Consolidated CDA (C-CDA), published by Health Level Seven. This guide is not an authorized publication; it is the continuous build for version 4.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/CDA-ccda/ and changes regularly. See the Directory of published versions
Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/PlannedCoverage | Version: 4.0.0 | |||
Draft as of 2025-10-02 | Computable Name: PlannedCoverage | |||
Other Identifiers: urn:ietf:rfc:3986#Uniform Resource Identifier (URI)#urn:hl7ii:2.16.840.1.113883.10.20.22.4.129:2024-05-01 |
This template represents the insurance coverage intended to cover an act or procedure.
Usages:
You can also check for usages in the FHIR IG Statistics
Changes since version 3.0.0:
Description of Template, Differentials, Snapshots and how the different presentations work.
This structure is derived from Act
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
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C | 1..1 | Act | 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 |
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1..* | II | Slice: Unordered, Open by value:root, value:extension | |
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1..1 | II | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.129 | |
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1..1 | st | Required Pattern: 2024-05-01 | |
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1..1 | cs | Fixed Value: ACT | |
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1..1 | cs | Fixed Value: INT | |
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1..* | II | ||
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1..1 | CD | Payment sources | |
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1..1 | cs | Required Pattern: 52556-8 | |
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1..1 | oid, uuid, ruid | LOINC Required Pattern: 2.16.840.1.113883.6.1 | |
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0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
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C | 0..1 | TEL | Constraints: value-starts-octothorpe |
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1..1 | CS | ||
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1..1 | cs | Fixed Value: active | |
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0..* | AuthorParticipation | ||
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1..* | EntryRelationship | Slice: Unordered, Open by exists:act | |
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1..1 | EntryRelationship | ||
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1..1 | cs | Fixed Value: COMP | |
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1..1 | Act | ||
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1..1 | cs | Fixed Value: ACT | |
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1..1 | cs | Fixed Value: INT | |
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1..* | II | These act/identifiers are unique identifiers for the policy or program providing the coverage. | |
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1..1 | CD | Binding: Payer Type ![]() | |
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1..1 | CS | ||
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1..1 | cs | Fixed Value: active | |
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Path | Status | Usage | ValueSet | Version | Source |
Act.entryRelationship:entryRelationship1.​act.code | Base | required |
Payer Type
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📦20250419 | VSAC v0.23 |
Id | Grade | Path(s) | Description | Expression |
should-text-ref-value | warning | Act | SHOULD contain text/reference/@value |
text.reference.value.exists()
|
value-starts-octothorpe | error | Act.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative |
value.exists() implies value.startsWith('#')
|
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
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C | 1..1 | Act | 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 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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1..* | II | Slice: Unordered, Open by value:root, value:extension | |
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1..1 | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.129 | |
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1..1 | st | Required Pattern: 2024-05-01 | |
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1..1 | cs | Binding: XActClassDocumentEntryAct (2.0.0) (required) Fixed Value: ACT | |
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1..1 | cs | Binding: XDocumentActMood (2.0.0) (required) Fixed Value: INT | |
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0..1 | bl | ||
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1..* | II | ||
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1..1 | CD | Payment sources Binding: v3 Code System ActCode (example) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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1..1 | cs | Required Pattern: 52556-8 | |
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1..1 | oid, uuid, ruid | LOINC Required Pattern: 2.16.840.1.113883.6.1 | |
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CR | ||
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0..* | CD | ||
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0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | cs | Binding: CDACompressionAlgorithm (required) | |
