Consolidated CDA (C-CDA)
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Consolidated CDA (C-CDA), published by Health Level Seven. This guide is not an authorized publication; it is the continuous build for version 5.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/CDA-ccda/ and changes regularly. See the Directory of published versions

Logical Model: PolicyActivity - Detailed Descriptions

Draft as of 2025-12-03

Definitions for the PolicyActivity logical model.

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

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)
ValidationInstance 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
InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
8. Act.typeId.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

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 areUnordered 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
    Short𝗨𝗦𝗖𝗗𝗜: Group Identifier: This is the identifier (sent in the @extension attribute) used to uniquely refer to a specific health insurance plan.
    Comments

    If the root OID of Payer that assigned the group identifier is unknown, a local OID can be assigned or a nullFlavor of UNK

    Control1..*
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
    40. Act.code
    Short𝗨𝗦𝗖𝗗𝗜: Coverage Type: Records the category of health care payers, insurance products, or benefits.
    Control1..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)
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
    42. Act.text
    ShortSHOULD reference the portion of section narrative text corresponding to this entry
    Control0..1
    This element is affected by the following invariants: should-text-ref-value
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
    44. 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
    46. 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
    48. 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
    50. 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
    52. 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
    54. 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
    56. 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.
    58. 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.
    60. 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('#'))
    62. 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
    InvariantsED-1: Thumbnails cannot contain their own thumbnails (thumbnail.empty())
    64. 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
    66. 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
    68. 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
    70. 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
    72. 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
    74. 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
    76. 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
    78. 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.
    80. 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.
    82. 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
    84. 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
    86. 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
    88. Act.effectiveTime
    Control0..1
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
    90. 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
    92. 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
    94. Act.subject
    Control0..1
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Subject
    96. Act.specimen
    Control0..*
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Specimen
    98. 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 areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ templateId.root
    • 100. 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
      102. 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
      104. 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
      106. 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
      InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
      108. 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
      110. 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
      112. 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
      114. 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
      116. 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
      118. 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
      120. 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
      122. 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
      124. 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
      126. 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
      128. 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
      130. 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
      132. 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.
      134. Act.performer:payer.time
      Control0..1
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
      136. Act.performer:payer.modeCode
      Control0..1
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
      138. 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())
      140. 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
      142. 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
      144. 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
      InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
      146. 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
      148. 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
      150. 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
      152. 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
      154. 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
      156. 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
      158. 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
      160. Act.performer:payer.assignedEntity.id
      Short𝗨𝗦𝗖𝗗𝗜: 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
      162. 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.
      164. 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
      166. 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
      168. 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
      170. 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
      172. 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
      174. 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
      176. 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
      178. 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.
      180. 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.
      182. 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
      184. 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
      186. 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
      188. Act.performer:payer.assignedEntity.sdtcSpecialty
      Control0..*
      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 namespecialty.
      190. 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)
      192. 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
      194. Act.performer:payer.assignedEntity.assignedPerson
      Control0..1
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Person
      196. 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())
      198. 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
      200. 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
      202. 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
      InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
      204. 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
      206. 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
      208. 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
      210. 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
      212. 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
      214. 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
      216. 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
      218. 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
      220. Act.performer:payer.assignedEntity.representedOrganization.id
      Definition

      The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

      ShortLogical id of this artifact
      Comments

      Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.

      Control0..*1
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/IIid
      Is Modifierfalse
      222. 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()))
      224. Act.performer:payer.assignedEntity.representedOrganization.telecom
      Control0..*
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
      226. Act.performer:payer.assignedEntity.representedOrganization.addr
      Control0..*
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/AD
      228. 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
      230. Act.performer:payer.assignedEntity.representedOrganization.asOrganizationPartOf
      Control0..1
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/OrganizationPartOf
      232. 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.
      234. 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.
      236. 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())
      238. 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
      240. 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
      242. 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
      InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
      244. 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
      246. 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
      248. 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
      250. 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
      252. 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
      254. 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
      256. 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
      258. 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
      260. 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
      262. 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
      264. 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
      266. 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
      268. 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.
      270. 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
      272. Act.performer:guarantor.modeCode
      Control0..1
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
      274. 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())
      276. 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
      278. 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
      280. 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
      InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
      282. 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
      284. 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
      286. 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
      288. 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
      290. 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
      292. 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
      294. 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
      296. Act.performer:guarantor.assignedEntity.id
      Control1..*
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
      298. 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.
      300. 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
      302. 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
      304. 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
      306. 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
      308. 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
      310. 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
      312. 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
      314. 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.
      316. 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.
      318. 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
      320. 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
      322. 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
      324. Act.performer:guarantor.assignedEntity.sdtcSpecialty
      Control0..*
      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 namespecialty.
      326. 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)
      328. 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
      330. Act.performer:guarantor.assignedEntity.assignedPerson
      Control0..1
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Person
      332. Act.performer:guarantor.assignedEntity.representedOrganization
      Control0..1
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organization
      334. 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.
      336. 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.
      338. Act.author
      Control0..*
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author
      340. Act.informant
      Control0..*
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Informant
      342. 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 areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ typeCode
      • 344. 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())
        346. 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
        348. 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
        350. 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
        InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
        352. 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
        354. 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
        356. 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
        358. 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
        360. 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
        362. 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
        364. 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
        366. 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
        368. 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
        370. 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
        372. 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
        374. 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
        376. 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
        378. 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.
        380. 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())
        382. 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
        384. 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.
        386. 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
        388. 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
        390. 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
        392. 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
        394. Act.participant:coverage-target.time.high
        Definition

