Policy Activity - Definitions - Consolidated CDA (C-CDA) v4.0.0-ballot

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

Logical Model: PolicyActivity - Detailed Descriptions

Draft as of 2024-12-19

Definitions for the PolicyActivity logical model.

Differential Elements Table
Key Elements Table
Snapshot Elements Table

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

0. Act
Logical Container	ClinicalDocument (CDA Class)
Validation	Instance of this type are validated by templateId
XML Format	In the XML format, this property has the namespace `urn:hl7-org:v3`.
Invariants	should-text-ref-value: SHOULD contain text/reference/@value (`text.reference.value.exists()`) 4537-17139: When the Subscriber is the patient (COV participant code = 'SELF'), the participant element describing the subscriber SHALL NOT be present. This information will be recorded instead in the data elements used to record member information (CONF:4537-17139). (`participant.where(typeCode='COV').participantRole.code.where(code = 'SELF').exists() implies participant.where(typeCode='HLD').empty()`)
2. Act.templateId
Control	1..?
Slicing	This element introduces a set of slices on `Act.templateId`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ root value @ extension
4. Act.templateId:policy-activity
Slice Name	policy-activity
Control	1..1
6. Act.templateId:policy-activity.root
Control	1..?
Pattern Value	`2.16.840.1.113883.10.20.22.4.61`
8. Act.templateId:policy-activity.extension
Control	1..?
Pattern Value	`2024-05-01`
10. Act.classCode
Comments	SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:4537-8898).
Fixed Value	`ACT`
12. Act.moodCode
Comments	SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:4537-8899).
Fixed Value	`EVN`
14. Act.id
Short	𝗨𝗦𝗖𝗗𝗜: GROUP NUMBER: This is the identifier used to uniquely refer to a specific health insurance plan.
Comments	SHALL contain at least one [1..*] id (CONF:4537-8901).
Control	1..?
16. Act.code
18. Act.code.code
Binding	The codes SHOULD be taken from Payer Type (preferred to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591`)
20. Act.text
Short	SHOULD reference the portion of section narrative text corresponding to this entry
22. Act.text.reference
Invariants	value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (`value.exists() implies value.startsWith('#')`)
24. Act.statusCode
Comments	SHALL contain exactly one [1..1] statusCode (CONF:4537-8902).
Control	1..?
26. Act.statusCode.code
Comments	This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:4537-19109).
Control	1..?
Fixed Value	`completed`
28. Act.performer
Comments	SHOULD contain zero or more [0..*] performer (CONF:4537-8961) such that it
Control	1..?
Slicing	This element introduces a set of slices on `Act.performer`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ templateId.root
30. Act.performer:payer
Slice Name	payer
Short	This performer represents the Payer.
Comments	SHALL contain exactly one [1..1] performer (CONF:4537-8906) such that it
Control	1..1
32. Act.performer:payer.templateId
Comments	SHALL contain exactly one [1..1] templateId (CONF:4537-16808), SHALL not contain [0..0] extension..
Control	1..1
34. Act.performer:payer.templateId.root
Comments	This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.87" Payer Performer (CONF:4537-16809).
Control	1..?
Pattern Value	`2.16.840.1.113883.10.20.22.4.87`
36. Act.performer:payer.templateId.extension
Control	0..0
38. Act.performer:payer.typeCode
Control	1..?
40. Act.performer:payer.assignedEntity
Comments	SHALL contain exactly one [1..1] assignedEntity (CONF:4537-8908).
Invariants	should-code: SHOULD contain code (`code.exists()`) should-representedOrganization: SHOULD contain representedOrganization (`representedOrganization.exists()`)
42. Act.performer:payer.assignedEntity.id
Short	𝗨𝗦𝗖𝗗𝗜: PAYER IDENTIFIER: This is the Payer id. The root is a unique identifier to an openly available assigning authority, such as National Association of Insurance Commissioners (NAIC) (2.16.840.1.113883.6.300), and the extension identifiers the payer within that authority.
Comments	This assignedEntity SHALL contain at least one [1..*] id (CONF:4537-8909).
44. Act.performer:payer.assignedEntity.code
Comments	This assignedEntity SHOULD contain zero or one [0..1] code (CONF:4537-8914).
46. Act.performer:payer.assignedEntity.code.nullFlavor
Control	0..0
48. Act.performer:payer.assignedEntity.code.code
Control	1..?
Binding	The codes SHOULD be taken from Financially Responsible Party Type Value Set (preferred to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.10416`)
50. Act.performer:payer.assignedEntity.addr
Comments	This assignedEntity MAY contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-8910).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
52. Act.performer:payer.assignedEntity.telecom
Comments	This assignedEntity MAY contain zero or more [0..*] telecom (CONF:4537-8911).
54. Act.performer:payer.assignedEntity.representedOrganization
Comments	This assignedEntity SHOULD contain zero or one [0..1] representedOrganization (CONF:4537-8912).
Invariants	should-name: SHOULD contain name (`name.exists()`)
56. Act.performer:payer.assignedEntity.representedOrganization.name
Comments	The representedOrganization, if present, SHOULD contain zero or one [0..1] name (CONF:4537-8913).
Control	0..1
58. Act.performer:guarantor
Slice Name	guarantor
Short	This performer represents the Guarantor.
Control	0..*
Invariants	should-time: SHOULD contain time (`time.exists()`)
60. Act.performer:guarantor.templateId
Comments	SHALL contain exactly one [1..1] templateId (CONF:4537-16810), SHALL not contain [0..0] extension.
Control	1..1
62. Act.performer:guarantor.templateId.root
Comments	This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.88" Guarantor Performer (CONF:4537-16811).
Control	1..?
Pattern Value	`2.16.840.1.113883.10.20.22.4.88`
64. Act.performer:guarantor.templateId.extension
Control	0..0
66. Act.performer:guarantor.typeCode
Control	1..?
68. Act.performer:guarantor.time
Comments	SHOULD contain zero or one [0..1] time (CONF:4537-8963).
70. Act.performer:guarantor.assignedEntity
Comments	SHALL contain exactly one [1..1] assignedEntity (CONF:4537-8962).
Invariants	4537-8967: SHOULD include assignedEntity/assignedPerson/name AND/OR assignedEntity/representedOrganization/name (CONF:4537-8967). (`assignedPerson.name.exists() or representedOrganization.name.exists()`) should-addr: SHOULD contain addr (`addr.exists()`) should-telecom: SHOULD contain telecom (`telecom.exists()`)
72. Act.performer:guarantor.assignedEntity.code
Comments	This assignedEntity SHALL contain exactly one [1..1] code (CONF:4537-8968).
Control	1..?
74. Act.performer:guarantor.assignedEntity.code.code
Comments	This code SHALL contain exactly one [1..1] @code="GUAR" Guarantor (CONF:4537-16096).
Control	1..?
Pattern Value	`GUAR`
76. Act.performer:guarantor.assignedEntity.code.codeSystem
Comments	This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.110" (CONF:4537-32165).
Control	1..?
Pattern Value	`2.16.840.1.113883.5.110`
78. Act.performer:guarantor.assignedEntity.addr
Comments	This assignedEntity SHOULD contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-8964).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
80. Act.performer:guarantor.assignedEntity.telecom
Comments	This assignedEntity SHOULD contain zero or more [0..*] telecom (CONF:4537-8965).
82. Act.participant
Comments	SHOULD contain zero or one [0..1] participant (CONF:4537-8934) such that it
Control	1..?
Slicing	This element introduces a set of slices on `Act.participant`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ typeCode
84. Act.participant:coverage-target
Slice Name	coverage-target
Short	participant
Comments	SHALL contain exactly one [1..1] participant (CONF:4537-8916) such that it
Control	1..1
Invariants	should-time: SHOULD contain time (`time.exists()`)
86. Act.participant:coverage-target.templateId
Comments	SHALL contain exactly one [1..1] templateId (CONF:4537-16812), SHALL not contain [0..0] extension.
Control	1..1
88. Act.participant:coverage-target.templateId.root
Comments	This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.89" Covered Party Participant (CONF:4537-16814).
Control	1..?
Pattern Value	`2.16.840.1.113883.10.20.22.4.89`
90. Act.participant:coverage-target.templateId.extension
Control	0..0
92. Act.participant:coverage-target.typeCode
Comments	SHALL contain exactly one [1..1] @typeCode="COV" Coverage target (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:4537-8917).
Fixed Value	`COV`
94. Act.participant:coverage-target.time
Short	This records the policy coverage period or self-pay period.
Comments	SHOULD contain zero or one [0..1] time (CONF:4537-8918).
Invariants	should-low: SHOULD contain low (`low.exists()`) should-high: SHOULD contain high (`high.exists()`)
96. Act.participant:coverage-target.time.low
Comments	The time, if present, SHOULD contain zero or one [0..1] low (CONF:4537-8919).
98. Act.participant:coverage-target.time.high
Comments	The time, if present, SHOULD contain zero or one [0..1] high (CONF:4537-8920).
100. Act.participant:coverage-target.participantRole
Comments	SHALL contain exactly one [1..1] participantRole (CONF:4537-8921).
Invariants	should-addr: SHOULD contain addr (`addr.exists()`) should-playingEntity: SHOULD contain playingEntity (`playingEntity.exists()`)
102. Act.participant:coverage-target.participantRole.id
Short	𝗨𝗦𝗖𝗗𝗜: MEMBER IDENTIFIER: This id is a unique identifier for the covered party member. Implementers SHOULD use the same GUID for each instance of a member identifier from the same health plan (CONF:4537-8984).
Comments	This participantRole SHALL contain at least one [1..*] id (CONF:4537-8922).
Control	1..?
104. Act.participant:coverage-target.participantRole.code
Short	𝗨𝗦𝗖𝗗𝗜: RELATIONSHIP TO SUBSCRIBER: Records the relationship of a patient to the primary insured person.
Comments	This participantRole SHALL contain exactly one [1..1] code (CONF:4537-8923).
Control	1..?
Invariants	should-code-attr: SHOULD contain @code (`code.exists()`)
106. Act.participant:coverage-target.participantRole.code.code
Comments	This code SHOULD contain zero or one [0..1] @code, which SHOULD be selected from ValueSet Coverage Role Type Value Set urn:oid:2.16.840.1.113883.1.11.18877 DYNAMIC (CONF:4537-16078).
Binding	The codes SHOULD be taken from Coverage Role Type Value Set (preferred to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.18877`)
108. Act.participant:coverage-target.participantRole.addr
Comments	This participantRole SHOULD contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-8956).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
110. Act.participant:coverage-target.participantRole.playingEntity
Short	This playingEntity records the covered party name and birthTime as represented by the health plan. This could match the information in recordTarget, or be different due to marriage or other reasons.
Comments	This participantRole SHOULD contain zero or one [0..1] playingEntity (CONF:4537-8932).
112. Act.participant:coverage-target.participantRole.playingEntity.name
Comments	The playingEntity, if present, SHALL contain exactly one [1..1] name (CONF:4537-8930).
Control	1..1
114. Act.participant:coverage-target.participantRole.playingEntity.sdtcBirthTime
Short	sdtc:birthTime
Comments	The playingEntity, if present, SHALL contain exactly one [1..1] sdtc:birthTime (CONF:4537-31344).
Control	1..?
116. Act.participant:subscriber
Slice Name	subscriber
Short	When the Subscriber is the patient, the participant element describing the subscriber SHALL NOT be present. This information will be recorded instead in the data elements used to record member information.
Control	0..1
118. Act.participant:subscriber.templateId
Comments	SHALL contain exactly one [1..1] templateId (CONF:4537-16813), SHALL not contain [0..0] extension.
Control	1..1
120. Act.participant:subscriber.templateId.root
Comments	This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.90" Policy Holder Participant (CONF:4537-16815).
Control	1..?
Pattern Value	`2.16.840.1.113883.10.20.22.4.90`
122. Act.participant:subscriber.templateId.extension
Control	0..0
124. Act.participant:subscriber.typeCode
Comments	SHALL contain exactly one [1..1] @typeCode="HLD" Holder (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:4537-8935).
Fixed Value	`HLD`
126. Act.participant:subscriber.time
Comments	MAY contain zero or one [0..1] time (CONF:4537-8938).
128. Act.participant:subscriber.participantRole
Comments	SHALL contain exactly one [1..1] participantRole (CONF:4537-8936).
Invariants	should-addr: SHOULD contain addr (`addr.exists()`)
130. Act.participant:subscriber.participantRole.id
Short	𝗨𝗦𝗖𝗗𝗜: SUBSCRIBER ID: This id is a unique identifier for the subscriber of the coverage (CONF:4537-10120).
Comments	This participantRole SHALL contain at least one [1..*] id (CONF:4537-8937).
Control	1..?
132. Act.participant:subscriber.participantRole.addr
Comments	This participantRole SHOULD contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-8925).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
134. Act.entryRelationship
Slicing	This element introduces a set of slices on `Act.entryRelationship`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ act.moodCode
136. Act.entryRelationship:authorization
Slice Name	authorization
Short	entryRelationship
Comments	MAY contain one [0..*] entryRelationship (CONF:4537-8939) such that it
Control	0..*
138. Act.entryRelationship:authorization.typeCode
Comments	SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:4537-8940).
Fixed Value	`REFR`
140. Act.entryRelationship:authorization.act
Control	1..?
Type	http://hl7.org/cda/stds/core/StructureDefinition/Act(Authorization Activity)
142. Act.entryRelationship:authorization.act.moodCode
Short	EVN
144. Act.entryRelationship:plan
Slice Name	plan
Short	Represents the Coverage Plan
Control	0..*
146. Act.entryRelationship:plan.typeCode
Fixed Value	`REFR`
148. Act.entryRelationship:plan.act
Comments	A description of the coverage plan SHALL contain one or more act/id, to represent the plan identifier, and an act/text with the name of the plan (CONF:4537-8943).
Control	1..?
150. Act.entryRelationship:plan.act.classCode
Fixed Value	`ACT`
152. Act.entryRelationship:plan.act.moodCode
Fixed Value	`DEF`
154. Act.entryRelationship:plan.act.id
Short	Plan identifier
Control	1..?
156. Act.entryRelationship:plan.act.text
Short	Name of the plan
Control	1..?

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

0. Act
Definition	Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type. Base definition for all types defined in FHIR type system.
Short	Base for all types and resources
Control	10..1*
Is Modifier	false
Logical Container	ClinicalDocument (CDA Class)
Validation	Instance of this type are validated by templateId
XML Format	In the XML format, this property has the namespace `urn:hl7-org:v3`.
Invariants	should-text-ref-value: SHOULD contain text/reference/@value (`text.reference.value.exists()`) 4537-17139: When the Subscriber is the patient (COV participant code = 'SELF'), the participant element describing the subscriber SHALL NOT be present. This information will be recorded instead in the data elements used to record member information (CONF:4537-17139). (`participant.where(typeCode='COV').participantRole.code.where(code = 'SELF').exists() implies participant.where(typeCode='HLD').empty()`)
2. Act.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
4. Act.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
6. Act.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
8. Act.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
10. Act.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
12. Act.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
14. Act.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
16. Act.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
18. Act.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Slicing	This element introduces a set of slices on `Act.templateId`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ root value @ extension
20. Act.templateId:policy-activity
Slice Name	policy-activity
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
22. Act.templateId:policy-activity.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
24. Act.templateId:policy-activity.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
26. Act.templateId:policy-activity.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
28. Act.templateId:policy-activity.root
Definition	A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Pattern Value	`2.16.840.1.113883.10.20.22.4.61`
30. Act.templateId:policy-activity.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
Pattern Value	`2024-05-01`
32. Act.classCode
Comments	SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:4537-8898).
