act.entryRelationship:schedule.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
578. Act.entryRelationship:schedule.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
580. Act.entryRelationship:schedule.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
582. Act.entryRelationship:schedule.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
584. Act.entryRelationship:schedule.typeCode
Comments	SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-96).
Control	1..1
Binding	The codes SHALL be taken from x_ActRelationshipEntryRelationship (required to `http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`REFR`
586. Act.entryRelationship:schedule.inversionInd
Definition	The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
588. Act.entryRelationship:schedule.contextConductionInd
Definition	The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Default Value	`true`
590. Act.entryRelationship:schedule.negationInd
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
592. Act.entryRelationship:schedule.sequenceNumber
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/INT
594. Act.entryRelationship:schedule.seperatableInd
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/BL
596. Act.entryRelationship:schedule.act
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/Act
598. Act.entryRelationship:schedule.encounter
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/Encounter
600. Act.entryRelationship:schedule.observation
Definition	Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.
Short	Base for all types and resources
Comments	SHALL contain exactly one [1..1] Care Team Member Schedule Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.500.3:2022-06-01) (CONF:4515-95).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Observation(Care Team Member Schedule Observation)
Is Modifier	false
Invariants	should-text-ref-value: SHOULD contain text/reference/@value (`text.reference.value.exists()`)
602. Act.entryRelationship:schedule.observationMedia
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
604. Act.entryRelationship:schedule.organizer
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Organizer
606. Act.entryRelationship:schedule.procedure
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Procedure
608. Act.entryRelationship:schedule.regionOfInterest
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
610. Act.entryRelationship:schedule.substanceAdministration
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
612. Act.entryRelationship:schedule.supply
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Supply
614. Act.reference
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Reference
616. Act.precondition
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Precondition
618. Act.sdtcPrecondition2
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Precondition2
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`precondition2`.
620. Act.sdtcInFulfillmentOf1
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`inFulfillmentOf1`.

Guidance on how to interpret the contents of this table can be found here

0. Act
Definition	Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.
Short	Base for all types and resources
Control	1..1
Is Modifier	false
Logical Container	ClinicalDocument (CDA Class)
Validation	Instance of this type are validated by templateId
XML Format	In the XML format, this property has the namespace `urn:hl7-org:v3`.
Invariants	should-text-ref-value: SHOULD contain text/reference/@value (`text.reference.value.exists()`)
2. Act.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
4. Act.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
6. Act.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
8. Act.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
10. Act.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
12. Act.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
14. Act.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
16. Act.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
18. Act.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Slicing	This element introduces a set of slices on `Act.templateId`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ root value @ extension
20. Act.templateId:care-team-member-act
Slice Name	care-team-member-act
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
22. Act.templateId:care-team-member-act.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
24. Act.templateId:care-team-member-act.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
26. Act.templateId:care-team-member-act.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
28. Act.templateId:care-team-member-act.root
Definition	A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Pattern Value	`2.16.840.1.113883.10.20.22.4.500.1`
30. Act.templateId:care-team-member-act.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
Pattern Value	`2024-05-01`
32. Act.classCode
Comments	SHALL contain exactly one [1..1] @classCode="PCPR" Provision of Care (CONF:4515-53).
Control	1..1
Binding	The codes SHALL be taken from XActClassDocumentEntryAct (2.0.0) (required to `http://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryAct\|2.0.0`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`PCPR`
34. Act.moodCode
Comments	SHALL contain exactly one [1..1] @moodCode="EVN" Event (CONF:4515-54).
Control	1..1
Binding	The codes SHALL be taken from XDocumentActMood (2.0.0) (required to `http://terminology.hl7.org/ValueSet/v3-xDocumentActMood\|2.0.0`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`EVN`
36. Act.negationInd
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
38. Act.id
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
40. Act.code
Short	Care team information panel
Comments	SHALL contain exactly one [1..1] code (CONF:4515-27).
Control	1..1
Binding	For example codes, see v3 Code System ActCode (example to `http://terminology.hl7.org/ValueSet/v3-ActCode`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CD
42. Act.code.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
44. Act.code.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Control	1..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code
Pattern Value	`92707-9`
46. Act.code.codeSystem
Definition	Specifies the code system that defines the code.
Short	LOINC
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System
Pattern Value	`2.16.840.1.113883.6.1`
48. Act.code.codeSystemName
Definition	The common name of the coding system.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Name
50. Act.code.codeSystemVersion
Definition	If applicable, a version descriptor defined specifically for the given code system.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Version
52. Act.code.displayName
Definition	A name or title for the code, under which the sending system shows the code value to its users.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Display Name
54. Act.code.sdtcValueSet
Definition	The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.
