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 4.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/CDA-ccda/ and changes regularly. See the Directory of published versions

Logical Model: RiskConcernAct - Detailed Descriptions

Draft as of 2024-12-19

Definitions for the RiskConcernAct logical model.

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

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())
should-author: SHOULD contain author (author.exists())
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:risk-concern-act
    Slice Namerisk-concern-act
    Control1..1
    6. Act.templateId:risk-concern-act.root
    Control1..?
    Pattern Value2.16.840.1.113883.10.20.22.4.136
    8. Act.templateId:risk-concern-act.extension
    Control1..?
    Pattern Value2015-08-01
    10. Act.classCode
    Comments

    SHALL contain exactly one [1..1] @classCode="ACT" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1198-32220).

    Fixed ValueACT
    12. Act.moodCode
    Comments

    SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1198-32221).

    Fixed ValueEVN
    14. Act.id
    Comments

    SHALL contain at least one [1..*] id (CONF:1198-32223).

    Control1..?
    16. Act.code
    ShortAt risk - finding
    Comments

    SHALL contain exactly one [1..1] code (CONF:1198-32305).

    18. Act.code.code
    Control1..?
    Pattern Value281694009
    20. Act.code.codeSystem
    ShortSNOMED CT
    Control1..?
    Pattern Value2.16.840.1.113883.6.96
    22. Act.text
    ShortSHOULD reference the portion of section narrative text corresponding to this entry
    24. 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('#'))
    26. Act.statusCode
    Comments

    SHALL contain exactly one [1..1] statusCode (CONF:1198-32225).

    Control1..?
    28. Act.statusCode.nullFlavor
    Control0..0
    30. Act.statusCode.code
    Control1..?
    BindingThe codes SHALL be taken from ProblemAct statusCode .
    (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.19)
    32. Act.effectiveTime
    Comments

    MAY contain zero or one [0..1] effectiveTime (CONF:1198-32226).

    34. Act.author
    Comments

    SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1198-32300).

    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author(Author Participation)
    36. Act.entryRelationship
    ShortWhere a Health Concern needs to reference another entry already described in the CDA document instance, rather than repeating the full content of the entry, the Entry Reference template may be used to reference this entry.
    SlicingThis element introduces a set of slices on Act.entryRelationship. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ typeCode
    • profile @ observation
    • profile @ act
    • profile @ organizer
    • 38. Act.entryRelationship:problemObservation1
      Slice NameproblemObservation1
      Comments

      MAY contain zero or more [0..*] entryRelationship (CONF:1198-32179) such that it

      Control0..*
      40. Act.entryRelationship:problemObservation1.typeCode
      Comments

      SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32227).

      Fixed ValueREFR
      42. Act.entryRelationship:problemObservation1.observation
      Comments

      SHALL contain exactly one [1..1] Problem Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.4:2015-08-01) (CONF:1198-32219).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Problem Observation)
      44. Act.entryRelationship:allergy-IntoleranceObservation
      Slice Nameallergy-IntoleranceObservation
      Comments

      MAY contain zero or more [0..*] entryRelationship (CONF:1198-32181) such that it

      Control0..*
      46. Act.entryRelationship:allergy-IntoleranceObservation.typeCode
      Comments

      SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32228).

      Fixed ValueREFR
      48. Act.entryRelationship:allergy-IntoleranceObservation.observation
      Comments

      SHALL contain exactly one [1..1] Allergy - Intolerance Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.7:2014-06-09) (CONF:1198-32229).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Allergy - Intolerance Observation)
      50. Act.entryRelationship:entryReferenceRefr
      Slice NameentryReferenceRefr
      ShortThe following entryRelationship represents the relationship between two Health Concern Acts where there is a general relationship between the source and the target (Health Concern RELATES TO Health Concern). It can also represent the relationship between a Health Concern and another entry already described in the CDA document instance. The Entry Reference template is used here because the target entry will be defined elsewhere and thus a reference to that instance is all that is required.
      Comments

      MAY contain zero or more [0..*] entryRelationship (CONF:1198-32182) such that it

      Control0..*
      52. Act.entryRelationship:entryReferenceRefr.typeCode
      Comments

      SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32230).