        This is the high limit of the interval.

        ShortSHOULD contain high
        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
        396. Act.participant:coverage-target.awarenessCode
        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
        398. 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())
        400. 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
        402. 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
        404. 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
        InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
        406. 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
        408. 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
        410. 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
        412. 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
        414. 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
        416. 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
        418. 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
        420. Act.participant:coverage-target.participantRole.id
        Short𝗨𝗦𝗖𝗗𝗜: 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
        422. 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.
        424. Act.participant:coverage-target.participantRole.code
        Short𝗨𝗦𝗖𝗗𝗜: 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
        This element is affected by the following invariants: 4537-17139
        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())
        426. 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
        428. 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
        430. 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
        432. 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
        434. 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
        436. 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
        438. 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.
        440. 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.
        442. 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
        444. 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
        446. 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
        448. Act.participant:coverage-target.participantRole.sdtcSpecialty
        Control0..*
        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 namespecialty.
        450. 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)
        452. Act.participant:coverage-target.participantRole.telecom
        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
        454. Act.participant:coverage-target.participantRole.playingDevice
        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Device
        456. 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
        458. 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
        460. 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
        462. 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
        InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
        464. 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
        466. 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
        468. 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
        470. 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
        472. 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
        474. 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
        476. 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
        478. 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
        480. 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
        482. Act.participant:coverage-target.participantRole.playingEntity.quantity
        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/PQ
        484. 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
        486. 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.
        488. Act.participant:coverage-target.participantRole.playingEntity.desc
        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
        490. Act.participant:coverage-target.participantRole.scopingEntity
        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Entity
        492. 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
        This element is affected by the following invariants: 4537-17139
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
        494. 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
        496. 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
        498. 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
        InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
        500. 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
        502. 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
        504. 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
        506. 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
        508. 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
        510. 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
        512. 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
        514. 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
        516. 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
        518. 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
        520. 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
        522. 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
        524. 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
        526. 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.
        528. 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
        530. Act.participant:subscriber.awarenessCode
        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
        532. 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())
        534. 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
        536. 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
        538. 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
        InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
        540. 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
        542. 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
        544. 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
        546. 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
        548. 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
        550. 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
        552. 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
        554. Act.participant:subscriber.participantRole.id
        Short𝗨𝗦𝗖𝗗𝗜: 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
        556. 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.
        558. 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
        560. Act.participant:subscriber.participantRole.sdtcSpecialty
        Control0..*
        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 namespecialty.
        562. 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)
        564. Act.participant:subscriber.participantRole.telecom
        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
        566. Act.participant:subscriber.participantRole.playingDevice
        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Device
        568. Act.participant:subscriber.participantRole.playingEntity
        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/PlayingEntity
        570. Act.participant:subscriber.participantRole.scopingEntity
        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Entity
        572. Act.entryRelationship
        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
        SlicingThis element introduces a set of slices on Act.entryRelationship. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ act.moodCode
        • 574. 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
          576. 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
          578. 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
          580. 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
          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
          582. 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
          584. 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
          586. 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
          588. 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
          590. 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
          592. 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
          594. 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
          596. 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.
          598. 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
          600. 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.
          602. Act.entryRelationship:authorization.sequenceNumber
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
          604. Act.entryRelationship:authorization.seperatableInd
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
          606. Act.entryRelationship:authorization.act
          Control1..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Authorization Activity)
          608. 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
          610. 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
          612. 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
          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
          614. 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
          616. 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
          618. 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
          620. 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
          622. 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
          624. 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 areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ root
          • 626. 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
            628. 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
            630. 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
            632. 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
            634. 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
            636. 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
            638. 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
            640. 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
            642. 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.
            644. 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
            646. 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
            648. Act.entryRelationship:authorization.act.text
            ShortSHOULD reference the portion of section narrative text corresponding to this entry
            Control0..1
            This element is affected by the following invariants: should-text-ref-value
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
            650. 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
            652. 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
            654. 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
            656. 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
            658. 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
            660. 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
            662. 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.
