Consolidated CDA (C-CDA)
4.0.0 - STU4 United States of America flag

Consolidated CDA (C-CDA), published by Health Level Seven. This guide is not an authorized publication; it is the continuous build for version 4.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/CDA-ccda/ and changes regularly. See the Directory of published versions

Logical Model: Encounter Activity

Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/EncounterActivity Version: 4.0.0
Draft as of 2025-10-02 Computable Name: EncounterActivity
Other Identifiers: urn:ietf:rfc:3986#Uniform Resource Identifier (URI)#urn:hl7ii:2.16.840.1.113883.10.20.22.4.49:2015-08-01

This clinical statement describes an interaction between a patient and clinician. Interactions may include in-person encounters, telephone conversations, and email exchanges.

Templates Used

Although open templates may contain any valid CDA content, the following templates are specifically called out by this template:

Optional EntryRelationships: EncounterDiagnosis, Indication, InterpreterNeededObservation

Usages:

You can also check for usages in the FHIR IG Statistics

Changes since version 3.0.0:

  • New Content

    • Formal Views of Template Content

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

    This structure is derived from Encounter

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Encounter C 1..1 Encounter XML Namespace: urn:hl7-org:v3
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    Constraints: should-text-ref-value
    ... Slices for templateId 1..* II Slice: Unordered, Open by value:root, value:extension
    .... templateId:encounter-activity 1..1 II
    ..... @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.22.4.49
    ..... @extension 1..1 st Required Pattern: 2015-08-01
    ... @classCode 1..1 cs
    ... @moodCode 1..1 cs Fixed Value: EVN
    ... code C 1..1 CD 𝗨𝗦𝗖𝗗𝗜: Type
    Binding: Encounter Type . (preferred)
    Constraints: should-otext-ref-value
    .... originalText 0..1 ED SHOULD reference the portion of narrative corresponding to this code
    ..... reference C 0..1 TEL Constraints: value-starts-octothorpe
    ... text 0..1 ED SHOULD reference the portion of section narrative text corresponding to this entry
    .... reference C 0..1 TEL Constraints: value-starts-octothorpe
    ... effectiveTime 1..1 IVL_TS 𝗨𝗦𝗖𝗗𝗜: Time
    ... sdtcDischargeDispositionCode 0..1 CE XML Namespace: urn:hl7-org:sdtc
    𝗨𝗦𝗖𝗗𝗜: Disposition
    XML: dischargeDispositionCode (urn:hl7-org:sdtc)
    Binding: USEncounterDischargeDisposition (preferred)
    ... performer 0..* Performer2
    .... assignedEntity 1..1 AssignedEntity
    ..... code 0..1 CE Binding: Healthcare Provider Taxonomy . (preferred)
    ... Slices for participant 0..* Participant2 Slice: Unordered, Open by profile:participantRole, value:typeCode
    .... participant:location 0..* Participant2 𝗨𝗦𝗖𝗗𝗜: Location
    ..... @typeCode 1..1 cs Fixed Value: LOC
    ..... participantRole 1..1 ServiceDeliveryLocation
    ... Slices for entryRelationship 0..* EntryRelationship Slice: Unordered, Open by profile:act, profile:observation
    .... entryRelationship:indication 0..* EntryRelationship
    ..... @typeCode 1..1 cs Fixed Value: RSON
    ..... observation 1..1 Indication
    .... entryRelationship:diagnosis 0..* EntryRelationship 𝗨𝗦𝗖𝗗𝗜: Diagnosis
    ..... act 1..1 EncounterDiagnosis
    .... entryRelationship:observation 0..* EntryRelationship 𝗨𝗦𝗖𝗗𝗜: Interpreter Needed Observation
    ..... observation 1..1 InterpreterNeededObservation

    doco Documentation for this format

    Terminology Bindings (Differential)

    Path Status Usage ValueSet Version Source
    Encounter.code Base preferred Encounter Type . 📦20250510 VSAC v0.23
    Encounter.sdtcDischargeDispositionCode Base preferred USEncounterDischargeDisposition 📦3.0.0 THO v6.5
    Encounter.performer.​assignedEntity.code Base preferred Healthcare Provider Taxonomy . 📦20240606 VSAC v0.23