Control	0..1
Type	string(oid: ISO Object Identifier)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSet`.
56. Act.code.sdtcValueSetVersion
Definition	The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSetVersion`.
58. Act.code.originalText
Definition	The text or phrase used as the basis for the coding.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
Label	Original Text
60. Act.code.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CR
Label	Qualifier
62. Act.code.translation
Definition	A set of other concept descriptors that translate this concept descriptor into other code systems.
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CD
XML Format	The type of this property is determined using the `xsi:type`attribute.
Label	Translation
64. Act.text
Short	SHOULD reference the portion of section narrative text corresponding to this entry
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
66. Act.text.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
68. Act.text.compression
Definition	Indicates whether the raw byte data is compressed, and what compression algorithm was used.
Control	0..1
Binding	The codes SHALL be taken from CDACompressionAlgorithm (required to `http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Compression
70. Act.text.integrityCheck
Definition	The integrity check is a short binary value representing a cryptographically strong checksum that is calculated over the binary data. The purpose of this property, when communicated with a reference is for anyone to validate later whether the reference still resolved to the same data that the reference resolved to when the encapsulated data value with reference was created.
Control	0..1
Type	base64Binary(bin: Binary Data)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Integrity Check
72. Act.text.integrityCheckAlgorithm
Definition	Specifies the algorithm used to compute the integrityCheck value. The cryptographically strong checksum algorithm Secure Hash Algorithm-1 (SHA-1) is currently the industry standard. It has superseded the MD5 algorithm only a couple of years ago, when certain flaws in the security of MD5 were discovered. Currently the SHA-1 hash algorithm is the default choice for the integrity check algorithm. Note that SHA-256 is also entering widespread usage.
Control	0..1
Binding	The codes SHALL be taken from IntegrityCheckAlgorithm (2.0.0) (required to `http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm\|2.0.0`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Integrity Check Algorithm
74. Act.text.language
Definition	For character based information the language property specifies the human language of the text.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Language
76. Act.text.mediaType
Definition	Identifies the type of the encapsulated data and identifies a method to interpret or render the data.
Control	0..1
Binding	For example codes, see MediaType (example to `http://terminology.hl7.org/ValueSet/v3-MediaType`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Media Type
78. Act.text.representation
Control	0..1
Binding	The codes SHALL be taken from CDABinaryDataEncoding (required to `http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
80. Act.text.xmlText
Definition	Data that is primarily intended for human interpretation or for further machine processing is outside the scope of HL7. This includes unformatted or formatted written language, multimedia data, or structured information as defined by a different standard (e.g., XML-signatures.)
Short	Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
Comments	This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as unadorned text.
82. Act.text.reference
Definition	A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
Label	Reference
Invariants	value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (`value.exists() implies value.startsWith('#')`)
84. Act.text.thumbnail
Definition	An abbreviated rendition of the full data. A thumbnail requires significantly fewer resources than the full data, while still maintaining some distinctive similarity with the full data. A thumbnail is typically used with by-reference encapsulated data. It allows a user to select data more efficiently before actually downloading through the reference.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
Label	Thumbnail
86. Act.statusCode
Comments	SHALL contain exactly one [1..1] statusCode (CONF:4515-62).
Control	1..1
Binding	The codes SHALL be taken from ActStatus (required to `http://terminology.hl7.org/ValueSet/v3-ActStatus`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
88. Act.statusCode.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..0
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
90. Act.statusCode.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Control	1..1
Binding	The codes SHALL be taken from ActStatus (required to `http://terminology.hl7.org/ValueSet/v3-ActStatus`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code
92. Act.statusCode.codeSystem
Definition	Specifies the code system that defines the code.
Control	0..0
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System
94. Act.statusCode.codeSystemName
Definition	The common name of the coding system.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Name
96. Act.statusCode.codeSystemVersion
Definition	If applicable, a version descriptor defined specifically for the given code system.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Version
98. Act.statusCode.displayName
Definition	A name or title for the code, under which the sending system shows the code value to its users.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Display Name
100. Act.statusCode.sdtcValueSet
Definition	The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.
Control	0..1
Type	string(oid: ISO Object Identifier)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSet`.
102. Act.statusCode.sdtcValueSetVersion
Definition	The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSetVersion`.