            664. 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.
            666. 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('#'))
            668. 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
            InvariantsED-1: Thumbnails cannot contain their own thumbnails (thumbnail.empty())
            670. 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
            672. Act.entryRelationship:authorization.act.effectiveTime
            Control0..1
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
            674. 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
            676. 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
            678. Act.entryRelationship:authorization.act.subject
            Control0..1
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Subject
            680. Act.entryRelationship:authorization.act.specimen
            Control0..*
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Specimen
            682. Act.entryRelationship:authorization.act.performer
            Control0..*
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
            684. Act.entryRelationship:authorization.act.author
            Control0..*
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author
            686. Act.entryRelationship:authorization.act.informant
            Control0..*
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Informant
            688. Act.entryRelationship:authorization.act.participant
            Control0..*
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
            690. 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 areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ typeCode
            • 692. 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())
              694. 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
              696. 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
              698. 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
              InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
              700. 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
              702. 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
              704. 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
              706. 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
              708. 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
              710. 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
              712. 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
              714. 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.
              716. 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
              718. 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.
              720. Act.entryRelationship:authorization.act.entryRelationship:target.sequenceNumber
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
              722. Act.entryRelationship:authorization.act.entryRelationship:target.seperatableInd
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
              724. Act.entryRelationship:authorization.act.entryRelationship:target.act
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
              726. Act.entryRelationship:authorization.act.entryRelationship:target.encounter
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
              728. Act.entryRelationship:authorization.act.entryRelationship:target.observation
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
              730. Act.entryRelationship:authorization.act.entryRelationship:target.observationMedia
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
              732. Act.entryRelationship:authorization.act.entryRelationship:target.organizer
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
              734. Act.entryRelationship:authorization.act.entryRelationship:target.procedure
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
              736. Act.entryRelationship:authorization.act.entryRelationship:target.regionOfInterest
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
              738. Act.entryRelationship:authorization.act.entryRelationship:target.substanceAdministration
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
              740. Act.entryRelationship:authorization.act.entryRelationship:target.supply
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
              742. Act.entryRelationship:authorization.act.reference
              Control0..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Reference
              744. Act.entryRelationship:authorization.act.precondition
              Control0..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition
              746. 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.
              748. 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.
              750. Act.entryRelationship:authorization.encounter
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
              752. Act.entryRelationship:authorization.observation
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
              754. Act.entryRelationship:authorization.observationMedia
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
              756. Act.entryRelationship:authorization.organizer
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
              758. Act.entryRelationship:authorization.procedure
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
              760. Act.entryRelationship:authorization.regionOfInterest
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
              762. Act.entryRelationship:authorization.substanceAdministration
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
              764. Act.entryRelationship:authorization.supply
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
              766. Act.entryRelationship:plan
              Slice Nameplan
              ShortRepresents the Coverage Plan
              Control0..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
              768. 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
              770. 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
              772. 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
              InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
              774. 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
              776. 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
              778. 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
              780. 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
              782. 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
              784. 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
              786. 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
              788. 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.
              790. 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
              792. 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.
              794. Act.entryRelationship:plan.sequenceNumber
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
              796. Act.entryRelationship:plan.seperatableInd
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
              798. 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
              800. 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
              802. 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
              804. 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
              InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
              806. 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
              808. 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
              810. 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
              812. 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
              814. 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
              816. 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
              818. 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
              820. 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
              822. 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.
              824. Act.entryRelationship:plan.act.id
              ShortPlan identifier
              Control1..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
              826. 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
              828. Act.entryRelationship:plan.act.text
              ShortName of the plan
              Control1..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
              830. 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
              832. Act.entryRelationship:plan.act.effectiveTime
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
              834. 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
              836. 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
              838. Act.entryRelationship:plan.act.subject
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Subject
              840. Act.entryRelationship:plan.act.specimen
              Control0..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Specimen
              842. Act.entryRelationship:plan.act.performer
              Control0..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
              844. Act.entryRelationship:plan.act.author
              Control0..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author
              846. Act.entryRelationship:plan.act.informant
              Control0..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Informant
              848. Act.entryRelationship:plan.act.participant
              Control0..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
              850. Act.entryRelationship:plan.act.entryRelationship
              Control0..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
              852. Act.entryRelationship:plan.act.reference
              Control0..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Reference
              854. Act.entryRelationship:plan.act.precondition
              Control0..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition
              856. 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.
              858. 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.
              860. Act.entryRelationship:plan.encounter
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
              862. Act.entryRelationship:plan.observation
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
              864. Act.entryRelationship:plan.observationMedia
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
              866. Act.entryRelationship:plan.organizer
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
              868. Act.entryRelationship:plan.procedure
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
              870. Act.entryRelationship:plan.regionOfInterest
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
              872. Act.entryRelationship:plan.substanceAdministration
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
              874. Act.entryRelationship:plan.supply
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
              876. Act.reference
              Control0..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Reference
              878. Act.precondition
              Control0..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition
              880. 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.
              882. 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.