    Constraints

    Id Grade Path(s) Description Expression
    should-otext-ref-value warning Encounter.code SHOULD contain originalText/reference/@value originalText.reference.value.exists()
    should-text-ref-value warning Encounter SHOULD contain text/reference/@value text.reference.value.exists()
    value-starts-octothorpe error Encounter.code.originalText.reference, Encounter.text.reference If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative value.exists() implies value.startsWith('#')
    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Encounter C 1..1 Encounter XML Namespace: urn:hl7-org:v3
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    Constraints: should-text-ref-value
    ... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ... realmCode 0..* CS
    ... typeId C 0..1 II Constraints: II-1
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @assigningAuthorityName 0..1 st
    .... @displayable 0..1 bl
    .... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    .... @extension 1..1 st
    .... templateId:encounter-activity 1..1 II
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... @assigningAuthorityName 0..1 st
    ..... @displayable 0..1 bl
    ..... @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.22.4.49
    ..... @extension 1..1 st Required Pattern: 2015-08-01
    ... @classCode 1..1 cs Binding: CDAActClass (required)
    Fixed Value: ENC
    ... @moodCode 1..1 cs Binding: XDocumentEncounterMood (2.0.0) (required)
    Fixed Value: EVN
    ... id 1..* II 𝗨𝗦𝗖𝗗𝗜: Identifier
    ... code C 1..1 CD 𝗨𝗦𝗖𝗗𝗜: Type
    Binding: Encounter Type . (preferred)
    Constraints: should-otext-ref-value
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @code 0..1 cs
    .... @codeSystem 0..1 oid, uuid, ruid
    .... @codeSystemName 0..1 st
    .... @codeSystemVersion 0..1 st
    .... @displayName 0..1 st
    .... @sdtcValueSet 0..1 oid XML Namespace: urn:hl7-org:sdtc
    XML: valueSet (urn:hl7-org:sdtc)
    .... @sdtcValueSetVersion 0..1 st XML Namespace: urn:hl7-org:sdtc
    XML: valueSetVersion (urn:hl7-org:sdtc)
    .... originalText 0..1 ED SHOULD reference the portion of narrative corresponding to this code
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... @compression 0..1 cs Binding: CDACompressionAlgorithm (required)
    ..... @integrityCheck 0..1 bin
    ..... @integrityCheckAlgorithm 0..1 cs Binding: IntegrityCheckAlgorithm (2.0.0) (required)
    ..... @language 0..1 cs
    ..... @mediaType 0..1 cs Binding: MediaType (example)
    ..... @representation 0..1 cs Binding: CDABinaryDataEncoding (required)
    ..... xmlText 0..1 st Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
    ..... reference C 0..1 TEL Constraints: value-starts-octothorpe
    ..... thumbnail 0..1 ED
    .... qualifier 0..* CR
    .... translation 0..* CD
    ... text 0..1 ED SHOULD reference the portion of section narrative text corresponding to this entry
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @compression 0..1 cs Binding: CDACompressionAlgorithm (required)
    .... @integrityCheck 0..1 bin
    .... @integrityCheckAlgorithm 0..1 cs Binding: IntegrityCheckAlgorithm (2.0.0) (required)
    .... @language 0..1 cs
    .... @mediaType 0..1 cs Binding: MediaType (example)
    .... @representation 0..1 cs Binding: CDABinaryDataEncoding (required)
    .... xmlText 0..1 st Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
    .... reference C 0..1 TEL Constraints: value-starts-octothorpe
    .... thumbnail 0..1 ED
    ... statusCode 0..1 CS Binding: ActStatus (required)
    ... effectiveTime 1..1 IVL_TS 𝗨𝗦𝗖𝗗𝗜: Time
    ... sdtcDischargeDispositionCode 0..1 CE XML Namespace: urn:hl7-org:sdtc
    𝗨𝗦𝗖𝗗𝗜: Disposition
    XML: dischargeDispositionCode (urn:hl7-org:sdtc)
    Binding: USEncounterDischargeDisposition (preferred)
    ... priorityCode 0..1 CE Binding: ActPriority (example)
    ... subject 0..1 Subject
    ... specimen 0..* Specimen
    ... performer 0..* Performer2
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... realmCode 0..* CS
    .... typeId C 0..1 II Constraints: II-1
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... @assigningAuthorityName 0..1 st
    ..... @displayable 0..1 bl
    ..... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ..... @extension 1..1 st
    .... templateId 0..* II
    .... @typeCode 0..1 cs Binding: ParticipationPhysicalPerformer (required)
    Fixed Value: PRF
    .... sdtcFunctionCode 0..1 CE XML Namespace: urn:hl7-org:sdtc
    XML: functionCode (urn:hl7-org:sdtc)
    .... time 0..1 IVL_TS
    .... modeCode 0..1 CE
    .... assignedEntity 1..1 AssignedEntity
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @classCode 0..1 cs Binding: RoleClassAssignedEntity (required)
    Fixed Value: ASSIGNED
    ..... id 1..* II
    ..... sdtcIdentifiedBy 0..* IdentifiedBy XML Namespace: urn:hl7-org:sdtc
    XML: identifiedBy (urn:hl7-org:sdtc)
    ..... code 0..1 CE Binding: Healthcare Provider Taxonomy . (preferred)
    ..... addr 0..* AD
    ..... telecom 0..* TEL
    ..... assignedPerson 0..1 Person
    ..... representedOrganization 0..1 Organization
    ..... sdtcPatient 0..1 Base XML Namespace: urn:hl7-org:sdtc
    XML: patient (urn:hl7-org:sdtc)
    ...... id 1..1 II XML Namespace: urn:hl7-org:sdtc
    XML Namespace: urn:hl7-org:sdtc
    ... author 0..* Author
    ... informant 0..* Informant
    ... Slices for participant 0..* Participant2 Slice: Unordered, Open by profile:participantRole, value:typeCode
    .... participant:location 0..* Participant2 𝗨𝗦𝗖𝗗𝗜: Location
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @typeCode 1..1 cs Binding: CDAParticipationType (required)
    Fixed Value: LOC
    ..... @contextControlCode 0..1 cs Binding: CDAContextControl (required)
    Fixed Value: OP
    ..... sdtcFunctionCode 0..1 CE XML Namespace: urn:hl7-org:sdtc
    XML: functionCode (urn:hl7-org:sdtc)
    ..... time 0..1 IVL_TS
    ..... awarenessCode 0..1 CE
    ..... participantRole 1..1 ServiceDeliveryLocation
    ... Slices for entryRelationship 0..* EntryRelationship Slice: Unordered, Open by profile:act, profile:observation
    .... entryRelationship:indication 0..* EntryRelationship
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @typeCode 1..1 cs Binding: x_ActRelationshipEntryRelationship (required)
    Fixed Value: RSON
    ..... @inversionInd 0..1 bl
    ..... @contextConductionInd 0..1 bl
    ..... @negationInd 0..1 bl
    ..... sequenceNumber 0..1 INT
    ..... seperatableInd 0..1 BL
    ..... act 0..1 Act
    ..... encounter 0..1 Encounter
    ..... observation 1..1 Indication
    ..... observationMedia 0..1 ObservationMedia
    ..... organizer 0..1 Organizer
    ..... procedure 0..1 Procedure
    ..... regionOfInterest 0..1 RegionOfInterest
    ..... substanceAdministration 0..1 SubstanceAdministration
    ..... supply 0..1 Supply
    .... entryRelationship:diagnosis 0..* EntryRelationship 𝗨𝗦𝗖𝗗𝗜: Diagnosis
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @typeCode 1..1 cs Binding: x_ActRelationshipEntryRelationship (required)
    ..... @inversionInd 0..1 bl
    ..... @contextConductionInd 0..1 bl
    ..... @negationInd 0..1 bl
    ..... sequenceNumber 0..1 INT
    ..... seperatableInd 0..1 BL
    ..... act 1..1 EncounterDiagnosis
    ..... encounter 0..1 Encounter
    ..... observation 0..1 Observation
    ..... observationMedia 0..1 ObservationMedia
    ..... organizer 0..1 Organizer
    ..... procedure 0..1 Procedure
    ..... regionOfInterest 0..1 RegionOfInterest
    ..... substanceAdministration 0..1 SubstanceAdministration
    ..... supply 0..1 Supply
    .... entryRelationship:observation 0..* EntryRelationship 𝗨𝗦𝗖𝗗𝗜: Interpreter Needed Observation
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @typeCode 1..1 cs Binding: x_ActRelationshipEntryRelationship (required)
    ..... @inversionInd 0..1 bl
    ..... @contextConductionInd 0..1 bl
    ..... @negationInd 0..1 bl
    ..... sequenceNumber 0..1 INT
    ..... seperatableInd 0..1 BL
    ..... act 0..1 Act
    ..... encounter 0..1 Encounter
    ..... observation 1..1 InterpreterNeededObservation
    ..... observationMedia 0..1 ObservationMedia
    ..... organizer 0..1 Organizer
    ..... procedure 0..1 Procedure
    ..... regionOfInterest 0..1 RegionOfInterest
    ..... substanceAdministration 0..1 SubstanceAdministration
    ..... supply 0..1 Supply
    ... reference 0..* Reference
    ... precondition 0..* Precondition
    ... sdtcPrecondition2 0..* Precondition2 XML Namespace: urn:hl7-org:sdtc
    XML: precondition2 (urn:hl7-org:sdtc)
    ... sdtcInFulfillmentOf1 0..* InFulfillmentOf1 XML Namespace: urn:hl7-org:sdtc
    XML: inFulfillmentOf1 (urn:hl7-org:sdtc)