Control	1..1
Binding	The codes SHALL be taken from XActClassDocumentEntryAct (2.0.0) (required to `http://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryAct\|2.0.0`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`ACT`
34. Act.moodCode
Comments	SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:4537-8899).
Control	1..1
Binding	The codes SHALL be taken from XDocumentActMood (2.0.0) (required to `http://terminology.hl7.org/ValueSet/v3-xDocumentActMood\|2.0.0`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`EVN`
36. Act.negationInd
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
38. Act.id
Short	𝗨𝗦𝗖𝗗𝗜: GROUP NUMBER: This is the identifier used to uniquely refer to a specific health insurance plan.
Comments	SHALL contain at least one [1..*] id (CONF:4537-8901).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
40. Act.code
Control	1..1
Binding	For example codes, see v3 Code System ActCode (example to `http://terminology.hl7.org/ValueSet/v3-ActCode`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CD
42. Act.code.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
44. Act.code.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Control	0..1
Binding	The codes SHOULD be taken from Payer Type (preferred to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code
46. Act.code.codeSystem
Definition	Specifies the code system that defines the code.
Control	0..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System
48. Act.code.codeSystemName
Definition	The common name of the coding system.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Name
50. Act.code.codeSystemVersion
Definition	If applicable, a version descriptor defined specifically for the given code system.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Version
52. Act.code.displayName
Definition	A name or title for the code, under which the sending system shows the code value to its users.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Display Name
54. Act.code.sdtcValueSet
Definition	The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.
Control	0..1
Type	string(oid: ISO Object Identifier)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSet`.
56. Act.code.sdtcValueSetVersion
Definition	The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSetVersion`.
58. Act.code.originalText
Definition	The text or phrase used as the basis for the coding.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
Label	Original Text
60. Act.code.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CR
Label	Qualifier
62. Act.code.translation
Definition	A set of other concept descriptors that translate this concept descriptor into other code systems.
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CD
XML Format	The type of this property is determined using the `xsi:type`attribute.
Label	Translation
64. Act.text
Short	SHOULD reference the portion of section narrative text corresponding to this entry
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
66. Act.text.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
68. Act.text.compression
Definition	Indicates whether the raw byte data is compressed, and what compression algorithm was used.
Control	0..1
Binding	The codes SHALL be taken from CDACompressionAlgorithm (required to `http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Compression
70. Act.text.integrityCheck
Definition	The integrity check is a short binary value representing a cryptographically strong checksum that is calculated over the binary data. The purpose of this property, when communicated with a reference is for anyone to validate later whether the reference still resolved to the same data that the reference resolved to when the encapsulated data value with reference was created.
Control	0..1
Type	base64Binary(bin: Binary Data)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Integrity Check
72. Act.text.integrityCheckAlgorithm
Definition	Specifies the algorithm used to compute the integrityCheck value. The cryptographically strong checksum algorithm Secure Hash Algorithm-1 (SHA-1) is currently the industry standard. It has superseded the MD5 algorithm only a couple of years ago, when certain flaws in the security of MD5 were discovered. Currently the SHA-1 hash algorithm is the default choice for the integrity check algorithm. Note that SHA-256 is also entering widespread usage.
Control	0..1
Binding	The codes SHALL be taken from IntegrityCheckAlgorithm (2.0.0) (required to `http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm\|2.0.0`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Integrity Check Algorithm
74. Act.text.language
Definition	For character based information the language property specifies the human language of the text.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Language
76. Act.text.mediaType
Definition	Identifies the type of the encapsulated data and identifies a method to interpret or render the data.
Control	0..1
Binding	For example codes, see MediaType (example to `http://terminology.hl7.org/ValueSet/v3-MediaType`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Media Type
78. Act.text.representation
Control	0..1
Binding	The codes SHALL be taken from CDABinaryDataEncoding (required to `http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
80. Act.text.xmlText
Definition	Data that is primarily intended for human interpretation or for further machine processing is outside the scope of HL7. This includes unformatted or formatted written language, multimedia data, or structured information as defined by a different standard (e.g., XML-signatures.)
Short	Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
Comments	This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as unadorned text.
82. Act.text.reference
Definition	A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
Label	Reference
Invariants	value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (`value.exists() implies value.startsWith('#')`)
84. Act.text.thumbnail
Definition	An abbreviated rendition of the full data. A thumbnail requires significantly fewer resources than the full data, while still maintaining some distinctive similarity with the full data. A thumbnail is typically used with by-reference encapsulated data. It allows a user to select data more efficiently before actually downloading through the reference.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
Label	Thumbnail
86. Act.statusCode
Comments	SHALL contain exactly one [1..1] statusCode (CONF:4537-8902).
Control	1..1
Binding	The codes SHALL be taken from ActStatus (required to `http://terminology.hl7.org/ValueSet/v3-ActStatus`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
88. Act.statusCode.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
90. Act.statusCode.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Comments	This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:4537-19109).
Control	1..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code
Fixed Value	`completed`
92. Act.statusCode.codeSystem
Definition	Specifies the code system that defines the code.
Control	0..0
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System
94. Act.statusCode.codeSystemName
Definition	The common name of the coding system.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Name
96. Act.statusCode.codeSystemVersion
Definition	If applicable, a version descriptor defined specifically for the given code system.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Version
98. Act.statusCode.displayName
Definition	A name or title for the code, under which the sending system shows the code value to its users.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Display Name
100. Act.statusCode.sdtcValueSet
Definition	The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.
Control	0..1
Type	string(oid: ISO Object Identifier)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSet`.
102. Act.statusCode.sdtcValueSetVersion
Definition	The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSetVersion`.
104. Act.statusCode.originalText
Definition	The text or phrase used as the basis for the coding.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
Label	Original Text
106. Act.statusCode.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/CR
Label	Qualifier
108. Act.statusCode.translation
Definition	A set of other concept descriptors that translate this concept descriptor into other code systems.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/CD
XML Format	The type of this property is determined using the `xsi:type`attribute.
Label	Translation
110. Act.effectiveTime
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
112. Act.priorityCode
Control	0..1
Binding	For example codes, see ActPriority (example to `http://terminology.hl7.org/ValueSet/v3-ActPriority`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
114. Act.languageCode
Control	0..1
Binding	The codes SHALL be taken from AllLanguages (required to `http://hl7.org/fhir/ValueSet/all-languages`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
116. Act.subject
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Subject
118. Act.specimen
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Specimen
120. Act.performer
Comments	SHOULD contain zero or more [0..*] performer (CONF:4537-8961) such that it
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Performer2
Slicing	This element introduces a set of slices on `Act.performer`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ templateId.root
122. Act.performer:payer
Slice Name	payer
Short	This performer represents the Payer.
Comments	SHALL contain exactly one [1..1] performer (CONF:4537-8906) such that it
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Performer2
124. Act.performer:payer.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
126. Act.performer:payer.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
128. Act.performer:payer.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
130. Act.performer:payer.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
132. Act.performer:payer.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
134. Act.performer:payer.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
136. Act.performer:payer.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
138. Act.performer:payer.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
140. Act.performer:payer.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Comments	SHALL contain exactly one [1..1] templateId (CONF:4537-16808), SHALL not contain [0..0] extension..
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
142. Act.performer:payer.templateId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
144. Act.performer:payer.templateId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
146. Act.performer:payer.templateId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
148. Act.performer:payer.templateId.root
Definition	A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Comments	This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.87" Payer Performer (CONF:4537-16809).
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Pattern Value	`2.16.840.1.113883.10.20.22.4.87`
150. Act.performer:payer.templateId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
152. Act.performer:payer.typeCode
Control	1..1
Binding	The codes SHALL be taken from ParticipationPhysicalPerformer (required to `http://terminology.hl7.org/ValueSet/v3-ParticipationPhysicalPerformer`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`PRF`
154. Act.performer:payer.sdtcFunctionCode
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`functionCode`.
156. Act.performer:payer.time
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
158. Act.performer:payer.modeCode
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
160. Act.performer:payer.assignedEntity
Comments	SHALL contain exactly one [1..1] assignedEntity (CONF:4537-8908).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity
Invariants	should-code: SHOULD contain code (`code.exists()`) should-representedOrganization: SHOULD contain representedOrganization (`representedOrganization.exists()`)
162. Act.performer:payer.assignedEntity.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
164. Act.performer:payer.assignedEntity.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
166. Act.performer:payer.assignedEntity.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
168. Act.performer:payer.assignedEntity.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
170. Act.performer:payer.assignedEntity.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
172. Act.performer:payer.assignedEntity.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
174. Act.performer:payer.assignedEntity.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
176. Act.performer:payer.assignedEntity.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
178. Act.performer:payer.assignedEntity.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
180. Act.performer:payer.assignedEntity.classCode
Control	0..1
Binding	The codes SHALL be taken from RoleClassAssignedEntity (required to `http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`ASSIGNED`
182. Act.performer:payer.assignedEntity.id
Short	𝗨𝗦𝗖𝗗𝗜: PAYER IDENTIFIER: This is the Payer id. The root is a unique identifier to an openly available assigning authority, such as National Association of Insurance Commissioners (NAIC) (2.16.840.1.113883.6.300), and the extension identifiers the payer within that authority.
Comments	This assignedEntity SHALL contain at least one [1..*] id (CONF:4537-8909).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
184. Act.performer:payer.assignedEntity.sdtcIdentifiedBy
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`identifiedBy`.
186. Act.performer:payer.assignedEntity.code
Comments	This assignedEntity SHOULD contain zero or one [0..1] code (CONF:4537-8914).
Control	0..1
Binding	For example codes, see CDARoleCode (example to `http://hl7.org/cda/stds/core/ValueSet/CDARoleCode`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
188. Act.performer:payer.assignedEntity.code.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..0
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
190. Act.performer:payer.assignedEntity.code.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Control	1..1
Binding	The codes SHOULD be taken from Financially Responsible Party Type Value Set (preferred to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.10416`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code
192. Act.performer:payer.assignedEntity.code.codeSystem
Definition	Specifies the code system that defines the code.
Control	0..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System
194. Act.performer:payer.assignedEntity.code.codeSystemName
Definition	The common name of the coding system.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Name
196. Act.performer:payer.assignedEntity.code.codeSystemVersion
Definition	If applicable, a version descriptor defined specifically for the given code system.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Version
198. Act.performer:payer.assignedEntity.code.displayName
Definition	A name or title for the code, under which the sending system shows the code value to its users.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Display Name
200. Act.performer:payer.assignedEntity.code.sdtcValueSet
Definition	The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.
Control	0..1
Type	string(oid: ISO Object Identifier)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSet`.
202. Act.performer:payer.assignedEntity.code.sdtcValueSetVersion
Definition	The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSetVersion`.
204. Act.performer:payer.assignedEntity.code.originalText
Definition	The text or phrase used as the basis for the coding.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
Label	Original Text
206. Act.performer:payer.assignedEntity.code.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/CR
Label	Qualifier
208. Act.performer:payer.assignedEntity.code.translation
Definition	A set of other concept descriptors that translate this concept descriptor into other code systems.
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CD
XML Format	The type of this property is determined using the `xsi:type`attribute.
Label	Translation
210. Act.performer:payer.assignedEntity.addr
Definition	Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.
Short	Base for all types and resources
Comments	This assignedEntity MAY contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-8910).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
Is Modifier	false
Invariants	shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). (`nullFlavor.exists() or item.city.count() = 1`) shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). (`nullFlavor.exists() or (item.streetAddressLine.count() >= 1 and item.streetAddressLine.count() <= 4)`) should-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`) should-country: SHOULD contain country (`nullFlavor.exists() or item.country.exists()`) 81-7296: SHALL NOT have mixed content except for white space (CONF:81-7296) (`item.xmlText.empty()`) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). (`nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state'))`) 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). (`nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?'))`) shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country (`(item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1)`)
212. Act.performer:payer.assignedEntity.telecom
Comments	This assignedEntity MAY contain zero or more [0..*] telecom (CONF:4537-8911).
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
214. Act.performer:payer.assignedEntity.assignedPerson
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Person
216. Act.performer:payer.assignedEntity.representedOrganization
Comments	This assignedEntity SHOULD contain zero or one [0..1] representedOrganization (CONF:4537-8912).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Organization
Invariants	should-name: SHOULD contain name (`name.exists()`)
218. Act.performer:payer.assignedEntity.representedOrganization.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
220. Act.performer:payer.assignedEntity.representedOrganization.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
222. Act.performer:payer.assignedEntity.representedOrganization.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
224. Act.performer:payer.assignedEntity.representedOrganization.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
226. Act.performer:payer.assignedEntity.representedOrganization.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
228. Act.performer:payer.assignedEntity.representedOrganization.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
230. Act.performer:payer.assignedEntity.representedOrganization.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
232. Act.performer:payer.assignedEntity.representedOrganization.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
234. Act.performer:payer.assignedEntity.representedOrganization.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
236. Act.performer:payer.assignedEntity.representedOrganization.classCode
Control	0..1
Binding	The codes SHALL be taken from EntityClassOrganization (required to `http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`ORG`
238. Act.performer:payer.assignedEntity.representedOrganization.determinerCode
Control	0..1
Binding	The codes SHALL be taken from EntityDeterminer (required to `http://terminology.hl7.org/ValueSet/v3-EntityDeterminer`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`INSTANCE`
240. Act.performer:payer.assignedEntity.representedOrganization.id
Definition	The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Short	Logical id of this artifact
Comments	Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.
Control	0..*1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IIid
Is Modifier	false
242. Act.performer:payer.assignedEntity.representedOrganization.name
Definition	A name associated with the organization.
Short	Name used for the organization
Comments	The representedOrganization, if present, SHOULD contain zero or one [0..1] name (CONF:4537-8913). If the name of an organization changes, consider putting the old name in the alias column so that it can still be located through searches.
Control	0..1 This element is affected by the following invariants: org-1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ONstring
Is Modifier	false
Requirements	Need to use the name as the label of the organization.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
244. Act.performer:payer.assignedEntity.representedOrganization.telecom
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
246. Act.performer:payer.assignedEntity.representedOrganization.addr
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD
248. Act.performer:payer.assignedEntity.representedOrganization.standardIndustryClassCode
Control	0..1
Binding	For example codes, see OrganizationIndustryClassNAICS (example to `http://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
250. Act.performer:payer.assignedEntity.representedOrganization.asOrganizationPartOf
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/OrganizationPartOf
252. Act.performer:payer.assignedEntity.sdtcPatient
Control	0..1
Type	http://hl7.org/fhir/StructureDefinition/Base
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`patient`.
254. Act.performer:payer.assignedEntity.sdtcPatient.id
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.
256. Act.performer:guarantor
Slice Name	guarantor
Short	This performer represents the Guarantor.