104. Act.statusCode.originalText
Definition	The text or phrase used as the basis for the coding.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
Label	Original Text
106. Act.statusCode.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/CR
Label	Qualifier
108. Act.statusCode.translation
Definition	A set of other concept descriptors that translate this concept descriptor into other code systems.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/CD
XML Format	The type of this property is determined using the `xsi:type`attribute.
Label	Translation
110. Act.effectiveTime
Comments	SHALL contain exactly one [1..1] effectiveTime (CONF:4515-33).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
112. Act.effectiveTime.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
114. Act.effectiveTime.value
Definition	A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.
Control	0..1
Type	dateTime(ts: Point in Time)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Date Format	YYYYMMDDHHMMSS.UUUU[+\|-ZZzz]
XML Format	In the XML format, this property is represented as an attribute.
116. Act.effectiveTime.operator
Definition	A code specifying whether the set component is included (union) or excluded (set-difference) from the set, or other set operations with the current set component and the set as constructed from the representation stream up to the current point.
Control	0..1
Binding	The codes SHALL be taken from CDASetOperator (required to `http://hl7.org/cda/stds/core/ValueSet/CDASetOperator`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Default Value	`I`
118. Act.effectiveTime.low
Definition	This is the low limit of the interval.
Comments	This effectiveTime SHALL contain exactly one [1..1] low (CONF:4515-167).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
Label	Low Boundary
120. Act.effectiveTime.center
Definition	The arithmetic mean of the interval (low plus high divided by 2). The purpose of distinguishing the center as a semantic property is for conversions of intervals from and to point values.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/TS
Label	Central Value
122. Act.effectiveTime.width
Definition	The difference between high and low boundary. The purpose of distinguishing a width property is to handle all cases of incomplete information symmetrically. In any interval representation only two of the three properties high, low, and width need to be stated and the third can be derived.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/PQ
Label	Width
124. Act.effectiveTime.high
Definition	This is the high limit of the interval.
Comments	This effectiveTime MAY contain zero or one [0..1] high (CONF:4515-168).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
Label	High Boundary
126. Act.priorityCode
Control	0..1
Binding	For example codes, see ActPriority (example to `http://terminology.hl7.org/ValueSet/v3-ActPriority`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
128. Act.languageCode
Control	0..1
Binding	The codes SHALL be taken from AllLanguages (required to `http://hl7.org/fhir/ValueSet/all-languages`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
130. Act.subject
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Subject
132. Act.specimen
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Specimen
134. Act.performer
Comments	SHALL contain exactly one [1..1] performer (CONF:4515-160)
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Performer2
136. Act.performer.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
138. Act.performer.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
140. Act.performer.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
142. Act.performer.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
144. Act.performer.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
146. Act.performer.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
148. Act.performer.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
150. Act.performer.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
152. Act.performer.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
154. Act.performer.typeCode
Control	0..1
Binding	The codes SHALL be taken from ParticipationPhysicalPerformer (required to `http://terminology.hl7.org/ValueSet/v3-ParticipationPhysicalPerformer`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`PRF`
156. Act.performer.sdtcFunctionCode
Short	𝗨𝗦𝗖𝗗𝗜: Care Team Member Role - This sdtc:functionCode represents the function or role of the member on the care team. For example, the care team member roles on the care team can be a caregiver and a professional nurse or a primary care provider and the care coordinator.
Comments	MAY contain zero or one [0..1] sdtc:functionCode, which SHOULD be selected from ValueSet Care Team Member Function urn:oid:2.16.840.1.113762.1.4.1099.30 DYNAMIC (CONF:4515-161).
Control	0..1
Binding	The codes SHOULD be taken from Care Team Member Function (preferred to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`functionCode`.
158. Act.performer.time
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
160. Act.performer.modeCode
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
162. Act.performer.assignedEntity
Comments	SHALL contain exactly one [1..1] assignedEntity (CONF:4515-175).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity
Invariants	4515-180: If the assignedEntity/id is not referencing a Performer elsewhere in the document with an assignedPerson populated, this assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:4515-180). (`assignedPerson.exists() or (%resource.descendants().ofType(CDA.Performer2).where(assignedEntity.assignedPerson.exists() and assignedEntity.id.exists($this.root = %context.id.first().root and $this.extension ~ %context.id.first().extension)))`) should-addr: SHOULD contain addr (`addr.exists()`) should-telecom: SHOULD contain telecom (`telecom.exists()`) should-assignedPerson: SHOULD contain assignedPerson (`assignedPerson.exists()`)
164. Act.performer.assignedEntity.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
166. Act.performer.assignedEntity.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
168. Act.performer.assignedEntity.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
170. Act.performer.assignedEntity.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
172. Act.performer.assignedEntity.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
174. Act.performer.assignedEntity.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
176. Act.performer.assignedEntity.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
178. Act.performer.assignedEntity.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
180. Act.performer.assignedEntity.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
182. Act.performer.assignedEntity.classCode
Control	0..1
Binding	The codes SHALL be taken from RoleClassAssignedEntity (required to `http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`ASSIGNED`
184. Act.performer.assignedEntity.id
Short	𝗨𝗦𝗖𝗗𝗜: Care Team Member Identifier
Comments	This assignedEntity SHALL contain at least one [1..*] id (CONF:4515-176).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
186. Act.performer.assignedEntity.id.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
188. Act.performer.assignedEntity.id.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
190. Act.performer.assignedEntity.id.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
192. Act.performer.assignedEntity.id.root
Definition	A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Comments	Such ids SHOULD contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4515-177).