      Fixed ValueREFR
      54. Act.entryRelationship:entryReferenceRefr.act
      Comments

      SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:1198-32231).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Entry Reference)
      56. Act.entryRelationship:entryReferenceComp
      Slice NameentryReferenceComp
      ShortThe following entryRelationship represents the relationship between two Health Concern Acts where the target is a component of the source (Health Concern HAS COMPONENT Health Concern). The Enry Reference template is used here because the target Health Concern Act will be defined elsewhere in the Health Concerns Section and thus a reference to that template is all that is required.
      Comments

      MAY contain zero or more [0..*] entryRelationship (CONF:1198-32183) such that it

      Control0..*
      58. Act.entryRelationship:entryReferenceComp.typeCode
      Comments

      SHALL contain exactly one [1..1] @typeCode="COMP" Has component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32232).

      Fixed ValueCOMP
      60. Act.entryRelationship:entryReferenceComp.act
      Comments

      SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:1198-32233).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Entry Reference)
      62. Act.entryRelationship:assessmentScaleObservation
      Slice NameassessmentScaleObservation
      Comments

      MAY contain zero or more [0..*] entryRelationship (CONF:1198-32184) such that it

      Control0..*
      64. Act.entryRelationship:assessmentScaleObservation.typeCode
      Comments

      SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32234).

      Fixed ValueREFR
      66. Act.entryRelationship:assessmentScaleObservation.observation
      Comments

      SHALL contain exactly one [1..1] Assessment Scale Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.69) (CONF:1198-32235).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Assessment Scale Observation)
      68. Act.entryRelationship:mentalStatusObservation1
      Slice NamementalStatusObservation1
      Comments

      MAY contain zero or more [0..*] entryRelationship (CONF:1198-32185) such that it

      Control0..*
      70. Act.entryRelationship:mentalStatusObservation1.typeCode
      Comments

      SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32236).

      Fixed ValueREFR
      72. Act.entryRelationship:mentalStatusObservation1.observation
      Comments

      SHALL contain exactly one [1..1] Mental Status Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.74:2015-08-01) (CONF:1198-32237).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Mental Status Observation)
      74. Act.entryRelationship:self-CareActivitiesADLandIADL
      Slice Nameself-CareActivitiesADLandIADL
      Comments

      MAY contain zero or more [0..*] entryRelationship (CONF:1198-32186) such that it

      Control0..*
      76. Act.entryRelationship:self-CareActivitiesADLandIADL.typeCode
      Comments

      SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32238).

      Fixed ValueREFR
      78. Act.entryRelationship:self-CareActivitiesADLandIADL.observation
      Comments

      SHALL contain exactly one [1..1] Self-Care Activities (ADL and IADL) (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.128) (CONF:1198-32239).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Self-Care Activities (ADL and IADL))
      80. Act.entryRelationship:mentalStatusObservation2
      Slice NamementalStatusObservation2
      Comments

      MAY contain zero or more [0..*] entryRelationship (CONF:1198-32188) such that it

      Control0..*
      82. Act.entryRelationship:mentalStatusObservation2.typeCode
      Comments

      SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32242).

      Fixed ValueREFR
      84. Act.entryRelationship:mentalStatusObservation2.observation
      Comments

      SHALL contain exactly one [1..1] Mental Status Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.74:2015-08-01) (CONF:1198-32243).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Mental Status Observation)
      86. Act.entryRelationship:smokingStatus
      Slice NamesmokingStatus
      Comments

      MAY contain zero or more [0..*] entryRelationship (CONF:1198-32189) such that it

      Control0..*
      88. Act.entryRelationship:smokingStatus.typeCode
      Comments

      SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32244).

      Fixed ValueREFR
      90. Act.entryRelationship:smokingStatus.observation
      Comments

      SHALL contain exactly one [1..1] Smoking Status (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.511:2024-05-01) (CONF:1198-32245).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Smoking Status)
      92. Act.entryRelationship:encounterDiagnosis
      Slice NameencounterDiagnosis
      Comments

      MAY contain zero or more [0..*] entryRelationship (CONF:1198-32190) such that it

      Control0..*
      94. Act.entryRelationship:encounterDiagnosis.typeCode
      Comments

      SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32246).

      Fixed ValueREFR
      96. Act.entryRelationship:encounterDiagnosis.act
      Comments

      SHALL contain exactly one [1..1] Encounter Diagnosis (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.80:2015-08-01) (CONF:1198-32247).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Encounter Diagnosis)
      98. Act.entryRelationship:entryRelationship11
      Slice NameentryRelationship11
      Comments

      MAY contain zero or more [0..*] entryRelationship (CONF:1198-32191) such that it

      Control0..*
      100. Act.entryRelationship:entryRelationship11.typeCode
      Comments

      SHALL contain exactly one [1..1] @typeCode="REFR" Refers To (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32248).