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Performer2
Invariants	should-time: SHOULD contain time (`time.exists()`)
258. Act.performer:guarantor.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
260. Act.performer:guarantor.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
262. Act.performer:guarantor.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
264. Act.performer:guarantor.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
266. Act.performer:guarantor.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
268. Act.performer:guarantor.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
270. Act.performer:guarantor.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
272. Act.performer:guarantor.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
274. Act.performer:guarantor.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Comments	SHALL contain exactly one [1..1] templateId (CONF:4537-16810), SHALL not contain [0..0] extension.
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
276. Act.performer:guarantor.templateId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
278. Act.performer:guarantor.templateId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
280. Act.performer:guarantor.templateId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
282. Act.performer:guarantor.templateId.root
Definition	A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Comments	This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.88" Guarantor Performer (CONF:4537-16811).
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Pattern Value	`2.16.840.1.113883.10.20.22.4.88`
284. Act.performer:guarantor.templateId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
286. Act.performer:guarantor.typeCode
Control	1..1
Binding	The codes SHALL be taken from ParticipationPhysicalPerformer (required to `http://terminology.hl7.org/ValueSet/v3-ParticipationPhysicalPerformer`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`PRF`
288. Act.performer:guarantor.sdtcFunctionCode
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`functionCode`.
290. Act.performer:guarantor.time
Comments	SHOULD contain zero or one [0..1] time (CONF:4537-8963).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
292. Act.performer:guarantor.modeCode
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
294. Act.performer:guarantor.assignedEntity
Comments	SHALL contain exactly one [1..1] assignedEntity (CONF:4537-8962).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity
Invariants	4537-8967: SHOULD include assignedEntity/assignedPerson/name AND/OR assignedEntity/representedOrganization/name (CONF:4537-8967). (`assignedPerson.name.exists() or representedOrganization.name.exists()`) should-addr: SHOULD contain addr (`addr.exists()`) should-telecom: SHOULD contain telecom (`telecom.exists()`)
296. Act.performer:guarantor.assignedEntity.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
298. Act.performer:guarantor.assignedEntity.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
300. Act.performer:guarantor.assignedEntity.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
302. Act.performer:guarantor.assignedEntity.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
304. Act.performer:guarantor.assignedEntity.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
306. Act.performer:guarantor.assignedEntity.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
308. Act.performer:guarantor.assignedEntity.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
310. Act.performer:guarantor.assignedEntity.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
312. Act.performer:guarantor.assignedEntity.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
314. Act.performer:guarantor.assignedEntity.classCode
Control	0..1
Binding	The codes SHALL be taken from RoleClassAssignedEntity (required to `http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`ASSIGNED`
316. Act.performer:guarantor.assignedEntity.id
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
318. Act.performer:guarantor.assignedEntity.sdtcIdentifiedBy
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`identifiedBy`.
320. Act.performer:guarantor.assignedEntity.code
Comments	This assignedEntity SHALL contain exactly one [1..1] code (CONF:4537-8968).
Control	1..1
Binding	For example codes, see CDARoleCode (example to `http://hl7.org/cda/stds/core/ValueSet/CDARoleCode`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
322. Act.performer:guarantor.assignedEntity.code.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
324. Act.performer:guarantor.assignedEntity.code.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Comments	This code SHALL contain exactly one [1..1] @code="GUAR" Guarantor (CONF:4537-16096).
Control	1..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code
Pattern Value	`GUAR`
326. Act.performer:guarantor.assignedEntity.code.codeSystem
Definition	Specifies the code system that defines the code.
Comments	This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.110" (CONF:4537-32165).
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System
Pattern Value	`2.16.840.1.113883.5.110`
328. Act.performer:guarantor.assignedEntity.code.codeSystemName
Definition	The common name of the coding system.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Name
330. Act.performer:guarantor.assignedEntity.code.codeSystemVersion
Definition	If applicable, a version descriptor defined specifically for the given code system.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Version
332. Act.performer:guarantor.assignedEntity.code.displayName
Definition	A name or title for the code, under which the sending system shows the code value to its users.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Display Name
334. Act.performer:guarantor.assignedEntity.code.sdtcValueSet
Definition	The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.
Control	0..1
Type	string(oid: ISO Object Identifier)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSet`.
336. Act.performer:guarantor.assignedEntity.code.sdtcValueSetVersion
Definition	The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSetVersion`.
338. Act.performer:guarantor.assignedEntity.code.originalText
Definition	The text or phrase used as the basis for the coding.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
Label	Original Text
340. Act.performer:guarantor.assignedEntity.code.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/CR
Label	Qualifier
342. Act.performer:guarantor.assignedEntity.code.translation
Definition	A set of other concept descriptors that translate this concept descriptor into other code systems.
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CD
XML Format	The type of this property is determined using the `xsi:type`attribute.
Label	Translation
344. Act.performer:guarantor.assignedEntity.addr
Definition	Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.
Short	Base for all types and resources
Comments	This assignedEntity SHOULD contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-8964).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
Is Modifier	false
Invariants	shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). (`nullFlavor.exists() or item.city.count() = 1`) shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). (`nullFlavor.exists() or (item.streetAddressLine.count() >= 1 and item.streetAddressLine.count() <= 4)`) should-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`) should-country: SHOULD contain country (`nullFlavor.exists() or item.country.exists()`) 81-7296: SHALL NOT have mixed content except for white space (CONF:81-7296) (`item.xmlText.empty()`) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). (`nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state'))`) 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). (`nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?'))`) shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country (`(item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1)`)
346. Act.performer:guarantor.assignedEntity.telecom
Comments	This assignedEntity SHOULD contain zero or more [0..*] telecom (CONF:4537-8965).
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
348. Act.performer:guarantor.assignedEntity.assignedPerson
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Person
350. Act.performer:guarantor.assignedEntity.representedOrganization
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Organization
352. Act.performer:guarantor.assignedEntity.sdtcPatient
Control	0..1
Type	http://hl7.org/fhir/StructureDefinition/Base
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`patient`.
354. Act.performer:guarantor.assignedEntity.sdtcPatient.id
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.
356. Act.author
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Author
358. Act.informant
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Informant
360. Act.participant
Comments	SHOULD contain zero or one [0..1] participant (CONF:4537-8934) such that it
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Participant2
Slicing	This element introduces a set of slices on `Act.participant`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ typeCode
362. Act.participant:coverage-target
Slice Name	coverage-target
Short	participant
Comments	SHALL contain exactly one [1..1] participant (CONF:4537-8916) such that it
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Participant2
Invariants	should-time: SHOULD contain time (`time.exists()`)
364. Act.participant:coverage-target.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
366. Act.participant:coverage-target.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
368. Act.participant:coverage-target.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
370. Act.participant:coverage-target.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
372. Act.participant:coverage-target.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
374. Act.participant:coverage-target.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
376. Act.participant:coverage-target.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
378. Act.participant:coverage-target.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
380. Act.participant:coverage-target.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Comments	SHALL contain exactly one [1..1] templateId (CONF:4537-16812), SHALL not contain [0..0] extension.
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
382. Act.participant:coverage-target.templateId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
384. Act.participant:coverage-target.templateId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
386. Act.participant:coverage-target.templateId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
388. Act.participant:coverage-target.templateId.root
Definition	A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Comments	This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.89" Covered Party Participant (CONF:4537-16814).
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Pattern Value	`2.16.840.1.113883.10.20.22.4.89`
390. Act.participant:coverage-target.templateId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
392. Act.participant:coverage-target.typeCode
Comments	SHALL contain exactly one [1..1] @typeCode="COV" Coverage target (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:4537-8917).
Control	1..1
Binding	The codes SHALL be taken from CDAParticipationType (required to `http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`COV`
394. Act.participant:coverage-target.contextControlCode
Control	0..1
Binding	The codes SHALL be taken from CDAContextControl (required to `http://hl7.org/cda/stds/core/ValueSet/CDAContextControl`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`OP`
396. Act.participant:coverage-target.sdtcFunctionCode
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`functionCode`.
398. Act.participant:coverage-target.time
Short	This records the policy coverage period or self-pay period.
Comments	SHOULD contain zero or one [0..1] time (CONF:4537-8918).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
Invariants	should-low: SHOULD contain low (`low.exists()`) should-high: SHOULD contain high (`high.exists()`)
400. Act.participant:coverage-target.time.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
402. Act.participant:coverage-target.time.value
Definition	A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.
Control	0..1
Type	dateTime(ts: Point in Time)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Date Format	YYYYMMDDHHMMSS.UUUU[+\|-ZZzz]
XML Format	In the XML format, this property is represented as an attribute.
404. Act.participant:coverage-target.time.operator
Definition	A code specifying whether the set component is included (union) or excluded (set-difference) from the set, or other set operations with the current set component and the set as constructed from the representation stream up to the current point.
Control	0..1
Binding	The codes SHALL be taken from CDASetOperator (required to `http://hl7.org/cda/stds/core/ValueSet/CDASetOperator`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Default Value	`I`
406. Act.participant:coverage-target.time.low
Definition	This is the low limit of the interval.
Comments	The time, if present, SHOULD contain zero or one [0..1] low (CONF:4537-8919).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
Label	Low Boundary
408. Act.participant:coverage-target.time.center
Definition	The arithmetic mean of the interval (low plus high divided by 2). The purpose of distinguishing the center as a semantic property is for conversions of intervals from and to point values.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/TS
Label	Central Value
410. Act.participant:coverage-target.time.width
Definition	The difference between high and low boundary. The purpose of distinguishing a width property is to handle all cases of incomplete information symmetrically. In any interval representation only two of the three properties high, low, and width need to be stated and the third can be derived.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/PQ
Label	Width
412. Act.participant:coverage-target.time.high
Definition	This is the high limit of the interval.
Comments	The time, if present, SHOULD contain zero or one [0..1] high (CONF:4537-8920).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
Label	High Boundary
414. Act.participant:coverage-target.awarenessCode
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
416. Act.participant:coverage-target.participantRole
Comments	SHALL contain exactly one [1..1] participantRole (CONF:4537-8921).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole
Invariants	should-addr: SHOULD contain addr (`addr.exists()`) should-playingEntity: SHOULD contain playingEntity (`playingEntity.exists()`)
418. Act.participant:coverage-target.participantRole.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
420. Act.participant:coverage-target.participantRole.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
422. Act.participant:coverage-target.participantRole.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
424. Act.participant:coverage-target.participantRole.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
426. Act.participant:coverage-target.participantRole.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
428. Act.participant:coverage-target.participantRole.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
430. Act.participant:coverage-target.participantRole.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
432. Act.participant:coverage-target.participantRole.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
434. Act.participant:coverage-target.participantRole.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
436. Act.participant:coverage-target.participantRole.classCode
Control	0..1
Binding	The codes SHALL be taken from CDARoleClassRoot (required to `http://hl7.org/cda/stds/core/ValueSet/CDARoleClassRoot`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Default Value	`ROL`
438. Act.participant:coverage-target.participantRole.id
Short	𝗨𝗦𝗖𝗗𝗜: MEMBER IDENTIFIER: This id is a unique identifier for the covered party member. Implementers SHOULD use the same GUID for each instance of a member identifier from the same health plan (CONF:4537-8984).
Comments	This participantRole SHALL contain at least one [1..*] id (CONF:4537-8922).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
440. Act.participant:coverage-target.participantRole.sdtcIdentifiedBy
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`identifiedBy`.
442. Act.participant:coverage-target.participantRole.code
Short	𝗨𝗦𝗖𝗗𝗜: RELATIONSHIP TO SUBSCRIBER: Records the relationship of a patient to the primary insured person.
Comments	This participantRole SHALL contain exactly one [1..1] code (CONF:4537-8923).
Control	1..1
Binding	For example codes, see CDARoleCode (example to `http://hl7.org/cda/stds/core/ValueSet/CDARoleCode`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
Invariants	should-code-attr: SHOULD contain @code (`code.exists()`)
444. Act.participant:coverage-target.participantRole.code.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
446. Act.participant:coverage-target.participantRole.code.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Comments	This code SHOULD contain zero or one [0..1] @code, which SHOULD be selected from ValueSet Coverage Role Type Value Set urn:oid:2.16.840.1.113883.1.11.18877 DYNAMIC (CONF:4537-16078).
Control	0..1
Binding	The codes SHOULD be taken from Coverage Role Type Value Set (preferred to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.18877`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code
448. Act.participant:coverage-target.participantRole.code.codeSystem
Definition	Specifies the code system that defines the code.
Control	0..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System
450. Act.participant:coverage-target.participantRole.code.codeSystemName
Definition	The common name of the coding system.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Name
452. Act.participant:coverage-target.participantRole.code.codeSystemVersion
Definition	If applicable, a version descriptor defined specifically for the given code system.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Version
454. Act.participant:coverage-target.participantRole.code.displayName
Definition	A name or title for the code, under which the sending system shows the code value to its users.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Display Name
456. Act.participant:coverage-target.participantRole.code.sdtcValueSet
Definition	The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.
Control	0..1
Type	string(oid: ISO Object Identifier)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSet`.
458. Act.participant:coverage-target.participantRole.code.sdtcValueSetVersion
Definition	The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSetVersion`.
460. Act.participant:coverage-target.participantRole.code.originalText
Definition	The text or phrase used as the basis for the coding.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
Label	Original Text
462. Act.participant:coverage-target.participantRole.code.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/CR
Label	Qualifier
464. Act.participant:coverage-target.participantRole.code.translation
Definition	A set of other concept descriptors that translate this concept descriptor into other code systems.
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CD
XML Format	The type of this property is determined using the `xsi:type`attribute.
Label	Translation
466. Act.participant:coverage-target.participantRole.addr
Definition	Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.
Short	Base for all types and resources
Comments	This participantRole SHOULD contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-8956).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
Is Modifier	false
Invariants	shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). (`nullFlavor.exists() or item.city.count() = 1`) shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). (`nullFlavor.exists() or (item.streetAddressLine.count() >= 1 and item.streetAddressLine.count() <= 4)`) should-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`) should-country: SHOULD contain country (`nullFlavor.exists() or item.country.exists()`) 81-7296: SHALL NOT have mixed content except for white space (CONF:81-7296) (`item.xmlText.empty()`) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). (`nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state'))`) 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). (`nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?'))`) shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country (`(item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1)`)
468. Act.participant:coverage-target.participantRole.telecom
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
470. Act.participant:coverage-target.participantRole.playingDevice
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Device
472. Act.participant:coverage-target.participantRole.playingEntity
Short	This playingEntity records the covered party name and birthTime as represented by the health plan. This could match the information in recordTarget, or be different due to marriage or other reasons.