Control	0..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Invariants	should-npi: SHOULD be NPI (`$this = '2.16.840.1.113883.4.6'`)
194. Act.performer.assignedEntity.id.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
196. Act.performer.assignedEntity.sdtcIdentifiedBy
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`identifiedBy`.
198. Act.performer.assignedEntity.code
Control	0..1
Binding	For example codes, see CDARoleCode (example to `http://hl7.org/cda/stds/core/ValueSet/CDARoleCode`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
200. Act.performer.assignedEntity.addr
Definition	Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.
Short	𝗨𝗦𝗖𝗗𝗜: Care Team Member Location
Comments	This assignedEntity SHOULD contain zero or more [0..*] addr (CONF:4515-182).
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
Is Modifier	false
Invariants	shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). (`nullFlavor.exists() or item.city.count() = 1`) shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). (`nullFlavor.exists() or (item.streetAddressLine.count() >= 1 and item.streetAddressLine.count() <= 4)`) should-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`) should-country: SHOULD contain country (`nullFlavor.exists() or item.country.exists()`) 81-7296: SHALL NOT have mixed content except for white space (CONF:81-7296) (`item.xmlText.empty()`) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). (`nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state'))`) 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). (`nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?'))`) shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country (`(item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1)`)
202. Act.performer.assignedEntity.telecom
Short	𝗨𝗦𝗖𝗗𝗜: Care Team Member Telecom
Comments	This assignedEntity SHOULD contain zero or more [0..*] telecom (CONF:4515-183).
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
204. Act.performer.assignedEntity.assignedPerson
Short	𝗨𝗦𝗖𝗗𝗜: Care Team Member Name
Comments	This assignedEntity SHOULD contain zero or one [0..1] assignedPerson (CONF:4515-178).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Person
206. Act.performer.assignedEntity.assignedPerson.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
208. Act.performer.assignedEntity.assignedPerson.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
210. Act.performer.assignedEntity.assignedPerson.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
212. Act.performer.assignedEntity.assignedPerson.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
214. Act.performer.assignedEntity.assignedPerson.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
216. Act.performer.assignedEntity.assignedPerson.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
218. Act.performer.assignedEntity.assignedPerson.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
220. Act.performer.assignedEntity.assignedPerson.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
222. Act.performer.assignedEntity.assignedPerson.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
224. Act.performer.assignedEntity.assignedPerson.classCode
Control	0..1
Binding	The codes SHALL be taken from EntityClassLivingSubject (required to `http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`PSN`
226. Act.performer.assignedEntity.assignedPerson.determinerCode
Control	0..1
Binding	The codes SHALL be taken from EntityDeterminer (required to `http://terminology.hl7.org/ValueSet/v3-EntityDeterminer`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`INSTANCE`
228. Act.performer.assignedEntity.assignedPerson.name
Definition	A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are "Jim Bob Walton, Jr.", "Adam Everyman", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, "Jim", "Bob", "Walton", and "Jr.". PN differs from EN because the qualifier type cannot include LS (Legal Status).
Short	Base for all types and resources
Comments	The assignedPerson, if present, SHALL contain exactly one [1..1] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4515-179).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/PN(US Realm Person Name (PN.US.FIELDED))
Is Modifier	false
Invariants	pn-no-ls: No PN name part may have a qualifier of LS. (`(item.delimiter \| item.family \| item.given \| item.prefix \| item.suffix).where(qualifier.where($this = 'LS').exists()).empty()`) 81-9371: The content of name SHALL be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). (`conformsTo('http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPatientNamePTNUSFIELDED') or item.xmlText.exists()`) 81-9372: The string SHALL NOT contain name parts (CONF:81-9372). (`item.xmlText.exists() implies (item.delimiter \| item.family \| item.given \| item.prefix \| item.suffix).empty()`)
230. Act.performer.assignedEntity.assignedPerson.sdtcDesc
Definition	The desc extension allows multimedia depictions of patients, healthcare providers, or other individuals to be included in a CDA document.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`desc`.
232. Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship
Definition	Each participant role other than an informant/relatedEntity may have zero or more relationship roles with the patient. Each of these roles can be expressed with an asPatientRelationship element which further describes the type of role using a code element.
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`asPatientRelationship`.
234. Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
236. Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
238. Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
240. Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
242. Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
244. Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
246. Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
248. Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
250. Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
252. Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.classCode
Control	1..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`PRS`
254. Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.determinerCode
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`INSTANCE`
256. Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.code
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.
258. Act.performer.assignedEntity.representedOrganization
Comments	This assignedEntity MAY contain zero or one [0..1] representedOrganization (CONF:4515-181).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Organization
260. Act.performer.assignedEntity.representedOrganization.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
262. Act.performer.assignedEntity.representedOrganization.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
264. Act.performer.assignedEntity.representedOrganization.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
266. Act.performer.assignedEntity.representedOrganization.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
268. Act.performer.assignedEntity.representedOrganization.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
270. Act.performer.assignedEntity.representedOrganization.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
272. Act.performer.assignedEntity.representedOrganization.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
274. Act.performer.assignedEntity.representedOrganization.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
276. Act.performer.assignedEntity.representedOrganization.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
278. Act.performer.assignedEntity.representedOrganization.classCode
Control	0..1
Binding	The codes SHALL be taken from EntityClassOrganization (required to `http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`ORG`
280. Act.performer.assignedEntity.representedOrganization.determinerCode
Control	0..1
Binding	The codes SHALL be taken from EntityDeterminer (required to `http://terminology.hl7.org/ValueSet/v3-EntityDeterminer`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`INSTANCE`
282. Act.performer.assignedEntity.representedOrganization.id
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
284. Act.performer.assignedEntity.representedOrganization.name
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/ON
286. Act.performer.assignedEntity.representedOrganization.telecom
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
288. Act.performer.assignedEntity.representedOrganization.addr
Definition	Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.
Short	Base for all types and resources
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
Is Modifier	false
Invariants	shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). (`nullFlavor.exists() or item.city.count() = 1`) shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). (`nullFlavor.exists() or (item.streetAddressLine.count() >= 1 and item.streetAddressLine.count() <= 4)`) should-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`) should-country: SHOULD contain country (`nullFlavor.exists() or item.country.exists()`) 81-7296: SHALL NOT have mixed content except for white space (CONF:81-7296) (`item.xmlText.empty()`) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). (`nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state'))`) 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). (`nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?'))`) shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country (`(item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1)`)
290. Act.performer.assignedEntity.representedOrganization.standardIndustryClassCode
Control	0..1
Binding	For example codes, see OrganizationIndustryClassNAICS (example to `http://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
292. Act.performer.assignedEntity.representedOrganization.asOrganizationPartOf
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/OrganizationPartOf
294. Act.performer.assignedEntity.sdtcPatient
Control	0..1
Type	http://hl7.org/fhir/StructureDefinition/Base
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`patient`.
296. Act.performer.assignedEntity.sdtcPatient.id
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.
298. Act.author
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Author
300. Act.informant
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Informant
302. Act.participant
Comments	MAY contain zero or more [0..*] participant (CONF:4515-171) such that it
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Participant2
Slicing	This element introduces a set of slices on `Act.participant`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ typeCode
304. Act.participant:location
Slice Name	location
Short	This participant represents the location where the care team member provides the service.
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Participant2
306. Act.participant:location.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
308. Act.participant:location.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
310. Act.participant:location.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
312. Act.participant:location.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
314. Act.participant:location.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
316. Act.participant:location.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
318. Act.participant:location.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
320. Act.participant:location.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
322. Act.participant:location.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
324. Act.participant:location.typeCode
Comments	SHALL contain exactly one [1..1] @typeCode="LOC" Location (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90) (CONF:4515-174).
Control	1..1
Binding	The codes SHALL be taken from CDAParticipationType (required to `http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`LOC`
326. Act.participant:location.contextControlCode
Control	0..1
Binding	The codes SHALL be taken from CDAContextControl (required to `http://hl7.org/cda/stds/core/ValueSet/CDAContextControl`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`OP`
328. Act.participant:location.sdtcFunctionCode
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`functionCode`.