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Encounter.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.templateId:encounter-activity.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.classCode Base required CDAActClass 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.moodCode Base required x_DocumentEncounterMood 📍2.0.0 THO v5.2
    Encounter.code Base preferred Encounter Type . 📦20250510 VSAC v0.23
    Encounter.code.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.code.originalText.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.code.originalText.​compression Base required CDACompressionAlgorithm 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.code.originalText.​integrityCheckAlgorithm Base required IntegrityCheckAlgorithm 📍2.0.0 THO v5.2
    Encounter.code.originalText.​mediaType Base example MediaType 📦3.0.0 THO v6.5
    Encounter.code.originalText.​representation Base required CDABinaryDataEncoding 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.text.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.text.compression Base required CDACompressionAlgorithm 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.text.integrityCheckAlgorithm Base required IntegrityCheckAlgorithm 📍2.0.0 THO v5.2
    Encounter.text.mediaType Base example MediaType 📦3.0.0 THO v6.5
    Encounter.text.representation Base required CDABinaryDataEncoding 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.statusCode Base required ActStatus 📦3.0.0 THO v6.5
    Encounter.sdtcDischargeDispositionCode Base preferred USEncounterDischargeDisposition 📦3.0.0 THO v6.5
    Encounter.priorityCode Base example ActPriority 📦3.0.0 THO v6.5
    Encounter.performer.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.performer.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.performer.​typeCode Base required ParticipationPhysicalPerformer 📦3.0.0 THO v6.5
    Encounter.performer.​assignedEntity.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.performer.​assignedEntity.typeId.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.performer.​assignedEntity.classCode Base required RoleClassAssignedEntity 📦3.0.0 THO v6.5
    Encounter.performer.​assignedEntity.code Base preferred Healthcare Provider Taxonomy . 📦20240606 VSAC v0.23
    Encounter.participant:location.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.participant:location.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.participant:location.​typeCode Base required CDAParticipationType 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.participant:location.​contextControlCode Base required CDAContextControl 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.entryRelationship:indication.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.entryRelationship:indication.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.entryRelationship:indication.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v6.5
    Encounter.entryRelationship:diagnosis.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.entryRelationship:diagnosis.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.entryRelationship:diagnosis.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v6.5
    Encounter.entryRelationship:observation.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.entryRelationship:observation.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.entryRelationship:observation.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v6.5

    Constraints

    Id Grade Path(s) Description Expression
    II-1 error Encounter.typeId, Encounter.performer.typeId, Encounter.performer.assignedEntity.typeId, Encounter.participant:location.typeId, Encounter.entryRelationship:indication.typeId, Encounter.entryRelationship:diagnosis.typeId, Encounter.entryRelationship:observation.typeId An II instance must have either a root or an nullFlavor. root.exists() or nullFlavor.exists()
    should-otext-ref-value warning Encounter.code SHOULD contain originalText/reference/@value originalText.reference.value.exists()
    should-text-ref-value warning Encounter SHOULD contain text/reference/@value text.reference.value.exists()
    value-starts-octothorpe error Encounter.code.originalText.reference, Encounter.text.reference If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative value.exists() implies value.startsWith('#')
    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Encounter C 1..1 Encounter XML Namespace: urn:hl7-org:v3
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    Constraints: should-text-ref-value
    ... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ... realmCode 0..* CS
    ... typeId C 0..1 II Constraints: II-1
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @assigningAuthorityName 0..1 st
    .... @displayable 0..1 bl
    .... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    .... @extension 1..1 st
    .... templateId:encounter-activity 1..1 II
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... @assigningAuthorityName 0..1 st
    ..... @displayable 0..1 bl
    ..... @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.22.4.49
    ..... @extension 1..1 st Required Pattern: 2015-08-01
    ... @classCode 1..1 cs Binding: CDAActClass (required)
    Fixed Value: ENC
    ... @moodCode 1..1 cs Binding: XDocumentEncounterMood (2.0.0) (required)
    Fixed Value: EVN
    ... id 1..* II 𝗨𝗦𝗖𝗗𝗜: Identifier
    ... code C 1..1 CD 𝗨𝗦𝗖𝗗𝗜: Type
    Binding: Encounter Type . (preferred)
    Constraints: should-otext-ref-value
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @code 0..1 cs
    .... @codeSystem 0..1 oid, uuid, ruid
    .... @codeSystemName 0..1 st
    .... @codeSystemVersion 0..1 st
    .... @displayName 0..1 st
    .... @sdtcValueSet 0..1 oid XML Namespace: urn:hl7-org:sdtc
    XML: valueSet (urn:hl7-org:sdtc)
    .... @sdtcValueSetVersion 0..1 st XML Namespace: urn:hl7-org:sdtc
    XML: valueSetVersion (urn:hl7-org:sdtc)
    .... originalText 0..1 ED SHOULD reference the portion of narrative corresponding to this code
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... @compression 0..1 cs Binding: CDACompressionAlgorithm (required)
    ..... @integrityCheck 0..1 bin
    ..... @integrityCheckAlgorithm 0..1 cs Binding: IntegrityCheckAlgorithm (2.0.0) (required)
    ..... @language 0..1 cs
    ..... @mediaType 0..1 cs Binding: MediaType (example)
    ..... @representation 0..1 cs Binding: CDABinaryDataEncoding (required)
    ..... xmlText 0..1 st Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
    ..... reference C 0..1 TEL Constraints: value-starts-octothorpe
    ..... thumbnail 0..1 ED
    .... qualifier 0..* CR
    .... translation 0..* CD
    ... text 0..1 ED SHOULD reference the portion of section narrative text corresponding to this entry
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @compression 0..1 cs Binding: CDACompressionAlgorithm (required)
    .... @integrityCheck 0..1 bin
    .... @integrityCheckAlgorithm 0..1 cs Binding: IntegrityCheckAlgorithm (2.0.0) (required)
    .... @language 0..1 cs
    .... @mediaType 0..1 cs Binding: MediaType (example)
    .... @representation 0..1 cs Binding: CDABinaryDataEncoding (required)
    .... xmlText 0..1 st Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
    .... reference C 0..1 TEL Constraints: value-starts-octothorpe
    .... thumbnail 0..1 ED
    ... statusCode 0..1 CS Binding: ActStatus (required)
    ... effectiveTime 1..1 IVL_TS 𝗨𝗦𝗖𝗗𝗜: Time
    ... sdtcDischargeDispositionCode 0..1 CE XML Namespace: urn:hl7-org:sdtc
    𝗨𝗦𝗖𝗗𝗜: Disposition
    XML: dischargeDispositionCode (urn:hl7-org:sdtc)
    Binding: USEncounterDischargeDisposition (preferred)
    ... priorityCode 0..1 CE Binding: ActPriority (example)
    ... subject 0..1 Subject
    ... specimen 0..* Specimen
    ... performer 0..* Performer2
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... realmCode 0..* CS
    .... typeId C 0..1 II Constraints: II-1
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... @assigningAuthorityName 0..1 st
    ..... @displayable 0..1 bl
    ..... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ..... @extension 1..1 st
    .... templateId 0..* II
    .... @typeCode 0..1 cs Binding: ParticipationPhysicalPerformer (required)
    Fixed Value: PRF
    .... sdtcFunctionCode 0..1 CE XML Namespace: urn:hl7-org:sdtc
    XML: functionCode (urn:hl7-org:sdtc)
    .... time 0..1 IVL_TS
    .... modeCode 0..1 CE
    .... assignedEntity 1..1 AssignedEntity
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @classCode 0..1 cs Binding: RoleClassAssignedEntity (required)
    Fixed Value: ASSIGNED
    ..... id 1..* II
    ..... sdtcIdentifiedBy 0..* IdentifiedBy XML Namespace: urn:hl7-org:sdtc
    XML: identifiedBy (urn:hl7-org:sdtc)
    ..... code 0..1 CE Binding: Healthcare Provider Taxonomy . (preferred)
    ..... addr 0..* AD
    ..... telecom 0..* TEL
    ..... assignedPerson 0..1 Person
    ..... representedOrganization 0..1 Organization
    ..... sdtcPatient 0..1 Base XML Namespace: urn:hl7-org:sdtc
    XML: patient (urn:hl7-org:sdtc)
    ...... id 1..1 II XML Namespace: urn:hl7-org:sdtc
    XML Namespace: urn:hl7-org:sdtc
    ... author 0..* Author
    ... informant 0..* Informant
    ... Slices for participant 0..* Participant2 Slice: Unordered, Open by profile:participantRole, value:typeCode
    .... participant:location 0..* Participant2 𝗨𝗦𝗖𝗗𝗜: Location
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @typeCode 1..1 cs Binding: CDAParticipationType (required)
    Fixed Value: LOC
    ..... @contextControlCode 0..1 cs Binding: CDAContextControl (required)
    Fixed Value: OP
    ..... sdtcFunctionCode 0..1 CE XML Namespace: urn:hl7-org:sdtc
    XML: functionCode (urn:hl7-org:sdtc)
    ..... time 0..1 IVL_TS
    ..... awarenessCode 0..1 CE
    ..... participantRole 1..1 ServiceDeliveryLocation
    ... Slices for entryRelationship 0..* EntryRelationship Slice: Unordered, Open by profile:act, profile:observation
    .... entryRelationship:indication 0..* EntryRelationship
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @typeCode 1..1 cs Binding: x_ActRelationshipEntryRelationship (required)
    Fixed Value: RSON
    ..... @inversionInd 0..1 bl
    ..... @contextConductionInd 0..1 bl
    ..... @negationInd 0..1 bl
    ..... sequenceNumber 0..1 INT
    ..... seperatableInd 0..1 BL
    ..... act 0..1 Act
    ..... encounter 0..1 Encounter
    ..... observation 1..1 Indication
    ..... observationMedia 0..1 ObservationMedia
    ..... organizer 0..1 Organizer
    ..... procedure 0..1 Procedure
    ..... regionOfInterest 0..1 RegionOfInterest
    ..... substanceAdministration 0..1 SubstanceAdministration
    ..... supply 0..1 Supply
    .... entryRelationship:diagnosis 0..* EntryRelationship 𝗨𝗦𝗖𝗗𝗜: Diagnosis
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @typeCode 1..1 cs Binding: x_ActRelationshipEntryRelationship (required)
    ..... @inversionInd 0..1 bl
    ..... @contextConductionInd 0..1 bl
    ..... @negationInd 0..1 bl
    ..... sequenceNumber 0..1 INT
    ..... seperatableInd 0..1 BL
    ..... act 1..1 EncounterDiagnosis
    ..... encounter 0..1 Encounter
    ..... observation 0..1 Observation
    ..... observationMedia 0..1 ObservationMedia
    ..... organizer 0..1 Organizer
    ..... procedure 0..1 Procedure
    ..... regionOfInterest 0..1 RegionOfInterest
    ..... substanceAdministration 0..1 SubstanceAdministration
    ..... supply 0..1 Supply
    .... entryRelationship:observation 0..* EntryRelationship 𝗨𝗦𝗖𝗗𝗜: Interpreter Needed Observation
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @typeCode 1..1 cs Binding: x_ActRelationshipEntryRelationship (required)
    ..... @inversionInd 0..1 bl
    ..... @contextConductionInd 0..1 bl
    ..... @negationInd 0..1 bl
    ..... sequenceNumber 0..1 INT
    ..... seperatableInd 0..1 BL
    ..... act 0..1 Act
    ..... encounter 0..1 Encounter
    ..... observation 1..1 InterpreterNeededObservation
    ..... observationMedia 0..1 ObservationMedia
    ..... organizer 0..1 Organizer
    ..... procedure 0..1 Procedure
    ..... regionOfInterest 0..1 RegionOfInterest
    ..... substanceAdministration 0..1 SubstanceAdministration
    ..... supply 0..1 Supply
    ... reference 0..* Reference
    ... precondition 0..* Precondition
    ... sdtcPrecondition2 0..* Precondition2 XML Namespace: urn:hl7-org:sdtc
    XML: precondition2 (urn:hl7-org:sdtc)
    ... sdtcInFulfillmentOf1 0..* InFulfillmentOf1 XML Namespace: urn:hl7-org:sdtc
    XML: inFulfillmentOf1 (urn:hl7-org:sdtc)