Comments	This participantRole SHOULD contain zero or one [0..1] playingEntity (CONF:4537-8932).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/PlayingEntity
474. Act.participant:coverage-target.participantRole.playingEntity.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
476. Act.participant:coverage-target.participantRole.playingEntity.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
478. Act.participant:coverage-target.participantRole.playingEntity.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
480. Act.participant:coverage-target.participantRole.playingEntity.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
482. Act.participant:coverage-target.participantRole.playingEntity.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
484. Act.participant:coverage-target.participantRole.playingEntity.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
486. Act.participant:coverage-target.participantRole.playingEntity.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
488. Act.participant:coverage-target.participantRole.playingEntity.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
490. Act.participant:coverage-target.participantRole.playingEntity.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
492. Act.participant:coverage-target.participantRole.playingEntity.classCode
Control	0..1
Binding	The codes SHALL be taken from EntityClassRoot (required to `http://terminology.hl7.org/ValueSet/v3-EntityClassRoot`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Default Value	`ENT`
494. Act.participant:coverage-target.participantRole.playingEntity.determinerCode
Control	0..1
Binding	The codes SHALL be taken from EntityDeterminer (required to `http://terminology.hl7.org/ValueSet/v3-EntityDeterminer`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`INSTANCE`
496. Act.participant:coverage-target.participantRole.playingEntity.code
Control	0..1
Binding	For example codes, see CDAEntityCode (example to `http://hl7.org/cda/stds/core/ValueSet/CDAEntityCode`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
498. Act.participant:coverage-target.participantRole.playingEntity.quantity
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/PQ
500. Act.participant:coverage-target.participantRole.playingEntity.name
Comments	The playingEntity, if present, SHALL contain exactly one [1..1] name (CONF:4537-8930).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/PN
502. Act.participant:coverage-target.participantRole.playingEntity.sdtcBirthTime
Definition	The purpose of this extension is to allow the recording of the subscriber or member of a health plan in cases where the health plan eligibility system has different information on file than the provider does for the patient.
Short	sdtc:birthTime
Comments	The playingEntity, if present, SHALL contain exactly one [1..1] sdtc:birthTime (CONF:4537-31344).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/TS
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`birthTime`.
504. Act.participant:coverage-target.participantRole.playingEntity.desc
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
506. Act.participant:coverage-target.participantRole.scopingEntity
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Entity
508. Act.participant:subscriber
Slice Name	subscriber
Short	When the Subscriber is the patient, the participant element describing the subscriber SHALL NOT be present. This information will be recorded instead in the data elements used to record member information.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Participant2
510. Act.participant:subscriber.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
512. Act.participant:subscriber.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
514. Act.participant:subscriber.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
516. Act.participant:subscriber.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
518. Act.participant:subscriber.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
520. Act.participant:subscriber.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
522. Act.participant:subscriber.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
524. Act.participant:subscriber.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
526. Act.participant:subscriber.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Comments	SHALL contain exactly one [1..1] templateId (CONF:4537-16813), SHALL not contain [0..0] extension.
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
528. Act.participant:subscriber.templateId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
530. Act.participant:subscriber.templateId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
532. Act.participant:subscriber.templateId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
534. Act.participant:subscriber.templateId.root
Definition	A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Comments	This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.90" Policy Holder Participant (CONF:4537-16815).
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Pattern Value	`2.16.840.1.113883.10.20.22.4.90`
536. Act.participant:subscriber.templateId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
538. Act.participant:subscriber.typeCode
Comments	SHALL contain exactly one [1..1] @typeCode="HLD" Holder (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:4537-8935).
Control	1..1
Binding	The codes SHALL be taken from CDAParticipationType (required to `http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`HLD`
540. Act.participant:subscriber.contextControlCode
Control	0..1
Binding	The codes SHALL be taken from CDAContextControl (required to `http://hl7.org/cda/stds/core/ValueSet/CDAContextControl`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`OP`
542. Act.participant:subscriber.sdtcFunctionCode
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`functionCode`.
544. Act.participant:subscriber.time
Comments	MAY contain zero or one [0..1] time (CONF:4537-8938).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
546. Act.participant:subscriber.awarenessCode
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
548. Act.participant:subscriber.participantRole
Comments	SHALL contain exactly one [1..1] participantRole (CONF:4537-8936).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole
Invariants	should-addr: SHOULD contain addr (`addr.exists()`)
550. Act.participant:subscriber.participantRole.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
552. Act.participant:subscriber.participantRole.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
554. Act.participant:subscriber.participantRole.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
556. Act.participant:subscriber.participantRole.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
558. Act.participant:subscriber.participantRole.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
560. Act.participant:subscriber.participantRole.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
562. Act.participant:subscriber.participantRole.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
564. Act.participant:subscriber.participantRole.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
566. Act.participant:subscriber.participantRole.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
568. Act.participant:subscriber.participantRole.classCode
Control	0..1
Binding	The codes SHALL be taken from CDARoleClassRoot (required to `http://hl7.org/cda/stds/core/ValueSet/CDARoleClassRoot`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Default Value	`ROL`
570. Act.participant:subscriber.participantRole.id
Short	𝗨𝗦𝗖𝗗𝗜: SUBSCRIBER ID: This id is a unique identifier for the subscriber of the coverage (CONF:4537-10120).
Comments	This participantRole SHALL contain at least one [1..*] id (CONF:4537-8937).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
572. Act.participant:subscriber.participantRole.sdtcIdentifiedBy
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`identifiedBy`.
574. Act.participant:subscriber.participantRole.code
Control	0..1
Binding	For example codes, see CDARoleCode (example to `http://hl7.org/cda/stds/core/ValueSet/CDARoleCode`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
576. Act.participant:subscriber.participantRole.addr
Definition	Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.
Short	Base for all types and resources
Comments	This participantRole SHOULD contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-8925).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
Is Modifier	false
Invariants	shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). (`nullFlavor.exists() or item.city.count() = 1`) shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). (`nullFlavor.exists() or (item.streetAddressLine.count() >= 1 and item.streetAddressLine.count() <= 4)`) should-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`) should-country: SHOULD contain country (`nullFlavor.exists() or item.country.exists()`) 81-7296: SHALL NOT have mixed content except for white space (CONF:81-7296) (`item.xmlText.empty()`) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). (`nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state'))`) 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). (`nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?'))`) shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country (`(item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1)`)
578. Act.participant:subscriber.participantRole.telecom
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
580. Act.participant:subscriber.participantRole.playingDevice
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Device
582. Act.participant:subscriber.participantRole.playingEntity
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/PlayingEntity
584. Act.participant:subscriber.participantRole.scopingEntity
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Entity
586. Act.entryRelationship
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
Slicing	This element introduces a set of slices on `Act.entryRelationship`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ act.moodCode
588. Act.entryRelationship:authorization
Slice Name	authorization
Short	entryRelationship
Comments	MAY contain one [0..*] entryRelationship (CONF:4537-8939) such that it
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
590. Act.entryRelationship:authorization.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
592. Act.entryRelationship:authorization.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
594. Act.entryRelationship:authorization.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
596. Act.entryRelationship:authorization.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
598. Act.entryRelationship:authorization.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
600. Act.entryRelationship:authorization.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
602. Act.entryRelationship:authorization.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
604. Act.entryRelationship:authorization.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
606. Act.entryRelationship:authorization.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
608. Act.entryRelationship:authorization.typeCode
Comments	SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:4537-8940).
Control	1..1
Binding	The codes SHALL be taken from x_ActRelationshipEntryRelationship (required to `http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`REFR`
610. Act.entryRelationship:authorization.inversionInd
Definition	The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
612. Act.entryRelationship:authorization.contextConductionInd
Definition	The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Default Value	`true`
614. Act.entryRelationship:authorization.negationInd
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
616. Act.entryRelationship:authorization.sequenceNumber
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/INT
618. Act.entryRelationship:authorization.seperatableInd
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/BL
620. Act.entryRelationship:authorization.act
Definition	Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.
Short	Base for all types and resources
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Act(Authorization Activity)
Is Modifier	false
Invariants	should-text-ref-value: SHOULD contain text/reference/@value (`text.reference.value.exists()`)
622. Act.entryRelationship:authorization.act.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
624. Act.entryRelationship:authorization.act.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
626. Act.entryRelationship:authorization.act.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
628. Act.entryRelationship:authorization.act.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
630. Act.entryRelationship:authorization.act.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
632. Act.entryRelationship:authorization.act.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
634. Act.entryRelationship:authorization.act.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
636. Act.entryRelationship:authorization.act.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
638. Act.entryRelationship:authorization.act.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Slicing	This element introduces a set of slices on `Act.entryRelationship.act.templateId`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ root
640. Act.entryRelationship:authorization.act.templateId:authorization-activity
Slice Name	authorization-activity
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
642. Act.entryRelationship:authorization.act.templateId:authorization-activity.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
644. Act.entryRelationship:authorization.act.templateId:authorization-activity.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
646. Act.entryRelationship:authorization.act.templateId:authorization-activity.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
648. Act.entryRelationship:authorization.act.templateId:authorization-activity.root
Definition	A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Pattern Value	`2.16.840.1.113883.10.20.1.19`
650. Act.entryRelationship:authorization.act.templateId:authorization-activity.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
652. Act.entryRelationship:authorization.act.classCode
Comments	SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:81-8944).
Control	1..1
Binding	The codes SHALL be taken from XActClassDocumentEntryAct (2.0.0) (required to `http://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryAct\|2.0.0`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`ACT`
654. Act.entryRelationship:authorization.act.moodCode
Short	EVN
Comments	SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:81-8945).
Control	1..1
Binding	The codes SHALL be taken from XDocumentActMood (2.0.0) (required to `http://terminology.hl7.org/ValueSet/v3-xDocumentActMood\|2.0.0`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`EVN`
656. Act.entryRelationship:authorization.act.negationInd
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
658. Act.entryRelationship:authorization.act.id
Comments	SHALL contain exactly one [1..1] id (CONF:81-8947).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
660. Act.entryRelationship:authorization.act.code
Control	1..1
Binding	For example codes, see v3 Code System ActCode (example to `http://terminology.hl7.org/ValueSet/v3-ActCode`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CD
662. Act.entryRelationship:authorization.act.text
Short	SHOULD reference the portion of section narrative text corresponding to this entry
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
664. Act.entryRelationship:authorization.act.text.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
666. Act.entryRelationship:authorization.act.text.compression
Definition	Indicates whether the raw byte data is compressed, and what compression algorithm was used.
Control	0..1
Binding	The codes SHALL be taken from CDACompressionAlgorithm (required to `http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Compression
668. Act.entryRelationship:authorization.act.text.integrityCheck
Definition	The integrity check is a short binary value representing a cryptographically strong checksum that is calculated over the binary data. The purpose of this property, when communicated with a reference is for anyone to validate later whether the reference still resolved to the same data that the reference resolved to when the encapsulated data value with reference was created.
Control	0..1
Type	base64Binary(bin: Binary Data)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Integrity Check
670. Act.entryRelationship:authorization.act.text.integrityCheckAlgorithm
Definition	Specifies the algorithm used to compute the integrityCheck value. The cryptographically strong checksum algorithm Secure Hash Algorithm-1 (SHA-1) is currently the industry standard. It has superseded the MD5 algorithm only a couple of years ago, when certain flaws in the security of MD5 were discovered. Currently the SHA-1 hash algorithm is the default choice for the integrity check algorithm. Note that SHA-256 is also entering widespread usage.
Control	0..1
Binding	The codes SHALL be taken from IntegrityCheckAlgorithm (2.0.0) (required to `http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm\|2.0.0`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Integrity Check Algorithm
672. Act.entryRelationship:authorization.act.text.language
Definition	For character based information the language property specifies the human language of the text.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Language
674. Act.entryRelationship:authorization.act.text.mediaType
Definition	Identifies the type of the encapsulated data and identifies a method to interpret or render the data.
Control	0..1
Binding	For example codes, see MediaType (example to `http://terminology.hl7.org/ValueSet/v3-MediaType`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Media Type
676. Act.entryRelationship:authorization.act.text.representation
Control	0..1
Binding	The codes SHALL be taken from CDABinaryDataEncoding (required to `http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
678. Act.entryRelationship:authorization.act.text.xmlText
Definition	Data that is primarily intended for human interpretation or for further machine processing is outside the scope of HL7. This includes unformatted or formatted written language, multimedia data, or structured information as defined by a different standard (e.g., XML-signatures.)
Short	Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
Comments	This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as unadorned text.
680. Act.entryRelationship:authorization.act.text.reference
Definition	A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
Label	Reference
Invariants	value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (`value.exists() implies value.startsWith('#')`)
682. Act.entryRelationship:authorization.act.text.thumbnail
Definition	An abbreviated rendition of the full data. A thumbnail requires significantly fewer resources than the full data, while still maintaining some distinctive similarity with the full data. A thumbnail is typically used with by-reference encapsulated data. It allows a user to select data more efficiently before actually downloading through the reference.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
Label	Thumbnail
684. Act.entryRelationship:authorization.act.statusCode
Control	0..1
Binding	The codes SHALL be taken from ActStatus (required to `http://terminology.hl7.org/ValueSet/v3-ActStatus`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
686. Act.entryRelationship:authorization.act.effectiveTime
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
688. Act.entryRelationship:authorization.act.priorityCode
Control	0..1
Binding	For example codes, see ActPriority (example to `http://terminology.hl7.org/ValueSet/v3-ActPriority`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
690. Act.entryRelationship:authorization.act.languageCode
Control	0..1
Binding	The codes SHALL be taken from AllLanguages (required to `http://hl7.org/fhir/ValueSet/all-languages`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
692. Act.entryRelationship:authorization.act.subject
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Subject
694. Act.entryRelationship:authorization.act.specimen
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Specimen
696. Act.entryRelationship:authorization.act.performer
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Performer2
698. Act.entryRelationship:authorization.act.author
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Author
700. Act.entryRelationship:authorization.act.informant
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Informant
702. Act.entryRelationship:authorization.act.participant
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Participant2
704. Act.entryRelationship:authorization.act.entryRelationship
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
Slicing	This element introduces a set of slices on `Act.entryRelationship.act.entryRelationship`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ typeCode
706. Act.entryRelationship:authorization.act.entryRelationship:target
Slice Name	target
Short	The target of an authorization activity MAY contain one or more performer, to indicate the providers that have been authorized to provide treatment (CONF:81-8952).
Comments	SHALL contain at least one [1..*] entryRelationship (CONF:81-8948) such that it
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
Invariants	81-8951: The target of an authorization activity with act/entryRelationship/@typeCode="SUBJ" SHALL be a clinical statement with moodCode="PRMS" Promise (CONF:81-8951). (`(act \| encounter \| observation \| observationMedia \| organizer \| procedure \| regionOfInterest \| substanceAdministration \| supply).where(moodCode='PRMS').exists()`)
708. Act.entryRelationship:authorization.act.entryRelationship:target.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
710. Act.entryRelationship:authorization.act.entryRelationship:target.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
712. Act.entryRelationship:authorization.act.entryRelationship:target.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
714. Act.entryRelationship:authorization.act.entryRelationship:target.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
716. Act.entryRelationship:authorization.act.entryRelationship:target.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
718. Act.entryRelationship:authorization.act.entryRelationship:target.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
720. Act.entryRelationship:authorization.act.entryRelationship:target.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
722. Act.entryRelationship:authorization.act.entryRelationship:target.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
724. Act.entryRelationship:authorization.act.entryRelationship:target.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
726. Act.entryRelationship:authorization.act.entryRelationship:target.typeCode
Comments	SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:81-8949).
