Consolidated CDA (C-CDA)
3.0.0 - STU United States of America flag

Consolidated CDA (C-CDA), published by Health Level Seven. This guide is not an authorized publication; it is the continuous build for version 3.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/CDA-ccda/ and changes regularly. See the Directory of published versions

Logical Model: PolicyActivity - Detailed Descriptions

Draft as of 2024-05-07

Definitions for the PolicyActivity logical model.

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

0. Act
Logical ContainerClinicalDocument (CDA Class)
ValidationInstances of this type are validated by templateId
XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
Invariantsshould-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
Control1..?
SlicingThis element introduces a set of slices on Act.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ root
  • value @ extension
  • 4. Act.templateId:policy-activity
    Slice Namepolicy-activity
    Control1..1
    6. Act.templateId:policy-activity.root
    Control1..?
    Pattern Value2.16.840.1.113883.10.20.22.4.61
    8. Act.templateId:policy-activity.extension
    Control1..?
    Pattern Value2024-05-01
    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 ValueACT
    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 ValueEVN
    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).

    Control1..?
    16. Act.code
    18. Act.code.code
    BindingThe 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
    ShortSHOULD reference the portion of section narrative text corresponding to this entry
    22. Act.text.reference
    Invariantsvalue-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).

    Control1..?
    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).

    Control1..?
    Fixed Valuecompleted
    28. Act.performer
    Comments

    SHOULD contain zero or more [0..*] performer (CONF:4537-8961) such that it

    Control1..?
    SlicingThis element introduces a set of slices on Act.performer. The slices are unordered and Open, and can be differentiated using the following discriminators:
    • value @ templateId.root
    • 30. Act.performer:payer
      Slice Namepayer
      ShortThis performer represents the Payer.
      Comments

      SHALL contain exactly one [1..1] performer (CONF:4537-8906) such that it

      Control1..1
      32. Act.performer:payer.templateId
      Comments

      SHALL contain exactly one [1..1] templateId (CONF:4537-16808), SHALL not contain [0..0] extension..

      Control1..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).

      Control1..?
      Pattern Value2.16.840.1.113883.10.20.22.4.87
      36. Act.performer:payer.templateId.extension
      Control0..0
      38. Act.performer:payer.typeCode
      Control1..?
      40. Act.performer:payer.assignedEntity
      Comments

      SHALL contain exactly one [1..1] assignedEntity (CONF:4537-8908).

      Invariantsshould-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
      Control0..0
      48. Act.performer:payer.assignedEntity.code.code
      Control1..?
      BindingThe 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).

      Control0..1
      Typehttp://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).

      Invariantsshould-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).

      Control0..1
      58. Act.performer:guarantor
      Slice Nameguarantor
      ShortThis performer represents the Guarantor.
      Control0..*
      Invariantsshould-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.

      Control1..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).

      Control1..?
      Pattern Value2.16.840.1.113883.10.20.22.4.88
      64. Act.performer:guarantor.templateId.extension
      Control0..0
      66. Act.performer:guarantor.typeCode
      Control1..?
      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).

      Invariants4537-8967: **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).

      Control1..?
      74. Act.performer:guarantor.assignedEntity.code.code
      Comments

      This code SHALL contain exactly one [1..1] @code="GUAR" Guarantor (CONF:4537-16096).

      Control1..?
      Pattern ValueGUAR
      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).

      Control1..?
      Pattern Value2.16.840.1.113883.5.110
      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).

      Control0..1
      Typehttp://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

      Control1..?
      SlicingThis element introduces a set of slices on Act.participant. The slices are unordered and Open, and can be differentiated using the following discriminators:
      • value @ typeCode
      • 84. Act.participant:coverage-target
        Slice Namecoverage-target
        Shortparticipant
        Comments

        SHALL contain exactly one [1..1] participant (CONF:4537-8916) such that it

        Control1..1
        Invariantsshould-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.

        Control1..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).

        Control1..?
        Pattern Value2.16.840.1.113883.10.20.22.4.89
        90. Act.participant:coverage-target.templateId.extension
        Control0..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 ValueCOV
        94. Act.participant:coverage-target.time
        ShortThis records the policy coverage period or self-pay period.
        Comments

        SHOULD contain zero or one [0..1] time (CONF:4537-8918).

        Invariantsshould-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).

        Invariantsshould-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).

        Control1..?
        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).

        Control1..?
        Invariantsshould-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).

        BindingThe 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).

        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
        110. Act.participant:coverage-target.participantRole.playingEntity
        ShortThis 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).

        Control1..1
        114. Act.participant:coverage-target.participantRole.playingEntity.sdtcBirthTime
        Shortsdtc:birthTime
        Comments

        The playingEntity, if present, SHALL contain exactly one [1..1] sdtc:birthTime (CONF:4537-31344).

        Control1..?
        116. Act.participant:subscriber
        Slice Namesubscriber
        ShortWhen 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.
        Control0..1
        118. Act.participant:subscriber.templateId
        Comments

        SHALL contain exactly one [1..1] templateId (CONF:4537-16813), SHALL not contain [0..0] extension.

        Control1..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).

        Control1..?
        Pattern Value2.16.840.1.113883.10.20.22.4.90
        122. Act.participant:subscriber.templateId.extension
        Control0..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 ValueHLD
        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).

        Invariantsshould-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).

        Control1..?
        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).

        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
        134. Act.entryRelationship
        SlicingThis element introduces a set of slices on Act.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators:
        • value @ act.moodCode
        • 136. Act.entryRelationship:authorization
          Slice Nameauthorization
          ShortentryRelationship
          Comments

          MAY contain one [0..*] entryRelationship (CONF:4537-8939) such that it

          Control0..*
          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 ValueREFR
          140. Act.entryRelationship:authorization.act
          Control1..?
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Authorization Activity)
          142. Act.entryRelationship:authorization.act.moodCode
          ShortEVN
          144. Act.entryRelationship:plan
          Slice Nameplan
          ShortRepresents the Coverage Plan
          Control0..*
          146. Act.entryRelationship:plan.typeCode
          Fixed ValueREFR
          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).

          Control1..?
          150. Act.entryRelationship:plan.act.classCode
          Fixed ValueACT
          152. Act.entryRelationship:plan.act.moodCode
          Fixed ValueDEF
          154. Act.entryRelationship:plan.act.id
          ShortPlan identifier
          Control1..?
          156. Act.entryRelationship:plan.act.text
          ShortName of the plan
          Control1..?

          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.

          ShortBase for all types and resources
          Control10..1*
          Is Modifierfalse
          Logical ContainerClinicalDocument (CDA Class)
          ValidationInstances of this type are validated by templateId
          XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
          Invariantsshould-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
          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

          Control1..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
          SlicingThis element introduces a set of slices on Act.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators:
          • value @ root
          • value @ extension
          • 4. Act.templateId:policy-activity
            Slice Namepolicy-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

            Control1..1
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
            6. 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.

            Control1..1
            Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelRoot
            Pattern Value2.16.840.1.113883.10.20.22.4.61
            8. Act.templateId:policy-activity.extension
            Definition

            A character string as a unique identifier within the scope of the identifier root.

            Control1..1
            Typestring(st: Character String)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelExtension
            Pattern Value2024-05-01
            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).

            Control1..1
            BindingThe codes SHALL be taken from XActClassDocumentEntryAct (2.0.0)
            (required to http://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryAct|2.0.0)
            Typecode(cs: Coded Simple Value)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            Fixed ValueACT
            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).

            Control1..1
            BindingThe codes SHALL be taken from XDocumentActMood (2.0.0)
            (required to http://terminology.hl7.org/ValueSet/v3-xDocumentActMood|2.0.0)
            Typecode(cs: Coded Simple Value)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            Fixed ValueEVN
            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).

            Control1..*
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
            16. Act.code
            Control1..1
            BindingFor example codes, see v3 Code System ActCode
            (example to http://terminology.hl7.org/ValueSet/v3-ActCode)
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
            18. 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.

            Control0..1
            BindingThe codes SHOULD be taken from Payer Type .
            (preferred to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591)
            Typecode(cs: Coded Simple Value)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelCode
            20. Act.text
            ShortSHOULD reference the portion of section narrative text corresponding to this entry
            Control0..1
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
            22. 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.

            Control0..1
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
            LabelReference
            Invariantsvalue-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).

            Control1..1
            BindingThe codes SHALL be taken from ActStatus
            (required to http://terminology.hl7.org/ValueSet/v3-ActStatus)
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
            26. 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).

            Control1..1
            Typecode(cs: Coded Simple Value)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelCode
            Fixed Valuecompleted
            28. Act.statusCode.codeSystem
            Definition

            Specifies the code system that defines the code.

            Control0..0
            Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelCode System
            30. Act.statusCode.codeSystemName
            Definition

            The common name of the coding system.

            Control0..0
            Typestring(st: Character String)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelCode System Name
            32. Act.statusCode.codeSystemVersion
            Definition

            If applicable, a version descriptor defined specifically for the given code system.

            Control0..0
            Typestring(st: Character String)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelCode System Version
            34. Act.statusCode.displayName
            Definition

            A name or title for the code, under which the sending system shows the code value to its users.

            Control0..0
            Typestring(st: Character String)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelDisplay Name
            36. Act.statusCode.originalText
            Definition

            The text or phrase used as the basis for the coding.

            Control0..0
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
            LabelOriginal Text
            38. Act.statusCode.qualifier
            Definition

            Specifies additional codes that increase the specificity of the the primary code.

            Control0..0
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
            LabelQualifier
            40. Act.statusCode.translation
            Definition

            A set of other concept descriptors that translate this concept descriptor into other code systems.

            Control0..0
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
            XML FormatThe type of this property is determined using the xsi:typeattribute.
            LabelTranslation
            42. Act.performer
            Comments

            SHOULD contain zero or more [0..*] performer (CONF:4537-8961) such that it

            Control1..*
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
            SlicingThis element introduces a set of slices on Act.performer. The slices are unordered and Open, and can be differentiated using the following discriminators:
            • value @ templateId.root
            • 44. Act.performer:payer
              Slice Namepayer
              ShortThis performer represents the Payer.
              Comments

              SHALL contain exactly one [1..1] performer (CONF:4537-8906) such that it

              Control1..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
              46. 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..

              Control1..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
              48. 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).

              Control1..1
              Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelRoot
              Pattern Value2.16.840.1.113883.10.20.22.4.87
              50. Act.performer:payer.templateId.extension
              Definition

              A character string as a unique identifier within the scope of the identifier root.