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Encounter.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.templateId:encounter-activity.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.classCode Base required CDAActClass 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.moodCode Base required x_DocumentEncounterMood 📍2.0.0 THO v5.2
    Encounter.code Base preferred Encounter Type . 📦20250510 VSAC v0.23
    Encounter.code.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.code.originalText.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.code.originalText.​compression Base required CDACompressionAlgorithm 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.code.originalText.​integrityCheckAlgorithm Base required IntegrityCheckAlgorithm 📍2.0.0 THO v5.2
    Encounter.code.originalText.​mediaType Base example MediaType 📦3.0.0 THO v6.5
    Encounter.code.originalText.​representation Base required CDABinaryDataEncoding 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.text.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.text.compression Base required CDACompressionAlgorithm 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.text.integrityCheckAlgorithm Base required IntegrityCheckAlgorithm 📍2.0.0 THO v5.2
    Encounter.text.mediaType Base example MediaType 📦3.0.0 THO v6.5
    Encounter.text.representation Base required CDABinaryDataEncoding 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.statusCode Base required ActStatus 📦3.0.0 THO v6.5
    Encounter.sdtcDischargeDispositionCode Base preferred USEncounterDischargeDisposition 📦3.0.0 THO v6.5
    Encounter.priorityCode Base example ActPriority 📦3.0.0 THO v6.5
    Encounter.performer.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.performer.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.performer.​typeCode Base required ParticipationPhysicalPerformer 📦3.0.0 THO v6.5
    Encounter.performer.​assignedEntity.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.performer.​assignedEntity.typeId.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.performer.​assignedEntity.classCode Base required RoleClassAssignedEntity 📦3.0.0 THO v6.5
    Encounter.performer.​assignedEntity.code Base preferred Healthcare Provider Taxonomy . 📦20240606 VSAC v0.23
    Encounter.participant:location.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.participant:location.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.participant:location.​typeCode Base required CDAParticipationType 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.participant:location.​contextControlCode Base required CDAContextControl 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.entryRelationship:indication.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.entryRelationship:indication.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.entryRelationship:indication.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v6.5
    Encounter.entryRelationship:diagnosis.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.entryRelationship:diagnosis.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.entryRelationship:diagnosis.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v6.5
    Encounter.entryRelationship:observation.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.entryRelationship:observation.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.entryRelationship:observation.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v6.5

    Constraints

    Id Grade Path(s) Description Expression
    II-1 error Encounter.typeId, Encounter.performer.typeId, Encounter.performer.assignedEntity.typeId, Encounter.participant:location.typeId, Encounter.entryRelationship:indication.typeId, Encounter.entryRelationship:diagnosis.typeId, Encounter.entryRelationship:observation.typeId An II instance must have either a root or an nullFlavor. root.exists() or nullFlavor.exists()
    should-otext-ref-value warning Encounter.code SHOULD contain originalText/reference/@value originalText.reference.value.exists()
    should-text-ref-value warning Encounter SHOULD contain text/reference/@value text.reference.value.exists()
    value-starts-octothorpe error Encounter.code.originalText.reference, Encounter.text.reference If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative value.exists() implies value.startsWith('#')