Control	1..1
Binding	The codes SHALL be taken from x_ActRelationshipEntryRelationship (required to `http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`SUBJ`
728. Act.entryRelationship:authorization.act.entryRelationship:target.inversionInd
Definition	The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
730. Act.entryRelationship:authorization.act.entryRelationship:target.contextConductionInd
Definition	The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Default Value	`true`
732. Act.entryRelationship:authorization.act.entryRelationship:target.negationInd
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
734. Act.entryRelationship:authorization.act.entryRelationship:target.sequenceNumber
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/INT
736. Act.entryRelationship:authorization.act.entryRelationship:target.seperatableInd
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/BL
738. Act.entryRelationship:authorization.act.entryRelationship:target.act
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Act
740. Act.entryRelationship:authorization.act.entryRelationship:target.encounter
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Encounter
742. Act.entryRelationship:authorization.act.entryRelationship:target.observation
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Observation
744. Act.entryRelationship:authorization.act.entryRelationship:target.observationMedia
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
746. Act.entryRelationship:authorization.act.entryRelationship:target.organizer
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Organizer
748. Act.entryRelationship:authorization.act.entryRelationship:target.procedure
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Procedure
750. Act.entryRelationship:authorization.act.entryRelationship:target.regionOfInterest
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
752. Act.entryRelationship:authorization.act.entryRelationship:target.substanceAdministration
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
754. Act.entryRelationship:authorization.act.entryRelationship:target.supply
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Supply
756. Act.entryRelationship:authorization.act.reference
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Reference
758. Act.entryRelationship:authorization.act.precondition
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Precondition
760. Act.entryRelationship:authorization.act.sdtcPrecondition2
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Precondition2
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`precondition2`.
762. Act.entryRelationship:authorization.act.sdtcInFulfillmentOf1
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`inFulfillmentOf1`.
764. Act.entryRelationship:authorization.encounter
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Encounter
766. Act.entryRelationship:authorization.observation
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Observation
768. Act.entryRelationship:authorization.observationMedia
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
770. Act.entryRelationship:authorization.organizer
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Organizer
772. Act.entryRelationship:authorization.procedure
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Procedure
774. Act.entryRelationship:authorization.regionOfInterest
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
776. Act.entryRelationship:authorization.substanceAdministration
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
778. Act.entryRelationship:authorization.supply
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Supply
780. Act.entryRelationship:plan
Slice Name	plan
Short	Represents the Coverage Plan
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
782. Act.entryRelationship:plan.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
784. Act.entryRelationship:plan.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
786. Act.entryRelationship:plan.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
788. Act.entryRelationship:plan.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
790. Act.entryRelationship:plan.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
792. Act.entryRelationship:plan.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
794. Act.entryRelationship:plan.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
796. Act.entryRelationship:plan.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
798. Act.entryRelationship:plan.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
800. Act.entryRelationship:plan.typeCode
Control	1..1
Binding	The codes SHALL be taken from x_ActRelationshipEntryRelationship (required to `http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`REFR`
802. Act.entryRelationship:plan.inversionInd
Definition	The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
804. Act.entryRelationship:plan.contextConductionInd
Definition	The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Default Value	`true`
806. Act.entryRelationship:plan.negationInd
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
808. Act.entryRelationship:plan.sequenceNumber
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/INT
810. Act.entryRelationship:plan.seperatableInd
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/BL
812. Act.entryRelationship:plan.act
Comments	A description of the coverage plan SHALL contain one or more act/id, to represent the plan identifier, and an act/text with the name of the plan (CONF:4537-8943).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Act
814. Act.entryRelationship:plan.act.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
816. Act.entryRelationship:plan.act.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
818. Act.entryRelationship:plan.act.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
820. Act.entryRelationship:plan.act.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
822. Act.entryRelationship:plan.act.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
824. Act.entryRelationship:plan.act.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
826. Act.entryRelationship:plan.act.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
828. Act.entryRelationship:plan.act.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
830. Act.entryRelationship:plan.act.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
832. Act.entryRelationship:plan.act.classCode
Control	1..1
Binding	The codes SHALL be taken from XActClassDocumentEntryAct (2.0.0) (required to `http://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryAct\|2.0.0`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`ACT`
834. Act.entryRelationship:plan.act.moodCode
Control	1..1
Binding	The codes SHALL be taken from XDocumentActMood (2.0.0) (required to `http://terminology.hl7.org/ValueSet/v3-xDocumentActMood\|2.0.0`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`DEF`
836. Act.entryRelationship:plan.act.negationInd
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
838. Act.entryRelationship:plan.act.id
Short	Plan identifier
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
840. Act.entryRelationship:plan.act.code
Control	1..1
Binding	For example codes, see v3 Code System ActCode (example to `http://terminology.hl7.org/ValueSet/v3-ActCode`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CD
842. Act.entryRelationship:plan.act.text
Short	Name of the plan
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
844. Act.entryRelationship:plan.act.statusCode
Control	0..1
Binding	The codes SHALL be taken from ActStatus (required to `http://terminology.hl7.org/ValueSet/v3-ActStatus`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
846. Act.entryRelationship:plan.act.effectiveTime
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
848. Act.entryRelationship:plan.act.priorityCode
Control	0..1
Binding	For example codes, see ActPriority (example to `http://terminology.hl7.org/ValueSet/v3-ActPriority`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
850. Act.entryRelationship:plan.act.languageCode
Control	0..1
Binding	The codes SHALL be taken from AllLanguages (required to `http://hl7.org/fhir/ValueSet/all-languages`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
852. Act.entryRelationship:plan.act.subject
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Subject
854. Act.entryRelationship:plan.act.specimen
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Specimen
856. Act.entryRelationship:plan.act.performer
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Performer2
858. Act.entryRelationship:plan.act.author
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Author
860. Act.entryRelationship:plan.act.informant
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Informant
862. Act.entryRelationship:plan.act.participant
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Participant2
864. Act.entryRelationship:plan.act.entryRelationship
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
866. Act.entryRelationship:plan.act.reference
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Reference
868. Act.entryRelationship:plan.act.precondition
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Precondition
870. Act.entryRelationship:plan.act.sdtcPrecondition2
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Precondition2
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`precondition2`.
872. Act.entryRelationship:plan.act.sdtcInFulfillmentOf1
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`inFulfillmentOf1`.
874. Act.entryRelationship:plan.encounter
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Encounter
876. Act.entryRelationship:plan.observation
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Observation
878. Act.entryRelationship:plan.observationMedia
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
880. Act.entryRelationship:plan.organizer
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Organizer
882. Act.entryRelationship:plan.procedure
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Procedure
884. Act.entryRelationship:plan.regionOfInterest
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
886. Act.entryRelationship:plan.substanceAdministration
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
888. Act.entryRelationship:plan.supply
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Supply
890. Act.reference
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Reference
892. Act.precondition
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Precondition
894. Act.sdtcPrecondition2
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Precondition2
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`precondition2`.
896. Act.sdtcInFulfillmentOf1
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`inFulfillmentOf1`.

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

0. Act
Definition	Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.
Short	Base for all types and resources
Control	1..1
Is Modifier	false
Logical Container	ClinicalDocument (CDA Class)
Validation	Instance of this type are validated by templateId
XML Format	In the XML format, this property has the namespace `urn:hl7-org:v3`.
Invariants	should-text-ref-value: SHOULD contain text/reference/@value (`text.reference.value.exists()`) 4537-17139: When the Subscriber is the patient (COV participant code = 'SELF'), the participant element describing the subscriber SHALL NOT be present. This information will be recorded instead in the data elements used to record member information (CONF:4537-17139). (`participant.where(typeCode='COV').participantRole.code.where(code = 'SELF').exists() implies participant.where(typeCode='HLD').empty()`)
2. Act.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
4. Act.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
6. Act.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
8. Act.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
10. Act.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
12. Act.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
14. Act.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
16. Act.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
18. Act.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Slicing	This element introduces a set of slices on `Act.templateId`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ root value @ extension
20. Act.templateId:policy-activity
Slice Name	policy-activity
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
22. Act.templateId:policy-activity.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
24. Act.templateId:policy-activity.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
26. Act.templateId:policy-activity.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
28. Act.templateId:policy-activity.root
Definition	A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Pattern Value	`2.16.840.1.113883.10.20.22.4.61`
30. Act.templateId:policy-activity.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
Pattern Value	`2024-05-01`
32. Act.classCode
Comments	SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:4537-8898).
Control	1..1
Binding	The codes SHALL be taken from XActClassDocumentEntryAct (2.0.0) (required to `http://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryAct\|2.0.0`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`ACT`
34. Act.moodCode
Comments	SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:4537-8899).
Control	1..1
Binding	The codes SHALL be taken from XDocumentActMood (2.0.0) (required to `http://terminology.hl7.org/ValueSet/v3-xDocumentActMood\|2.0.0`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`EVN`
36. Act.negationInd
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
38. Act.id
Short	𝗨𝗦𝗖𝗗𝗜: GROUP NUMBER: This is the identifier used to uniquely refer to a specific health insurance plan.
Comments	SHALL contain at least one [1..*] id (CONF:4537-8901).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
40. Act.code
Control	1..1
Binding	For example codes, see v3 Code System ActCode (example to `http://terminology.hl7.org/ValueSet/v3-ActCode`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CD
42. Act.code.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
44. Act.code.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Control	0..1
Binding	The codes SHOULD be taken from Payer Type (preferred to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code
46. Act.code.codeSystem
Definition	Specifies the code system that defines the code.
Control	0..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System
48. Act.code.codeSystemName
Definition	The common name of the coding system.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Name
50. Act.code.codeSystemVersion
Definition	If applicable, a version descriptor defined specifically for the given code system.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Version
52. Act.code.displayName
Definition	A name or title for the code, under which the sending system shows the code value to its users.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Display Name
54. Act.code.sdtcValueSet
Definition	The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.
Control	0..1
Type	string(oid: ISO Object Identifier)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSet`.
56. Act.code.sdtcValueSetVersion
Definition	The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSetVersion`.
58. Act.code.originalText
Definition	The text or phrase used as the basis for the coding.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
Label	Original Text
60. Act.code.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CR
Label	Qualifier
62. Act.code.translation
Definition	A set of other concept descriptors that translate this concept descriptor into other code systems.
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CD
XML Format	The type of this property is determined using the `xsi:type`attribute.
Label	Translation
64. Act.text
Short	SHOULD reference the portion of section narrative text corresponding to this entry
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
66. Act.text.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
68. Act.text.compression
Definition	Indicates whether the raw byte data is compressed, and what compression algorithm was used.
Control	0..1
Binding	The codes SHALL be taken from CDACompressionAlgorithm (required to `http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Compression
70. Act.text.integrityCheck
Definition	The integrity check is a short binary value representing a cryptographically strong checksum that is calculated over the binary data. The purpose of this property, when communicated with a reference is for anyone to validate later whether the reference still resolved to the same data that the reference resolved to when the encapsulated data value with reference was created.
Control	0..1
Type	base64Binary(bin: Binary Data)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Integrity Check
72. Act.text.integrityCheckAlgorithm
Definition	Specifies the algorithm used to compute the integrityCheck value. The cryptographically strong checksum algorithm Secure Hash Algorithm-1 (SHA-1) is currently the industry standard. It has superseded the MD5 algorithm only a couple of years ago, when certain flaws in the security of MD5 were discovered. Currently the SHA-1 hash algorithm is the default choice for the integrity check algorithm. Note that SHA-256 is also entering widespread usage.
Control	0..1
Binding	The codes SHALL be taken from IntegrityCheckAlgorithm (2.0.0) (required to `http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm\|2.0.0`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Integrity Check Algorithm
74. Act.text.language
Definition	For character based information the language property specifies the human language of the text.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Language
76. Act.text.mediaType
Definition	Identifies the type of the encapsulated data and identifies a method to interpret or render the data.
Control	0..1
Binding	For example codes, see MediaType (example to `http://terminology.hl7.org/ValueSet/v3-MediaType`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Media Type
78. Act.text.representation
Control	0..1
Binding	The codes SHALL be taken from CDABinaryDataEncoding (required to `http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
80. Act.text.xmlText
Definition	Data that is primarily intended for human interpretation or for further machine processing is outside the scope of HL7. This includes unformatted or formatted written language, multimedia data, or structured information as defined by a different standard (e.g., XML-signatures.)
Short	Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
Comments	This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as unadorned text.
82. Act.text.reference
Definition	A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
Label	Reference
Invariants	value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (`value.exists() implies value.startsWith('#')`)
84. Act.text.thumbnail
Definition	An abbreviated rendition of the full data. A thumbnail requires significantly fewer resources than the full data, while still maintaining some distinctive similarity with the full data. A thumbnail is typically used with by-reference encapsulated data. It allows a user to select data more efficiently before actually downloading through the reference.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
Label	Thumbnail
86. Act.statusCode
Comments	SHALL contain exactly one [1..1] statusCode (CONF:4537-8902).
Control	1..1
Binding	The codes SHALL be taken from ActStatus (required to `http://terminology.hl7.org/ValueSet/v3-ActStatus`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
88. Act.statusCode.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
90. Act.statusCode.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Comments	This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:4537-19109).
Control	1..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code
Fixed Value	`completed`
92. Act.statusCode.codeSystem
Definition	Specifies the code system that defines the code.
Control	0..0
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System
94. Act.statusCode.codeSystemName
Definition	The common name of the coding system.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Name
96. Act.statusCode.codeSystemVersion
Definition	If applicable, a version descriptor defined specifically for the given code system.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Version
98. Act.statusCode.displayName
Definition	A name or title for the code, under which the sending system shows the code value to its users.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Display Name
100. Act.statusCode.sdtcValueSet
Definition	The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.
Control	0..1
Type	string(oid: ISO Object Identifier)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSet`.
102. Act.statusCode.sdtcValueSetVersion
Definition	The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSetVersion`.
104. Act.statusCode.originalText
Definition	The text or phrase used as the basis for the coding.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
Label	Original Text
106. Act.statusCode.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/CR
Label	Qualifier
108. Act.statusCode.translation
Definition	A set of other concept descriptors that translate this concept descriptor into other code systems.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/CD
XML Format	The type of this property is determined using the `xsi:type`attribute.
Label	Translation
110. Act.effectiveTime
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
112. Act.priorityCode
Control	0..1
Binding	For example codes, see ActPriority (example to `http://terminology.hl7.org/ValueSet/v3-ActPriority`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
114. Act.languageCode
Control	0..1
Binding	The codes SHALL be taken from AllLanguages (required to `http://hl7.org/fhir/ValueSet/all-languages`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
116. Act.subject
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Subject
118. Act.specimen
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Specimen
120. Act.performer
Comments	SHOULD contain zero or more [0..*] performer (CONF:4537-8961) such that it
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Performer2
Slicing	This element introduces a set of slices on `Act.performer`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ templateId.root
122. Act.performer:payer
Slice Name	payer
Short	This performer represents the Payer.
Comments	SHALL contain exactly one [1..1] performer (CONF:4537-8906) such that it
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Performer2
124. Act.performer:payer.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
126. Act.performer:payer.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
128. Act.performer:payer.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
130. Act.performer:payer.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
132. Act.performer:payer.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
134. Act.performer:payer.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
136. Act.performer:payer.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
138. Act.performer:payer.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
140. Act.performer:payer.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Comments	SHALL contain exactly one [1..1] templateId (CONF:4537-16808), SHALL not contain [0..0] extension..