      Fixed ValueREFR
      102. Act.entryRelationship:entryRelationship11.organizer
      Comments

      SHALL contain exactly one [1..1] Family History Organizer (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.45:2015-08-01) (CONF:1198-32249).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer(Family History Organizer)
      104. Act.entryRelationship:functionalStatusObservation
      Slice NamefunctionalStatusObservation
      Comments

      MAY contain zero or more [0..*] entryRelationship (CONF:1198-32192) such that it

      Control0..*
      106. Act.entryRelationship:functionalStatusObservation.typeCode
      Comments

      SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32250).

      Fixed ValueREFR
      108. Act.entryRelationship:functionalStatusObservation.observation
      Comments

      SHALL contain exactly one [1..1] Functional Status Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.67:2014-06-09) (CONF:1198-32251).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Functional Status Observation)
      110. Act.entryRelationship:hospitalAdmissionDiagnosis
      Slice NamehospitalAdmissionDiagnosis
      Comments

      MAY contain zero or more [0..*] entryRelationship (CONF:1198-32193) such that it

      Control0..*
      112. Act.entryRelationship:hospitalAdmissionDiagnosis.typeCode
      Comments

      SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32252).

      Fixed ValueREFR
      114. Act.entryRelationship:hospitalAdmissionDiagnosis.act
      Comments

      SHALL contain exactly one [1..1] Hospital Admission Diagnosis (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.34:2015-08-01) (CONF:1198-32253).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Hospital Admission Diagnosis)
      116. Act.entryRelationship:nutritionAssessment
      Slice NamenutritionAssessment
      Comments

      MAY contain zero or more [0..*] entryRelationship (CONF:1198-32195) such that it

      Control0..*
      118. Act.entryRelationship:nutritionAssessment.typeCode
      Comments

      SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32256).

      Fixed ValueREFR
      120. Act.entryRelationship:nutritionAssessment.observation
      Comments

      SHALL contain exactly one [1..1] Nutrition Assessment (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.138) (CONF:1198-32257).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Nutrition Assessment)
      122. Act.entryRelationship:postprocedureDiagnosis
      Slice NamepostprocedureDiagnosis
      Comments

      MAY contain zero or more [0..*] entryRelationship (CONF:1198-32197) such that it

      Control0..*
      124. Act.entryRelationship:postprocedureDiagnosis.typeCode
      Comments

      SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32260).

      Fixed ValueREFR
      126. Act.entryRelationship:postprocedureDiagnosis.act
      Comments

      SHALL contain exactly one [1..1] Postprocedure Diagnosis (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.51:2015-08-01) (CONF:1198-32261).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Postprocedure Diagnosis)
      128. Act.entryRelationship:pregnancyStatusObservation
      Slice NamepregnancyStatusObservation
      Comments

      MAY contain zero or more [0..*] entryRelationship (CONF:1198-32198) such that it

      Control0..*
      130. Act.entryRelationship:pregnancyStatusObservation.typeCode
      Comments

      SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32262).

      Fixed ValueREFR
      132. Act.entryRelationship:pregnancyStatusObservation.observation
      Comments

      SHALL contain exactly one [1..1] Pregnancy Status Observation (identifier: urn:oid:2.16.840.1.113883.10.20.15.3.8) (CONF:1198-32263).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Pregnancy Status Observation)
      134. Act.entryRelationship:preoperativeDiagnosis
      Slice NamepreoperativeDiagnosis
      Comments

      MAY contain zero or more [0..*] entryRelationship (CONF:1198-32199) such that it

      Control0..*
      136. Act.entryRelationship:preoperativeDiagnosis.typeCode
      Comments

      SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32264).

      Fixed ValueREFR
      138. Act.entryRelationship:preoperativeDiagnosis.act
      Comments

      SHALL contain exactly one [1..1] Preoperative Diagnosis (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.65:2015-08-01) (CONF:1198-32265).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Preoperative Diagnosis)
      140. Act.entryRelationship:reactionObservation
      Slice NamereactionObservation
      Comments

      MAY contain zero or more [0..*] entryRelationship (CONF:1198-32200) such that it

      Control0..*
      142. Act.entryRelationship:reactionObservation.typeCode
      Comments

      SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32266).

      Fixed ValueREFR
      144. Act.entryRelationship:reactionObservation.observation
      Comments

      SHALL contain exactly one [1..1] Reaction Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.9:2014-06-09) (CONF:1198-32267).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Reaction Observation)
      146. Act.entryRelationship:resultObservation
      Slice NameresultObservation
      Comments

      MAY contain zero or more [0..*] entryRelationship (CONF:1198-32201) such that it

      Control0..*
      148. Act.entryRelationship:resultObservation.typeCode
      Comments

      SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32268).