    This structure is derived from Encounter

    Summary

    Mandatory: 7 elements(3 nested mandatory elements)
    Fixed: 3 elements

    Structures

    This structure refers to these other structures:

    Slices

    This structure defines the following Slices:

    • The element 2 is sliced based on the values of Encounter.templateId
    • The element 2 is sliced based on the values of Encounter.participant
    • The element 2 is sliced based on the values of Encounter.entryRelationship

    Differential View

    This structure is derived from Encounter

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Encounter C 1..1 Encounter XML Namespace: urn:hl7-org:v3
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    Constraints: should-text-ref-value
    ... Slices for templateId 1..* II Slice: Unordered, Open by value:root, value:extension
    .... templateId:encounter-activity 1..1 II
    ..... @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.22.4.49
    ..... @extension 1..1 st Required Pattern: 2015-08-01
    ... @classCode 1..1 cs
    ... @moodCode 1..1 cs Fixed Value: EVN
    ... code C 1..1 CD 𝗨𝗦𝗖𝗗𝗜: Type
    Binding: Encounter Type . (preferred)
    Constraints: should-otext-ref-value
    .... originalText 0..1 ED SHOULD reference the portion of narrative corresponding to this code
    ..... reference C 0..1 TEL Constraints: value-starts-octothorpe
    ... text 0..1 ED SHOULD reference the portion of section narrative text corresponding to this entry
    .... reference C 0..1 TEL Constraints: value-starts-octothorpe
    ... effectiveTime 1..1 IVL_TS 𝗨𝗦𝗖𝗗𝗜: Time
    ... sdtcDischargeDispositionCode 0..1 CE XML Namespace: urn:hl7-org:sdtc
    𝗨𝗦𝗖𝗗𝗜: Disposition
    XML: dischargeDispositionCode (urn:hl7-org:sdtc)
    Binding: USEncounterDischargeDisposition (preferred)
    ... performer 0..* Performer2
    .... assignedEntity 1..1 AssignedEntity
    ..... code 0..1 CE Binding: Healthcare Provider Taxonomy . (preferred)
    ... Slices for participant 0..* Participant2 Slice: Unordered, Open by profile:participantRole, value:typeCode
    .... participant:location 0..* Participant2 𝗨𝗦𝗖𝗗𝗜: Location
    ..... @typeCode 1..1 cs Fixed Value: LOC
    ..... participantRole 1..1 ServiceDeliveryLocation
    ... Slices for entryRelationship 0..* EntryRelationship Slice: Unordered, Open by profile:act, profile:observation
    .... entryRelationship:indication 0..* EntryRelationship
    ..... @typeCode 1..1 cs Fixed Value: RSON
    ..... observation 1..1 Indication
    .... entryRelationship:diagnosis 0..* EntryRelationship 𝗨𝗦𝗖𝗗𝗜: Diagnosis
    ..... act 1..1 EncounterDiagnosis
    .... entryRelationship:observation 0..* EntryRelationship 𝗨𝗦𝗖𝗗𝗜: Interpreter Needed Observation
    ..... observation 1..1 InterpreterNeededObservation

    doco Documentation for this format

    Terminology Bindings (Differential)

    Path Status Usage ValueSet Version Source
    Encounter.code Base preferred Encounter Type . 📦20250510 VSAC v0.23
    Encounter.sdtcDischargeDispositionCode Base preferred USEncounterDischargeDisposition 📦3.0.0 THO v6.5
    Encounter.performer.​assignedEntity.code Base preferred Healthcare Provider Taxonomy . 📦20240606 VSAC v0.23

    Constraints

    Id Grade Path(s) Description Expression
    should-otext-ref-value warning Encounter.code SHOULD contain originalText/reference/@value originalText.reference.value.exists()
    should-text-ref-value warning Encounter SHOULD contain text/reference/@value text.reference.value.exists()
    value-starts-octothorpe error Encounter.code.originalText.reference, Encounter.text.reference If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative value.exists() implies value.startsWith('#')