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0..1 | bin | ||
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0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required) | |
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0..1 | cs | ||
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0..1 | cs | Binding: MediaType (example) | |
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0..1 | cs | Binding: CDABinaryDataEncoding (required) | |
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0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |
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C | 0..1 | TEL | Constraints: value-starts-octothorpe |
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0..1 | ED | ||
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1..1 | CS | Binding: ActStatus (required) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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1..1 | cs | Fixed Value: active | |
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | IVL_TS | ||
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0..1 | CE | Binding: ActPriority (example) | |
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0..1 | CS | Binding: AllLanguages (required) | |
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0..1 | Subject | ||
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0..* | Specimen | ||
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0..* | Performer2 | ||
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0..* | AuthorParticipation | ||
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0..* | Informant | ||
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0..* | Participant2 | ||
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1..* | EntryRelationship | Slice: Unordered, Open by exists:act | |
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1..1 | EntryRelationship | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: COMP | |
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0..1 | bl | ||
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0..1 | bl | ||
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0..1 | bl | ||
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0..1 | INT | ||
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0..1 | BL | ||
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1..1 | Act | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Binding: XActClassDocumentEntryAct (2.0.0) (required) Fixed Value: ACT | |
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1..1 | cs | Binding: XDocumentActMood (2.0.0) (required) Fixed Value: INT | |
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0..1 | bl | ||
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1..* | II | These act/identifiers are unique identifiers for the policy or program providing the coverage. | |
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1..1 | CD | Binding: Payer Type ![]() | |
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0..1 | ED | ||
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1..1 | CS | Binding: ActStatus (required) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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1..1 | cs | Fixed Value: active | |
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | IVL_TS | ||
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0..1 | CE | Binding: ActPriority (example) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | CS | Binding: AllLanguages (required) | |
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0..1 | Subject | ||
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0..* | Specimen | ||
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0..* | Performer2 | ||
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0..* | Author | ||
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0..* | Informant | ||
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0..* | Participant2 | ||
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0..* | EntryRelationship | ||
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0..* | Reference | ||
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0..* | Precondition | ||
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0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc) | |
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0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |
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0..1 | Encounter | ||
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0..1 | Observation | ||
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0..1 | ObservationMedia | ||
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0..1 | Organizer | ||
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0..1 | Procedure | ||
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0..1 | RegionOfInterest | ||
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0..1 | SubstanceAdministration | ||
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0..1 | Supply | ||
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0..* | Reference | ||
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0..* | Precondition | ||
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0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc) | |
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0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |
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Path | Status | Usage | ValueSet | Version | Source |