330. Act.participant:location.time
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
332. Act.participant:location.awarenessCode
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
334. Act.participant:location.participantRole
Comments	SHALL contain exactly one [1..1] participantRole (CONF:4515-173).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole
336. Act.participant:addl-functions
Slice Name	addl-functions
Short	This participant is used to express additional care team functions performed by this member of the team. Include additional participant to record additional roles (functionCode) this Care Team member plays.
Comments	MAY contain zero or more [0..*] participant (CONF:4515-76) such that it
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Participant2
338. Act.participant:addl-functions.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
340. Act.participant:addl-functions.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
342. Act.participant:addl-functions.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
344. Act.participant:addl-functions.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
346. Act.participant:addl-functions.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
348. Act.participant:addl-functions.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
350. Act.participant:addl-functions.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
352. Act.participant:addl-functions.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
354. Act.participant:addl-functions.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
356. Act.participant:addl-functions.typeCode
Comments	SHALL contain exactly one [1..1] @typeCode="IND" Indirect Target (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90) (CONF:4515-78).
Control	1..1
Binding	The codes SHALL be taken from CDAParticipationType (required to `http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`IND`
358. Act.participant:addl-functions.contextControlCode
Control	0..1
Binding	The codes SHALL be taken from CDAContextControl (required to `http://hl7.org/cda/stds/core/ValueSet/CDAContextControl`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`OP`
360. Act.participant:addl-functions.sdtcFunctionCode
Short	sdtc:functionCode
Comments	SHALL contain exactly one [1..1] sdtc:functionCode, which SHALL be selected from ValueSet Care Team Member Function urn:oid:2.16.840.1.113762.1.4.1099.30 DYNAMIC (CONF:4515-169).
Control	1..1
Binding	The codes SHALL be taken from Care Team Member Function (required to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`functionCode`.
362. Act.participant:addl-functions.time
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
364. Act.participant:addl-functions.awarenessCode
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
366. Act.participant:addl-functions.participantRole
Comments	required element with fixed nullFlavor
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole
368. Act.participant:addl-functions.participantRole.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Comments	This participantRole SHALL contain exactly one [1..1] @nullFlavor="NI" No Information. (CONF:4515-172).
Control	1..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
Pattern Value	`NA`
370. Act.participant:addl-functions.participantRole.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
372. Act.participant:addl-functions.participantRole.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
374. Act.participant:addl-functions.participantRole.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
376. Act.participant:addl-functions.participantRole.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
378. Act.participant:addl-functions.participantRole.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
380. Act.participant:addl-functions.participantRole.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
382. Act.participant:addl-functions.participantRole.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
384. Act.participant:addl-functions.participantRole.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
386. Act.participant:addl-functions.participantRole.classCode
Control	0..1
Binding	The codes SHALL be taken from CDARoleClassRoot (required to `http://hl7.org/cda/stds/core/ValueSet/CDARoleClassRoot`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Default Value	`ROL`
388. Act.participant:addl-functions.participantRole.id
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
390. Act.participant:addl-functions.participantRole.sdtcIdentifiedBy
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`identifiedBy`.
392. Act.participant:addl-functions.participantRole.code
Control	0..1
Binding	For example codes, see CDARoleCode (example to `http://hl7.org/cda/stds/core/ValueSet/CDARoleCode`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
394. Act.participant:addl-functions.participantRole.addr
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD
396. Act.participant:addl-functions.participantRole.telecom
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
398. Act.participant:addl-functions.participantRole.playingDevice
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Device
400. Act.participant:addl-functions.participantRole.playingEntity
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/PlayingEntity
402. Act.participant:addl-functions.participantRole.scopingEntity
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Entity
404. Act.entryRelationship
Comments	MAY contain zero or one [0..1] entryRelationship (CONF:4515-94) such that it
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
Slicing	This element introduces a set of slices on `Act.entryRelationship`. The slices areUnordered and Open, and can be differentiated using the following discriminators: profile @ observation profile @ act exists @ encounter exists @ observation exists @ act
406. Act.entryRelationship:encounter
Slice Name	encounter
Short	entryRelationship
Comments	MAY contain zero or more [0..*] entryRelationship (CONF:4515-86) such that it
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
408. Act.entryRelationship:encounter.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
410. Act.entryRelationship:encounter.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
412. Act.entryRelationship:encounter.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
414. Act.entryRelationship:encounter.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
416. Act.entryRelationship:encounter.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
418. Act.entryRelationship:encounter.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
420. Act.entryRelationship:encounter.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
422. Act.entryRelationship:encounter.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
424. Act.entryRelationship:encounter.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
426. Act.entryRelationship:encounter.typeCode
Comments	SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-87).