    Key Elements View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Encounter C 1..1 Encounter XML Namespace: urn:hl7-org:v3
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    Constraints: should-text-ref-value
    ... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ... realmCode 0..* CS
    ... typeId C 0..1 II Constraints: II-1
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @assigningAuthorityName 0..1 st
    .... @displayable 0..1 bl
    .... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    .... @extension 1..1 st
    .... templateId:encounter-activity 1..1 II
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... @assigningAuthorityName 0..1 st
    ..... @displayable 0..1 bl
    ..... @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.22.4.49
    ..... @extension 1..1 st Required Pattern: 2015-08-01
    ... @classCode 1..1 cs Binding: CDAActClass (required)
    Fixed Value: ENC
    ... @moodCode 1..1 cs Binding: XDocumentEncounterMood (2.0.0) (required)
    Fixed Value: EVN
    ... id 1..* II 𝗨𝗦𝗖𝗗𝗜: Identifier
    ... code C 1..1 CD 𝗨𝗦𝗖𝗗𝗜: Type
    Binding: Encounter Type . (preferred)
    Constraints: should-otext-ref-value
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @code 0..1 cs
    .... @codeSystem 0..1 oid, uuid, ruid
    .... @codeSystemName 0..1 st
    .... @codeSystemVersion 0..1 st
    .... @displayName 0..1 st
    .... @sdtcValueSet 0..1 oid XML Namespace: urn:hl7-org:sdtc
    XML: valueSet (urn:hl7-org:sdtc)
    .... @sdtcValueSetVersion 0..1 st XML Namespace: urn:hl7-org:sdtc
    XML: valueSetVersion (urn:hl7-org:sdtc)
    .... originalText 0..1 ED SHOULD reference the portion of narrative corresponding to this code
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... @compression 0..1 cs Binding: CDACompressionAlgorithm (required)
    ..... @integrityCheck 0..1 bin
    ..... @integrityCheckAlgorithm 0..1 cs Binding: IntegrityCheckAlgorithm (2.0.0) (required)
    ..... @language 0..1 cs
    ..... @mediaType 0..1 cs Binding: MediaType (example)
    ..... @representation 0..1 cs Binding: CDABinaryDataEncoding (required)
    ..... xmlText 0..1 st Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
    ..... reference C 0..1 TEL Constraints: value-starts-octothorpe
    ..... thumbnail 0..1 ED
    .... qualifier 0..* CR
    .... translation 0..* CD
    ... text 0..1 ED SHOULD reference the portion of section narrative text corresponding to this entry
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @compression 0..1 cs Binding: CDACompressionAlgorithm (required)
    .... @integrityCheck 0..1 bin
    .... @integrityCheckAlgorithm 0..1 cs Binding: IntegrityCheckAlgorithm (2.0.0) (required)
    .... @language 0..1 cs
    .... @mediaType 0..1 cs Binding: MediaType (example)
    .... @representation 0..1 cs Binding: CDABinaryDataEncoding (required)
    .... xmlText 0..1 st Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
    .... reference C 0..1 TEL Constraints: value-starts-octothorpe
    .... thumbnail 0..1 ED
    ... statusCode 0..1 CS Binding: ActStatus (required)
    ... effectiveTime 1..1 IVL_TS 𝗨𝗦𝗖𝗗𝗜: Time
    ... sdtcDischargeDispositionCode 0..1 CE XML Namespace: urn:hl7-org:sdtc
    𝗨𝗦𝗖𝗗𝗜: Disposition
    XML: dischargeDispositionCode (urn:hl7-org:sdtc)
    Binding: USEncounterDischargeDisposition (preferred)
    ... priorityCode 0..1 CE Binding: ActPriority (example)
    ... subject 0..1 Subject
    ... specimen 0..* Specimen
    ... performer 0..* Performer2
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... realmCode 0..* CS
    .... typeId C 0..1 II Constraints: II-1
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... @assigningAuthorityName 0..1 st
    ..... @displayable 0..1 bl
    ..... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ..... @extension 1..1 st
    .... templateId 0..* II
    .... @typeCode 0..1 cs Binding: ParticipationPhysicalPerformer (required)
    Fixed Value: PRF
    .... sdtcFunctionCode 0..1 CE XML Namespace: urn:hl7-org:sdtc
    XML: functionCode (urn:hl7-org:sdtc)
    .... time 0..1 IVL_TS
    .... modeCode 0..1 CE
    .... assignedEntity 1..1 AssignedEntity
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @classCode 0..1 cs Binding: RoleClassAssignedEntity (required)
    Fixed Value: ASSIGNED
    ..... id 1..* II
    ..... sdtcIdentifiedBy 0..* IdentifiedBy XML Namespace: urn:hl7-org:sdtc
    XML: identifiedBy (urn:hl7-org:sdtc)
    ..... code 0..1 CE Binding: Healthcare Provider Taxonomy . (preferred)
    ..... addr 0..* AD
    ..... telecom 0..* TEL
    ..... assignedPerson 0..1 Person
    ..... representedOrganization 0..1 Organization
    ..... sdtcPatient 0..1 Base XML Namespace: urn:hl7-org:sdtc
    XML: patient (urn:hl7-org:sdtc)
    ...... id 1..1 II XML Namespace: urn:hl7-org:sdtc
    XML Namespace: urn:hl7-org:sdtc
    ... author 0..* Author
    ... informant 0..* Informant
    ... Slices for participant 0..* Participant2 Slice: Unordered, Open by profile:participantRole, value:typeCode
    .... participant:location 0..* Participant2 𝗨𝗦𝗖𝗗𝗜: Location
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @typeCode 1..1 cs Binding: CDAParticipationType (required)
    Fixed Value: LOC
    ..... @contextControlCode 0..1 cs Binding: CDAContextControl (required)
    Fixed Value: OP
    ..... sdtcFunctionCode 0..1 CE XML Namespace: urn:hl7-org:sdtc
    XML: functionCode (urn:hl7-org:sdtc)
    ..... time 0..1 IVL_TS
    ..... awarenessCode 0..1 CE
    ..... participantRole 1..1 ServiceDeliveryLocation
    ... Slices for entryRelationship 0..* EntryRelationship Slice: Unordered, Open by profile:act, profile:observation
    .... entryRelationship:indication 0..* EntryRelationship
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @typeCode 1..1 cs Binding: x_ActRelationshipEntryRelationship (required)
    Fixed Value: RSON
    ..... @inversionInd 0..1 bl
    ..... @contextConductionInd 0..1 bl
    ..... @negationInd 0..1 bl
    ..... sequenceNumber 0..1 INT
    ..... seperatableInd 0..1 BL
    ..... act 0..1 Act
    ..... encounter 0..1 Encounter
    ..... observation 1..1 Indication
    ..... observationMedia 0..1 ObservationMedia
    ..... organizer 0..1 Organizer
    ..... procedure 0..1 Procedure
    ..... regionOfInterest 0..1 RegionOfInterest
    ..... substanceAdministration 0..1 SubstanceAdministration
    ..... supply 0..1 Supply
    .... entryRelationship:diagnosis 0..* EntryRelationship 𝗨𝗦𝗖𝗗𝗜: Diagnosis
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @typeCode 1..1 cs Binding: x_ActRelationshipEntryRelationship (required)
    ..... @inversionInd 0..1 bl
    ..... @contextConductionInd 0..1 bl
    ..... @negationInd 0..1 bl
    ..... sequenceNumber 0..1 INT
    ..... seperatableInd 0..1 BL
    ..... act 1..1 EncounterDiagnosis
    ..... encounter 0..1 Encounter
    ..... observation 0..1 Observation
    ..... observationMedia 0..1 ObservationMedia
    ..... organizer 0..1 Organizer
    ..... procedure 0..1 Procedure
    ..... regionOfInterest 0..1 RegionOfInterest
    ..... substanceAdministration 0..1 SubstanceAdministration
    ..... supply 0..1 Supply
    .... entryRelationship:observation 0..* EntryRelationship 𝗨𝗦𝗖𝗗𝗜: Interpreter Needed Observation
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @typeCode 1..1 cs Binding: x_ActRelationshipEntryRelationship (required)
    ..... @inversionInd 0..1 bl
    ..... @contextConductionInd 0..1 bl
    ..... @negationInd 0..1 bl
    ..... sequenceNumber 0..1 INT
    ..... seperatableInd 0..1 BL
    ..... act 0..1 Act
    ..... encounter 0..1 Encounter
    ..... observation 1..1 InterpreterNeededObservation
    ..... observationMedia 0..1 ObservationMedia
    ..... organizer 0..1 Organizer
    ..... procedure 0..1 Procedure
    ..... regionOfInterest 0..1 RegionOfInterest
    ..... substanceAdministration 0..1 SubstanceAdministration
    ..... supply 0..1 Supply
    ... reference 0..* Reference
    ... precondition 0..* Precondition
    ... sdtcPrecondition2 0..* Precondition2 XML Namespace: urn:hl7-org:sdtc
    XML: precondition2 (urn:hl7-org:sdtc)
    ... sdtcInFulfillmentOf1 0..* InFulfillmentOf1 XML Namespace: urn:hl7-org:sdtc
    XML: inFulfillmentOf1 (urn:hl7-org:sdtc)

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Encounter.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.templateId:encounter-activity.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.classCode Base required CDAActClass 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.moodCode Base required x_DocumentEncounterMood 📍2.0.0 THO v5.2
    Encounter.code Base preferred Encounter Type . 📦20250510 VSAC v0.23
    Encounter.code.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.code.originalText.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.code.originalText.​compression Base required CDACompressionAlgorithm 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.code.originalText.​integrityCheckAlgorithm Base required IntegrityCheckAlgorithm 📍2.0.0 THO v5.2
    Encounter.code.originalText.​mediaType Base example MediaType 📦3.0.0 THO v6.5
    Encounter.code.originalText.​representation Base required CDABinaryDataEncoding 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.text.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.text.compression Base required CDACompressionAlgorithm 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.text.integrityCheckAlgorithm Base required IntegrityCheckAlgorithm 📍2.0.0 THO v5.2
    Encounter.text.mediaType Base example MediaType 📦3.0.0 THO v6.5
    Encounter.text.representation Base required CDABinaryDataEncoding 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.statusCode Base required ActStatus 📦3.0.0 THO v6.5
    Encounter.sdtcDischargeDispositionCode Base preferred USEncounterDischargeDisposition 📦3.0.0 THO v6.5
    Encounter.priorityCode Base example ActPriority 📦3.0.0 THO v6.5
    Encounter.performer.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.performer.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.performer.​typeCode Base required ParticipationPhysicalPerformer 📦3.0.0 THO v6.5
    Encounter.performer.​assignedEntity.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.performer.​assignedEntity.typeId.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.performer.​assignedEntity.classCode Base required RoleClassAssignedEntity 📦3.0.0 THO v6.5
    Encounter.performer.​assignedEntity.code Base preferred Healthcare Provider Taxonomy . 📦20240606 VSAC v0.23
    Encounter.participant:location.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.participant:location.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.participant:location.​typeCode Base required CDAParticipationType 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.participant:location.​contextControlCode Base required CDAContextControl 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.entryRelationship:indication.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.entryRelationship:indication.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.entryRelationship:indication.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v6.5
    Encounter.entryRelationship:diagnosis.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.entryRelationship:diagnosis.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.entryRelationship:diagnosis.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v6.5
    Encounter.entryRelationship:observation.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.entryRelationship:observation.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.entryRelationship:observation.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v6.5