Act.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.templateId:planned-coverage.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.classCode | Base | required | x_ActClassDocumentEntryAct | 📍2.0.0 | THO v5.2 |
Act.moodCode | Base | required | x_DocumentActMood | 📍2.0.0 | THO v5.2 |
Act.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v6.5 |
Act.code.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.text.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.text.compression | Base | required | CDACompressionAlgorithm | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.text.integrityCheckAlgorithm | Base | required | IntegrityCheckAlgorithm | 📍2.0.0 | THO v5.2 |
Act.text.mediaType | Base | example | MediaType | 📦3.0.0 | THO v6.5 |
Act.text.representation | Base | required | CDABinaryDataEncoding | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.statusCode | Base | required | ActStatus | 📦3.0.0 | THO v6.5 |
Act.statusCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.priorityCode | Base | example | ActPriority | 📦3.0.0 | THO v6.5 |
Act.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std. |
Act.entryRelationship:entryRelationship1.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.entryRelationship:entryRelationship1.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.entryRelationship:entryRelationship1.​typeCode | Base | required | x_ActRelationshipEntryRelationship | 📦3.0.0 | THO v6.5 |
Act.entryRelationship:entryRelationship1.​act.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.entryRelationship:entryRelationship1.​act.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.entryRelationship:entryRelationship1.​act.classCode | Base | required | x_ActClassDocumentEntryAct | 📍2.0.0 | THO v5.2 |
Act.entryRelationship:entryRelationship1.​act.moodCode | Base | required | x_DocumentActMood | 📍2.0.0 | THO v5.2 |
Act.entryRelationship:entryRelationship1.​act.code | Base | required |
Payer Type
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📦20250419 | VSAC v0.23 |
Act.entryRelationship:entryRelationship1.​act.statusCode | Base | required | ActStatus | 📦3.0.0 | THO v6.5 |
Act.entryRelationship:entryRelationship1.​act.statusCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.entryRelationship:entryRelationship1.​act.priorityCode | Base | example | ActPriority | 📦3.0.0 | THO v6.5 |
Act.entryRelationship:entryRelationship1.​act.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std. |
Id | Grade | Path(s) | Description | Expression |
II-1 | error | Act.typeId, Act.entryRelationship:entryRelationship1.typeId, Act.entryRelationship:entryRelationship1.act.typeId | An II instance must have either a root or an nullFlavor. |
root.exists() or nullFlavor.exists()
|
should-text-ref-value | warning | Act | SHOULD contain text/reference/@value |
text.reference.value.exists()
|
value-starts-octothorpe | error | Act.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative |
value.exists() implies value.startsWith('#')
|
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
![]() ![]() |
C | 1..1 | Act | 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 |
![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() |
C | 0..1 | II | Constraints: II-1 |
![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() |
1..* | II | Slice: Unordered, Open by value:root, value:extension | |
![]() ![]() ![]() ![]() |
1..1 | II | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.129 | |
![]() ![]() ![]() ![]() ![]() |
1..1 | st | Required Pattern: 2024-05-01 | |
![]() ![]() ![]() |
1..1 | cs | Binding: XActClassDocumentEntryAct (2.0.0) (required) Fixed Value: ACT | |
![]() ![]() ![]() |
1..1 | cs | Binding: XDocumentActMood (2.0.0) (required) Fixed Value: INT | |
![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() |
1..* | II | ||
![]() ![]() ![]() |
1..1 | CD | Payment sources Binding: v3 Code System ActCode (example) | |
![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() |
1..1 | cs | Required Pattern: 52556-8 | |
![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | LOINC Required Pattern: 2.16.840.1.113883.6.1 | |
![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() |
0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() |
0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() |
0..1 | ED | ||
![]() ![]() ![]() ![]() |
0..* | CR | ||
![]() ![]() ![]() ![]() |
0..* | CD | ||
![]() ![]() ![]() |
0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDACompressionAlgorithm (required) | |
![]() ![]() ![]() ![]() |
0..1 | bin | ||
![]() ![]() ![]() ![]() |
0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required) | |
![]() ![]() ![]() ![]() |
0..1 | cs | ||
![]() ![]() ![]() ![]() |
0..1 | cs | Binding: MediaType (example) | |
![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDABinaryDataEncoding (required) | |
![]() ![]() ![]() ![]() |
0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |
![]() ![]() ![]() ![]() |
C | 0..1 | TEL | Constraints: value-starts-octothorpe |
![]() ![]() ![]() ![]() |
0..1 | ED | ||
![]() ![]() ![]() |
1..1 | CS | Binding: ActStatus (required) | |
![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() |
1..1 | cs | Fixed Value: active | |
![]() ![]() ![]() ![]() |
0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() |
0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
![]() ![]() ![]() |
0..1 | IVL_TS | ||
![]() ![]() ![]() |
0..1 | CE | Binding: ActPriority (example) | |
![]() ![]() ![]() |