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
142. Act.performer:payer.templateId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
144. Act.performer:payer.templateId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
146. Act.performer:payer.templateId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
148. Act.performer:payer.templateId.root
Definition	A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Comments	This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.87" Payer Performer (CONF:4537-16809).
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Pattern Value	`2.16.840.1.113883.10.20.22.4.87`
150. Act.performer:payer.templateId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
152. Act.performer:payer.typeCode
Control	1..1
Binding	The codes SHALL be taken from ParticipationPhysicalPerformer (required to `http://terminology.hl7.org/ValueSet/v3-ParticipationPhysicalPerformer`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`PRF`
154. Act.performer:payer.sdtcFunctionCode
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`functionCode`.
156. Act.performer:payer.time
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
158. Act.performer:payer.modeCode
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
160. Act.performer:payer.assignedEntity
Comments	SHALL contain exactly one [1..1] assignedEntity (CONF:4537-8908).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity
Invariants	should-code: SHOULD contain code (`code.exists()`) should-representedOrganization: SHOULD contain representedOrganization (`representedOrganization.exists()`)
162. Act.performer:payer.assignedEntity.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
164. Act.performer:payer.assignedEntity.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
166. Act.performer:payer.assignedEntity.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
168. Act.performer:payer.assignedEntity.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
170. Act.performer:payer.assignedEntity.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
172. Act.performer:payer.assignedEntity.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
174. Act.performer:payer.assignedEntity.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
176. Act.performer:payer.assignedEntity.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
178. Act.performer:payer.assignedEntity.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
180. Act.performer:payer.assignedEntity.classCode
Control	0..1
Binding	The codes SHALL be taken from RoleClassAssignedEntity (required to `http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`ASSIGNED`
182. Act.performer:payer.assignedEntity.id
Short	𝗨𝗦𝗖𝗗𝗜: PAYER IDENTIFIER: This is the Payer id. The root is a unique identifier to an openly available assigning authority, such as National Association of Insurance Commissioners (NAIC) (2.16.840.1.113883.6.300), and the extension identifiers the payer within that authority.
Comments	This assignedEntity SHALL contain at least one [1..*] id (CONF:4537-8909).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
184. Act.performer:payer.assignedEntity.sdtcIdentifiedBy
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`identifiedBy`.
186. Act.performer:payer.assignedEntity.code
Comments	This assignedEntity SHOULD contain zero or one [0..1] code (CONF:4537-8914).
Control	0..1
Binding	For example codes, see CDARoleCode (example to `http://hl7.org/cda/stds/core/ValueSet/CDARoleCode`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
188. Act.performer:payer.assignedEntity.code.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..0
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
190. Act.performer:payer.assignedEntity.code.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Control	1..1
Binding	The codes SHOULD be taken from Financially Responsible Party Type Value Set (preferred to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.10416`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code
192. Act.performer:payer.assignedEntity.code.codeSystem
Definition	Specifies the code system that defines the code.
Control	0..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System
194. Act.performer:payer.assignedEntity.code.codeSystemName
Definition	The common name of the coding system.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Name
196. Act.performer:payer.assignedEntity.code.codeSystemVersion
Definition	If applicable, a version descriptor defined specifically for the given code system.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Version
198. Act.performer:payer.assignedEntity.code.displayName
Definition	A name or title for the code, under which the sending system shows the code value to its users.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Display Name
200. Act.performer:payer.assignedEntity.code.sdtcValueSet
Definition	The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.
Control	0..1
Type	string(oid: ISO Object Identifier)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSet`.
202. Act.performer:payer.assignedEntity.code.sdtcValueSetVersion
Definition	The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSetVersion`.
204. Act.performer:payer.assignedEntity.code.originalText
Definition	The text or phrase used as the basis for the coding.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
Label	Original Text
206. Act.performer:payer.assignedEntity.code.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/CR
Label	Qualifier
208. Act.performer:payer.assignedEntity.code.translation
Definition	A set of other concept descriptors that translate this concept descriptor into other code systems.
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CD
XML Format	The type of this property is determined using the `xsi:type`attribute.
Label	Translation
210. Act.performer:payer.assignedEntity.addr
Definition	Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.
Short	Base for all types and resources
Comments	This assignedEntity MAY contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-8910).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
Is Modifier	false
Invariants	shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). (`nullFlavor.exists() or item.city.count() = 1`) shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). (`nullFlavor.exists() or (item.streetAddressLine.count() >= 1 and item.streetAddressLine.count() <= 4)`) should-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`) should-country: SHOULD contain country (`nullFlavor.exists() or item.country.exists()`) 81-7296: SHALL NOT have mixed content except for white space (CONF:81-7296) (`item.xmlText.empty()`) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). (`nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state'))`) 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). (`nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?'))`) shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country (`(item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1)`)
212. Act.performer:payer.assignedEntity.telecom
Comments	This assignedEntity MAY contain zero or more [0..*] telecom (CONF:4537-8911).
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
214. Act.performer:payer.assignedEntity.assignedPerson
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Person
216. Act.performer:payer.assignedEntity.representedOrganization
Comments	This assignedEntity SHOULD contain zero or one [0..1] representedOrganization (CONF:4537-8912).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Organization
Invariants	should-name: SHOULD contain name (`name.exists()`)
218. Act.performer:payer.assignedEntity.representedOrganization.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
220. Act.performer:payer.assignedEntity.representedOrganization.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
222. Act.performer:payer.assignedEntity.representedOrganization.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
224. Act.performer:payer.assignedEntity.representedOrganization.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
226. Act.performer:payer.assignedEntity.representedOrganization.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
228. Act.performer:payer.assignedEntity.representedOrganization.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
230. Act.performer:payer.assignedEntity.representedOrganization.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
232. Act.performer:payer.assignedEntity.representedOrganization.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
234. Act.performer:payer.assignedEntity.representedOrganization.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
236. Act.performer:payer.assignedEntity.representedOrganization.classCode
Control	0..1
Binding	The codes SHALL be taken from EntityClassOrganization (required to `http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`ORG`
238. Act.performer:payer.assignedEntity.representedOrganization.determinerCode
Control	0..1
Binding	The codes SHALL be taken from EntityDeterminer (required to `http://terminology.hl7.org/ValueSet/v3-EntityDeterminer`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`INSTANCE`
240. Act.performer:payer.assignedEntity.representedOrganization.id
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
242. Act.performer:payer.assignedEntity.representedOrganization.name
Comments	The representedOrganization, if present, SHOULD contain zero or one [0..1] name (CONF:4537-8913).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ON
244. Act.performer:payer.assignedEntity.representedOrganization.telecom
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
246. Act.performer:payer.assignedEntity.representedOrganization.addr
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD
248. Act.performer:payer.assignedEntity.representedOrganization.standardIndustryClassCode
Control	0..1
Binding	For example codes, see OrganizationIndustryClassNAICS (example to `http://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
250. Act.performer:payer.assignedEntity.representedOrganization.asOrganizationPartOf
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/OrganizationPartOf
252. Act.performer:payer.assignedEntity.sdtcPatient
Control	0..1
Type	http://hl7.org/fhir/StructureDefinition/Base
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`patient`.
254. Act.performer:payer.assignedEntity.sdtcPatient.id
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.
256. Act.performer:guarantor
Slice Name	guarantor
Short	This performer represents the Guarantor.
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Performer2
Invariants	should-time: SHOULD contain time (`time.exists()`)
258. Act.performer:guarantor.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
260. Act.performer:guarantor.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
262. Act.performer:guarantor.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
264. Act.performer:guarantor.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
266. Act.performer:guarantor.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
268. Act.performer:guarantor.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
270. Act.performer:guarantor.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
272. Act.performer:guarantor.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
274. Act.performer:guarantor.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Comments	SHALL contain exactly one [1..1] templateId (CONF:4537-16810), SHALL not contain [0..0] extension.
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
276. Act.performer:guarantor.templateId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
278. Act.performer:guarantor.templateId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
280. Act.performer:guarantor.templateId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
282. Act.performer:guarantor.templateId.root
Definition	A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Comments	This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.88" Guarantor Performer (CONF:4537-16811).
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Pattern Value	`2.16.840.1.113883.10.20.22.4.88`
284. Act.performer:guarantor.templateId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
286. Act.performer:guarantor.typeCode
Control	1..1
Binding	The codes SHALL be taken from ParticipationPhysicalPerformer (required to `http://terminology.hl7.org/ValueSet/v3-ParticipationPhysicalPerformer`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`PRF`
288. Act.performer:guarantor.sdtcFunctionCode
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`functionCode`.
290. Act.performer:guarantor.time
Comments	SHOULD contain zero or one [0..1] time (CONF:4537-8963).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
292. Act.performer:guarantor.modeCode
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
294. Act.performer:guarantor.assignedEntity
Comments	SHALL contain exactly one [1..1] assignedEntity (CONF:4537-8962).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity
Invariants	4537-8967: SHOULD include assignedEntity/assignedPerson/name AND/OR assignedEntity/representedOrganization/name (CONF:4537-8967). (`assignedPerson.name.exists() or representedOrganization.name.exists()`) should-addr: SHOULD contain addr (`addr.exists()`) should-telecom: SHOULD contain telecom (`telecom.exists()`)
296. Act.performer:guarantor.assignedEntity.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
298. Act.performer:guarantor.assignedEntity.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
300. Act.performer:guarantor.assignedEntity.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
302. Act.performer:guarantor.assignedEntity.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
304. Act.performer:guarantor.assignedEntity.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
306. Act.performer:guarantor.assignedEntity.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
308. Act.performer:guarantor.assignedEntity.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
310. Act.performer:guarantor.assignedEntity.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
312. Act.performer:guarantor.assignedEntity.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
314. Act.performer:guarantor.assignedEntity.classCode
Control	0..1
Binding	The codes SHALL be taken from RoleClassAssignedEntity (required to `http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`ASSIGNED`
316. Act.performer:guarantor.assignedEntity.id
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
318. Act.performer:guarantor.assignedEntity.sdtcIdentifiedBy
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`identifiedBy`.
320. Act.performer:guarantor.assignedEntity.code
Comments	This assignedEntity SHALL contain exactly one [1..1] code (CONF:4537-8968).
Control	1..1
Binding	For example codes, see CDARoleCode (example to `http://hl7.org/cda/stds/core/ValueSet/CDARoleCode`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
322. Act.performer:guarantor.assignedEntity.code.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
324. Act.performer:guarantor.assignedEntity.code.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Comments	This code SHALL contain exactly one [1..1] @code="GUAR" Guarantor (CONF:4537-16096).
Control	1..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code
Pattern Value	`GUAR`
326. Act.performer:guarantor.assignedEntity.code.codeSystem
Definition	Specifies the code system that defines the code.
Comments	This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.110" (CONF:4537-32165).
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System
Pattern Value	`2.16.840.1.113883.5.110`
328. Act.performer:guarantor.assignedEntity.code.codeSystemName
Definition	The common name of the coding system.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Name
330. Act.performer:guarantor.assignedEntity.code.codeSystemVersion
Definition	If applicable, a version descriptor defined specifically for the given code system.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Version
332. Act.performer:guarantor.assignedEntity.code.displayName
Definition	A name or title for the code, under which the sending system shows the code value to its users.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Display Name
334. Act.performer:guarantor.assignedEntity.code.sdtcValueSet
Definition	The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.
Control	0..1
Type	string(oid: ISO Object Identifier)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSet`.
336. Act.performer:guarantor.assignedEntity.code.sdtcValueSetVersion
Definition	The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSetVersion`.
338. Act.performer:guarantor.assignedEntity.code.originalText
Definition	The text or phrase used as the basis for the coding.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
Label	Original Text
340. Act.performer:guarantor.assignedEntity.code.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/CR
Label	Qualifier
342. Act.performer:guarantor.assignedEntity.code.translation
Definition	A set of other concept descriptors that translate this concept descriptor into other code systems.
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CD
XML Format	The type of this property is determined using the `xsi:type`attribute.
Label	Translation
344. Act.performer:guarantor.assignedEntity.addr
Definition	Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.
Short	Base for all types and resources
Comments	This assignedEntity SHOULD contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-8964).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
Is Modifier	false
Invariants	shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). (`nullFlavor.exists() or item.city.count() = 1`) shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). (`nullFlavor.exists() or (item.streetAddressLine.count() >= 1 and item.streetAddressLine.count() <= 4)`) should-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`) should-country: SHOULD contain country (`nullFlavor.exists() or item.country.exists()`) 81-7296: SHALL NOT have mixed content except for white space (CONF:81-7296) (`item.xmlText.empty()`) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). (`nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state'))`) 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). (`nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?'))`) shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country (`(item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1)`)
346. Act.performer:guarantor.assignedEntity.telecom
Comments	This assignedEntity SHOULD contain zero or more [0..*] telecom (CONF:4537-8965).
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
348. Act.performer:guarantor.assignedEntity.assignedPerson
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Person
350. Act.performer:guarantor.assignedEntity.representedOrganization
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Organization
352. Act.performer:guarantor.assignedEntity.sdtcPatient
Control	0..1
Type	http://hl7.org/fhir/StructureDefinition/Base
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`patient`.
354. Act.performer:guarantor.assignedEntity.sdtcPatient.id
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.
356. Act.author
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Author
358. Act.informant
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Informant
360. Act.participant
Comments	SHOULD contain zero or one [0..1] participant (CONF:4537-8934) such that it
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Participant2
Slicing	This element introduces a set of slices on `Act.participant`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ typeCode
362. Act.participant:coverage-target
Slice Name	coverage-target
Short	participant
Comments	SHALL contain exactly one [1..1] participant (CONF:4537-8916) such that it
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Participant2
Invariants	should-time: SHOULD contain time (`time.exists()`)
364. Act.participant:coverage-target.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
366. Act.participant:coverage-target.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
368. Act.participant:coverage-target.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
370. Act.participant:coverage-target.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
372. Act.participant:coverage-target.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
374. Act.participant:coverage-target.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
376. Act.participant:coverage-target.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
378. Act.participant:coverage-target.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
380. Act.participant:coverage-target.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Comments	SHALL contain exactly one [1..1] templateId (CONF:4537-16812), SHALL not contain [0..0] extension.
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
382. Act.participant:coverage-target.templateId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
384. Act.participant:coverage-target.templateId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
386. Act.participant:coverage-target.templateId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
388. Act.participant:coverage-target.templateId.root
Definition	A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Comments	This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.89" Covered Party Participant (CONF:4537-16814).
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Pattern Value	`2.16.840.1.113883.10.20.22.4.89`
390. Act.participant:coverage-target.templateId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
392. Act.participant:coverage-target.typeCode
Comments	SHALL contain exactly one [1..1] @typeCode="COV" Coverage target (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:4537-8917).
Control	1..1
Binding	The codes SHALL be taken from CDAParticipationType (required to `http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`COV`
394. Act.participant:coverage-target.contextControlCode
Control	0..1
Binding	The codes SHALL be taken from CDAContextControl (required to `http://hl7.org/cda/stds/core/ValueSet/CDAContextControl`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`OP`
396. Act.participant:coverage-target.sdtcFunctionCode
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`functionCode`.
398. Act.participant:coverage-target.time
Short	This records the policy coverage period or self-pay period.
Comments	SHOULD contain zero or one [0..1] time (CONF:4537-8918).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
Invariants	should-low: SHOULD contain low (`low.exists()`) should-high: SHOULD contain high (`high.exists()`)
400. Act.participant:coverage-target.time.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
402. Act.participant:coverage-target.time.value
Definition	A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.
Control	0..1
Type	dateTime(ts: Point in Time)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Date Format	YYYYMMDDHHMMSS.UUUU[+\|-ZZzz]
XML Format	In the XML format, this property is represented as an attribute.
404. Act.participant:coverage-target.time.operator
Definition	A code specifying whether the set component is included (union) or excluded (set-difference) from the set, or other set operations with the current set component and the set as constructed from the representation stream up to the current point.
Control	0..1
Binding	The codes SHALL be taken from CDASetOperator (required to `http://hl7.org/cda/stds/core/ValueSet/CDASetOperator`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Default Value	`I`
406. Act.participant:coverage-target.time.low
Definition	This is the low limit of the interval.
Comments	The time, if present, SHOULD contain zero or one [0..1] low (CONF:4537-8919).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
Label	Low Boundary
408. Act.participant:coverage-target.time.center
Definition	The arithmetic mean of the interval (low plus high divided by 2). The purpose of distinguishing the center as a semantic property is for conversions of intervals from and to point values.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/TS
Label	Central Value
410. Act.participant:coverage-target.time.width
Definition	The difference between high and low boundary. The purpose of distinguishing a width property is to handle all cases of incomplete information symmetrically. In any interval representation only two of the three properties high, low, and width need to be stated and the third can be derived.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/PQ
Label	Width
412. Act.participant:coverage-target.time.high
Definition	This is the high limit of the interval.
Comments	The time, if present, SHOULD contain zero or one [0..1] high (CONF:4537-8920).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
Label	High Boundary
414. Act.participant:coverage-target.awarenessCode
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
416. Act.participant:coverage-target.participantRole
Comments	SHALL contain exactly one [1..1] participantRole (CONF:4537-8921).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole
Invariants	should-addr: SHOULD contain addr (`addr.exists()`) should-playingEntity: SHOULD contain playingEntity (`playingEntity.exists()`)
418. Act.participant:coverage-target.participantRole.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
420. Act.participant:coverage-target.participantRole.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
422. Act.participant:coverage-target.participantRole.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
424. Act.participant:coverage-target.participantRole.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
426. Act.participant:coverage-target.participantRole.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
428. Act.participant:coverage-target.participantRole.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
430. Act.participant:coverage-target.participantRole.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
432. Act.participant:coverage-target.participantRole.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
434. Act.participant:coverage-target.participantRole.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
436. Act.participant:coverage-target.participantRole.classCode
Control	0..1
Binding	The codes SHALL be taken from CDARoleClassRoot (required to `http://hl7.org/cda/stds/core/ValueSet/CDARoleClassRoot`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Default Value	`ROL`
438. Act.participant:coverage-target.participantRole.id
Short	𝗨𝗦𝗖𝗗𝗜: MEMBER IDENTIFIER: This id is a unique identifier for the covered party member. Implementers SHOULD use the same GUID for each instance of a member identifier from the same health plan (CONF:4537-8984).
Comments	This participantRole SHALL contain at least one [1..*] id (CONF:4537-8922).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
440. Act.participant:coverage-target.participantRole.sdtcIdentifiedBy
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`identifiedBy`.
442. Act.participant:coverage-target.participantRole.code
Short	𝗨𝗦𝗖𝗗𝗜: RELATIONSHIP TO SUBSCRIBER: Records the relationship of a patient to the primary insured person.
Comments	This participantRole SHALL contain exactly one [1..1] code (CONF:4537-8923).
Control	1..1
Binding	For example codes, see CDARoleCode (example to `http://hl7.org/cda/stds/core/ValueSet/CDARoleCode`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
Invariants	should-code-attr: SHOULD contain @code (`code.exists()`)
444. Act.participant:coverage-target.participantRole.code.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
446. Act.participant:coverage-target.participantRole.code.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Comments	This code SHOULD contain zero or one [0..1] @code, which SHOULD be selected from ValueSet Coverage Role Type Value Set urn:oid:2.16.840.1.113883.1.11.18877 DYNAMIC (CONF:4537-16078).
Control	0..1
Binding	The codes SHOULD be taken from Coverage Role Type Value Set (preferred to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.18877`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code
448. Act.participant:coverage-target.participantRole.code.codeSystem
Definition	Specifies the code system that defines the code.
Control	0..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System
450. Act.participant:coverage-target.participantRole.code.codeSystemName
Definition	The common name of the coding system.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Name
452. Act.participant:coverage-target.participantRole.code.codeSystemVersion
Definition	If applicable, a version descriptor defined specifically for the given code system.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Code System Version
454. Act.participant:coverage-target.participantRole.code.displayName
Definition	A name or title for the code, under which the sending system shows the code value to its users.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Display Name
456. Act.participant:coverage-target.participantRole.code.sdtcValueSet
Definition	The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.
Control	0..1
Type	string(oid: ISO Object Identifier)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSet`.
458. Act.participant:coverage-target.participantRole.code.sdtcValueSetVersion
Definition	The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`valueSetVersion`.
460. Act.participant:coverage-target.participantRole.code.originalText
Definition	The text or phrase used as the basis for the coding.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
Label	Original Text
462. Act.participant:coverage-target.participantRole.code.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..0
Type	http://hl7.org/cda/stds/core/StructureDefinition/CR
Label	Qualifier
464. Act.participant:coverage-target.participantRole.code.translation
Definition	A set of other concept descriptors that translate this concept descriptor into other code systems.
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CD
XML Format	The type of this property is determined using the `xsi:type`attribute.
Label	Translation
466. Act.participant:coverage-target.participantRole.addr
Definition	Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.
Short	Base for all types and resources
Comments	This participantRole SHOULD contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-8956).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
Is Modifier	false
Invariants	shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). (`nullFlavor.exists() or item.city.count() = 1`) shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). (`nullFlavor.exists() or (item.streetAddressLine.count() >= 1 and item.streetAddressLine.count() <= 4)`) should-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`) should-country: SHOULD contain country (`nullFlavor.exists() or item.country.exists()`) 81-7296: SHALL NOT have mixed content except for white space (CONF:81-7296) (`item.xmlText.empty()`) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). (`nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state'))`) 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). (`nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?'))`) shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country (`(item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1)`)
468. Act.participant:coverage-target.participantRole.telecom
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
470. Act.participant:coverage-target.participantRole.playingDevice
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Device
472. Act.participant:coverage-target.participantRole.playingEntity
Short	This playingEntity records the covered party name and birthTime as represented by the health plan. This could match the information in recordTarget, or be different due to marriage or other reasons.
Comments	This participantRole SHOULD contain zero or one [0..1] playingEntity (CONF:4537-8932).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/PlayingEntity
474. Act.participant:coverage-target.participantRole.playingEntity.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
476. Act.participant:coverage-target.participantRole.playingEntity.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
478. Act.participant:coverage-target.participantRole.playingEntity.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
480. Act.participant:coverage-target.participantRole.playingEntity.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
482. Act.participant:coverage-target.participantRole.playingEntity.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
484. Act.participant:coverage-target.participantRole.playingEntity.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
486. Act.participant:coverage-target.participantRole.playingEntity.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
488. Act.participant:coverage-target.participantRole.playingEntity.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
490. Act.participant:coverage-target.participantRole.playingEntity.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
492. Act.participant:coverage-target.participantRole.playingEntity.classCode
Control	0..1
Binding	The codes SHALL be taken from EntityClassRoot (required to `http://terminology.hl7.org/ValueSet/v3-EntityClassRoot`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Default Value	`ENT`
494. Act.participant:coverage-target.participantRole.playingEntity.determinerCode
Control	0..1
Binding	The codes SHALL be taken from EntityDeterminer (required to `http://terminology.hl7.org/ValueSet/v3-EntityDeterminer`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`INSTANCE`
496. Act.participant:coverage-target.participantRole.playingEntity.code
Control	0..1
Binding	For example codes, see CDAEntityCode (example to `http://hl7.org/cda/stds/core/ValueSet/CDAEntityCode`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
498. Act.participant:coverage-target.participantRole.playingEntity.quantity
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/PQ
500. Act.participant:coverage-target.participantRole.playingEntity.name
Comments	The playingEntity, if present, SHALL contain exactly one [1..1] name (CONF:4537-8930).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/PN
502. Act.participant:coverage-target.participantRole.playingEntity.sdtcBirthTime
Definition	The purpose of this extension is to allow the recording of the subscriber or member of a health plan in cases where the health plan eligibility system has different information on file than the provider does for the patient.
Short	sdtc:birthTime
Comments	The playingEntity, if present, SHALL contain exactly one [1..1] sdtc:birthTime (CONF:4537-31344).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/TS
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`birthTime`.
504. Act.participant:coverage-target.participantRole.playingEntity.desc
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
506. Act.participant:coverage-target.participantRole.scopingEntity
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Entity
508. Act.participant:subscriber
Slice Name	subscriber
Short	When the Subscriber is the patient, the participant element describing the subscriber SHALL NOT be present. This information will be recorded instead in the data elements used to record member information.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Participant2
510. Act.participant:subscriber.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
512. Act.participant:subscriber.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
514. Act.participant:subscriber.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
516. Act.participant:subscriber.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
518. Act.participant:subscriber.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
520. Act.participant:subscriber.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
522. Act.participant:subscriber.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
524. Act.participant:subscriber.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
526. Act.participant:subscriber.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Comments	SHALL contain exactly one [1..1] templateId (CONF:4537-16813), SHALL not contain [0..0] extension.
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
528. Act.participant:subscriber.templateId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
530. Act.participant:subscriber.templateId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
532. Act.participant:subscriber.templateId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
534. Act.participant:subscriber.templateId.root
Definition	A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Comments	This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.90" Policy Holder Participant (CONF:4537-16815).
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Pattern Value	`2.16.840.1.113883.10.20.22.4.90`
536. Act.participant:subscriber.templateId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
538. Act.participant:subscriber.typeCode
Comments	SHALL contain exactly one [1..1] @typeCode="HLD" Holder (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:4537-8935).
Control	1..1
Binding	The codes SHALL be taken from CDAParticipationType (required to `http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`HLD`
540. Act.participant:subscriber.contextControlCode
Control	0..1
Binding	The codes SHALL be taken from CDAContextControl (required to `http://hl7.org/cda/stds/core/ValueSet/CDAContextControl`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`OP`
542. Act.participant:subscriber.sdtcFunctionCode
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`functionCode`.
544. Act.participant:subscriber.time
Comments	MAY contain zero or one [0..1] time (CONF:4537-8938).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
546. Act.participant:subscriber.awarenessCode
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
548. Act.participant:subscriber.participantRole
Comments	SHALL contain exactly one [1..1] participantRole (CONF:4537-8936).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole
Invariants	should-addr: SHOULD contain addr (`addr.exists()`)
550. Act.participant:subscriber.participantRole.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
552. Act.participant:subscriber.participantRole.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
554. Act.participant:subscriber.participantRole.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
556. Act.participant:subscriber.participantRole.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
558. Act.participant:subscriber.participantRole.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
560. Act.participant:subscriber.participantRole.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
562. Act.participant:subscriber.participantRole.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
564. Act.participant:subscriber.participantRole.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
566. Act.participant:subscriber.participantRole.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
568. Act.participant:subscriber.participantRole.classCode
Control	0..1
Binding	The codes SHALL be taken from CDARoleClassRoot (required to `http://hl7.org/cda/stds/core/ValueSet/CDARoleClassRoot`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Default Value	`ROL`
570. Act.participant:subscriber.participantRole.id
Short	𝗨𝗦𝗖𝗗𝗜: SUBSCRIBER ID: This id is a unique identifier for the subscriber of the coverage (CONF:4537-10120).
Comments	This participantRole SHALL contain at least one [1..*] id (CONF:4537-8937).
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
572. Act.participant:subscriber.participantRole.sdtcIdentifiedBy
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`identifiedBy`.
574. Act.participant:subscriber.participantRole.code
Control	0..1
Binding	For example codes, see CDARoleCode (example to `http://hl7.org/cda/stds/core/ValueSet/CDARoleCode`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
576. Act.participant:subscriber.participantRole.addr
Definition	Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.
Short	Base for all types and resources
Comments	This participantRole SHOULD contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-8925).
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
Is Modifier	false
Invariants	shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). (`nullFlavor.exists() or item.city.count() = 1`) shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). (`nullFlavor.exists() or (item.streetAddressLine.count() >= 1 and item.streetAddressLine.count() <= 4)`) should-use: SHOULD contain @use (`nullFlavor.exists() or use.exists()`) should-country: SHOULD contain country (`nullFlavor.exists() or item.country.exists()`) 81-7296: SHALL NOT have mixed content except for white space (CONF:81-7296) (`item.xmlText.empty()`) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). (`nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state'))`) 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). (`nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?'))`) shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country (`(item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1)`)
578. Act.participant:subscriber.participantRole.telecom
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
580. Act.participant:subscriber.participantRole.playingDevice
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Device
582. Act.participant:subscriber.participantRole.playingEntity
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/PlayingEntity
584. Act.participant:subscriber.participantRole.scopingEntity
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Entity
586. Act.entryRelationship
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
Slicing	This element introduces a set of slices on `Act.entryRelationship`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ act.moodCode
588. Act.entryRelationship:authorization
Slice Name	authorization
Short	entryRelationship
Comments	MAY contain one [0..*] entryRelationship (CONF:4537-8939) such that it
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
590. Act.entryRelationship:authorization.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
592. Act.entryRelationship:authorization.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
594. Act.entryRelationship:authorization.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
596. Act.entryRelationship:authorization.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
598. Act.entryRelationship:authorization.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
600. Act.entryRelationship:authorization.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
602. Act.entryRelationship:authorization.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
604. Act.entryRelationship:authorization.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
606. Act.entryRelationship:authorization.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
608. Act.entryRelationship:authorization.typeCode
Comments	SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:4537-8940).
Control	1..1
Binding	The codes SHALL be taken from x_ActRelationshipEntryRelationship (required to `http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`REFR`
610. Act.entryRelationship:authorization.inversionInd
Definition	The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
612. Act.entryRelationship:authorization.contextConductionInd
Definition	The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Default Value	`true`
614. Act.entryRelationship:authorization.negationInd
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
616. Act.entryRelationship:authorization.sequenceNumber
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/INT
618. Act.entryRelationship:authorization.seperatableInd
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/BL
620. Act.entryRelationship:authorization.act
Definition	Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.
Short	Base for all types and resources
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Act(Authorization Activity)
Is Modifier	false
Invariants	should-text-ref-value: SHOULD contain text/reference/@value (`text.reference.value.exists()`)
622. Act.entryRelationship:authorization.act.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
624. Act.entryRelationship:authorization.act.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
626. Act.entryRelationship:authorization.act.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
628. Act.entryRelationship:authorization.act.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
630. Act.entryRelationship:authorization.act.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
632. Act.entryRelationship:authorization.act.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
634. Act.entryRelationship:authorization.act.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
636. Act.entryRelationship:authorization.act.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
638. Act.entryRelationship:authorization.act.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Slicing	This element introduces a set of slices on `Act.entryRelationship.act.templateId`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ root
640. Act.entryRelationship:authorization.act.templateId:authorization-activity
Slice Name	authorization-activity
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
642. Act.entryRelationship:authorization.act.templateId:authorization-activity.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
644. Act.entryRelationship:authorization.act.templateId:authorization-activity.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
646. Act.entryRelationship:authorization.act.templateId:authorization-activity.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
648. Act.entryRelationship:authorization.act.templateId:authorization-activity.root
Definition	A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Pattern Value	`2.16.840.1.113883.10.20.1.19`
650. Act.entryRelationship:authorization.act.templateId:authorization-activity.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	0..0
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
652. Act.entryRelationship:authorization.act.classCode
Comments	SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:81-8944).
Control	1..1
Binding	The codes SHALL be taken from XActClassDocumentEntryAct (2.0.0) (required to `http://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryAct\|2.0.0`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`ACT`
654. Act.entryRelationship:authorization.act.moodCode
Short	EVN
Comments	SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:81-8945).
Control	1..1
Binding	The codes SHALL be taken from XDocumentActMood (2.0.0) (required to `http://terminology.hl7.org/ValueSet/v3-xDocumentActMood\|2.0.0`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`EVN`
656. Act.entryRelationship:authorization.act.negationInd
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
658. Act.entryRelationship:authorization.act.id
Comments	SHALL contain exactly one [1..1] id (CONF:81-8947).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
660. Act.entryRelationship:authorization.act.code
Control	1..1
Binding	For example codes, see v3 Code System ActCode (example to `http://terminology.hl7.org/ValueSet/v3-ActCode`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CD
662. Act.entryRelationship:authorization.act.text
Short	SHOULD reference the portion of section narrative text corresponding to this entry
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
664. Act.entryRelationship:authorization.act.text.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
666. Act.entryRelationship:authorization.act.text.compression
Definition	Indicates whether the raw byte data is compressed, and what compression algorithm was used.
Control	0..1
Binding	The codes SHALL be taken from CDACompressionAlgorithm (required to `http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Compression
668. Act.entryRelationship:authorization.act.text.integrityCheck
Definition	The integrity check is a short binary value representing a cryptographically strong checksum that is calculated over the binary data. The purpose of this property, when communicated with a reference is for anyone to validate later whether the reference still resolved to the same data that the reference resolved to when the encapsulated data value with reference was created.
Control	0..1
Type	base64Binary(bin: Binary Data)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Integrity Check
670. Act.entryRelationship:authorization.act.text.integrityCheckAlgorithm
Definition	Specifies the algorithm used to compute the integrityCheck value. The cryptographically strong checksum algorithm Secure Hash Algorithm-1 (SHA-1) is currently the industry standard. It has superseded the MD5 algorithm only a couple of years ago, when certain flaws in the security of MD5 were discovered. Currently the SHA-1 hash algorithm is the default choice for the integrity check algorithm. Note that SHA-256 is also entering widespread usage.
Control	0..1
Binding	The codes SHALL be taken from IntegrityCheckAlgorithm (2.0.0) (required to `http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm\|2.0.0`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Integrity Check Algorithm
672. Act.entryRelationship:authorization.act.text.language
Definition	For character based information the language property specifies the human language of the text.
Control	0..1
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Language
674. Act.entryRelationship:authorization.act.text.mediaType
Definition	Identifies the type of the encapsulated data and identifies a method to interpret or render the data.
Control	0..1
Binding	For example codes, see MediaType (example to `http://terminology.hl7.org/ValueSet/v3-MediaType`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Media Type
676. Act.entryRelationship:authorization.act.text.representation
Control	0..1
Binding	The codes SHALL be taken from CDABinaryDataEncoding (required to `http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
678. Act.entryRelationship:authorization.act.text.xmlText
Definition	Data that is primarily intended for human interpretation or for further machine processing is outside the scope of HL7. This includes unformatted or formatted written language, multimedia data, or structured information as defined by a different standard (e.g., XML-signatures.)
Short	Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
Comments	This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as unadorned text.
680. Act.entryRelationship:authorization.act.text.reference
Definition	A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/TEL
Label	Reference
Invariants	value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (`value.exists() implies value.startsWith('#')`)
682. Act.entryRelationship:authorization.act.text.thumbnail
Definition	An abbreviated rendition of the full data. A thumbnail requires significantly fewer resources than the full data, while still maintaining some distinctive similarity with the full data. A thumbnail is typically used with by-reference encapsulated data. It allows a user to select data more efficiently before actually downloading through the reference.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
Label	Thumbnail
684. Act.entryRelationship:authorization.act.statusCode
Control	0..1
Binding	The codes SHALL be taken from ActStatus (required to `http://terminology.hl7.org/ValueSet/v3-ActStatus`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
686. Act.entryRelationship:authorization.act.effectiveTime
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
688. Act.entryRelationship:authorization.act.priorityCode
Control	0..1
Binding	For example codes, see ActPriority (example to `http://terminology.hl7.org/ValueSet/v3-ActPriority`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
690. Act.entryRelationship:authorization.act.languageCode
Control	0..1
Binding	The codes SHALL be taken from AllLanguages (required to `http://hl7.org/fhir/ValueSet/all-languages`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
692. Act.entryRelationship:authorization.act.subject
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Subject
694. Act.entryRelationship:authorization.act.specimen
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Specimen
696. Act.entryRelationship:authorization.act.performer
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Performer2
698. Act.entryRelationship:authorization.act.author
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Author
700. Act.entryRelationship:authorization.act.informant
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Informant
702. Act.entryRelationship:authorization.act.participant
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Participant2
704. Act.entryRelationship:authorization.act.entryRelationship
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
Slicing	This element introduces a set of slices on `Act.entryRelationship.act.entryRelationship`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ typeCode
706. Act.entryRelationship:authorization.act.entryRelationship:target
Slice Name	target
Short	The target of an authorization activity MAY contain one or more performer, to indicate the providers that have been authorized to provide treatment (CONF:81-8952).
Comments	SHALL contain at least one [1..*] entryRelationship (CONF:81-8948) such that it
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
Invariants	81-8951: The target of an authorization activity with act/entryRelationship/@typeCode="SUBJ" SHALL be a clinical statement with moodCode="PRMS" Promise (CONF:81-8951). (`(act \| encounter \| observation \| observationMedia \| organizer \| procedure \| regionOfInterest \| substanceAdministration \| supply).where(moodCode='PRMS').exists()`)
708. Act.entryRelationship:authorization.act.entryRelationship:target.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
710. Act.entryRelationship:authorization.act.entryRelationship:target.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
712. Act.entryRelationship:authorization.act.entryRelationship:target.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
714. Act.entryRelationship:authorization.act.entryRelationship:target.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
716. Act.entryRelationship:authorization.act.entryRelationship:target.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
718. Act.entryRelationship:authorization.act.entryRelationship:target.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
720. Act.entryRelationship:authorization.act.entryRelationship:target.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
722. Act.entryRelationship:authorization.act.entryRelationship:target.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
724. Act.entryRelationship:authorization.act.entryRelationship:target.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
726. Act.entryRelationship:authorization.act.entryRelationship:target.typeCode
Comments	SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:81-8949).
Control	1..1
Binding	The codes SHALL be taken from x_ActRelationshipEntryRelationship (required to `http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`SUBJ`
728. Act.entryRelationship:authorization.act.entryRelationship:target.inversionInd
Definition	The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
730. Act.entryRelationship:authorization.act.entryRelationship:target.contextConductionInd
Definition	The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Default Value	`true`
732. Act.entryRelationship:authorization.act.entryRelationship:target.negationInd
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
734. Act.entryRelationship:authorization.act.entryRelationship:target.sequenceNumber
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/INT
736. Act.entryRelationship:authorization.act.entryRelationship:target.seperatableInd
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/BL
738. Act.entryRelationship:authorization.act.entryRelationship:target.act
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Act
740. Act.entryRelationship:authorization.act.entryRelationship:target.encounter
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Encounter
742. Act.entryRelationship:authorization.act.entryRelationship:target.observation
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Observation
744. Act.entryRelationship:authorization.act.entryRelationship:target.observationMedia
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
746. Act.entryRelationship:authorization.act.entryRelationship:target.organizer
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Organizer
748. Act.entryRelationship:authorization.act.entryRelationship:target.procedure
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Procedure
750. Act.entryRelationship:authorization.act.entryRelationship:target.regionOfInterest
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
752. Act.entryRelationship:authorization.act.entryRelationship:target.substanceAdministration
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
754. Act.entryRelationship:authorization.act.entryRelationship:target.supply
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Supply
756. Act.entryRelationship:authorization.act.reference
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Reference
758. Act.entryRelationship:authorization.act.precondition
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Precondition
760. Act.entryRelationship:authorization.act.sdtcPrecondition2
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Precondition2
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`precondition2`.
762. Act.entryRelationship:authorization.act.sdtcInFulfillmentOf1
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`inFulfillmentOf1`.
764. Act.entryRelationship:authorization.encounter
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Encounter
766. Act.entryRelationship:authorization.observation
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Observation
768. Act.entryRelationship:authorization.observationMedia
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
770. Act.entryRelationship:authorization.organizer
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Organizer
772. Act.entryRelationship:authorization.procedure
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Procedure
774. Act.entryRelationship:authorization.regionOfInterest
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
776. Act.entryRelationship:authorization.substanceAdministration
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
778. Act.entryRelationship:authorization.supply
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Supply
780. Act.entryRelationship:plan
Slice Name	plan
Short	Represents the Coverage Plan
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
782. Act.entryRelationship:plan.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
784. Act.entryRelationship:plan.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
786. Act.entryRelationship:plan.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
788. Act.entryRelationship:plan.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
790. Act.entryRelationship:plan.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
792. Act.entryRelationship:plan.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
794. Act.entryRelationship:plan.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
796. Act.entryRelationship:plan.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
798. Act.entryRelationship:plan.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
800. Act.entryRelationship:plan.typeCode
Control	1..1
Binding	The codes SHALL be taken from x_ActRelationshipEntryRelationship (required to `http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`REFR`
802. Act.entryRelationship:plan.inversionInd
Definition	The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
804. Act.entryRelationship:plan.contextConductionInd
Definition	The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Default Value	`true`
806. Act.entryRelationship:plan.negationInd
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
808. Act.entryRelationship:plan.sequenceNumber
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/INT
810. Act.entryRelationship:plan.seperatableInd
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/BL
812. Act.entryRelationship:plan.act
Comments	A description of the coverage plan SHALL contain one or more act/id, to represent the plan identifier, and an act/text with the name of the plan (CONF:4537-8943).
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Act
814. Act.entryRelationship:plan.act.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
816. Act.entryRelationship:plan.act.realmCode
Definition	When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
818. Act.entryRelationship:plan.act.typeId
Definition	When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
Invariants	II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
820. Act.entryRelationship:plan.act.typeId.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from CDANullFlavor (required to `http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Exceptional Value Detail
822. Act.entryRelationship:plan.act.typeId.assigningAuthorityName
Definition	A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.
Control	0..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Assigning Authority Name
824. Act.entryRelationship:plan.act.typeId.displayable
Definition	Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Displayable
826. Act.entryRelationship:plan.act.typeId.root
Definition	Identifies the type as an HL7 Registered model
Control	1..1
Type	string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Root
Fixed Value	`2.16.840.1.113883.1.3`
828. Act.entryRelationship:plan.act.typeId.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string(st: Character String)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Label	Extension
830. Act.entryRelationship:plan.act.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
832. Act.entryRelationship:plan.act.classCode
Control	1..1
Binding	The codes SHALL be taken from XActClassDocumentEntryAct (2.0.0) (required to `http://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryAct\|2.0.0`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`ACT`
834. Act.entryRelationship:plan.act.moodCode
Control	1..1
Binding	The codes SHALL be taken from XDocumentActMood (2.0.0) (required to `http://terminology.hl7.org/ValueSet/v3-xDocumentActMood\|2.0.0`)
Type	code(cs: Coded Simple Value)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Fixed Value	`DEF`
836. Act.entryRelationship:plan.act.negationInd
Control	0..1
Type	boolean(bl: Boolean)
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
838. Act.entryRelationship:plan.act.id
Short	Plan identifier
Control	1..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/II
840. Act.entryRelationship:plan.act.code
Control	1..1
Binding	For example codes, see v3 Code System ActCode (example to `http://terminology.hl7.org/ValueSet/v3-ActCode`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CD
842. Act.entryRelationship:plan.act.text
Short	Name of the plan
Control	1..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ED
844. Act.entryRelationship:plan.act.statusCode
Control	0..1
Binding	The codes SHALL be taken from ActStatus (required to `http://terminology.hl7.org/ValueSet/v3-ActStatus`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
846. Act.entryRelationship:plan.act.effectiveTime
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
848. Act.entryRelationship:plan.act.priorityCode
Control	0..1
Binding	For example codes, see ActPriority (example to `http://terminology.hl7.org/ValueSet/v3-ActPriority`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CE
850. Act.entryRelationship:plan.act.languageCode
Control	0..1
Binding	The codes SHALL be taken from AllLanguages (required to `http://hl7.org/fhir/ValueSet/all-languages`)
Type	http://hl7.org/cda/stds/core/StructureDefinition/CS
852. Act.entryRelationship:plan.act.subject
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Subject
854. Act.entryRelationship:plan.act.specimen
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Specimen
856. Act.entryRelationship:plan.act.performer
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Performer2
858. Act.entryRelationship:plan.act.author
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Author
860. Act.entryRelationship:plan.act.informant
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Informant
862. Act.entryRelationship:plan.act.participant
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Participant2
864. Act.entryRelationship:plan.act.entryRelationship
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
866. Act.entryRelationship:plan.act.reference
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Reference
868. Act.entryRelationship:plan.act.precondition
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Precondition
870. Act.entryRelationship:plan.act.sdtcPrecondition2
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Precondition2
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`precondition2`.
872. Act.entryRelationship:plan.act.sdtcInFulfillmentOf1
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`inFulfillmentOf1`.
874. Act.entryRelationship:plan.encounter
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Encounter
876. Act.entryRelationship:plan.observation
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Observation
878. Act.entryRelationship:plan.observationMedia
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
880. Act.entryRelationship:plan.organizer
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Organizer
882. Act.entryRelationship:plan.procedure
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Procedure
884. Act.entryRelationship:plan.regionOfInterest
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
886. Act.entryRelationship:plan.substanceAdministration
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
888. Act.entryRelationship:plan.supply
Control	0..1
Type	http://hl7.org/cda/stds/core/StructureDefinition/Supply
890. Act.reference
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Reference
892. Act.precondition
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Precondition
894. Act.sdtcPrecondition2
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/Precondition2
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`precondition2`.
896. Act.sdtcInFulfillmentOf1
Control	0..*
Type	http://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1
XML Format	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name`inFulfillmentOf1`.