Control	1..1
Binding	The codes SHALL be taken from x_ActRelationshipEntryRelationship (required to `http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`REFR`
428. Act.entryRelationship:encounter.inversionInd
Definition	The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
430. Act.entryRelationship:encounter.contextConductionInd
Definition	The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Default Value	`true`
432. Act.entryRelationship:encounter.negationInd
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
434. Act.entryRelationship:encounter.sequenceNumber
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/INT
436. Act.entryRelationship:encounter.seperatableInd
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/BL
438. Act.entryRelationship:encounter.act
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/Act
440. Act.entryRelationship:encounter.encounter
Comments	SHALL contain exactly one [1..1] encounter (CONF:4515-88).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Encounter
Invariants	4515-90: If the first id does not match an encounter/id from an encounter elsewhere within the same document and the id does not contain @nullFlavor="NA", then this entry SHALL conform to the Encounter Activity (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.49:2015-08-01) (CONF:4515-90). (`id.first().nullFlavor = 'NA' or (%resource.descendants().ofType(CDA.Encounter).where(hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/EncounterActivity') and id.exists($this.root = %context.id.first().root and $this.extension ~ %context.id.first().extension)))`)
442. Act.entryRelationship:encounter.encounter.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
444. Act.entryRelationship:encounter.encounter.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
446. Act.entryRelationship:encounter.encounter.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
448. Act.entryRelationship:encounter.encounter.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
450. Act.entryRelationship:encounter.encounter.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
452. Act.entryRelationship:encounter.encounter.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
454. Act.entryRelationship:encounter.encounter.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
456. Act.entryRelationship:encounter.encounter.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
458. Act.entryRelationship:encounter.encounter.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
460. Act.entryRelationship:encounter.encounter.classCode
Control	1..1
Binding	The codes SHALL be taken from CDAActClass (required to `http://hl7.org/cda/stds/core/ValueSet/CDAActClass`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`ENC`
462. Act.entryRelationship:encounter.encounter.moodCode
Control	1..1
Binding	The codes SHALL be taken from XDocumentEncounterMood (2.0.0) (required to `http://terminology.hl7.org/ValueSet/v3-xDocumentEncounterMood\|2.0.0`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
464. Act.entryRelationship:encounter.encounter.id
Comments	This encounter SHALL contain exactly one [1..1] id (CONF:4515-89).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
466. Act.entryRelationship:encounter.encounter.code
Control	0..1
Binding	For example codes, see ActEncounterCode (example to `http://terminology.hl7.org/ValueSet/v3-ActEncounterCode`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CD
468. Act.entryRelationship:encounter.encounter.text
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
470. Act.entryRelationship:encounter.encounter.statusCode
Control	0..1
Binding	The codes SHALL be taken from ActStatus (required to `http://terminology.hl7.org/ValueSet/v3-ActStatus`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
472. Act.entryRelationship:encounter.encounter.effectiveTime
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
474. Act.entryRelationship:encounter.encounter.sdtcDischargeDispositionCode
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`dischargeDispositionCode`.
476. Act.entryRelationship:encounter.encounter.priorityCode
Control	0..1
Binding	For example codes, see ActPriority (example to `http://terminology.hl7.org/ValueSet/v3-ActPriority`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
478. Act.entryRelationship:encounter.encounter.subject
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Subject
480. Act.entryRelationship:encounter.encounter.specimen
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Specimen
482. Act.entryRelationship:encounter.encounter.performer
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Performer2
484. Act.entryRelationship:encounter.encounter.author
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Author
486. Act.entryRelationship:encounter.encounter.informant
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Informant
488. Act.entryRelationship:encounter.encounter.participant
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Participant2
490. Act.entryRelationship:encounter.encounter.entryRelationship
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
492. Act.entryRelationship:encounter.encounter.reference
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Reference
494. Act.entryRelationship:encounter.encounter.precondition
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Precondition
496. Act.entryRelationship:encounter.encounter.sdtcPrecondition2
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Precondition2
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`precondition2`.
498. Act.entryRelationship:encounter.encounter.sdtcInFulfillmentOf1
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`inFulfillmentOf1`.