0..1 | CS | Binding: AllLanguages (required) | |
![]() ![]() ![]() |
0..1 | Subject | ||
![]() ![]() ![]() |
0..* | Specimen | ||
![]() ![]() ![]() |
0..* | Performer2 | ||
![]() ![]() ![]() |
0..* | AuthorParticipation | ||
![]() ![]() ![]() |
0..* | Informant | ||
![]() ![]() ![]() |
0..* | Participant2 | ||
![]() ![]() ![]() |
1..* | EntryRelationship | Slice: Unordered, Open by exists:act | |
![]() ![]() ![]() ![]() |
1..1 | EntryRelationship | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | Constraints: II-1 |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() |
1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: COMP | |
![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | INT | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | BL | ||
![]() ![]() ![]() ![]() ![]() |
1..1 | Act | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | Constraints: II-1 |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | cs | Binding: XActClassDocumentEntryAct (2.0.0) (required) Fixed Value: ACT | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | cs | Binding: XDocumentActMood (2.0.0) (required) Fixed Value: INT | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() |
1..* | II | These act/identifiers are unique identifiers for the policy or program providing the coverage. | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | CD | Binding: Payer Type ![]() | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | ED | ||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | CS | Binding: ActStatus (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | cs | Fixed Value: active | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | IVL_TS | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | CE | Binding: ActPriority (example) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | CS | Binding: AllLanguages (required) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | Subject | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Specimen | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Performer2 | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Author | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Informant | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Participant2 | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | EntryRelationship | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Reference | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Precondition | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() ![]() |
0..1 | Encounter | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | Observation | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | ObservationMedia | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | Organizer | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | Procedure | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | RegionOfInterest | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | SubstanceAdministration | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | Supply | ||
![]() ![]() ![]() |
0..* | Reference | ||
![]() ![]() ![]() |
0..* | Precondition | ||
![]() ![]() ![]() |
0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc) | |
![]() ![]() ![]() |
0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |
![]() |
Path | Status | Usage | ValueSet | Version | Source |
Act.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.templateId:planned-coverage.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.classCode | Base | required | x_ActClassDocumentEntryAct | 📍2.0.0 | THO v5.2 |
Act.moodCode | Base | required | x_DocumentActMood | 📍2.0.0 | THO v5.2 |
Act.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v6.5 |
Act.code.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.text.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.text.compression | Base | required | CDACompressionAlgorithm | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.text.integrityCheckAlgorithm | Base | required | IntegrityCheckAlgorithm | 📍2.0.0 | THO v5.2 |
Act.text.mediaType | Base | example | MediaType | 📦3.0.0 | THO v6.5 |
Act.text.representation | Base | required | CDABinaryDataEncoding | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.statusCode | Base | required | ActStatus | 📦3.0.0 | THO v6.5 |
Act.statusCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.priorityCode | Base | example | ActPriority | 📦3.0.0 | THO v6.5 |
Act.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std. |
Act.entryRelationship:entryRelationship1.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.entryRelationship:entryRelationship1.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.entryRelationship:entryRelationship1.​typeCode | Base | required | x_ActRelationshipEntryRelationship | 📦3.0.0 | THO v6.5 |
Act.entryRelationship:entryRelationship1.​act.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.entryRelationship:entryRelationship1.​act.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.entryRelationship:entryRelationship1.​act.classCode | Base | required | x_ActClassDocumentEntryAct | 📍2.0.0 | THO v5.2 |
Act.entryRelationship:entryRelationship1.​act.moodCode | Base | required | x_DocumentActMood | 📍2.0.0 | THO v5.2 |
Act.entryRelationship:entryRelationship1.​act.code | Base | required |
Payer Type
![]() |
📦20250419 | VSAC v0.23 |
Act.entryRelationship:entryRelationship1.​act.statusCode | Base | required | ActStatus | 📦3.0.0 | THO v6.5 |
Act.entryRelationship:entryRelationship1.​act.statusCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.entryRelationship:entryRelationship1.​act.priorityCode | Base | example | ActPriority | 📦3.0.0 | THO v6.5 |