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

              0. Act
              Logical ContainerClinicalDocument (CDA Class)
              ValidationInstance 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 areUnordered 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
                Short𝗨𝗦𝗖𝗗𝗜: Group Identifier: This is the identifier (sent in the @extension attribute) used to uniquely refer to a specific health insurance plan.
                Comments

                If the root OID of Payer that assigned the group identifier is unknown, a local OID can be assigned or a nullFlavor of UNK

                Control1..?
                16. Act.code
                Short𝗨𝗦𝗖𝗗𝗜: Coverage Type: Records the category of health care payers, insurance products, or benefits.
                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)
                18. Act.text
                ShortSHOULD reference the portion of section narrative text corresponding to this entry
                20. 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('#'))
                22. Act.statusCode
                Comments

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

                Control1..?
                24. 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
                26. 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 areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ templateId.root
                • 28. 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
                  30. Act.performer:payer.templateId
                  Comments

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

                  Control1..1
                  32. 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
                  34. Act.performer:payer.templateId.extension
                  Control0..0
                  36. Act.performer:payer.typeCode
                  Control1..?
                  38. 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())
                  40. Act.performer:payer.assignedEntity.id
                  Short𝗨𝗦𝗖𝗗𝗜: 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).

                  42. Act.performer:payer.assignedEntity.code
                  Comments

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

                  44. Act.performer:payer.assignedEntity.code.nullFlavor
                  Control0..0
                  46. 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)
                  48. 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)
                  50. Act.performer:payer.assignedEntity.telecom
                  Comments

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

                  52. 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())
                  54. Act.performer:payer.assignedEntity.representedOrganization.name
                  Comments

                  The representedOrganization, if present, SHOULD contain zero or one [0..1] name (CONF:4537-8913).

                  Control0..1
                  56. Act.performer:guarantor
                  Slice Nameguarantor
                  ShortThis performer represents the Guarantor.
                  Control0..*
                  Invariantsshould-time: SHOULD contain time (time.exists())
                  58. Act.performer:guarantor.templateId
                  Comments

                  SHALL contain exactly one [1..1] templateId (CONF:4537-16810), SHALL not contain [0..0] extension.

                  Control1..1
                  60. 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
                  62. Act.performer:guarantor.templateId.extension
                  Control0..0
                  64. Act.performer:guarantor.typeCode
                  Control1..?
                  66. Act.performer:guarantor.time
                  Comments

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

                  68. 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())
                  70. Act.performer:guarantor.assignedEntity.code
                  Comments

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

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

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

                  Control1..?
                  Pattern ValueGUAR
                  74. 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
                  76. 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)
                  78. Act.performer:guarantor.assignedEntity.telecom
                  Comments

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

                  80. 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 areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ typeCode
                  • 82. 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())
                    84. Act.participant:coverage-target.templateId
                    Comments

                    SHALL contain exactly one [1..1] templateId (CONF:4537-16812), SHALL not contain [0..0] extension.

                    Control1..1
                    86. 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
                    88. Act.participant:coverage-target.templateId.extension
                    Control0..0
                    90. 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
                    92. 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())
                    94. Act.participant:coverage-target.time.low
                    Comments

                    The time, if present, SHOULD contain zero or one [0..1] low (CONF:4537-8919).

                    96. Act.participant:coverage-target.time.high
                    ShortSHOULD contain high
                    Comments

                    The time, if present, SHOULD contain zero or one [0..1] high (CONF:4537-8920).

                    98. 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())
                    100. Act.participant:coverage-target.participantRole.id
                    Short𝗨𝗦𝗖𝗗𝗜: 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..?
                    102. Act.participant:coverage-target.participantRole.code
                    Short𝗨𝗦𝗖𝗗𝗜: 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..?
                    This element is affected by the following invariants: 4537-17139
                    Invariantsshould-code-attr: SHOULD contain @code (code.exists())
                    104. 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)
                    106. 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)
                    108. 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).