500. Act.entryRelationship:encounter.observation
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/Observation
502. Act.entryRelationship:encounter.observationMedia
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
504. Act.entryRelationship:encounter.organizer
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Organizer
506. Act.entryRelationship:encounter.procedure
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Procedure
508. Act.entryRelationship:encounter.regionOfInterest
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
510. Act.entryRelationship:encounter.substanceAdministration
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
512. Act.entryRelationship:encounter.supply
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Supply
514. Act.entryRelationship:note
Slice Name	note
Short	This is the note activity to narratively describe information about the member on the care team.
Comments	MAY contain zero or more [0..*] entryRelationship (CONF:4515-91) such that it
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
516. Act.entryRelationship:note.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
518. Act.entryRelationship:note.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
520. Act.entryRelationship:note.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
522. Act.entryRelationship:note.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
524. Act.entryRelationship:note.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
526. Act.entryRelationship:note.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
528. Act.entryRelationship:note.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
530. Act.entryRelationship:note.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
532. Act.entryRelationship:note.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
534. Act.entryRelationship:note.typeCode
Comments	SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-92).
Control	1..1
Binding	The codes SHALL be taken from x_ActRelationshipEntryRelationship (required to `http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`REFR`
536. Act.entryRelationship:note.inversionInd
Definition	The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
538. Act.entryRelationship:note.contextConductionInd
Definition	The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Default Value	`true`
540. Act.entryRelationship:note.negationInd
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
542. Act.entryRelationship:note.sequenceNumber
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/INT
544. Act.entryRelationship:note.seperatableInd
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/BL
546. Act.entryRelationship:note.act
Definition	Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.
Short	Base for all types and resources
Comments	SHALL contain exactly one [1..1] Note Activity (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.202:2016-11-01) (CONF:4515-93).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Act(Note Activity)
Is Modifier	false
Invariants	should-text-ref-value: SHOULD contain text/reference/@value (`text.reference.value.exists()`)
548. Act.entryRelationship:note.encounter
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/Encounter
550. Act.entryRelationship:note.observation
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/Observation
552. Act.entryRelationship:note.observationMedia
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
554. Act.entryRelationship:note.organizer
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Organizer
556. Act.entryRelationship:note.procedure
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Procedure
558. Act.entryRelationship:note.regionOfInterest
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
560. Act.entryRelationship:note.substanceAdministration
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
562. Act.entryRelationship:note.supply
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Supply
564. Act.entryRelationship:schedule
Slice Name	schedule
Short	This is the schedule of when or how frequently the care team member participates (or provides care to the patient) on the care team.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
566. Act.entryRelationship:schedule.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
568. Act.entryRelationship:schedule.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
570. Act.entryRelationship:schedule.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
572. Act.entryRelationship:schedule.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
574. Act.entryRelationship:schedule.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
576. Act.entryRelationship:schedule.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
578. Act.entryRelationship:schedule.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
580. Act.entryRelationship:schedule.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
582. Act.entryRelationship:schedule.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
584. Act.entryRelationship:schedule.typeCode
Comments	SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-96).
Control	1..1
Binding	The codes SHALL be taken from x_ActRelationshipEntryRelationship (required to `http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`REFR`
586. Act.entryRelationship:schedule.inversionInd
Definition	The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
588. Act.entryRelationship:schedule.contextConductionInd
Definition	The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Default Value	`true`
590. Act.entryRelationship:schedule.negationInd
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
592. Act.entryRelationship:schedule.sequenceNumber
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/INT
594. Act.entryRelationship:schedule.seperatableInd
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/BL
596. Act.entryRelationship:schedule.act
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/Act
598. Act.entryRelationship:schedule.encounter
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/Encounter
600. Act.entryRelationship:schedule.observation
Definition	Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.
Short	Base for all types and resources
Comments	SHALL contain exactly one [1..1] Care Team Member Schedule Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.500.3:2022-06-01) (CONF:4515-95).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Observation(Care Team Member Schedule Observation)
Is Modifier	false
Invariants	should-text-ref-value: SHOULD contain text/reference/@value (`text.reference.value.exists()`)
602. Act.entryRelationship:schedule.observationMedia
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
604. Act.entryRelationship:schedule.organizer
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Organizer
606. Act.entryRelationship:schedule.procedure
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Procedure
608. Act.entryRelationship:schedule.regionOfInterest
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
610. Act.entryRelationship:schedule.substanceAdministration
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
612. Act.entryRelationship:schedule.supply
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Supply
614. Act.reference
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Reference
616. Act.precondition
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Precondition
618. Act.sdtcPrecondition2
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Precondition2
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`precondition2`.
620. Act.sdtcInFulfillmentOf1
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`inFulfillmentOf1`.