      Fixed ValueREFR
      150. Act.entryRelationship:resultObservation.observation
      Comments

      SHALL contain exactly one [1..1] Result Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.2:2015-08-01) (CONF:1198-32269).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Result Observation)
      152. Act.entryRelationship:sensoryStatus
      Slice NamesensoryStatus
      Comments

      MAY contain zero or more [0..*] entryRelationship (CONF:1198-32202) such that it

      Control0..*
      154. Act.entryRelationship:sensoryStatus.typeCode
      Comments

      SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32270).

      Fixed ValueREFR
      156. Act.entryRelationship:sensoryStatus.observation
      Comments

      SHALL contain exactly one [1..1] Sensory Status (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.127) (CONF:1198-32271).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Sensory Status)
      158. Act.entryRelationship:socialHistoryObservation
      Slice NamesocialHistoryObservation
      Comments

      MAY contain zero or more [0..*] entryRelationship (CONF:1198-32203) such that it

      Control0..*
      160. Act.entryRelationship:socialHistoryObservation.typeCode
      Comments

      SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32272).

      Fixed ValueREFR
      162. Act.entryRelationship:socialHistoryObservation.observation
      Comments

      SHALL contain exactly one [1..1] Social History Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.38:2015-08-01) (CONF:1198-32273).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Social History Observation)
      164. Act.entryRelationship:substanceorDeviceAllergy-IntoleranceObservation
      Slice NamesubstanceorDeviceAllergy-IntoleranceObservation
      Comments

      MAY contain zero or more [0..*] entryRelationship (CONF:1198-32204) such that it

      Control0..*
      166. Act.entryRelationship:substanceorDeviceAllergy-IntoleranceObservation.typeCode
      Comments

      SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32958).

      Fixed ValueREFR
      168. Act.entryRelationship:substanceorDeviceAllergy-IntoleranceObservation.observation
      Comments

      SHALL contain exactly one [1..1] Substance or Device Allergy - Intolerance Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.24.3.90:2014-06-09) (CONF:1198-32275).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Substance or Device Allergy - Intolerance Observation)
      170. Act.entryRelationship:vitalSignObservation
      Slice NamevitalSignObservation
      Comments

      MAY contain zero or more [0..*] entryRelationship (CONF:1198-32206) such that it

      Control0..*
      172. Act.entryRelationship:vitalSignObservation.typeCode
      Comments

      SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32278).

      Fixed ValueREFR
      174. Act.entryRelationship:vitalSignObservation.observation
      Comments

      SHALL contain exactly one [1..1] Vital Sign Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.27:2014-06-09) (CONF:1198-32279).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Vital Sign Observation)
      176. Act.entryRelationship:longitudinalCareWoundObservation
      Slice NamelongitudinalCareWoundObservation
      Comments

      MAY contain zero or more [0..*] entryRelationship (CONF:1198-32207) such that it

      Control0..*
      178. Act.entryRelationship:longitudinalCareWoundObservation.typeCode
      Comments

      SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32280).

      Fixed ValueREFR
      180. Act.entryRelationship:longitudinalCareWoundObservation.observation
      Comments

      SHALL contain exactly one [1..1] Longitudinal Care Wound Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.114:2015-08-01) (CONF:1198-32281).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Longitudinal Care Wound Observation)
      182. Act.entryRelationship:problemObservation2
      Slice NameproblemObservation2
      ShortThe following entryRelationship represents the relationship Health Concern HAS SUPPORT Observation.
      Comments

      MAY contain zero or more [0..*] entryRelationship (CONF:1198-32208) such that it

      Control0..*
      184. Act.entryRelationship:problemObservation2.typeCode
      Comments

      SHALL contain exactly one [1..1] @typeCode="SPRT" Has support (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32282).

      Fixed ValueSPRT
      186. Act.entryRelationship:problemObservation2.observation
      Comments

      SHALL contain exactly one [1..1] Problem Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.4:2015-08-01) (CONF:1198-32283).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Problem Observation)
      188. Act.entryRelationship:caregiverCharacteristics
      Slice NamecaregiverCharacteristics
      Comments

      MAY contain zero or more [0..*] entryRelationship (CONF:1198-32209) such that it

      Control0..*
      190. Act.entryRelationship:caregiverCharacteristics.typeCode
      Comments

      SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32284).