Act.entryRelationship:entryRelationship1.​act.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std. |
Id | Grade | Path(s) | Description | Expression |
II-1 | error | Act.typeId, Act.entryRelationship:entryRelationship1.typeId, Act.entryRelationship:entryRelationship1.act.typeId | An II instance must have either a root or an nullFlavor. |
root.exists() or nullFlavor.exists()
|
should-text-ref-value | warning | Act | SHOULD contain text/reference/@value |
text.reference.value.exists()
|
value-starts-octothorpe | error | Act.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 Act
Summary
Mandatory: 15 elements
Fixed: 7 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from Act
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
![]() ![]() |
C | 1..1 | Act | 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 |
![]() ![]() ![]() |
1..* | II | Slice: Unordered, Open by value:root, value:extension | |
![]() ![]() ![]() ![]() |
1..1 | II | ||
![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.129 | |
![]() ![]() ![]() ![]() ![]() |
1..1 | st | Required Pattern: 2024-05-01 | |
![]() ![]() ![]() |
1..1 | cs | Fixed Value: ACT | |
![]() ![]() ![]() |
1..1 | cs | Fixed Value: INT | |
![]() ![]() ![]() |
1..* | II | ||
![]() ![]() ![]() |
1..1 | CD | Payment sources | |
![]() ![]() ![]() ![]() |
1..1 | cs | Required Pattern: 52556-8 | |
![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | LOINC Required Pattern: 2.16.840.1.113883.6.1 | |
![]() ![]() ![]() |
0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
![]() ![]() ![]() ![]() |
C | 0..1 | TEL | Constraints: value-starts-octothorpe |
![]() ![]() ![]() |
1..1 | CS | ||
![]() ![]() ![]() ![]() |
1..1 | cs | Fixed Value: active | |
![]() ![]() ![]() |
0..* | AuthorParticipation | ||
![]() ![]() ![]() |
1..* | EntryRelationship | Slice: Unordered, Open by exists:act | |
![]() ![]() ![]() ![]() |
1..1 | EntryRelationship | ||
![]() ![]() ![]() ![]() ![]() |
1..1 | cs | Fixed Value: COMP | |
![]() ![]() ![]() ![]() ![]() |
1..1 | Act | ||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | cs | Fixed Value: ACT | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | cs | Fixed Value: INT | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..* | II | These act/identifiers are unique identifiers for the policy or program providing the coverage. | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | CD | Binding: Payer Type ![]() | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | CS | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | cs | Fixed Value: active | |
![]() |
Path | Status | Usage | ValueSet | Version | Source |
Act.entryRelationship:entryRelationship1.​act.code | Base | required |
Payer Type
![]() |
📦20250419 | VSAC v0.23 |
Id | Grade | Path(s) | Description | Expression |
should-text-ref-value | warning | Act | SHOULD contain text/reference/@value |
text.reference.value.exists()
|
value-starts-octothorpe | error | Act.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
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
![]() ![]() |
C | 1..1 | Act | 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 |
![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() |
C | 0..1 | II | Constraints: II-1 |
![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() |
1..* | II | Slice: Unordered, Open by value:root, value:extension | |
![]() ![]() ![]() ![]() |
1..1 | II | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.129 | |
![]() ![]() ![]() ![]() ![]() |
1..1 | st | Required Pattern: 2024-05-01 | |
![]() ![]() ![]() |
1..1 | cs | Binding: XActClassDocumentEntryAct (2.0.0) (required) Fixed Value: ACT | |
![]() ![]() ![]() |
1..1 | cs | Binding: XDocumentActMood (2.0.0) (required) Fixed Value: INT | |
![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() |
1..* | II | ||
![]() ![]() ![]() |
1..1 | CD | Payment sources Binding: v3 Code System ActCode (example) | |
![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() |
1..1 | cs | Required Pattern: 52556-8 | |
![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | LOINC Required Pattern: 2.16.840.1.113883.6.1 | |
![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() |
0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() |
0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() |
0..1 | ED | ||
![]() ![]() ![]() ![]() |
0..* | CR | ||
![]() ![]() ![]() ![]() |
0..* | CD | ||
![]() ![]() ![]() |
0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDACompressionAlgorithm (required) | |
![]() ![]() ![]() ![]() |
0..1 | bin | ||
![]() ![]() ![]() ![]() |
0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required) | |
![]() ![]() ![]() ![]() |
0..1 | cs | ||
![]() ![]() ![]() ![]() |
0..1 | cs | Binding: MediaType (example) | |
![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDABinaryDataEncoding (required) | |
![]() ![]() ![]() ![]() |
0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |
![]() ![]() ![]() ![]() |
C | 0..1 | TEL | Constraints: value-starts-octothorpe |
![]() ![]() ![]() ![]() |
0..1 | ED | ||
![]() ![]() ![]() |
1..1 | CS | Binding: ActStatus (required) | |
![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() |
1..1 | cs | Fixed Value: active | |
![]() ![]() ![]() ![]() |
0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() |
0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
![]() ![]() ![]() |
0..1 | IVL_TS | ||
![]() ![]() ![]() |
0..1 | CE | Binding: ActPriority (example) | |