              Control0..0
              Typestring(st: Character String)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelExtension
              52. Act.performer:payer.typeCode
              Control1..1
              BindingThe codes SHALL be taken from ParticipationPhysicalPerformer
              (required to http://terminology.hl7.org/ValueSet/v3-ParticipationPhysicalPerformer)
              Typecode(cs: Coded Simple Value)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              Fixed ValuePRF
              54. Act.performer:payer.assignedEntity
              Comments

              SHALL contain exactly one [1..1] assignedEntity (CONF:4537-8908).

              Control1..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity
              Invariantsshould-code: SHOULD contain code (code.exists())
              should-representedOrganization: SHOULD contain representedOrganization (representedOrganization.exists())
              56. 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).

              Control1..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
              58. Act.performer:payer.assignedEntity.code
              Comments

              This assignedEntity SHOULD contain zero or one [0..1] code (CONF:4537-8914).

              Control0..1
              BindingFor example codes, see CDARoleCode
              (example to http://hl7.org/cda/stds/core/ValueSet/CDARoleCode)
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
              60. 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.

              Control0..0
              BindingThe codes SHALL be taken from CDANullFlavor
              (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
              Typecode(cs: Coded Simple Value)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelExceptional Value Detail
              62. 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.

              Control1..1
              BindingThe 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)
              Typecode(cs: Coded Simple Value)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelCode
              64. Act.performer:payer.assignedEntity.code.qualifier
              Definition

              Specifies additional codes that increase the specificity of the the primary code.

              Control0..0
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
              LabelQualifier
              66. 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.

              ShortBase 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).

              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
              Is Modifierfalse
              Invariantsshall-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))
              68. Act.performer:payer.assignedEntity.telecom
              Comments

              This assignedEntity MAY contain zero or more [0..*] telecom (CONF:4537-8911).

              Control0..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
              70. Act.performer:payer.assignedEntity.representedOrganization
              Comments

              This assignedEntity SHOULD contain zero or one [0..1] representedOrganization (CONF:4537-8912).

              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organization
              Invariantsshould-name: SHOULD contain name (name.exists())
              72. Act.performer:payer.assignedEntity.representedOrganization.name
              Definition

              A name associated with the organization.

              ShortName 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.

              Control0..1
              This element is affected by the following invariants: org-1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/ONstring
              Is Modifierfalse
              Requirements

              Need to use the name as the label of the organization.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              74. Act.performer:guarantor
              Slice Nameguarantor
              ShortThis performer represents the Guarantor.
              Control0..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
              Invariantsshould-time: SHOULD contain time (time.exists())
              76. 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.

              Control1..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
              78. 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).

              Control1..1
              Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelRoot
              Pattern Value2.16.840.1.113883.10.20.22.4.88
              80. Act.performer:guarantor.templateId.extension
              Definition

              A character string as a unique identifier within the scope of the identifier root.

              Control0..0
              Typestring(st: Character String)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelExtension
              82. Act.performer:guarantor.typeCode
              Control1..1
              BindingThe codes SHALL be taken from ParticipationPhysicalPerformer
              (required to http://terminology.hl7.org/ValueSet/v3-ParticipationPhysicalPerformer)
              Typecode(cs: Coded Simple Value)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              Fixed ValuePRF
              84. Act.performer:guarantor.time
              Comments

              SHOULD contain zero or one [0..1] time (CONF:4537-8963).

              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
              86. Act.performer:guarantor.assignedEntity
              Comments

              SHALL contain exactly one [1..1] assignedEntity (CONF:4537-8962).

              Control1..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity
              Invariants4537-8967: **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())
              88. Act.performer:guarantor.assignedEntity.id
              Control1..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
              90. Act.performer:guarantor.assignedEntity.code
              Comments

              This assignedEntity SHALL contain exactly one [1..1] code (CONF:4537-8968).

              Control1..1
              BindingFor example codes, see CDARoleCode
              (example to http://hl7.org/cda/stds/core/ValueSet/CDARoleCode)
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
              92. 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).

              Control1..1
              Typecode(cs: Coded Simple Value)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelCode
              Pattern ValueGUAR
              94. 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).

              Control1..1
              Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelCode System
              Pattern Value2.16.840.1.113883.5.110
              96. Act.performer:guarantor.assignedEntity.code.qualifier
              Definition

              Specifies additional codes that increase the specificity of the the primary code.

              Control0..0
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
              LabelQualifier
              98. 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.

              ShortBase 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).

              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
              Is Modifierfalse
              Invariantsshall-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))
              100. Act.performer:guarantor.assignedEntity.telecom
              Comments

              This assignedEntity SHOULD contain zero or more [0..*] telecom (CONF:4537-8965).

              Control0..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
              102. Act.participant
              Comments

              SHOULD contain zero or one [0..1] participant (CONF:4537-8934) such that it

              Control1..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
              SlicingThis element introduces a set of slices on Act.participant. The slices are unordered and Open, and can be differentiated using the following discriminators:
              • value @ typeCode
              • 104. Act.participant:coverage-target
                Slice Namecoverage-target
                Shortparticipant
                Comments

                SHALL contain exactly one [1..1] participant (CONF:4537-8916) such that it

                Control1..1
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
                Invariantsshould-time: SHOULD contain time (time.exists())
                106. 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.

                Control1..1
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                108. 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).

                Control1..1
                Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                LabelRoot
                Pattern Value2.16.840.1.113883.10.20.22.4.89
                110. Act.participant:coverage-target.templateId.extension
                Definition

                A character string as a unique identifier within the scope of the identifier root.

                Control0..0
                Typestring(st: Character String)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                LabelExtension
                112. 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).

                Control1..1
                BindingThe codes SHALL be taken from CDAParticipationType
                (required to http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType)
                Typecode(cs: Coded Simple Value)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                Fixed ValueCOV
                114. Act.participant:coverage-target.time
                ShortThis records the policy coverage period or self-pay period.
                Comments

                SHOULD contain zero or one [0..1] time (CONF:4537-8918).

                Control0..1
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
                Invariantsshould-low: SHOULD contain low (low.exists())
                should-high: SHOULD contain high (high.exists())
                116. 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).

                Control0..1
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
                LabelLow Boundary
                118. 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).

                Control0..1
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
                LabelHigh Boundary
                120. Act.participant:coverage-target.participantRole
                Comments

                SHALL contain exactly one [1..1] participantRole (CONF:4537-8921).

                Control1..1
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole
                Invariantsshould-addr: SHOULD contain addr (addr.exists())
                should-playingEntity: SHOULD contain playingEntity (playingEntity.exists())
                122. 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).

                Control1..*
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                124. 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).

                Control1..1
                BindingFor example codes, see CDARoleCode
                (example to http://hl7.org/cda/stds/core/ValueSet/CDARoleCode)
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                Invariantsshould-code-attr: SHOULD contain @code (code.exists())
                126. 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).

                Control0..1
                BindingThe 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)
                Typecode(cs: Coded Simple Value)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                LabelCode
                128. Act.participant:coverage-target.participantRole.code.qualifier
                Definition

                Specifies additional codes that increase the specificity of the the primary code.

                Control0..0
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
                LabelQualifier
                130. 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.

                ShortBase 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).

                Control0..1
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
                Is Modifierfalse
                Invariantsshall-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))
                132. Act.participant:coverage-target.participantRole.playingEntity
                ShortThis 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).

                Control0..1
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/PlayingEntity
                134. Act.participant:coverage-target.participantRole.playingEntity.name
                Comments

                The playingEntity, if present, SHALL contain exactly one [1..1] name (CONF:4537-8930).

                Control1..1
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/PN
                136. 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.

                Shortsdtc:birthTime
                Comments

                The playingEntity, if present, SHALL contain exactly one [1..1] sdtc:birthTime (CONF:4537-31344).

                Control1..1
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/TS
                XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namebirthTime.
                138. Act.participant:subscriber
                Slice Namesubscriber
                ShortWhen 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.
                Control0..1
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
                140. 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.

                Control1..1
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                142. 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).

                Control1..1
                Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                LabelRoot
                Pattern Value2.16.840.1.113883.10.20.22.4.90
                144. Act.participant:subscriber.templateId.extension
                Definition

                A character string as a unique identifier within the scope of the identifier root.

                Control0..0
                Typestring(st: Character String)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                LabelExtension
                146. 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).

                Control1..1
                BindingThe codes SHALL be taken from CDAParticipationType
                (required to http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType)
                Typecode(cs: Coded Simple Value)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                Fixed ValueHLD
                148. Act.participant:subscriber.time
                Comments

                MAY contain zero or one [0..1] time (CONF:4537-8938).

                Control0..1
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
                150. Act.participant:subscriber.participantRole
                Comments

                SHALL contain exactly one [1..1] participantRole (CONF:4537-8936).

                Control1..1
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole
                Invariantsshould-addr: SHOULD contain addr (addr.exists())
                152. 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).

                Control1..*
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                154. 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.

                ShortBase 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).

                Control0..1
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
                Is Modifierfalse
                Invariantsshall-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))
                156. Act.entryRelationship
                Control0..*
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
                SlicingThis element introduces a set of slices on Act.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators:
                • value @ act.moodCode
                • 158. Act.entryRelationship:authorization
                  Slice Nameauthorization
                  ShortentryRelationship
                  Comments

                  MAY contain one [0..*] entryRelationship (CONF:4537-8939) such that it

                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
                  160. 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).

                  Control1..1
                  BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
                  (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Fixed ValueREFR
                  162. 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.

                  ShortBase for all types and resources
                  Control1..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Authorization Activity)
                  Is Modifierfalse
                  Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
                  164. 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

                  Control1..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                  SlicingThis element introduces a set of slices on Act.entryRelationship.act.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators:
                  • value @ root
                  • 166. Act.entryRelationship:authorization.act.templateId:authorization-activity
                    Slice Nameauthorization-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

                    Control1..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                    168. 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.

                    Control1..1
                    Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelRoot
                    Pattern Value2.16.840.1.113883.10.20.1.19
                    170. Act.entryRelationship:authorization.act.templateId:authorization-activity.extension
                    Definition

                    A character string as a unique identifier within the scope of the identifier root.

                    Control0..0
                    Typestring(st: Character String)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    LabelExtension
                    172. 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).

                    Control1..1
                    BindingThe codes SHALL be taken from XActClassDocumentEntryAct (2.0.0)
                    (required to http://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryAct|2.0.0)
                    Typecode(cs: Coded Simple Value)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Fixed ValueACT
                    174. Act.entryRelationship:authorization.act.moodCode
                    ShortEVN
                    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).

                    Control1..1
                    BindingThe codes SHALL be taken from XDocumentActMood (2.0.0)
                    (required to http://terminology.hl7.org/ValueSet/v3-xDocumentActMood|2.0.0)
                    Typecode(cs: Coded Simple Value)
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Fixed ValueEVN
                    176. Act.entryRelationship:authorization.act.id
                    Comments

                    SHALL contain exactly one [1..1] id (CONF:81-8947).

                    Control1..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                    178. Act.entryRelationship:authorization.act.code
                    Control1..1
                    BindingFor example codes, see v3 Code System ActCode
                    (example to http://terminology.hl7.org/ValueSet/v3-ActCode)
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                    180. Act.entryRelationship:authorization.act.entryRelationship
                    Control1..*
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
                    SlicingThis element introduces a set of slices on Act.entryRelationship.act.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators:
                    • value @ typeCode
                    • 182. Act.entryRelationship:authorization.act.entryRelationship:target
                      Slice Nametarget
                      ShortThe 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

                      Control1..*
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
                      Invariants81-8951: 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())
                      184. 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).

                      Control1..1
                      BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
                      (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Fixed ValueSUBJ
                      186. Act.entryRelationship:plan
                      Slice Nameplan
                      ShortRepresents the Coverage Plan
                      Control0..*
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
                      188. Act.entryRelationship:plan.typeCode
                      Control1..1
                      BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
                      (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Fixed ValueREFR
                      190. 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).

                      Control1..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
                      192. Act.entryRelationship:plan.act.classCode
                      Control1..1
                      BindingThe codes SHALL be taken from XActClassDocumentEntryAct (2.0.0)
                      (required to http://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryAct|2.0.0)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Fixed ValueACT
                      194. Act.entryRelationship:plan.act.moodCode
                      Control1..1
                      BindingThe codes SHALL be taken from XDocumentActMood (2.0.0)
                      (required to http://terminology.hl7.org/ValueSet/v3-xDocumentActMood|2.0.0)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Fixed ValueDEF
                      196. Act.entryRelationship:plan.act.id
                      ShortPlan identifier
                      Control1..*
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                      198. Act.entryRelationship:plan.act.code
                      Control1..1
                      BindingFor example codes, see v3 Code System ActCode
                      (example to http://terminology.hl7.org/ValueSet/v3-ActCode)
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                      200. Act.entryRelationship:plan.act.text
                      ShortName of the plan
                      Control1..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED

                      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.

                      ShortBase for all types and resources
                      Control1..1
                      Is Modifierfalse
                      Logical ContainerClinicalDocument (CDA Class)
                      ValidationInstances of this type are validated by templateId
                      XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
                      Invariantsshould-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.

                      Control0..1
                      BindingThe codes SHALL be taken from CDANullFlavor
                      (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelExceptional 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

                      Control0..*
                      Typehttp://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.

                      Control0..1
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                      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.

                      Control0..1
                      BindingThe codes SHALL be taken from CDANullFlavor
                      (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                      Typecode(cs: Coded Simple Value)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelExceptional 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.

                      Control0..1
                      Typestring(st: Character String)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelAssigning 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).

                      Control0..1
                      Typeboolean(bl: Boolean)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelDisplayable
                      14. Act.typeId.root
                      Definition

                      Identifies the type as an HL7 Registered model

                      Control1..1
                      Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelRoot
                      Fixed Value2.16.840.1.113883.1.3
                      16. Act.typeId.extension
                      Definition

                      A character string as a unique identifier within the scope of the identifier root.

                      Control1..1
                      Typestring(st: Character String)
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      LabelExtension
                      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

                      Control1..*
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                      SlicingThis element introduces a set of slices on Act.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators:
                      • value @ root
                      • value @ extension
                      • 20. Act.templateId:policy-activity
                        Slice Namepolicy-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

                        Control1..1
                        Typehttp://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.

                        Control0..1
                        BindingThe codes SHALL be taken from CDANullFlavor
                        (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                        Typecode(cs: Coded Simple Value)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn the XML format, this property is represented as an attribute.
                        LabelExceptional 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.

                        Control0..1
                        Typestring(st: Character String)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn the XML format, this property is represented as an attribute.
                        LabelAssigning 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).

                        Control0..1
                        Typeboolean(bl: Boolean)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn the XML format, this property is represented as an attribute.
                        LabelDisplayable
                        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.

                        Control1..1
                        Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn the XML format, this property is represented as an attribute.
                        LabelRoot
                        Pattern Value2.16.840.1.113883.10.20.22.4.61
                        30. Act.templateId:policy-activity.extension
                        Definition

                        A character string as a unique identifier within the scope of the identifier root.

                        Control1..1
                        Typestring(st: Character String)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn the XML format, this property is represented as an attribute.
                        LabelExtension
                        Pattern Value2024-05-01
                        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).

                        Control1..1
                        BindingThe codes SHALL be taken from XActClassDocumentEntryAct (2.0.0)
                        (required to http://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryAct|2.0.0)
                        Typecode(cs: Coded Simple Value)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Fixed ValueACT
                        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).

                        Control1..1
                        BindingThe codes SHALL be taken from XDocumentActMood (2.0.0)
                        (required to http://terminology.hl7.org/ValueSet/v3-xDocumentActMood|2.0.0)
                        Typecode(cs: Coded Simple Value)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Fixed ValueEVN
                        36. Act.negationInd
                        Control0..1
                        Typeboolean(bl: Boolean)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn 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).

                        Control1..*
                        Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                        40. Act.code
                        Control1..1
                        BindingFor example codes, see v3 Code System ActCode
                        (example to http://terminology.hl7.org/ValueSet/v3-ActCode)
                        Typehttp://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.

                        Control0..1
                        BindingThe codes SHALL be taken from CDANullFlavor
                        (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                        Typecode(cs: Coded Simple Value)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn the XML format, this property is represented as an attribute.
                        LabelExceptional 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.

                        Control0..1
                        BindingThe codes SHOULD be taken from Payer Type .
                        (preferred to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591)
                        Typecode(cs: Coded Simple Value)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn the XML format, this property is represented as an attribute.
                        LabelCode
                        46. Act.code.codeSystem
                        Definition

                        Specifies the code system that defines the code.

                        Control0..1
                        Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn the XML format, this property is represented as an attribute.
                        LabelCode System
                        48. Act.code.codeSystemName
                        Definition

                        The common name of the coding system.

                        Control0..1
                        Typestring(st: Character String)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn the XML format, this property is represented as an attribute.
                        LabelCode System Name
                        50. Act.code.codeSystemVersion
                        Definition

                        If applicable, a version descriptor defined specifically for the given code system.

                        Control0..1
                        Typestring(st: Character String)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn the XML format, this property is represented as an attribute.
                        LabelCode 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.

                        Control0..1
                        Typestring(st: Character String)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn the XML format, this property is represented as an attribute.
                        LabelDisplay 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.

                        Control0..1
                        Typestring(oid: ISO Object Identifier)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn 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 namevalueSet.
                        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.

                        Control0..1
                        Typestring(st: Character String)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn 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 namevalueSetVersion.
                        58. Act.code.originalText
                        Definition

                        The text or phrase used as the basis for the coding.

                        Control0..1
                        Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
                        LabelOriginal Text
                        60. Act.code.qualifier
                        Definition

                        Specifies additional codes that increase the specificity of the the primary code.

                        Control0..*
                        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
                        LabelQualifier
                        62. Act.code.translation
                        Definition

                        A set of other concept descriptors that translate this concept descriptor into other code systems.

                        Control0..*
                        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                        XML FormatThe type of this property is determined using the xsi:typeattribute.
                        LabelTranslation
                        64. Act.text
                        ShortSHOULD reference the portion of section narrative text corresponding to this entry
                        Control0..1
                        Typehttp://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.

                        Control0..1
                        BindingThe codes SHALL be taken from CDANullFlavor
                        (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                        Typecode(cs: Coded Simple Value)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn the XML format, this property is represented as an attribute.
                        LabelExceptional Value Detail
                        68. Act.text.compression
                        Definition

                        Indicates whether the raw byte data is compressed, and what compression algorithm was used.

                        Control0..1
                        BindingThe codes SHALL be taken from CDACompressionAlgorithm
                        (required to http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm)
                        Typecode(cs: Coded Simple Value)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn the XML format, this property is represented as an attribute.
                        LabelCompression
                        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.

                        Control0..1
                        Typebase64Binary(bin: Binary Data)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn the XML format, this property is represented as an attribute.
                        LabelIntegrity 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.

                        Control0..1
                        BindingThe codes SHALL be taken from IntegrityCheckAlgorithm (2.0.0)
                        (required to http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0)
                        Typecode(cs: Coded Simple Value)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn the XML format, this property is represented as an attribute.
                        LabelIntegrity Check Algorithm
                        74. Act.text.language
                        Definition

                        For character based information the language property specifies the human language of the text.

                        Control0..1
                        Typecode(cs: Coded Simple Value)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn the XML format, this property is represented as an attribute.
                        LabelLanguage
                        76. Act.text.mediaType
                        Definition

                        Identifies the type of the encapsulated data and identifies a method to interpret or render the data.

                        Control0..1
                        BindingFor example codes, see MediaType
                        (example to http://terminology.hl7.org/ValueSet/v3-MediaType)
                        Typecode(cs: Coded Simple Value)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn the XML format, this property is represented as an attribute.
                        LabelMedia Type
                        78. Act.text.representation
                        Control0..1
                        BindingThe codes SHALL be taken from CDABinaryDataEncoding
                        (required to http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding)
                        Typecode(cs: Coded Simple Value)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn 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.)

                        ShortAllows 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.

                        Control0..1
                        Typestring(st: Character String)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn 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.

                        Control0..1
                        Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
                        LabelReference
                        Invariantsvalue-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.

                        Control0..1
                        Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
                        LabelThumbnail
                        86. Act.statusCode
                        Comments

                        SHALL contain exactly one [1..1] statusCode (CONF:4537-8902).

                        Control1..1
                        BindingThe codes SHALL be taken from ActStatus
                        (required to http://terminology.hl7.org/ValueSet/v3-ActStatus)
                        Typehttp://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.

                        Control0..1
                        BindingThe codes SHALL be taken from CDANullFlavor
                        (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                        Typecode(cs: Coded Simple Value)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn the XML format, this property is represented as an attribute.
                        LabelExceptional 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).

                        Control1..1
                        Typecode(cs: Coded Simple Value)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn the XML format, this property is represented as an attribute.
                        LabelCode
                        Fixed Valuecompleted
                        92. Act.statusCode.codeSystem
                        Definition

                        Specifies the code system that defines the code.

                        Control0..0
                        Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn the XML format, this property is represented as an attribute.
                        LabelCode System
                        94. Act.statusCode.codeSystemName
                        Definition

                        The common name of the coding system.

                        Control0..0
                        Typestring(st: Character String)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn the XML format, this property is represented as an attribute.
                        LabelCode System Name
                        96. Act.statusCode.codeSystemVersion
                        Definition

                        If applicable, a version descriptor defined specifically for the given code system.

                        Control0..0
                        Typestring(st: Character String)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn the XML format, this property is represented as an attribute.
                        LabelCode 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.

                        Control0..0
                        Typestring(st: Character String)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn the XML format, this property is represented as an attribute.
                        LabelDisplay 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.

                        Control0..1
                        Typestring(oid: ISO Object Identifier)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn 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 namevalueSet.
                        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.

                        Control0..1
                        Typestring(st: Character String)
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn 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 namevalueSetVersion.
                        104. Act.statusCode.originalText
                        Definition

                        The text or phrase used as the basis for the coding.

                        Control0..0
                        Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
                        LabelOriginal Text
                        106. Act.statusCode.qualifier
                        Definition

                        Specifies additional codes that increase the specificity of the the primary code.

                        Control0..0
                        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
                        LabelQualifier
                        108. Act.statusCode.translation
                        Definition

                        A set of other concept descriptors that translate this concept descriptor into other code systems.

                        Control0..0
                        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                        XML FormatThe type of this property is determined using the xsi:typeattribute.
                        LabelTranslation
                        110. Act.effectiveTime
                        Control0..1
                        Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
                        112. Act.priorityCode
                        Control0..1
                        BindingFor example codes, see ActPriority
                        (example to http://terminology.hl7.org/ValueSet/v3-ActPriority)
                        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                        114. Act.languageCode
                        Control0..1
                        BindingThe codes SHALL be taken from AllLanguages
                        (required to http://hl7.org/fhir/ValueSet/all-languages)
                        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                        116. Act.subject
                        Control0..1
                        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Subject
                        118. Act.specimen
                        Control0..*
                        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Specimen
                        120. Act.performer
                        Comments

                        SHOULD contain zero or more [0..*] performer (CONF:4537-8961) such that it

                        Control1..*
                        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
                        SlicingThis element introduces a set of slices on Act.performer. The slices are unordered and Open, and can be differentiated using the following discriminators:
                        • value @ templateId.root
                        • 122. Act.performer:payer
                          Slice Namepayer
                          ShortThis performer represents the Payer.
                          Comments

                          SHALL contain exactly one [1..1] performer (CONF:4537-8906) such that it

                          Control1..1
                          Typehttp://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.

                          Control0..1
                          BindingThe codes SHALL be taken from CDANullFlavor
                          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                          Typecode(cs: Coded Simple Value)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelExceptional 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

                          Control0..*
                          Typehttp://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.

                          Control0..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                          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.

                          Control0..1
                          BindingThe codes SHALL be taken from CDANullFlavor
                          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                          Typecode(cs: Coded Simple Value)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelExceptional 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.

                          Control0..1
                          Typestring(st: Character String)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelAssigning 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).

                          Control0..1
                          Typeboolean(bl: Boolean)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelDisplayable
                          136. Act.performer:payer.typeId.root
                          Definition

                          Identifies the type as an HL7 Registered model

                          Control1..1
                          Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelRoot
                          Fixed Value2.16.840.1.113883.1.3
                          138. Act.performer:payer.typeId.extension
                          Definition

                          A character string as a unique identifier within the scope of the identifier root.

                          Control1..1
                          Typestring(st: Character String)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelExtension
                          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..

                          Control1..1
                          Typehttp://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.

                          Control0..1
                          BindingThe codes SHALL be taken from CDANullFlavor
                          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                          Typecode(cs: Coded Simple Value)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelExceptional 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.

                          Control0..1
                          Typestring(st: Character String)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelAssigning 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).

                          Control0..1
                          Typeboolean(bl: Boolean)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelDisplayable
                          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).

                          Control1..1
                          Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelRoot
                          Pattern Value2.16.840.1.113883.10.20.22.4.87
                          150. Act.performer:payer.templateId.extension
                          Definition

                          A character string as a unique identifier within the scope of the identifier root.

                          Control0..0
                          Typestring(st: Character String)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelExtension
                          152. Act.performer:payer.typeCode
                          Control1..1
                          BindingThe codes SHALL be taken from ParticipationPhysicalPerformer
                          (required to http://terminology.hl7.org/ValueSet/v3-ParticipationPhysicalPerformer)
                          Typecode(cs: Coded Simple Value)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Fixed ValuePRF
                          154. Act.performer:payer.sdtcFunctionCode
                          Control0..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                          XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namefunctionCode.
                          156. Act.performer:payer.time
                          Control0..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
                          158. Act.performer:payer.modeCode
                          Control0..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                          160. Act.performer:payer.assignedEntity
                          Comments

                          SHALL contain exactly one [1..1] assignedEntity (CONF:4537-8908).

                          Control1..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity
                          Invariantsshould-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.

                          Control0..1
                          BindingThe codes SHALL be taken from CDANullFlavor
                          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                          Typecode(cs: Coded Simple Value)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelExceptional 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

                          Control0..*
                          Typehttp://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.

                          Control0..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                          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.

                          Control0..1
                          BindingThe codes SHALL be taken from CDANullFlavor
                          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                          Typecode(cs: Coded Simple Value)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelExceptional 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.

                          Control0..1
                          Typestring(st: Character String)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelAssigning 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).

                          Control0..1
                          Typeboolean(bl: Boolean)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelDisplayable
                          174. Act.performer:payer.assignedEntity.typeId.root
                          Definition

                          Identifies the type as an HL7 Registered model

                          Control1..1
                          Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelRoot
                          Fixed Value2.16.840.1.113883.1.3
                          176. Act.performer:payer.assignedEntity.typeId.extension
                          Definition

                          A character string as a unique identifier within the scope of the identifier root.

                          Control1..1
                          Typestring(st: Character String)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelExtension
                          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

                          Control0..*
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                          180. Act.performer:payer.assignedEntity.classCode
                          Control0..1
                          BindingThe codes SHALL be taken from RoleClassAssignedEntity
                          (required to http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity)
                          Typecode(cs: Coded Simple Value)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Fixed ValueASSIGNED
                          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).

                          Control1..*
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                          184. Act.performer:payer.assignedEntity.sdtcIdentifiedBy
                          Control0..*
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy
                          XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameidentifiedBy.
                          186. Act.performer:payer.assignedEntity.code
                          Comments

                          This assignedEntity SHOULD contain zero or one [0..1] code (CONF:4537-8914).

                          Control0..1
                          BindingFor example codes, see CDARoleCode
                          (example to http://hl7.org/cda/stds/core/ValueSet/CDARoleCode)
                          Typehttp://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.

                          Control0..0
                          BindingThe codes SHALL be taken from CDANullFlavor
                          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                          Typecode(cs: Coded Simple Value)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelExceptional 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.

                          Control1..1
                          BindingThe 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)
                          Typecode(cs: Coded Simple Value)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelCode
                          192. Act.performer:payer.assignedEntity.code.codeSystem
                          Definition

                          Specifies the code system that defines the code.

                          Control0..1
                          Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelCode System
                          194. Act.performer:payer.assignedEntity.code.codeSystemName
                          Definition

                          The common name of the coding system.

                          Control0..1
                          Typestring(st: Character String)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelCode System Name
                          196. Act.performer:payer.assignedEntity.code.codeSystemVersion
                          Definition

                          If applicable, a version descriptor defined specifically for the given code system.

                          Control0..1
                          Typestring(st: Character String)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelCode 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.

                          Control0..1
                          Typestring(st: Character String)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelDisplay 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.

                          Control0..1
                          Typestring(oid: ISO Object Identifier)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn 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 namevalueSet.
                          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.

                          Control0..1
                          Typestring(st: Character String)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn 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 namevalueSetVersion.
                          204. Act.performer:payer.assignedEntity.code.originalText
                          Definition

                          The text or phrase used as the basis for the coding.

                          Control0..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
                          LabelOriginal Text
                          206. Act.performer:payer.assignedEntity.code.qualifier
                          Definition

                          Specifies additional codes that increase the specificity of the the primary code.

                          Control0..0
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
                          LabelQualifier
                          208. Act.performer:payer.assignedEntity.code.translation
                          Definition

                          A set of other concept descriptors that translate this concept descriptor into other code systems.

                          Control0..*
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                          XML FormatThe type of this property is determined using the xsi:typeattribute.
                          LabelTranslation
                          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.

                          ShortBase 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).

                          Control0..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
                          Is Modifierfalse
                          Invariantsshall-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).

                          Control0..*
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
                          214. Act.performer:payer.assignedEntity.assignedPerson
                          Control0..1
                          Typehttp://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).

                          Control0..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organization
                          Invariantsshould-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.

                          Control0..1
                          BindingThe codes SHALL be taken from CDANullFlavor
                          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                          Typecode(cs: Coded Simple Value)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelExceptional 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

                          Control0..*
                          Typehttp://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.

                          Control0..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                          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.

                          Control0..1
                          BindingThe codes SHALL be taken from CDANullFlavor
                          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                          Typecode(cs: Coded Simple Value)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelExceptional 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.

                          Control0..1
                          Typestring(st: Character String)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelAssigning 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).

                          Control0..1
                          Typeboolean(bl: Boolean)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelDisplayable
                          230. Act.performer:payer.assignedEntity.representedOrganization.typeId.root
                          Definition

                          Identifies the type as an HL7 Registered model

                          Control1..1
                          Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelRoot
                          Fixed Value2.16.840.1.113883.1.3
                          232. Act.performer:payer.assignedEntity.representedOrganization.typeId.extension
                          Definition

                          A character string as a unique identifier within the scope of the identifier root.

                          Control1..1
                          Typestring(st: Character String)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelExtension
                          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

                          Control0..*
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                          236. Act.performer:payer.assignedEntity.representedOrganization.classCode
                          Control0..1
                          BindingThe codes SHALL be taken from EntityClassOrganization
                          (required to http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization)
                          Typecode(cs: Coded Simple Value)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Fixed ValueORG
                          238. Act.performer:payer.assignedEntity.representedOrganization.determinerCode
                          Control0..1
                          BindingThe codes SHALL be taken from EntityDeterminer
                          (required to http://terminology.hl7.org/ValueSet/v3-EntityDeterminer)
                          Typecode(cs: Coded Simple Value)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Fixed ValueINSTANCE
                          240. Act.performer:payer.assignedEntity.representedOrganization.id
                          Control0..*
                          Typehttp://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).

                          Control0..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/ON
                          244. Act.performer:payer.assignedEntity.representedOrganization.telecom
                          Control0..*
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
                          246. Act.performer:payer.assignedEntity.representedOrganization.addr
                          Control0..*
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/AD
                          248. Act.performer:payer.assignedEntity.representedOrganization.standardIndustryClassCode
                          Control0..1
                          BindingFor example codes, see OrganizationIndustryClassNAICS
                          (example to http://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS)
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                          250. Act.performer:payer.assignedEntity.representedOrganization.asOrganizationPartOf
                          Control0..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/OrganizationPartOf
                          252. Act.performer:payer.assignedEntity.sdtcPatient
                          Control0..1
                          Typehttp://hl7.org/fhir/StructureDefinition/Base
                          XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namepatient.
                          254. Act.performer:payer.assignedEntity.sdtcPatient.id
                          Control1..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                          XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.
                          256. Act.performer:guarantor
                          Slice Nameguarantor
                          ShortThis performer represents the Guarantor.
                          Control0..*
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
                          Invariantsshould-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.

                          Control0..1
                          BindingThe codes SHALL be taken from CDANullFlavor
                          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                          Typecode(cs: Coded Simple Value)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelExceptional 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

                          Control0..*
                          Typehttp://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.

                          Control0..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                          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.

                          Control0..1
                          BindingThe codes SHALL be taken from CDANullFlavor
                          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                          Typecode(cs: Coded Simple Value)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelExceptional 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.

                          Control0..1
                          Typestring(st: Character String)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelAssigning 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).

                          Control0..1
                          Typeboolean(bl: Boolean)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelDisplayable
                          270. Act.performer:guarantor.typeId.root
                          Definition

                          Identifies the type as an HL7 Registered model

                          Control1..1
                          Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelRoot
                          Fixed Value2.16.840.1.113883.1.3
                          272. Act.performer:guarantor.typeId.extension
                          Definition

                          A character string as a unique identifier within the scope of the identifier root.

                          Control1..1
                          Typestring(st: Character String)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelExtension
                          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.

                          Control1..1
                          Typehttp://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.

                          Control0..1
                          BindingThe codes SHALL be taken from CDANullFlavor
                          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                          Typecode(cs: Coded Simple Value)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelExceptional 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.

                          Control0..1
                          Typestring(st: Character String)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelAssigning 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).

                          Control0..1
                          Typeboolean(bl: Boolean)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelDisplayable
                          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).

                          Control1..1
                          Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelRoot
                          Pattern Value2.16.840.1.113883.10.20.22.4.88
                          284. Act.performer:guarantor.templateId.extension
                          Definition

                          A character string as a unique identifier within the scope of the identifier root.

                          Control0..0
                          Typestring(st: Character String)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelExtension
                          286. Act.performer:guarantor.typeCode
                          Control1..1
                          BindingThe codes SHALL be taken from ParticipationPhysicalPerformer
                          (required to http://terminology.hl7.org/ValueSet/v3-ParticipationPhysicalPerformer)
                          Typecode(cs: Coded Simple Value)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Fixed ValuePRF
                          288. Act.performer:guarantor.sdtcFunctionCode
                          Control0..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                          XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namefunctionCode.
                          290. Act.performer:guarantor.time
                          Comments

                          SHOULD contain zero or one [0..1] time (CONF:4537-8963).

                          Control0..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
                          292. Act.performer:guarantor.modeCode
                          Control0..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                          294. Act.performer:guarantor.assignedEntity
                          Comments

                          SHALL contain exactly one [1..1] assignedEntity (CONF:4537-8962).

                          Control1..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity
                          Invariants4537-8967: **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.

                          Control0..1
                          BindingThe codes SHALL be taken from CDANullFlavor
                          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                          Typecode(cs: Coded Simple Value)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelExceptional 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

                          Control0..*
                          Typehttp://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.

                          Control0..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                          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.

                          Control0..1
                          BindingThe codes SHALL be taken from CDANullFlavor
                          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                          Typecode(cs: Coded Simple Value)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelExceptional 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.

                          Control0..1
                          Typestring(st: Character String)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelAssigning 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).

                          Control0..1
                          Typeboolean(bl: Boolean)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelDisplayable
                          308. Act.performer:guarantor.assignedEntity.typeId.root
                          Definition

                          Identifies the type as an HL7 Registered model

                          Control1..1
                          Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelRoot
                          Fixed Value2.16.840.1.113883.1.3
                          310. Act.performer:guarantor.assignedEntity.typeId.extension
                          Definition

                          A character string as a unique identifier within the scope of the identifier root.

                          Control1..1
                          Typestring(st: Character String)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelExtension
                          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

                          Control0..*
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                          314. Act.performer:guarantor.assignedEntity.classCode
                          Control0..1
                          BindingThe codes SHALL be taken from RoleClassAssignedEntity
                          (required to http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity)
                          Typecode(cs: Coded Simple Value)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Fixed ValueASSIGNED
                          316. Act.performer:guarantor.assignedEntity.id
                          Control1..*
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                          318. Act.performer:guarantor.assignedEntity.sdtcIdentifiedBy
                          Control0..*
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy
                          XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameidentifiedBy.
                          320. Act.performer:guarantor.assignedEntity.code
                          Comments

                          This assignedEntity SHALL contain exactly one [1..1] code (CONF:4537-8968).

                          Control1..1
                          BindingFor example codes, see CDARoleCode
                          (example to http://hl7.org/cda/stds/core/ValueSet/CDARoleCode)
                          Typehttp://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.

                          Control0..1
                          BindingThe codes SHALL be taken from CDANullFlavor
                          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                          Typecode(cs: Coded Simple Value)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelExceptional 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).

                          Control1..1
                          Typecode(cs: Coded Simple Value)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelCode
                          Pattern ValueGUAR
                          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).

                          Control1..1
                          Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelCode System
                          Pattern Value2.16.840.1.113883.5.110
                          328. Act.performer:guarantor.assignedEntity.code.codeSystemName
                          Definition

                          The common name of the coding system.

                          Control0..1
                          Typestring(st: Character String)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelCode System Name
                          330. Act.performer:guarantor.assignedEntity.code.codeSystemVersion
                          Definition

                          If applicable, a version descriptor defined specifically for the given code system.

                          Control0..1
                          Typestring(st: Character String)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelCode 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.

                          Control0..1
                          Typestring(st: Character String)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          LabelDisplay 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.

                          Control0..1
                          Typestring(oid: ISO Object Identifier)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn 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 namevalueSet.
                          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.

                          Control0..1
                          Typestring(st: Character String)
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn 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 namevalueSetVersion.
                          338. Act.performer:guarantor.assignedEntity.code.originalText
                          Definition

                          The text or phrase used as the basis for the coding.

                          Control0..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
                          LabelOriginal Text
                          340. Act.performer:guarantor.assignedEntity.code.qualifier
                          Definition

                          Specifies additional codes that increase the specificity of the the primary code.

                          Control0..0
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
                          LabelQualifier
                          342. Act.performer:guarantor.assignedEntity.code.translation
                          Definition

                          A set of other concept descriptors that translate this concept descriptor into other code systems.

                          Control0..*
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                          XML FormatThe type of this property is determined using the xsi:typeattribute.
                          LabelTranslation
                          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.

                          ShortBase 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).

                          Control0..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
                          Is Modifierfalse
                          Invariantsshall-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).

                          Control0..*
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
                          348. Act.performer:guarantor.assignedEntity.assignedPerson
                          Control0..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Person
                          350. Act.performer:guarantor.assignedEntity.representedOrganization
                          Control0..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organization
                          352. Act.performer:guarantor.assignedEntity.sdtcPatient
                          Control0..1
                          Typehttp://hl7.org/fhir/StructureDefinition/Base
                          XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namepatient.
                          354. Act.performer:guarantor.assignedEntity.sdtcPatient.id
                          Control1..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                          XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.
                          356. Act.author
                          Control0..*
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author
                          358. Act.informant
                          Control0..*
                          Typehttp://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

                          Control1..*
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
                          SlicingThis element introduces a set of slices on Act.participant. The slices are unordered and Open, and can be differentiated using the following discriminators:
                          • value @ typeCode
                          • 362. Act.participant:coverage-target
                            Slice Namecoverage-target
                            Shortparticipant
                            Comments

                            SHALL contain exactly one [1..1] participant (CONF:4537-8916) such that it

                            Control1..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
                            Invariantsshould-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.

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional 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

                            Control0..*
                            Typehttp://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.

                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                            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.

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional 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.

                            Control0..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelAssigning 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).

                            Control0..1
                            Typeboolean(bl: Boolean)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelDisplayable
                            376. Act.participant:coverage-target.typeId.root
                            Definition

                            Identifies the type as an HL7 Registered model

                            Control1..1
                            Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelRoot
                            Fixed Value2.16.840.1.113883.1.3
                            378. Act.participant:coverage-target.typeId.extension
                            Definition

                            A character string as a unique identifier within the scope of the identifier root.

                            Control1..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExtension
                            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.

                            Control1..1
                            Typehttp://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.

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional 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.

                            Control0..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelAssigning 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).

                            Control0..1
                            Typeboolean(bl: Boolean)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelDisplayable
                            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).

                            Control1..1
                            Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelRoot
                            Pattern Value2.16.840.1.113883.10.20.22.4.89
                            390. Act.participant:coverage-target.templateId.extension
                            Definition

                            A character string as a unique identifier within the scope of the identifier root.

                            Control0..0
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExtension
                            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).

                            Control1..1
                            BindingThe codes SHALL be taken from CDAParticipationType
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Fixed ValueCOV
                            394. Act.participant:coverage-target.contextControlCode
                            Control0..1
                            BindingThe codes SHALL be taken from CDAContextControl
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDAContextControl)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Fixed ValueOP
                            396. Act.participant:coverage-target.sdtcFunctionCode
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                            XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namefunctionCode.
                            398. Act.participant:coverage-target.time
                            ShortThis records the policy coverage period or self-pay period.
                            Comments

                            SHOULD contain zero or one [0..1] time (CONF:4537-8918).

                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
                            Invariantsshould-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.

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional 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.

                            Control0..1
                            TypedateTime(ts: Point in Time)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Date FormatYYYYMMDDHHMMSS.UUUU[+|-ZZzz]
                            XML FormatIn 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.

                            Control0..1
                            BindingThe codes SHALL be taken from CDASetOperator
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDASetOperator)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Default ValueI
                            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).

                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
                            LabelLow 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.

                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/TS
                            LabelCentral 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.

                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/PQ
                            LabelWidth
                            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).

                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
                            LabelHigh Boundary
                            414. Act.participant:coverage-target.awarenessCode
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                            416. Act.participant:coverage-target.participantRole
                            Comments

                            SHALL contain exactly one [1..1] participantRole (CONF:4537-8921).

                            Control1..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole
                            Invariantsshould-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.

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional 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

                            Control0..*
                            Typehttp://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.

                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                            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.

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional 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.

                            Control0..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelAssigning 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).

                            Control0..1
                            Typeboolean(bl: Boolean)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelDisplayable
                            430. Act.participant:coverage-target.participantRole.typeId.root
                            Definition

                            Identifies the type as an HL7 Registered model

                            Control1..1
                            Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelRoot
                            Fixed Value2.16.840.1.113883.1.3
                            432. Act.participant:coverage-target.participantRole.typeId.extension
                            Definition

                            A character string as a unique identifier within the scope of the identifier root.

                            Control1..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExtension
                            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

                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                            436. Act.participant:coverage-target.participantRole.classCode
                            Control0..1
                            BindingThe codes SHALL be taken from CDARoleClassRoot
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDARoleClassRoot)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Default ValueROL
                            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).

                            Control1..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                            440. Act.participant:coverage-target.participantRole.sdtcIdentifiedBy
                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy
                            XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameidentifiedBy.
                            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).

                            Control1..1
                            BindingFor example codes, see CDARoleCode
                            (example to http://hl7.org/cda/stds/core/ValueSet/CDARoleCode)
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                            Invariantsshould-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.

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional 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).

                            Control0..1
                            BindingThe 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)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelCode
                            448. Act.participant:coverage-target.participantRole.code.codeSystem
                            Definition

                            Specifies the code system that defines the code.

                            Control0..1
                            Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelCode System
                            450. Act.participant:coverage-target.participantRole.code.codeSystemName
                            Definition

                            The common name of the coding system.

                            Control0..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelCode System Name
                            452. Act.participant:coverage-target.participantRole.code.codeSystemVersion
                            Definition

                            If applicable, a version descriptor defined specifically for the given code system.

                            Control0..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelCode 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.

                            Control0..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelDisplay 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.

                            Control0..1
                            Typestring(oid: ISO Object Identifier)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn 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 namevalueSet.
                            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.

                            Control0..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn 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 namevalueSetVersion.
                            460. Act.participant:coverage-target.participantRole.code.originalText
                            Definition

                            The text or phrase used as the basis for the coding.

                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
                            LabelOriginal Text
                            462. Act.participant:coverage-target.participantRole.code.qualifier
                            Definition

                            Specifies additional codes that increase the specificity of the the primary code.

                            Control0..0
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
                            LabelQualifier
                            464. Act.participant:coverage-target.participantRole.code.translation
                            Definition

                            A set of other concept descriptors that translate this concept descriptor into other code systems.

                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                            XML FormatThe type of this property is determined using the xsi:typeattribute.
                            LabelTranslation
                            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.

                            ShortBase 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).

                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
                            Is Modifierfalse
                            Invariantsshall-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
                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
                            470. Act.participant:coverage-target.participantRole.playingDevice
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Device
                            472. Act.participant:coverage-target.participantRole.playingEntity
                            ShortThis 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).

                            Control0..1
                            Typehttp://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.

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional 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

                            Control0..*
                            Typehttp://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.

                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                            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.

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional 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.

                            Control0..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelAssigning 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).

                            Control0..1
                            Typeboolean(bl: Boolean)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelDisplayable
                            486. Act.participant:coverage-target.participantRole.playingEntity.typeId.root
                            Definition

                            Identifies the type as an HL7 Registered model

                            Control1..1
                            Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelRoot
                            Fixed Value2.16.840.1.113883.1.3
                            488. Act.participant:coverage-target.participantRole.playingEntity.typeId.extension
                            Definition

                            A character string as a unique identifier within the scope of the identifier root.

                            Control1..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExtension
                            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

                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                            492. Act.participant:coverage-target.participantRole.playingEntity.classCode
                            Control0..1
                            BindingThe codes SHALL be taken from EntityClassRoot
                            (required to http://terminology.hl7.org/ValueSet/v3-EntityClassRoot)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Default ValueENT
                            494. Act.participant:coverage-target.participantRole.playingEntity.determinerCode
                            Control0..1
                            BindingThe codes SHALL be taken from EntityDeterminer
                            (required to http://terminology.hl7.org/ValueSet/v3-EntityDeterminer)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Fixed ValueINSTANCE
                            496. Act.participant:coverage-target.participantRole.playingEntity.code
                            Control0..1
                            BindingFor example codes, see CDAEntityCode
                            (example to http://hl7.org/cda/stds/core/ValueSet/CDAEntityCode)
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                            498. Act.participant:coverage-target.participantRole.playingEntity.quantity
                            Control0..*
                            Typehttp://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).

                            Control1..1
                            Typehttp://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.

                            Shortsdtc:birthTime
                            Comments

                            The playingEntity, if present, SHALL contain exactly one [1..1] sdtc:birthTime (CONF:4537-31344).

                            Control1..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/TS
                            XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namebirthTime.
                            504. Act.participant:coverage-target.participantRole.playingEntity.desc
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
                            506. Act.participant:coverage-target.participantRole.scopingEntity
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Entity
                            508. Act.participant:subscriber
                            Slice Namesubscriber
                            ShortWhen 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.
                            Control0..1
                            Typehttp://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.

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional 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

                            Control0..*
                            Typehttp://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.

                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                            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.

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional 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.

                            Control0..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelAssigning 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).

                            Control0..1
                            Typeboolean(bl: Boolean)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelDisplayable
                            522. Act.participant:subscriber.typeId.root
                            Definition

                            Identifies the type as an HL7 Registered model

                            Control1..1
                            Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelRoot
                            Fixed Value2.16.840.1.113883.1.3
                            524. Act.participant:subscriber.typeId.extension
                            Definition

                            A character string as a unique identifier within the scope of the identifier root.

                            Control1..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExtension
                            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.

                            Control1..1
                            Typehttp://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.

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional 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.

                            Control0..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelAssigning 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).

                            Control0..1
                            Typeboolean(bl: Boolean)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelDisplayable
                            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).

                            Control1..1
                            Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelRoot
                            Pattern Value2.16.840.1.113883.10.20.22.4.90
                            536. Act.participant:subscriber.templateId.extension
                            Definition

                            A character string as a unique identifier within the scope of the identifier root.

                            Control0..0
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExtension
                            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).

                            Control1..1
                            BindingThe codes SHALL be taken from CDAParticipationType
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Fixed ValueHLD
                            540. Act.participant:subscriber.contextControlCode
                            Control0..1
                            BindingThe codes SHALL be taken from CDAContextControl
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDAContextControl)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Fixed ValueOP
                            542. Act.participant:subscriber.sdtcFunctionCode
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                            XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namefunctionCode.
                            544. Act.participant:subscriber.time
                            Comments

                            MAY contain zero or one [0..1] time (CONF:4537-8938).

                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
                            546. Act.participant:subscriber.awarenessCode
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                            548. Act.participant:subscriber.participantRole
                            Comments

                            SHALL contain exactly one [1..1] participantRole (CONF:4537-8936).

                            Control1..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole
                            Invariantsshould-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.

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional 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

                            Control0..*
                            Typehttp://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.

                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                            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.

                            Control0..1
                            BindingThe codes SHALL be taken from CDANullFlavor
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExceptional 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.

                            Control0..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelAssigning 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).

                            Control0..1
                            Typeboolean(bl: Boolean)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelDisplayable
                            562. Act.participant:subscriber.participantRole.typeId.root
                            Definition

                            Identifies the type as an HL7 Registered model

                            Control1..1
                            Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelRoot
                            Fixed Value2.16.840.1.113883.1.3
                            564. Act.participant:subscriber.participantRole.typeId.extension
                            Definition

                            A character string as a unique identifier within the scope of the identifier root.

                            Control1..1
                            Typestring(st: Character String)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            LabelExtension
                            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

                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                            568. Act.participant:subscriber.participantRole.classCode
                            Control0..1
                            BindingThe codes SHALL be taken from CDARoleClassRoot
                            (required to http://hl7.org/cda/stds/core/ValueSet/CDARoleClassRoot)
                            Typecode(cs: Coded Simple Value)
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Default ValueROL
                            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).

                            Control1..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                            572. Act.participant:subscriber.participantRole.sdtcIdentifiedBy
                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy
                            XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameidentifiedBy.
                            574. Act.participant:subscriber.participantRole.code
                            Control0..1
                            BindingFor example codes, see CDARoleCode
                            (example to http://hl7.org/cda/stds/core/ValueSet/CDARoleCode)
                            Typehttp://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.

                            ShortBase 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).

                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
                            Is Modifierfalse
                            Invariantsshall-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
                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
                            580. Act.participant:subscriber.participantRole.playingDevice
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Device
                            582. Act.participant:subscriber.participantRole.playingEntity
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/PlayingEntity
                            584. Act.participant:subscriber.participantRole.scopingEntity
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Entity
                            586. Act.entryRelationship
                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
                            SlicingThis element introduces a set of slices on Act.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators:
                            • value @ act.moodCode
                            • 588. Act.entryRelationship:authorization
                              Slice Nameauthorization
                              ShortentryRelationship
                              Comments

                              MAY contain one [0..*] entryRelationship (CONF:4537-8939) such that it

                              Control0..*
                              Typehttp://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.

                              Control0..1
                              BindingThe codes SHALL be taken from CDANullFlavor
                              (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                              Typecode(cs: Coded Simple Value)
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              XML FormatIn the XML format, this property is represented as an attribute.
                              LabelExceptional 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

                              Control0..*
                              Typehttp://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.

                              Control0..1
                              Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                              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.

                              Control0..1
                              BindingThe codes SHALL be taken from CDANullFlavor
                              (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                              Typecode(cs: Coded Simple Value)
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              XML FormatIn the XML format, this property is represented as an attribute.
                              LabelExceptional 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.

                              Control0..1
                              Typestring(st: Character String)
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              XML FormatIn the XML format, this property is represented as an attribute.
                              LabelAssigning 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).

                              Control0..1
                              Typeboolean(bl: Boolean)
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              XML FormatIn the XML format, this property is represented as an attribute.
                              LabelDisplayable
                              602. Act.entryRelationship:authorization.typeId.root
                              Definition

                              Identifies the type as an HL7 Registered model

                              Control1..1
                              Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              XML FormatIn the XML format, this property is represented as an attribute.
                              LabelRoot
                              Fixed Value2.16.840.1.113883.1.3
                              604. Act.entryRelationship:authorization.typeId.extension
                              Definition

                              A character string as a unique identifier within the scope of the identifier root.

                              Control1..1
                              Typestring(st: Character String)
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              XML FormatIn the XML format, this property is represented as an attribute.
                              LabelExtension
                              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

                              Control0..*
                              Typehttp://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).

                              Control1..1
                              BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
                              (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                              Typecode(cs: Coded Simple Value)
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Fixed ValueREFR
                              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.

                              Control0..1
                              Typeboolean(bl: Boolean)
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              XML FormatIn 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.

                              Control0..1
                              Typeboolean(bl: Boolean)
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Default Valuetrue
                              614. Act.entryRelationship:authorization.negationInd
                              Control0..1
                              Typeboolean(bl: Boolean)
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              XML FormatIn the XML format, this property is represented as an attribute.
                              616. Act.entryRelationship:authorization.sequenceNumber
                              Control0..1
                              Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
                              618. Act.entryRelationship:authorization.seperatableInd
                              Control0..1
                              Typehttp://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.

                              ShortBase for all types and resources
                              Control1..1
                              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Authorization Activity)
                              Is Modifierfalse
                              Invariantsshould-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.

                              Control0..1
                              BindingThe codes SHALL be taken from CDANullFlavor
                              (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                              Typecode(cs: Coded Simple Value)
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              XML FormatIn the XML format, this property is represented as an attribute.
                              LabelExceptional 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

                              Control0..*
                              Typehttp://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.

                              Control0..1
                              Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                              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.

                              Control0..1
                              BindingThe codes SHALL be taken from CDANullFlavor
                              (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                              Typecode(cs: Coded Simple Value)
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              XML FormatIn the XML format, this property is represented as an attribute.
                              LabelExceptional 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.

                              Control0..1
                              Typestring(st: Character String)
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              XML FormatIn the XML format, this property is represented as an attribute.
                              LabelAssigning 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).

                              Control0..1
                              Typeboolean(bl: Boolean)
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              XML FormatIn the XML format, this property is represented as an attribute.
                              LabelDisplayable
                              634. Act.entryRelationship:authorization.act.typeId.root
                              Definition

                              Identifies the type as an HL7 Registered model

                              Control1..1
                              Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              XML FormatIn the XML format, this property is represented as an attribute.
                              LabelRoot
                              Fixed Value2.16.840.1.113883.1.3
                              636. Act.entryRelationship:authorization.act.typeId.extension
                              Definition

                              A character string as a unique identifier within the scope of the identifier root.

                              Control1..1
                              Typestring(st: Character String)
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              XML FormatIn the XML format, this property is represented as an attribute.
                              LabelExtension
                              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

                              Control1..*
                              Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                              SlicingThis element introduces a set of slices on Act.entryRelationship.act.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators:
                              • value @ root
                              • 640. Act.entryRelationship:authorization.act.templateId:authorization-activity
                                Slice Nameauthorization-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

                                Control1..1
                                Typehttp://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.

                                Control0..1
                                BindingThe codes SHALL be taken from CDANullFlavor
                                (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                                Typecode(cs: Coded Simple Value)
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                XML FormatIn the XML format, this property is represented as an attribute.
                                LabelExceptional 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.

                                Control0..1
                                Typestring(st: Character String)
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                XML FormatIn the XML format, this property is represented as an attribute.
                                LabelAssigning 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).

                                Control0..1
                                Typeboolean(bl: Boolean)
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                XML FormatIn the XML format, this property is represented as an attribute.
                                LabelDisplayable
                                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.

                                Control1..1
                                Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                XML FormatIn the XML format, this property is represented as an attribute.
                                LabelRoot
                                Pattern Value2.16.840.1.113883.10.20.1.19
                                650. Act.entryRelationship:authorization.act.templateId:authorization-activity.extension
                                Definition

                                A character string as a unique identifier within the scope of the identifier root.

                                Control0..0
                                Typestring(st: Character String)
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                XML FormatIn the XML format, this property is represented as an attribute.
                                LabelExtension
                                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).

                                Control1..1
                                BindingThe codes SHALL be taken from XActClassDocumentEntryAct (2.0.0)
                                (required to http://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryAct|2.0.0)
                                Typecode(cs: Coded Simple Value)
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                XML FormatIn the XML format, this property is represented as an attribute.
                                Fixed ValueACT
                                654. Act.entryRelationship:authorization.act.moodCode
                                ShortEVN
                                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).

                                Control1..1
                                BindingThe codes SHALL be taken from XDocumentActMood (2.0.0)
                                (required to http://terminology.hl7.org/ValueSet/v3-xDocumentActMood|2.0.0)
                                Typecode(cs: Coded Simple Value)
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                XML FormatIn the XML format, this property is represented as an attribute.
                                Fixed ValueEVN
                                656. Act.entryRelationship:authorization.act.negationInd
                                Control0..1
                                Typeboolean(bl: Boolean)
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                XML FormatIn 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).

                                Control1..1
                                Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                                660. Act.entryRelationship:authorization.act.code
                                Control1..1
                                BindingFor example codes, see v3 Code System ActCode
                                (example to http://terminology.hl7.org/ValueSet/v3-ActCode)
                                Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                                662. Act.entryRelationship:authorization.act.text
                                ShortSHOULD reference the portion of section narrative text corresponding to this entry
                                Control0..1
                                Typehttp://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.

                                Control0..1
                                BindingThe codes SHALL be taken from CDANullFlavor
                                (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                                Typecode(cs: Coded Simple Value)
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                XML FormatIn the XML format, this property is represented as an attribute.
                                LabelExceptional Value Detail
                                666. Act.entryRelationship:authorization.act.text.compression
                                Definition

                                Indicates whether the raw byte data is compressed, and what compression algorithm was used.

                                Control0..1
                                BindingThe codes SHALL be taken from CDACompressionAlgorithm
                                (required to http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm)
                                Typecode(cs: Coded Simple Value)
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                XML FormatIn the XML format, this property is represented as an attribute.
                                LabelCompression
                                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.

                                Control0..1
                                Typebase64Binary(bin: Binary Data)
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                XML FormatIn the XML format, this property is represented as an attribute.
                                LabelIntegrity 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.

                                Control0..1
                                BindingThe codes SHALL be taken from IntegrityCheckAlgorithm (2.0.0)
                                (required to http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0)
                                Typecode(cs: Coded Simple Value)
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                XML FormatIn the XML format, this property is represented as an attribute.
                                LabelIntegrity Check Algorithm
                                672. Act.entryRelationship:authorization.act.text.language
                                Definition

                                For character based information the language property specifies the human language of the text.

                                Control0..1
                                Typecode(cs: Coded Simple Value)
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                XML FormatIn the XML format, this property is represented as an attribute.
                                LabelLanguage
                                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.

                                Control0..1
                                BindingFor example codes, see MediaType
                                (example to http://terminology.hl7.org/ValueSet/v3-MediaType)
                                Typecode(cs: Coded Simple Value)
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                XML FormatIn the XML format, this property is represented as an attribute.
                                LabelMedia Type
                                676. Act.entryRelationship:authorization.act.text.representation
                                Control0..1
                                BindingThe codes SHALL be taken from CDABinaryDataEncoding
                                (required to http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding)
                                Typecode(cs: Coded Simple Value)
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                XML FormatIn 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.)

                                ShortAllows 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.

                                Control0..1
                                Typestring(st: Character String)
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                XML FormatIn 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.

                                Control0..1
                                Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
                                LabelReference
                                Invariantsvalue-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.

                                Control0..1
                                Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
                                LabelThumbnail
                                684. Act.entryRelationship:authorization.act.statusCode
                                Control0..1
                                BindingThe codes SHALL be taken from ActStatus
                                (required to http://terminology.hl7.org/ValueSet/v3-ActStatus)
                                Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                                686. Act.entryRelationship:authorization.act.effectiveTime
                                Control0..1
                                Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
                                688. Act.entryRelationship:authorization.act.priorityCode
                                Control0..1
                                BindingFor example codes, see ActPriority
                                (example to http://terminology.hl7.org/ValueSet/v3-ActPriority)
                                Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                                690. Act.entryRelationship:authorization.act.languageCode
                                Control0..1
                                BindingThe codes SHALL be taken from AllLanguages
                                (required to http://hl7.org/fhir/ValueSet/all-languages)
                                Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                                692. Act.entryRelationship:authorization.act.subject
                                Control0..1
                                Typehttp://hl7.org/cda/stds/core/StructureDefinition/Subject
                                694. Act.entryRelationship:authorization.act.specimen
                                Control0..*
                                Typehttp://hl7.org/cda/stds/core/StructureDefinition/Specimen
                                696. Act.entryRelationship:authorization.act.performer
                                Control0..*
                                Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
                                698. Act.entryRelationship:authorization.act.author
                                Control0..*
                                Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author
                                700. Act.entryRelationship:authorization.act.informant
                                Control0..*
                                Typehttp://hl7.org/cda/stds/core/StructureDefinition/Informant
                                702. Act.entryRelationship:authorization.act.participant
                                Control0..*
                                Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
                                704. Act.entryRelationship:authorization.act.entryRelationship
                                Control1..*
                                Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
                                SlicingThis element introduces a set of slices on Act.entryRelationship.act.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators:
                                • value @ typeCode
                                • 706. Act.entryRelationship:authorization.act.entryRelationship:target
                                  Slice Nametarget
                                  ShortThe 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

                                  Control1..*
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
                                  Invariants81-8951: 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.

                                  Control0..1
                                  BindingThe codes SHALL be taken from CDANullFlavor
                                  (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                                  Typecode(cs: Coded Simple Value)
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  LabelExceptional 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

                                  Control0..*
                                  Typehttp://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.

                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                                  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.

                                  Control0..1
                                  BindingThe codes SHALL be taken from CDANullFlavor
                                  (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                                  Typecode(cs: Coded Simple Value)
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  LabelExceptional 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.

                                  Control0..1
                                  Typestring(st: Character String)
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  LabelAssigning 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).

                                  Control0..1
                                  Typeboolean(bl: Boolean)
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  LabelDisplayable
                                  720. Act.entryRelationship:authorization.act.entryRelationship:target.typeId.root
                                  Definition

                                  Identifies the type as an HL7 Registered model

                                  Control1..1
                                  Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  LabelRoot
                                  Fixed Value2.16.840.1.113883.1.3
                                  722. Act.entryRelationship:authorization.act.entryRelationship:target.typeId.extension
                                  Definition

                                  A character string as a unique identifier within the scope of the identifier root.

                                  Control1..1
                                  Typestring(st: Character String)
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  LabelExtension
                                  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

                                  Control0..*
                                  Typehttp://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).

                                  Control1..1
                                  BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
                                  (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                                  Typecode(cs: Coded Simple Value)
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  Fixed ValueSUBJ
                                  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.

                                  Control0..1
                                  Typeboolean(bl: Boolean)
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  XML FormatIn 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.

                                  Control0..1
                                  Typeboolean(bl: Boolean)
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  Default Valuetrue
                                  732. Act.entryRelationship:authorization.act.entryRelationship:target.negationInd
                                  Control0..1
                                  Typeboolean(bl: Boolean)
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  734. Act.entryRelationship:authorization.act.entryRelationship:target.sequenceNumber
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
                                  736. Act.entryRelationship:authorization.act.entryRelationship:target.seperatableInd
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
                                  738. Act.entryRelationship:authorization.act.entryRelationship:target.act
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
                                  740. Act.entryRelationship:authorization.act.entryRelationship:target.encounter
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
                                  742. Act.entryRelationship:authorization.act.entryRelationship:target.observation
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
                                  744. Act.entryRelationship:authorization.act.entryRelationship:target.observationMedia
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                                  746. Act.entryRelationship:authorization.act.entryRelationship:target.organizer
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                                  748. Act.entryRelationship:authorization.act.entryRelationship:target.procedure
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                                  750. Act.entryRelationship:authorization.act.entryRelationship:target.regionOfInterest
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                                  752. Act.entryRelationship:authorization.act.entryRelationship:target.substanceAdministration
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                                  754. Act.entryRelationship:authorization.act.entryRelationship:target.supply
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
                                  756. Act.entryRelationship:authorization.act.reference
                                  Control0..*
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Reference
                                  758. Act.entryRelationship:authorization.act.precondition
                                  Control0..*
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition
                                  760. Act.entryRelationship:authorization.act.sdtcPrecondition2
                                  Control0..*
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition2
                                  XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameprecondition2.
                                  762. Act.entryRelationship:authorization.act.sdtcInFulfillmentOf1
                                  Control0..*
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1
                                  XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameinFulfillmentOf1.
                                  764. Act.entryRelationship:authorization.encounter
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
                                  766. Act.entryRelationship:authorization.observation
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
                                  768. Act.entryRelationship:authorization.observationMedia
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                                  770. Act.entryRelationship:authorization.organizer
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                                  772. Act.entryRelationship:authorization.procedure
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                                  774. Act.entryRelationship:authorization.regionOfInterest
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                                  776. Act.entryRelationship:authorization.substanceAdministration
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                                  778. Act.entryRelationship:authorization.supply
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
                                  780. Act.entryRelationship:plan
                                  Slice Nameplan
                                  ShortRepresents the Coverage Plan
                                  Control0..*
                                  Typehttp://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.

                                  Control0..1
                                  BindingThe codes SHALL be taken from CDANullFlavor
                                  (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                                  Typecode(cs: Coded Simple Value)
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  LabelExceptional 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

                                  Control0..*
                                  Typehttp://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.

                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                                  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.

                                  Control0..1
                                  BindingThe codes SHALL be taken from CDANullFlavor
                                  (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                                  Typecode(cs: Coded Simple Value)
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  LabelExceptional 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.

                                  Control0..1
                                  Typestring(st: Character String)
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  LabelAssigning 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).

                                  Control0..1
                                  Typeboolean(bl: Boolean)
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  LabelDisplayable
                                  794. Act.entryRelationship:plan.typeId.root
                                  Definition

                                  Identifies the type as an HL7 Registered model

                                  Control1..1
                                  Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  LabelRoot
                                  Fixed Value2.16.840.1.113883.1.3
                                  796. Act.entryRelationship:plan.typeId.extension
                                  Definition

                                  A character string as a unique identifier within the scope of the identifier root.

                                  Control1..1
                                  Typestring(st: Character String)
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  LabelExtension
                                  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

                                  Control0..*
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                                  800. Act.entryRelationship:plan.typeCode
                                  Control1..1
                                  BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
                                  (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                                  Typecode(cs: Coded Simple Value)
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  Fixed ValueREFR
                                  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.

                                  Control0..1
                                  Typeboolean(bl: Boolean)
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  XML FormatIn 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.

                                  Control0..1
                                  Typeboolean(bl: Boolean)
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  Default Valuetrue
                                  806. Act.entryRelationship:plan.negationInd
                                  Control0..1
                                  Typeboolean(bl: Boolean)
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  808. Act.entryRelationship:plan.sequenceNumber
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
                                  810. Act.entryRelationship:plan.seperatableInd
                                  Control0..1
                                  Typehttp://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).

                                  Control1..1
                                  Typehttp://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.

                                  Control0..1
                                  BindingThe codes SHALL be taken from CDANullFlavor
                                  (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                                  Typecode(cs: Coded Simple Value)
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  LabelExceptional 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

                                  Control0..*
                                  Typehttp://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.

                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                                  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.

                                  Control0..1
                                  BindingThe codes SHALL be taken from CDANullFlavor
                                  (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                                  Typecode(cs: Coded Simple Value)
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  LabelExceptional 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.

                                  Control0..1
                                  Typestring(st: Character String)
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  LabelAssigning 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).

                                  Control0..1
                                  Typeboolean(bl: Boolean)
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  LabelDisplayable
                                  826. Act.entryRelationship:plan.act.typeId.root
                                  Definition

                                  Identifies the type as an HL7 Registered model

                                  Control1..1
                                  Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  LabelRoot
                                  Fixed Value2.16.840.1.113883.1.3
                                  828. Act.entryRelationship:plan.act.typeId.extension
                                  Definition

                                  A character string as a unique identifier within the scope of the identifier root.

                                  Control1..1
                                  Typestring(st: Character String)
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  LabelExtension
                                  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

                                  Control0..*
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                                  832. Act.entryRelationship:plan.act.classCode
                                  Control1..1
                                  BindingThe codes SHALL be taken from XActClassDocumentEntryAct (2.0.0)
                                  (required to http://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryAct|2.0.0)
                                  Typecode(cs: Coded Simple Value)
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  Fixed ValueACT
                                  834. Act.entryRelationship:plan.act.moodCode
                                  Control1..1
                                  BindingThe codes SHALL be taken from XDocumentActMood (2.0.0)
                                  (required to http://terminology.hl7.org/ValueSet/v3-xDocumentActMood|2.0.0)
                                  Typecode(cs: Coded Simple Value)
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  Fixed ValueDEF
                                  836. Act.entryRelationship:plan.act.negationInd
                                  Control0..1
                                  Typeboolean(bl: Boolean)
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  838. Act.entryRelationship:plan.act.id
                                  ShortPlan identifier
                                  Control1..*
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                                  840. Act.entryRelationship:plan.act.code
                                  Control1..1
                                  BindingFor example codes, see v3 Code System ActCode
                                  (example to http://terminology.hl7.org/ValueSet/v3-ActCode)
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                                  842. Act.entryRelationship:plan.act.text
                                  ShortName of the plan
                                  Control1..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
                                  844. Act.entryRelationship:plan.act.statusCode
                                  Control0..1
                                  BindingThe codes SHALL be taken from ActStatus
                                  (required to http://terminology.hl7.org/ValueSet/v3-ActStatus)
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                                  846. Act.entryRelationship:plan.act.effectiveTime
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
                                  848. Act.entryRelationship:plan.act.priorityCode
                                  Control0..1
                                  BindingFor example codes, see ActPriority
                                  (example to http://terminology.hl7.org/ValueSet/v3-ActPriority)
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                                  850. Act.entryRelationship:plan.act.languageCode
                                  Control0..1
                                  BindingThe codes SHALL be taken from AllLanguages
                                  (required to http://hl7.org/fhir/ValueSet/all-languages)
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                                  852. Act.entryRelationship:plan.act.subject
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Subject
                                  854. Act.entryRelationship:plan.act.specimen
                                  Control0..*
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Specimen
                                  856. Act.entryRelationship:plan.act.performer
                                  Control0..*
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
                                  858. Act.entryRelationship:plan.act.author
                                  Control0..*
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author
                                  860. Act.entryRelationship:plan.act.informant
                                  Control0..*
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Informant
                                  862. Act.entryRelationship:plan.act.participant
                                  Control0..*
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
                                  864. Act.entryRelationship:plan.act.entryRelationship
                                  Control0..*
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
                                  866. Act.entryRelationship:plan.act.reference
                                  Control0..*
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Reference
                                  868. Act.entryRelationship:plan.act.precondition
                                  Control0..*
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition
                                  870. Act.entryRelationship:plan.act.sdtcPrecondition2
                                  Control0..*
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition2
                                  XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameprecondition2.
                                  872. Act.entryRelationship:plan.act.sdtcInFulfillmentOf1
                                  Control0..*
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1
                                  XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameinFulfillmentOf1.
                                  874. Act.entryRelationship:plan.encounter
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
                                  876. Act.entryRelationship:plan.observation
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
                                  878. Act.entryRelationship:plan.observationMedia
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                                  880. Act.entryRelationship:plan.organizer
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                                  882. Act.entryRelationship:plan.procedure
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                                  884. Act.entryRelationship:plan.regionOfInterest
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                                  886. Act.entryRelationship:plan.substanceAdministration
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                                  888. Act.entryRelationship:plan.supply
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
                                  890. Act.reference
                                  Control0..*
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Reference
                                  892. Act.precondition
                                  Control0..*
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition
                                  894. Act.sdtcPrecondition2
                                  Control0..*
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition2
                                  XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameprecondition2.
                                  896. Act.sdtcInFulfillmentOf1
                                  Control0..*
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1
                                  XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameinFulfillmentOf1.