      Fixed ValueREFR
      192. Act.entryRelationship:caregiverCharacteristics.observation
      Comments

      SHALL contain exactly one [1..1] Caregiver Characteristics (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.72) (CONF:1198-32285).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Caregiver Characteristics)
      194. Act.entryRelationship:culturalandReligiousObservation
      Slice NameculturalandReligiousObservation
      Comments

      MAY contain zero or more [0..*] entryRelationship (CONF:1198-32210) such that it

      Control0..*
      196. Act.entryRelationship:culturalandReligiousObservation.typeCode
      Comments

      SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32286).

      Fixed ValueREFR
      198. Act.entryRelationship:culturalandReligiousObservation.observation
      Comments

      SHALL contain exactly one [1..1] Cultural and Religious Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.111) (CONF:1198-32287).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Cultural and Religious Observation)
      200. Act.entryRelationship:characteristicsofHomeEnvironment
      Slice NamecharacteristicsofHomeEnvironment
      Comments

      MAY contain zero or more [0..*] entryRelationship (CONF:1198-32211) such that it

      Control0..*
      202. Act.entryRelationship:characteristicsofHomeEnvironment.typeCode
      Comments

      SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32288).

      Fixed ValueREFR
      204. Act.entryRelationship:characteristicsofHomeEnvironment.observation
      Comments

      SHALL contain exactly one [1..1] Characteristics of Home Environment (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.109) (CONF:1198-32289).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Characteristics of Home Environment)
      206. Act.entryRelationship:nutritionalStatusObservation
      Slice NamenutritionalStatusObservation
      Comments

      MAY contain zero or more [0..*] entryRelationship (CONF:1198-32212) such that it

      Control0..*
      208. Act.entryRelationship:nutritionalStatusObservation.typeCode
      Comments

      SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32290).

      Fixed ValueREFR
      210. Act.entryRelationship:nutritionalStatusObservation.observation
      Comments

      SHALL contain exactly one [1..1] Nutritional Status Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.124) (CONF:1198-32291).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Nutritional Status Observation)
      212. Act.entryRelationship:resultOrganizer
      Slice NameresultOrganizer
      Comments

      MAY contain zero or more [0..*] entryRelationship (CONF:1198-32213) such that it

      Control0..*
      214. Act.entryRelationship:resultOrganizer.typeCode
      Comments

      SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32292).

      Fixed ValueREFR
      216. Act.entryRelationship:resultOrganizer.organizer
      Comments

      SHALL contain exactly one [1..1] Result Organizer (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.1:2015-08-01) (CONF:1198-32293).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer(Result Organizer)
      218. Act.entryRelationship:priorityPreference1
      Slice NamepriorityPreference1
      ShortThe following entryRelationship represents the priority that the patient puts on the health concern.
      Comments

      MAY contain zero or more [0..*] entryRelationship (CONF:1198-32214) such that it

      Control0..*
      220. Act.entryRelationship:priorityPreference1.typeCode
      Comments

      SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32294).

      Fixed ValueREFR
      222. Act.entryRelationship:priorityPreference1.observation
      Comments

      SHALL contain exactly one [1..1] Priority Preference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.143) (CONF:1198-32295).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Priority Preference)
      224. Act.entryRelationship:priorityPreference2
      Slice NamepriorityPreference2
      ShortThe following entryRelationship represents the priority that the provider puts on the health concern.
      Comments

      MAY contain zero or more [0..*] entryRelationship (CONF:1198-32215) such that it

      Control0..*
      226. Act.entryRelationship:priorityPreference2.typeCode
      Comments

      SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32296).

      Fixed ValueREFR
      228. Act.entryRelationship:priorityPreference2.observation
      Comments

      SHALL contain exactly one [1..1] Priority Preference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.143) (CONF:1198-32297).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Priority Preference)
      230. Act.entryRelationship:problemConcernAct
      Slice NameproblemConcernAct
      Comments

      MAY contain zero or more [0..*] entryRelationship (CONF:1198-32216) such that it

      Control0..*
      232. Act.entryRelationship:problemConcernAct.typeCode
      Comments

      SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32298).

      Fixed ValueREFR
      234. Act.entryRelationship:problemConcernAct.act
      Comments

      SHALL contain exactly one [1..1] Problem Concern Act (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.3:2015-08-01) (CONF:1198-32299).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Problem Concern Act)
      236. Act.reference
      Comments

      MAY contain zero or more [0..*] reference (CONF:1198-32769).

      238. Act.reference.typeCode
      Comments

      The reference, if present, SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32908).

      Fixed ValueREFR
      240. Act.reference.externalDocument
      Comments

      The reference, if present, SHALL contain exactly one [1..1] External Document Reference (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.115:2014-06-09) (CONF:1198-32909).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/ExternalDocument(External Document Reference)