![]() ![]() ![]() |
0..1 | CS | Binding: AllLanguages (required) | |
![]() ![]() ![]() |
0..1 | Subject | ||
![]() ![]() ![]() |
0..* | Specimen | ||
![]() ![]() ![]() |
0..* | Performer2 | ||
![]() ![]() ![]() |
0..* | AuthorParticipation | ||
![]() ![]() ![]() |
0..* | Informant | ||
![]() ![]() ![]() |
0..* | Participant2 | ||
![]() ![]() ![]() |
1..* | EntryRelationship | Slice: Unordered, Open by exists:act | |
![]() ![]() ![]() ![]() |
1..1 | EntryRelationship | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | Constraints: II-1 |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() |
1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: COMP | |
![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | INT | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | BL | ||
![]() ![]() ![]() ![]() ![]() |
1..1 | Act | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | Constraints: II-1 |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | cs | Binding: XActClassDocumentEntryAct (2.0.0) (required) Fixed Value: ACT | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | cs | Binding: XDocumentActMood (2.0.0) (required) Fixed Value: INT | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() |
1..* | II | These act/identifiers are unique identifiers for the policy or program providing the coverage. | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | CD | Binding: Payer Type ![]() | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | ED | ||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | CS | Binding: ActStatus (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | cs | Fixed Value: active | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | IVL_TS | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | CE | Binding: ActPriority (example) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | CS | Binding: AllLanguages (required) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | Subject | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Specimen | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Performer2 | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Author | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Informant | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Participant2 | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | EntryRelationship | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Reference | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Precondition | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() ![]() |
0..1 | Encounter | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | Observation | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | ObservationMedia | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | Organizer | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | Procedure | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | RegionOfInterest | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | SubstanceAdministration | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | Supply | ||
![]() ![]() ![]() |
0..* | Reference | ||
![]() ![]() ![]() |
0..* | Precondition | ||
![]() ![]() ![]() |
0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc) | |
![]() ![]() ![]() |
0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |
![]() |
Path | Status | Usage | ValueSet | Version | Source |
Act.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.templateId:planned-coverage.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.classCode | Base | required | x_ActClassDocumentEntryAct | 📍2.0.0 | THO v5.2 |
Act.moodCode | Base | required | x_DocumentActMood | 📍2.0.0 | THO v5.2 |
Act.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v6.5 |
Act.code.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.text.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.text.compression | Base | required | CDACompressionAlgorithm | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.text.integrityCheckAlgorithm | Base | required | IntegrityCheckAlgorithm | 📍2.0.0 | THO v5.2 |
Act.text.mediaType | Base | example | MediaType | 📦3.0.0 | THO v6.5 |
Act.text.representation | Base | required | CDABinaryDataEncoding | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.statusCode | Base | required | ActStatus | 📦3.0.0 | THO v6.5 |
Act.statusCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.priorityCode | Base | example | ActPriority | 📦3.0.0 | THO v6.5 |
Act.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std. |
Act.entryRelationship:entryRelationship1.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.entryRelationship:entryRelationship1.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.entryRelationship:entryRelationship1.​typeCode | Base | required | x_ActRelationshipEntryRelationship | 📦3.0.0 | THO v6.5 |
Act.entryRelationship:entryRelationship1.​act.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.entryRelationship:entryRelationship1.​act.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.entryRelationship:entryRelationship1.​act.classCode | Base | required | x_ActClassDocumentEntryAct | 📍2.0.0 | THO v5.2 |
Act.entryRelationship:entryRelationship1.​act.moodCode | Base | required | x_DocumentActMood | 📍2.0.0 | THO v5.2 |
Act.entryRelationship:entryRelationship1.​act.code | Base | required |
Payer Type
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📦20250419 | VSAC v0.23 |
Act.entryRelationship:entryRelationship1.​act.statusCode | Base | required | ActStatus | 📦3.0.0 | THO v6.5 |