                    110. Act.participant:coverage-target.participantRole.playingEntity.name
                    Comments

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

                    Control1..1
                    112. 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..?
                    114. 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
                    This element is affected by the following invariants: 4537-17139
                    116. Act.participant:subscriber.templateId
                    Comments

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

                    Control1..1
                    118. 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
                    120. Act.participant:subscriber.templateId.extension
                    Control0..0
                    122. 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
                    124. Act.participant:subscriber.time
                    Comments

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

                    126. Act.participant:subscriber.participantRole
                    Comments

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

                    Invariantsshould-addr: SHOULD contain addr (addr.exists())
                    128. Act.participant:subscriber.participantRole.id
                    Short𝗨𝗦𝗖𝗗𝗜: 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..?
                    130. 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)
                    132. Act.entryRelationship
                    SlicingThis element introduces a set of slices on Act.entryRelationship. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ act.moodCode
                    • 134. Act.entryRelationship:authorization
                      Slice Nameauthorization
                      ShortentryRelationship
                      Comments

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

                      Control0..*
                      136. 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
                      138. Act.entryRelationship:authorization.act
                      Control1..?
                      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Authorization Activity)
                      140. Act.entryRelationship:authorization.act.moodCode
                      ShortEVN
                      142. Act.entryRelationship:plan
                      Slice Nameplan
                      ShortRepresents the Coverage Plan
                      Control0..*
                      144. Act.entryRelationship:plan.typeCode
                      Fixed ValueREFR
                      146. 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..?
                      148. Act.entryRelationship:plan.act.classCode
                      Fixed ValueACT
                      150. Act.entryRelationship:plan.act.moodCode
                      Fixed ValueDEF
                      152. Act.entryRelationship:plan.act.id
                      ShortPlan identifier
                      Control1..?
                      154. Act.entryRelationship:plan.act.text
                      ShortName of the plan
                      Control1..?

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

                      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)
                      ValidationInstance 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
                      InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                      8. Act.typeId.nullFlavor
                      Definition

                      If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                      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 areUnordered 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
                        Short𝗨𝗦𝗖𝗗𝗜: Group Identifier: This is the identifier (sent in the @extension attribute) used to uniquely refer to a specific health insurance plan.
                        Comments

                        If the root OID of Payer that assigned the group identifier is unknown, a local OID can be assigned or a nullFlavor of UNK

                        Control1..*
                        Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                        40. Act.code
                        Short𝗨𝗦𝗖𝗗𝗜: Coverage Type: Records the category of health care payers, insurance products, or benefits.
                        Control1..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)
                        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                        42. Act.text
                        ShortSHOULD reference the portion of section narrative text corresponding to this entry
                        Control0..1
                        This element is affected by the following invariants: should-text-ref-value
                        Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
                        44. 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
                        46. 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
                        48. 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
                        50. 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
                        52. 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
                        54. 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
                        56. 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.
                        58. 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.
                        60. 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('#'))
                        62. 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
                        InvariantsED-1: Thumbnails cannot contain their own thumbnails (thumbnail.empty())
                        64. 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
                        66. 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
                        68. 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
                        70. 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
                        72. 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
                        74. 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
                        76. 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
                        78. 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.
                        80. 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.
                        82. 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
                        84. 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
                        86. 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
                        88. Act.effectiveTime
                        Control0..1
                        Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
                        90. 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
                        92. 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
                        94. Act.subject
                        Control0..1
                        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Subject
                        96. Act.specimen
                        Control0..*
                        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Specimen
                        98. 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 areUnordered and Open, and can be differentiated using the following discriminators:
                        • value @ templateId.root
                        • 100. 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
                          102. 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
                          104. 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
                          106. 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
                          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                          108. 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
                          110. 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
                          112. 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
                          114. 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
                          116. 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
                          118. 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
                          120. 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
                          122. 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
                          124. 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
                          126. 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
                          128. 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
                          130. 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
                          132. 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.
                          134. Act.performer:payer.time
                          Control0..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
                          136. Act.performer:payer.modeCode
                          Control0..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                          138. 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())
                          140. 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
                          142. 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
                          144. 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
                          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                          146. 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
                          148. 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
                          150. 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
                          152. 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
                          154. 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
                          156. 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
                          158. 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
                          160. Act.performer:payer.assignedEntity.id
                          Short𝗨𝗦𝗖𝗗𝗜: 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
                          162. 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.
                          164. 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
                          166. 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
                          168. 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
                          170. 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
                          172. 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
                          174. 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
                          176. 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
                          178. 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.
                          180. 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.
                          182. 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
                          184. 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
                          186. 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
                          188. Act.performer:payer.assignedEntity.sdtcSpecialty
                          Control0..*
                          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 namespecialty.
                          190. 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)
                          192. 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
                          194. Act.performer:payer.assignedEntity.assignedPerson
                          Control0..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Person
                          196. 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())
                          198. 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
                          200. 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
                          202. 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
                          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                          204. 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
                          206. 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
                          208. 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
                          210. 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
                          212. 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
                          214. 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
                          216. 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
                          218. 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
                          220. Act.performer:payer.assignedEntity.representedOrganization.id
                          Control0..*
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                          222. 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
                          224. Act.performer:payer.assignedEntity.representedOrganization.telecom
                          Control0..*
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
                          226. Act.performer:payer.assignedEntity.representedOrganization.addr
                          Control0..*
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/AD
                          228. 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
                          230. Act.performer:payer.assignedEntity.representedOrganization.asOrganizationPartOf
                          Control0..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/OrganizationPartOf
                          232. 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.
                          234. 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.
                          236. 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())
                          238. 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
                          240. 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
                          242. 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
                          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                          244. 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
                          246. 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
                          248. 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
                          250. 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
                          252. 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
                          254. 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
                          256. 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
                          258. 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
                          260. 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
                          262. 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
                          264. 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
                          266. 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
                          268. 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.
                          270. 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
                          272. Act.performer:guarantor.modeCode
                          Control0..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                          274. 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())
                          276. 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
                          278. 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
                          280. 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
                          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                          282. 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
                          284. 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
                          286. 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
                          288. 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
                          290. 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
                          292. 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
                          294. 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
                          296. Act.performer:guarantor.assignedEntity.id
                          Control1..*
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                          298. 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.
                          300. 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
                          302. 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
                          304. 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
                          306. 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
                          308. 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
                          310. 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
                          312. 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
                          314. 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.
                          316. 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.
                          318. 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
                          320. 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
                          322. 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
                          324. Act.performer:guarantor.assignedEntity.sdtcSpecialty
                          Control0..*
                          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 namespecialty.
                          326. 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)
                          328. 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
                          330. Act.performer:guarantor.assignedEntity.assignedPerson
                          Control0..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Person
                          332. Act.performer:guarantor.assignedEntity.representedOrganization
                          Control0..1
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organization
                          334. 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.
                          336. 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.
                          338. Act.author
                          Control0..*
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author
                          340. Act.informant
                          Control0..*
                          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Informant
                          342. 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 areUnordered and Open, and can be differentiated using the following discriminators:
                          • value @ typeCode
                          • 344. 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())
                            346. 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
                            348. 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
                            350. 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
                            InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                            352. 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
                            354. 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
                            356. 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
                            358. 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
                            360. 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
                            362. 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
                            364. 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
                            366. 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
                            368. 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
                            370. 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
                            372. 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
                            374. 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
                            376. 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
                            378. 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.
                            380. 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())
                            382. 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
                            384. 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.
                            386. 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
                            388. 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
                            390. 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
                            392. 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
                            394. Act.participant:coverage-target.time.high
                            Definition

                            This is the high limit of the interval.

                            ShortSHOULD contain high
                            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
                            396. Act.participant:coverage-target.awarenessCode
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                            398. 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())
                            400. 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
                            402. 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
                            404. 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
                            InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                            406. 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
                            408. 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
                            410. 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
                            412. 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
                            414. 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
                            416. 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
                            418. 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
                            420. Act.participant:coverage-target.participantRole.id
                            Short𝗨𝗦𝗖𝗗𝗜: 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
                            422. 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.
                            424. Act.participant:coverage-target.participantRole.code
                            Short𝗨𝗦𝗖𝗗𝗜: 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
                            This element is affected by the following invariants: 4537-17139
                            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())
                            426. 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
                            428. 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
                            430. 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
                            432. 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
                            434. 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
                            436. 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
                            438. 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.
                            440. 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.
                            442. 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
                            444. 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
                            446. 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
                            448. Act.participant:coverage-target.participantRole.sdtcSpecialty
                            Control0..*
                            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 namespecialty.
                            450. 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)
                            452. Act.participant:coverage-target.participantRole.telecom
                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
                            454. Act.participant:coverage-target.participantRole.playingDevice
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Device
                            456. 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
                            458. 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
                            460. 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
                            462. 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
                            InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                            464. 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
                            466. 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
                            468. 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
                            470. 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
                            472. 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
                            474. 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
                            476. 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
                            478. 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
                            480. 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
                            482. Act.participant:coverage-target.participantRole.playingEntity.quantity
                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/PQ
                            484. 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
                            486. 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.
                            488. Act.participant:coverage-target.participantRole.playingEntity.desc
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
                            490. Act.participant:coverage-target.participantRole.scopingEntity
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Entity
                            492. 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
                            This element is affected by the following invariants: 4537-17139
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
                            494. 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
                            496. 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
                            498. 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
                            InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                            500. 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
                            502. 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
                            504. 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
                            506. 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
                            508. 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
                            510. 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
                            512. 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
                            514. 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
                            516. 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
                            518. 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
                            520. 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
                            522. 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
                            524. 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
                            526. 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.
                            528. 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
                            530. Act.participant:subscriber.awarenessCode
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                            532. 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())
                            534. 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
                            536. 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
                            538. 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
                            InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                            540. 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
                            542. 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
                            544. 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
                            546. 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
                            548. 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
                            550. 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
                            552. 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
                            554. Act.participant:subscriber.participantRole.id
                            Short𝗨𝗦𝗖𝗗𝗜: 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
                            556. 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.
                            558. 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
                            560. Act.participant:subscriber.participantRole.sdtcSpecialty
                            Control0..*
                            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 namespecialty.
                            562. 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)
                            564. Act.participant:subscriber.participantRole.telecom
                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
                            566. Act.participant:subscriber.participantRole.playingDevice
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Device
                            568. Act.participant:subscriber.participantRole.playingEntity
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/PlayingEntity
                            570. Act.participant:subscriber.participantRole.scopingEntity
                            Control0..1
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Entity
                            572. Act.entryRelationship
                            Control0..*
                            Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
                            SlicingThis element introduces a set of slices on Act.entryRelationship. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                            • value @ act.moodCode
                            • 574. 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
                              576. 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
                              578. 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
                              580. 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
                              InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                              582. 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
                              584. 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
                              586. 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
                              588. 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
                              590. 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
                              592. 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
                              594. 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
                              596. 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.
                              598. 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
                              600. 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.
                              602. Act.entryRelationship:authorization.sequenceNumber
                              Control0..1
                              Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
                              604. Act.entryRelationship:authorization.seperatableInd
                              Control0..1
                              Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
                              606. Act.entryRelationship:authorization.act
                              Control1..1
                              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Authorization Activity)
                              608. 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
                              610. 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
                              612. 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
                              InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                              614. 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
                              616. 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
                              618. 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
                              620. 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
                              622. 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
                              624. 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 areUnordered and Open, and can be differentiated using the following discriminators:
                              • value @ root
                              • 626. 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
                                628. 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
                                630. 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
                                632. 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
                                634. 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
                                636. 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
                                638. 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
                                640. 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
                                642. 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.
                                644. 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
                                646. 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
                                648. Act.entryRelationship:authorization.act.text
                                ShortSHOULD reference the portion of section narrative text corresponding to this entry
                                Control0..1
                                This element is affected by the following invariants: should-text-ref-value
                                Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
                                650. 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
                                652. 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
                                654. 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
                                656. 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
                                658. 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
                                660. 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
                                662. 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.
                                664. 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.
                                666. 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('#'))
                                668. 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
                                InvariantsED-1: Thumbnails cannot contain their own thumbnails (thumbnail.empty())
                                670. 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
                                672. Act.entryRelationship:authorization.act.effectiveTime
                                Control0..1
                                Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
                                674. 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
                                676. 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
                                678. Act.entryRelationship:authorization.act.subject
                                Control0..1
                                Typehttp://hl7.org/cda/stds/core/StructureDefinition/Subject
                                680. Act.entryRelationship:authorization.act.specimen
                                Control0..*
                                Typehttp://hl7.org/cda/stds/core/StructureDefinition/Specimen
                                682. Act.entryRelationship:authorization.act.performer
                                Control0..*
                                Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
                                684. Act.entryRelationship:authorization.act.author
                                Control0..*
                                Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author
                                686. Act.entryRelationship:authorization.act.informant
                                Control0..*
                                Typehttp://hl7.org/cda/stds/core/StructureDefinition/Informant
                                688. Act.entryRelationship:authorization.act.participant
                                Control0..*
                                Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
                                690. 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 areUnordered and Open, and can be differentiated using the following discriminators:
                                • value @ typeCode
                                • 692. 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())
                                  694. 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
                                  696. 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
                                  698. 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
                                  InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                                  700. 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
                                  702. 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
                                  704. 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
                                  706. 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
                                  708. 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
                                  710. 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
                                  712. 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
                                  714. 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.
                                  716. 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
                                  718. 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.
                                  720. Act.entryRelationship:authorization.act.entryRelationship:target.sequenceNumber
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
                                  722. Act.entryRelationship:authorization.act.entryRelationship:target.seperatableInd
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
                                  724. Act.entryRelationship:authorization.act.entryRelationship:target.act
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
                                  726. Act.entryRelationship:authorization.act.entryRelationship:target.encounter
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
                                  728. Act.entryRelationship:authorization.act.entryRelationship:target.observation
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
                                  730. Act.entryRelationship:authorization.act.entryRelationship:target.observationMedia
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                                  732. Act.entryRelationship:authorization.act.entryRelationship:target.organizer
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                                  734. Act.entryRelationship:authorization.act.entryRelationship:target.procedure
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                                  736. Act.entryRelationship:authorization.act.entryRelationship:target.regionOfInterest
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                                  738. Act.entryRelationship:authorization.act.entryRelationship:target.substanceAdministration
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                                  740. Act.entryRelationship:authorization.act.entryRelationship:target.supply
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
                                  742. Act.entryRelationship:authorization.act.reference
                                  Control0..*
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Reference
                                  744. Act.entryRelationship:authorization.act.precondition
                                  Control0..*
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition
                                  746. 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.
                                  748. 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.
                                  750. Act.entryRelationship:authorization.encounter
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
                                  752. Act.entryRelationship:authorization.observation
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
                                  754. Act.entryRelationship:authorization.observationMedia
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                                  756. Act.entryRelationship:authorization.organizer
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                                  758. Act.entryRelationship:authorization.procedure
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                                  760. Act.entryRelationship:authorization.regionOfInterest
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                                  762. Act.entryRelationship:authorization.substanceAdministration
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                                  764. Act.entryRelationship:authorization.supply
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
                                  766. Act.entryRelationship:plan
                                  Slice Nameplan
                                  ShortRepresents the Coverage Plan
                                  Control0..*
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
                                  768. 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
                                  770. 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
                                  772. 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
                                  InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                                  774. 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
                                  776. 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
                                  778. 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
                                  780. 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
                                  782. 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
                                  784. 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
                                  786. 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
                                  788. 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.
                                  790. 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
                                  792. 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.
                                  794. Act.entryRelationship:plan.sequenceNumber
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
                                  796. Act.entryRelationship:plan.seperatableInd
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
                                  798. 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
                                  800. 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
                                  802. 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
                                  804. 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
                                  InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                                  806. 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
                                  808. 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
                                  810. 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
                                  812. 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
                                  814. 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
                                  816. 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
                                  818. 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
                                  820. 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
                                  822. 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.
                                  824. Act.entryRelationship:plan.act.id
                                  ShortPlan identifier
                                  Control1..*
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                                  826. 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
                                  828. Act.entryRelationship:plan.act.text
                                  ShortName of the plan
                                  Control1..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
                                  830. 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
                                  832. Act.entryRelationship:plan.act.effectiveTime
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
                                  834. 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
                                  836. 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
                                  838. Act.entryRelationship:plan.act.subject
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Subject
                                  840. Act.entryRelationship:plan.act.specimen
                                  Control0..*
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Specimen
                                  842. Act.entryRelationship:plan.act.performer
                                  Control0..*
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
                                  844. Act.entryRelationship:plan.act.author
                                  Control0..*
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author
                                  846. Act.entryRelationship:plan.act.informant
                                  Control0..*
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Informant
                                  848. Act.entryRelationship:plan.act.participant
                                  Control0..*
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
                                  850. Act.entryRelationship:plan.act.entryRelationship
                                  Control0..*
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
                                  852. Act.entryRelationship:plan.act.reference
                                  Control0..*
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Reference
                                  854. Act.entryRelationship:plan.act.precondition
                                  Control0..*
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition
                                  856. 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.
                                  858. 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.
                                  860. Act.entryRelationship:plan.encounter
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
                                  862. Act.entryRelationship:plan.observation
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
                                  864. Act.entryRelationship:plan.observationMedia
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                                  866. Act.entryRelationship:plan.organizer
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                                  868. Act.entryRelationship:plan.procedure
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                                  870. Act.entryRelationship:plan.regionOfInterest
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                                  872. Act.entryRelationship:plan.substanceAdministration
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                                  874. Act.entryRelationship:plan.supply
                                  Control0..1
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
                                  876. Act.reference
                                  Control0..*
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Reference
                                  878. Act.precondition
                                  Control0..*
                                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition
                                  880. 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.
                                  882. 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.