    Constraints

    Id Grade Path(s) Description Expression
    II-1 error Encounter.typeId, Encounter.performer.typeId, Encounter.performer.assignedEntity.typeId, Encounter.participant:location.typeId, Encounter.entryRelationship:indication.typeId, Encounter.entryRelationship:diagnosis.typeId, Encounter.entryRelationship:observation.typeId An II instance must have either a root or an nullFlavor. root.exists() or nullFlavor.exists()
    should-otext-ref-value warning Encounter.code SHOULD contain originalText/reference/@value originalText.reference.value.exists()
    should-text-ref-value warning Encounter SHOULD contain text/reference/@value text.reference.value.exists()
    value-starts-octothorpe error Encounter.code.originalText.reference, Encounter.text.reference If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative value.exists() implies value.startsWith('#')

    Snapshot View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Encounter C 1..1 Encounter XML Namespace: urn:hl7-org:v3
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    Constraints: should-text-ref-value
    ... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ... realmCode 0..* CS
    ... typeId C 0..1 II Constraints: II-1
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @assigningAuthorityName 0..1 st
    .... @displayable 0..1 bl
    .... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    .... @extension 1..1 st
    .... templateId:encounter-activity 1..1 II
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... @assigningAuthorityName 0..1 st
    ..... @displayable 0..1 bl
    ..... @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.22.4.49
    ..... @extension 1..1 st Required Pattern: 2015-08-01
    ... @classCode 1..1 cs Binding: CDAActClass (required)
    Fixed Value: ENC
    ... @moodCode 1..1 cs Binding: XDocumentEncounterMood (2.0.0) (required)
    Fixed Value: EVN
    ... id 1..* II 𝗨𝗦𝗖𝗗𝗜: Identifier
    ... code C 1..1 CD 𝗨𝗦𝗖𝗗𝗜: Type
    Binding: Encounter Type . (preferred)
    Constraints: should-otext-ref-value
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @code 0..1 cs
    .... @codeSystem 0..1 oid, uuid, ruid
    .... @codeSystemName 0..1 st
    .... @codeSystemVersion 0..1 st
    .... @displayName 0..1 st
    .... @sdtcValueSet 0..1 oid XML Namespace: urn:hl7-org:sdtc
    XML: valueSet (urn:hl7-org:sdtc)
    .... @sdtcValueSetVersion 0..1 st XML Namespace: urn:hl7-org:sdtc
    XML: valueSetVersion (urn:hl7-org:sdtc)
    .... originalText 0..1 ED SHOULD reference the portion of narrative corresponding to this code
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... @compression 0..1 cs Binding: CDACompressionAlgorithm (required)
    ..... @integrityCheck 0..1 bin
    ..... @integrityCheckAlgorithm 0..1 cs Binding: IntegrityCheckAlgorithm (2.0.0) (required)
    ..... @language 0..1 cs
    ..... @mediaType 0..1 cs Binding: MediaType (example)
    ..... @representation 0..1 cs Binding: CDABinaryDataEncoding (required)
    ..... xmlText 0..1 st Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
    ..... reference C 0..1 TEL Constraints: value-starts-octothorpe
    ..... thumbnail 0..1 ED
    .... qualifier 0..* CR
    .... translation 0..* CD
    ... text 0..1 ED SHOULD reference the portion of section narrative text corresponding to this entry
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @compression 0..1 cs Binding: CDACompressionAlgorithm (required)
    .... @integrityCheck 0..1 bin
    .... @integrityCheckAlgorithm 0..1 cs Binding: IntegrityCheckAlgorithm (2.0.0) (required)
    .... @language 0..1 cs
    .... @mediaType 0..1 cs Binding: MediaType (example)
    .... @representation 0..1 cs Binding: CDABinaryDataEncoding (required)
    .... xmlText 0..1 st Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
    .... reference C 0..1 TEL Constraints: value-starts-octothorpe
    .... thumbnail 0..1 ED
    ... statusCode 0..1 CS Binding: ActStatus (required)
    ... effectiveTime 1..1 IVL_TS 𝗨𝗦𝗖𝗗𝗜: Time
    ... sdtcDischargeDispositionCode 0..1 CE XML Namespace: urn:hl7-org:sdtc
    𝗨𝗦𝗖𝗗𝗜: Disposition
    XML: dischargeDispositionCode (urn:hl7-org:sdtc)
    Binding: USEncounterDischargeDisposition (preferred)
    ... priorityCode 0..1 CE Binding: ActPriority (example)
    ... subject 0..1 Subject
    ... specimen 0..* Specimen
    ... performer 0..* Performer2
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... realmCode 0..* CS
    .... typeId C 0..1 II Constraints: II-1
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... @assigningAuthorityName 0..1 st
    ..... @displayable 0..1 bl
    ..... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ..... @extension 1..1 st
    .... templateId 0..* II
    .... @typeCode 0..1 cs Binding: ParticipationPhysicalPerformer (required)
    Fixed Value: PRF
    .... sdtcFunctionCode 0..1 CE XML Namespace: urn:hl7-org:sdtc
    XML: functionCode (urn:hl7-org:sdtc)
    .... time 0..1 IVL_TS
    .... modeCode 0..1 CE
    .... assignedEntity 1..1 AssignedEntity
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @classCode 0..1 cs Binding: RoleClassAssignedEntity (required)
    Fixed Value: ASSIGNED
    ..... id 1..* II
    ..... sdtcIdentifiedBy 0..* IdentifiedBy XML Namespace: urn:hl7-org:sdtc
    XML: identifiedBy (urn:hl7-org:sdtc)
    ..... code 0..1 CE Binding: Healthcare Provider Taxonomy . (preferred)
    ..... addr 0..* AD
    ..... telecom 0..* TEL
    ..... assignedPerson 0..1 Person
    ..... representedOrganization 0..1 Organization
    ..... sdtcPatient 0..1 Base XML Namespace: urn:hl7-org:sdtc
    XML: patient (urn:hl7-org:sdtc)
    ...... id 1..1 II XML Namespace: urn:hl7-org:sdtc
    XML Namespace: urn:hl7-org:sdtc
    ... author 0..* Author
    ... informant 0..* Informant
    ... Slices for participant 0..* Participant2 Slice: Unordered, Open by profile:participantRole, value:typeCode
    .... participant:location 0..* Participant2 𝗨𝗦𝗖𝗗𝗜: Location
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @typeCode 1..1 cs Binding: CDAParticipationType (required)
    Fixed Value: LOC
    ..... @contextControlCode 0..1 cs Binding: CDAContextControl (required)
    Fixed Value: OP
    ..... sdtcFunctionCode 0..1 CE XML Namespace: urn:hl7-org:sdtc
    XML: functionCode (urn:hl7-org:sdtc)
    ..... time 0..1 IVL_TS
    ..... awarenessCode 0..1 CE
    ..... participantRole 1..1 ServiceDeliveryLocation
    ... Slices for entryRelationship 0..* EntryRelationship Slice: Unordered, Open by profile:act, profile:observation
    .... entryRelationship:indication 0..* EntryRelationship
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @typeCode 1..1 cs Binding: x_ActRelationshipEntryRelationship (required)
    Fixed Value: RSON
    ..... @inversionInd 0..1 bl
    ..... @contextConductionInd 0..1 bl
    ..... @negationInd 0..1 bl
    ..... sequenceNumber 0..1 INT
    ..... seperatableInd 0..1 BL
    ..... act 0..1 Act
    ..... encounter 0..1 Encounter
    ..... observation 1..1 Indication
    ..... observationMedia 0..1 ObservationMedia
    ..... organizer 0..1 Organizer
    ..... procedure 0..1 Procedure
    ..... regionOfInterest 0..1 RegionOfInterest
    ..... substanceAdministration 0..1 SubstanceAdministration
    ..... supply 0..1 Supply
    .... entryRelationship:diagnosis 0..* EntryRelationship 𝗨𝗦𝗖𝗗𝗜: Diagnosis
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @typeCode 1..1 cs Binding: x_ActRelationshipEntryRelationship (required)
    ..... @inversionInd 0..1 bl
    ..... @contextConductionInd 0..1 bl
    ..... @negationInd 0..1 bl
    ..... sequenceNumber 0..1 INT
    ..... seperatableInd 0..1 BL
    ..... act 1..1 EncounterDiagnosis
    ..... encounter 0..1 Encounter
    ..... observation 0..1 Observation
    ..... observationMedia 0..1 ObservationMedia
    ..... organizer 0..1 Organizer
    ..... procedure 0..1 Procedure
    ..... regionOfInterest 0..1 RegionOfInterest
    ..... substanceAdministration 0..1 SubstanceAdministration
    ..... supply 0..1 Supply
    .... entryRelationship:observation 0..* EntryRelationship 𝗨𝗦𝗖𝗗𝗜: Interpreter Needed Observation
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @typeCode 1..1 cs Binding: x_ActRelationshipEntryRelationship (required)
    ..... @inversionInd 0..1 bl
    ..... @contextConductionInd 0..1 bl
    ..... @negationInd 0..1 bl
    ..... sequenceNumber 0..1 INT
    ..... seperatableInd 0..1 BL
    ..... act 0..1 Act
    ..... encounter 0..1 Encounter
    ..... observation 1..1 InterpreterNeededObservation
    ..... observationMedia 0..1 ObservationMedia
    ..... organizer 0..1 Organizer
    ..... procedure 0..1 Procedure
    ..... regionOfInterest 0..1 RegionOfInterest
    ..... substanceAdministration 0..1 SubstanceAdministration
    ..... supply 0..1 Supply
    ... reference 0..* Reference
    ... precondition 0..* Precondition
    ... sdtcPrecondition2 0..* Precondition2 XML Namespace: urn:hl7-org:sdtc
    XML: precondition2 (urn:hl7-org:sdtc)
    ... sdtcInFulfillmentOf1 0..* InFulfillmentOf1 XML Namespace: urn:hl7-org:sdtc
    XML: inFulfillmentOf1 (urn:hl7-org:sdtc)

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Encounter.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.templateId:encounter-activity.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.classCode Base required CDAActClass 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.moodCode Base required x_DocumentEncounterMood 📍2.0.0 THO v5.2
    Encounter.code Base preferred Encounter Type . 📦20250510 VSAC v0.23
    Encounter.code.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.code.originalText.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.code.originalText.​compression Base required CDACompressionAlgorithm 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.code.originalText.​integrityCheckAlgorithm Base required IntegrityCheckAlgorithm 📍2.0.0 THO v5.2
    Encounter.code.originalText.​mediaType Base example MediaType 📦3.0.0 THO v6.5
    Encounter.code.originalText.​representation Base required CDABinaryDataEncoding 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.text.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.text.compression Base required CDACompressionAlgorithm 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.text.integrityCheckAlgorithm Base required IntegrityCheckAlgorithm 📍2.0.0 THO v5.2
    Encounter.text.mediaType Base example MediaType 📦3.0.0 THO v6.5
    Encounter.text.representation Base required CDABinaryDataEncoding 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.statusCode Base required ActStatus 📦3.0.0 THO v6.5
    Encounter.sdtcDischargeDispositionCode Base preferred USEncounterDischargeDisposition 📦3.0.0 THO v6.5
    Encounter.priorityCode Base example ActPriority 📦3.0.0 THO v6.5
    Encounter.performer.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.performer.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.performer.​typeCode Base required ParticipationPhysicalPerformer 📦3.0.0 THO v6.5
    Encounter.performer.​assignedEntity.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.performer.​assignedEntity.typeId.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.performer.​assignedEntity.classCode Base required RoleClassAssignedEntity 📦3.0.0 THO v6.5
    Encounter.performer.​assignedEntity.code Base preferred Healthcare Provider Taxonomy . 📦20240606 VSAC v0.23
    Encounter.participant:location.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.participant:location.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.participant:location.​typeCode Base required CDAParticipationType 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.participant:location.​contextControlCode Base required CDAContextControl 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.entryRelationship:indication.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.entryRelationship:indication.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.entryRelationship:indication.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v6.5
    Encounter.entryRelationship:diagnosis.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.entryRelationship:diagnosis.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.entryRelationship:diagnosis.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v6.5
    Encounter.entryRelationship:observation.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.entryRelationship:observation.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
    Encounter.entryRelationship:observation.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v6.5

    Constraints

    Id Grade Path(s) Description Expression
    II-1 error Encounter.typeId, Encounter.performer.typeId, Encounter.performer.assignedEntity.typeId, Encounter.participant:location.typeId, Encounter.entryRelationship:indication.typeId, Encounter.entryRelationship:diagnosis.typeId, Encounter.entryRelationship:observation.typeId An II instance must have either a root or an nullFlavor. root.exists() or nullFlavor.exists()
    should-otext-ref-value warning Encounter.code SHOULD contain originalText/reference/@value originalText.reference.value.exists()
    should-text-ref-value warning Encounter SHOULD contain text/reference/@value text.reference.value.exists()
    value-starts-octothorpe error Encounter.code.originalText.reference, Encounter.text.reference If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative value.exists() implies value.startsWith('#')

    This structure is derived from Encounter

    Summary

    Mandatory: 7 elements(3 nested mandatory elements)
    Fixed: 3 elements

    Structures

    This structure refers to these other structures:

    Slices

    This structure defines the following Slices:

    • The element 2 is sliced based on the values of Encounter.templateId
    • The element 2 is sliced based on the values of Encounter.participant
    • The element 2 is sliced based on the values of Encounter.entryRelationship

     

    Other representations of profile: CSV, Excel