Act.entryRelationship:entryRelationship1.​act.statusCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.entryRelationship:entryRelationship1.​act.priorityCode | Base | example | ActPriority | 📦3.0.0 | THO v6.5 |
Act.entryRelationship:entryRelationship1.​act.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std. |
Id | Grade | Path(s) | Description | Expression |
II-1 | error | Act.typeId, Act.entryRelationship:entryRelationship1.typeId, Act.entryRelationship:entryRelationship1.act.typeId | An II instance must have either a root or an nullFlavor. |
root.exists() or nullFlavor.exists()
|
should-text-ref-value | warning | Act | SHOULD contain text/reference/@value |
text.reference.value.exists()
|
value-starts-octothorpe | error | Act.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
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
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C | 1..1 | Act | 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 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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1..* | II | Slice: Unordered, Open by value:root, value:extension | |
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1..1 | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.129 | |
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1..1 | st | Required Pattern: 2024-05-01 | |
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1..1 | cs | Binding: XActClassDocumentEntryAct (2.0.0) (required) Fixed Value: ACT | |
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1..1 | cs | Binding: XDocumentActMood (2.0.0) (required) Fixed Value: INT | |
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0..1 | bl | ||
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1..* | II | ||
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1..1 | CD | Payment sources Binding: v3 Code System ActCode (example) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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1..1 | cs | Required Pattern: 52556-8 | |
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1..1 | oid, uuid, ruid | LOINC Required Pattern: 2.16.840.1.113883.6.1 | |
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CR | ||
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0..* | CD | ||
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0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | cs | Binding: CDACompressionAlgorithm (required) | |
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0..1 | bin | ||
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0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required) | |
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0..1 | cs | ||
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0..1 | cs | Binding: MediaType (example) | |
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0..1 | cs | Binding: CDABinaryDataEncoding (required) | |
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0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |
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C | 0..1 | TEL | Constraints: value-starts-octothorpe |
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0..1 | ED | ||
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1..1 | CS | Binding: ActStatus (required) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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1..1 | cs | Fixed Value: active | |
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | IVL_TS | ||
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0..1 | CE | Binding: ActPriority (example) | |
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0..1 | CS | Binding: AllLanguages (required) | |
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0..1 | Subject | ||
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0..* | Specimen | ||
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0..* | Performer2 | ||
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0..* | AuthorParticipation | ||
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0..* | Informant | ||
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0..* | Participant2 | ||
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1..* | EntryRelationship | Slice: Unordered, Open by exists:act | |
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1..1 | EntryRelationship | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: COMP | |
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0..1 | bl | ||
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0..1 | bl | ||
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0..1 | bl | ||
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0..1 | INT | ||
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0..1 | BL | ||
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1..1 | Act | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | Constraints: II-1 |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Binding: XActClassDocumentEntryAct (2.0.0) (required) Fixed Value: ACT | |
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1..1 | cs | Binding: XDocumentActMood (2.0.0) (required) Fixed Value: INT | |
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0..1 | bl | ||
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1..* | II | These act/identifiers are unique identifiers for the policy or program providing the coverage. | |
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1..1 | CD | Binding: Payer Type ![]() | |
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0..1 | ED | ||
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1..1 | CS | Binding: ActStatus (required) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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1..1 | cs | Fixed Value: active | |
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | IVL_TS | ||
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0..1 | CE | Binding: ActPriority (example) | |
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0..1 | CS | Binding: AllLanguages (required) | |
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0..1 | Subject | ||
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0..* | Specimen | ||
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0..* | Performer2 | ||
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0..* | Author | ||
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0..* | Informant | ||
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0..* | Participant2 | ||
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0..* | EntryRelationship | ||
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0..* | Reference | ||
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0..* | Precondition | ||
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0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc) | |
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0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |
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0..1 | Encounter | ||
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0..1 | Observation | ||
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0..1 | ObservationMedia | ||
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0..1 | Organizer | ||
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0..1 | Procedure | ||
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0..1 | RegionOfInterest | ||
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0..1 | SubstanceAdministration | ||
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0..1 | Supply | ||
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0..* | Reference | ||
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0..* | Precondition | ||
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0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc) | |
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0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |
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Path | Status | Usage | ValueSet | Version | Source |
Act.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.templateId:planned-coverage.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.classCode | Base | required | x_ActClassDocumentEntryAct | 📍2.0.0 | THO v5.2 |
Act.moodCode | Base | required | x_DocumentActMood | 📍2.0.0 | THO v5.2 |
Act.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v6.5 |
Act.code.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.text.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.text.compression | Base | required | CDACompressionAlgorithm | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.text.integrityCheckAlgorithm | Base | required | IntegrityCheckAlgorithm | 📍2.0.0 | THO v5.2 |
Act.text.mediaType | Base | example | MediaType | 📦3.0.0 | THO v6.5 |
Act.text.representation | Base | required | CDABinaryDataEncoding | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.statusCode | Base | required | ActStatus | 📦3.0.0 | THO v6.5 |
Act.statusCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.priorityCode | Base | example | ActPriority | 📦3.0.0 | THO v6.5 |
Act.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std. |
Act.entryRelationship:entryRelationship1.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.entryRelationship:entryRelationship1.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.entryRelationship:entryRelationship1.​typeCode | Base | required | x_ActRelationshipEntryRelationship | 📦3.0.0 | THO v6.5 |
Act.entryRelationship:entryRelationship1.​act.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.entryRelationship:entryRelationship1.​act.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.entryRelationship:entryRelationship1.​act.classCode | Base | required | x_ActClassDocumentEntryAct | 📍2.0.0 | THO v5.2 |
Act.entryRelationship:entryRelationship1.​act.moodCode | Base | required | x_DocumentActMood | 📍2.0.0 | THO v5.2 |
Act.entryRelationship:entryRelationship1.​act.code | Base | required |
Payer Type
![]() |
📦20250419 | VSAC v0.23 |
Act.entryRelationship:entryRelationship1.​act.statusCode | Base | required | ActStatus | 📦3.0.0 | THO v6.5 |
Act.entryRelationship:entryRelationship1.​act.statusCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
Act.entryRelationship:entryRelationship1.​act.priorityCode | Base | example | ActPriority | 📦3.0.0 | THO v6.5 |
Act.entryRelationship:entryRelationship1.​act.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std. |
Id | Grade | Path(s) | Description | Expression |
II-1 | error | Act.typeId, Act.entryRelationship:entryRelationship1.typeId, Act.entryRelationship:entryRelationship1.act.typeId | An II instance must have either a root or an nullFlavor. |
root.exists() or nullFlavor.exists()
|
should-text-ref-value | warning | Act | SHOULD contain text/reference/@value |
text.reference.value.exists()
|
value-starts-octothorpe | error | Act.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 Act
Summary
Mandatory: 15 elements
Fixed: 7 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices: