Consolidated CDA (C-CDA)
3.0.0 - STU3
Consolidated CDA (C-CDA)
3.0.0 - STU3
Consolidated CDA (C-CDA), published by Health Level Seven. This guide is not an authorized publication; it is the continuous build for version 3.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/CDA-ccda/ and changes regularly. See the Directory of published versions
| Draft as of 2024-07-23 |
Definitions for the NoteActivity logical model.
Guidance on how to interpret the contents of this table can be found here
| 0. Act | |
| Logical Container | ClinicalDocument (CDA Class) |
| Validation | Instance of this type are validated by templateId |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:v3. |
| Invariants | should-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists()) |
| 2. Act.templateId | |
| Control | 1..? |
| Slicing | This element introduces a set of slices on Act.templateId. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 4. Act.templateId:note-activity | |
| Slice Name | note-activity |
| Control | 1..1 |
| 6. Act.templateId:note-activity.root | |
| Control | 1..? |
| Pattern Value | 2.16.840.1.113883.10.20.22.4.202 |
| 8. Act.templateId:note-activity.extension | |
| Control | 1..? |
| Pattern Value | 2016-11-01 |
| 10. Act.classCode | |
| Comments | SHALL contain exactly one [1..1] @classCode="ACT" Act (CONF:3250-16899). |
| Fixed Value | ACT |
| 12. Act.moodCode | |
| Comments | SHALL contain exactly one [1..1] @moodCode="EVN" Event (CONF:3250-16900). |
| Fixed Value | EVN |
| 14. Act.code | |
| Comments | SHALL contain exactly one [1..1] code (CONF:3250-16895). |
| Invariants | should-translation: SHOULD contain translation (translation.exists()) |
| 16. Act.code.code | |
| Comments | This code SHALL contain exactly one [1..1] @code="34109-9" Note (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:3250-16940). |
| Control | 1..? |
| Pattern Value | 34109-9 |
| 18. Act.code.codeSystem | |
| Comments | This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" LOINC (CONF:3250-16941). |
| Control | 1..? |
| Pattern Value | 2.16.840.1.113883.6.1 |
| 20. Act.code.translation | |
| Short | If the Note Activity is within a narrative-only section (e.g. Hospital Course), the translation MAY match the section code (CONF:3250-16943). If the Note Activity is within a Note Section, the translation SHOULD match or specialize the section code (CONF:3250-16942). |
| Comments | This code SHOULD contain zero or more [0..*] translation, which SHOULD be selected from ValueSet Note Types urn:oid:2.16.840.1.113883.11.20.9.68 DYNAMIC (CONF:3250-16939). |
| Binding | The codes SHOULD be taken from Note Types  (preferred to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.68) |
| 22. Act.text | |
| Short | SHOULD reference the portion of section narrative text corresponding to this entry |
| Comments | SHALL contain exactly one [1..1] text (CONF:3250-16896). |
| Control | 1..? |
| Invariants | 3250-16912: If @mediaType is present, the text SHALL contain exactly one [1..1] @representation="B64" and mixed content corresponding to the contents of the note (CONF:3250-16912). (mediaType.exists() implies (representation = 'B64' and xmlText.exists())) |
| 24. Act.text.mediaType | |
| Short | If the note was originally in another format, such as RTF, this element may also contain the base-64-encoded raw data of the note in addition to a reference to the narrative. |
| Comments | This text MAY contain zero or one [0..1] @mediaType, which SHOULD be selected from ValueSet SupportedFileFormats urn:oid:2.16.840.1.113883.11.20.7.1 DYNAMIC (CONF:3250-16906). |
| Binding | The codes SHOULD be taken from SupportedFileFormats (preferred to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.7.1) |
| 26. Act.text.reference | |
| Comments | This text SHALL contain exactly one [1..1] reference (CONF:3250-16897). |
| Control | 1..? |
| Invariants | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (value.exists() implies value.startsWith('#')) |
| 28. Act.text.reference.nullFlavor | |
| Short | The note activity must reference human-readable content in the narrative, so this reference must not be null. |
| Comments | This reference SHALL NOT contain [0..0] @nullFlavor (CONF:3250-16920). |
| Control | 0..0 |
| 30. Act.text.reference.value | |
| Comments | This reference SHALL contain exactly one [1..1] @value (CONF:3250-16898). |
| Control | 1..? |
| 32. Act.statusCode | |
| Short | Indicates the status of the note. The most common statusCode is completed indicating the note is signed and finalized. |
| Comments | SHALL contain exactly one [1..1] statusCode (CONF:3250-16916). |
| Control | 1..? |
| 34. Act.effectiveTime | |
| Short | The effectiveTime represents the clinically relevant time of the note. The precise timestamp of creation / updating should be conveyed in author/time. |
| Comments | SHALL contain exactly one [1..1] effectiveTime (CONF:3250-16903). |
| Control | 1..? |
| Invariants | should-value-att: SHOULD contain @value (value.exists()) |
| 36. Act.effectiveTime.value | |
| Comments | This effectiveTime SHOULD contain zero or one [0..1] @value (CONF:3250-16917). |
| 38. Act.author | |
| Short | Represents the person(s) who wrote the note. |
| Comments | SHALL contain at least one [1..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:3250-16913). |
| Control | 1..? |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Author(Author Participation) |
| 40. Act.participant | |
| Comments | MAY contain zero or more [0..*] participant (CONF:3250-16923) such that it |
| Slicing | This element introduces a set of slices on Act.participant. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 42. Act.participant:legalAuthenticator | |
| Slice Name | legalAuthenticator |
| Short | Represents the person(s) legally responsible for the contents of the note. |
| Control | 0..* |
| 44. Act.participant:legalAuthenticator.typeCode | |
| Comments | SHALL contain exactly one [1..1] @typeCode="LA" Legal Authenticator (CONF:3250-16925). |
| Fixed Value | LA |
| 46. Act.participant:legalAuthenticator.time | |
| Short | Indicates the time of signing the note. |
| Comments | SHALL contain exactly one [1..1] US Realm Date and Time (Interval) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.3) (CONF:3250-16926). |
| Control | 1..? |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS(US Realm Date and Time - Interval) |
| 48. Act.participant:legalAuthenticator.participantRole | |
| Comments | SHALL contain exactly one [1..1] participantRole (CONF:3250-16924). |
| Invariants | 3250-16930: If no id matches an author or participant elsewhere in the document, then playingEntity SHALL be present (CONF:3250-16930). () |
| 50. Act.participant:legalAuthenticator.participantRole.id | |
| Short | This may be the ID of the note author. If so, no additional information in this participant is required. |
| Comments | This participantRole SHALL contain at least one [1..*] id (CONF:3250-16927). |
| Control | 1..? |
| 52. Act.participant:legalAuthenticator.participantRole.playingEntity | |
| Comments | This participantRole MAY contain zero or one [0..1] playingEntity (CONF:3250-16928). |
| 54. Act.participant:legalAuthenticator.participantRole.playingEntity.name | |
| Comments | The playingEntity, if present, SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:3250-16929). |
| Control | 1..? |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/PN(US Realm Person Name (PN.US.FIELDED)) |
| 56. Act.entryRelationship | |
| Comments | SHOULD contain zero or more [0..*] entryRelationship (CONF:3250-16907) such that it |
| Slicing | This element introduces a set of slices on Act.entryRelationship. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 58. Act.entryRelationship:encounter | |
| Slice Name | encounter |
| Short | Links the note to an encounter. If the Note Activity is present within a document containing an encompassingEncounter, then this entryRelationship is optional and the note is associated with the encounter represented by the encompassingEncounter. |
| Control | 0..* |
| 60. Act.entryRelationship:encounter.typeCode | |
| Comments | SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:3250-16921). |
| Fixed Value | COMP |
| 62. Act.entryRelationship:encounter.inversionInd | |
| Comments | SHALL contain exactly one [1..1] @inversionInd="true" (CONF:3250-16922). |
| Control | 1..? |
| Fixed Value | true |
| 64. Act.entryRelationship:encounter.negationInd | |
| Short | To communicate that the note is not associated with any encounter, this entryRelationship MAY be included with @negationInd="true" and encounter/id/@nullFlavor="NA". The negationInd + encounter indicate this note is not associated with any encounter. |
| Comments | MAY contain zero or one [0..1] @negationInd (CONF:3250-16931). |
| 66. Act.entryRelationship:encounter.encounter | |
| Comments | SHALL contain exactly one [1..1] encounter (CONF:3250-16908). |
| Control | 1..? |
| 68. Act.entryRelationship:encounter.encounter.id | |
| Comments | This encounter SHALL contain at least one [1..*] id (CONF:3250-16909). |
| Control | 1..? |
| Invariants | 3250-16914: If the id does not match an encounter/id from the Encounters Section or encompassingEncounter within the same document and the id does not contain @nullFlavor="NA", then this entry SHALL conform to the Encounter Activity (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.49:2015-08-01) (CONF:3250-16914). () |
| 70. Act.reference | |
| Comments | MAY contain zero or more [0..*] reference (CONF:3250-16910) such that it |
| Slicing | This element introduces a set of slices on Act.reference. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 72. Act.reference:externalDocument | |
| Slice Name | externalDocument |
| Short | Represents an unstructured C-CDA document containing the original contents of the note in the original format. |
| Control | 0..* |
| 74. Act.reference:externalDocument.externalDocument | |
| Comments | SHALL contain exactly one [1..1] externalDocument (CONF:3250-16911). |
| Control | 1..? |
| Invariants | should-code: SHOULD contain code (code.exists()) |
| 76. Act.reference:externalDocument.externalDocument.id | |
| Comments | This externalDocument SHALL contain exactly one [1..1] id (CONF:3250-16915). |
| Control | 1..1 |
| 78. Act.reference:externalDocument.externalDocument.code | |
| Comments | This externalDocument SHOULD contain zero or one [0..1] code (CONF:3250-16918). |
Guidance on how to interpret the contents of this table can be found here
| 0. Act | |
| Definition | Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type. Base definition for all types defined in FHIR type system. |
| Short | Base for all types and resources |
| Control | 10..1* |
| Is Modifier | false |
| Logical Container | ClinicalDocument (CDA Class) |
| Validation | Instance of this type are validated by templateId |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:v3. |
| Invariants | should-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists()) |
| 2. Act.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| Slicing | This element introduces a set of slices on Act.templateId. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 4. Act.templateId:note-activity | |
| Slice Name | note-activity |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 6. Act.templateId:note-activity.root | |
| Definition | A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier. |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Pattern Value | 2.16.840.1.113883.10.20.22.4.202 |
| 8. Act.templateId:note-activity.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Control | 1..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| Pattern Value | 2016-11-01 |
| 10. Act.classCode | |
| Comments | SHALL contain exactly one [1..1] @classCode="ACT" Act (CONF:3250-16899). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from XActClassDocumentEntryAct (2.0.0) (required to http://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryAct|2.0.0) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | ACT |
| 12. Act.moodCode | |
| Comments | SHALL contain exactly one [1..1] @moodCode="EVN" Event (CONF:3250-16900). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from XDocumentActMood (2.0.0) (required to http://terminology.hl7.org/ValueSet/v3-xDocumentActMood|2.0.0) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | EVN |
| 14. Act.code | |
| Comments | SHALL contain exactly one [1..1] code (CONF:3250-16895). |
| Control | 1..1 |
| Binding | For example codes, see v3 Code System ActCode (example to http://terminology.hl7.org/ValueSet/v3-ActCode) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| Invariants | should-translation: SHOULD contain translation (translation.exists()) |
| 16. Act.code.code | |
| Definition | The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache. |
| Comments | This code SHALL contain exactly one [1..1] @code="34109-9" Note (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:3250-16940). |
| Control | 1..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code |
| Pattern Value | 34109-9 |
| 18. Act.code.codeSystem | |
| Definition | Specifies the code system that defines the code. |
| Comments | This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" LOINC (CONF:3250-16941). |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System |
| Pattern Value | 2.16.840.1.113883.6.1 |
| 20. Act.code.translation | |
| Definition | A set of other concept descriptors that translate this concept descriptor into other code systems. |
| Short | If the Note Activity is within a narrative-only section (e.g. Hospital Course), the translation MAY match the section code (CONF:3250-16943). If the Note Activity is within a Note Section, the translation SHOULD match or specialize the section code (CONF:3250-16942). |
| Comments | This code SHOULD contain zero or more [0..*] translation, which SHOULD be selected from ValueSet Note Types urn:oid:2.16.840.1.113883.11.20.9.68 DYNAMIC (CONF:3250-16939). |
| Control | 0..* |
| Binding | The codes SHOULD be taken from Note Types (preferred to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.68) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| XML Format | The type of this property is determined using the xsi:typeattribute. |
| Label | Translation |
| 22. Act.text | |
| Short | SHOULD reference the portion of section narrative text corresponding to this entry |
| Comments | SHALL contain exactly one [1..1] text (CONF:3250-16896). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| Invariants | 3250-16912: If @mediaType is present, the text SHALL contain exactly one [1..1] @representation="B64" and mixed content corresponding to the contents of the note (CONF:3250-16912). (mediaType.exists() implies (representation = 'B64' and xmlText.exists())) |
| 24. Act.text.mediaType | |
| Definition | Identifies the type of the encapsulated data and identifies a method to interpret or render the data. |
| Short | If the note was originally in another format, such as RTF, this element may also contain the base-64-encoded raw data of the note in addition to a reference to the narrative. |
| Comments | This text MAY contain zero or one [0..1] @mediaType, which SHOULD be selected from ValueSet SupportedFileFormats urn:oid:2.16.840.1.113883.11.20.7.1 DYNAMIC (CONF:3250-16906). |
| Control | 0..1 |
| Binding | The codes SHOULD be taken from SupportedFileFormats (preferred to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.7.1) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Media Type |
| 26. 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. |
| Comments | This text SHALL contain exactly one [1..1] reference (CONF:3250-16897). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL |
| Label | Reference |
| Invariants | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (value.exists() implies value.startsWith('#')) |
| 28. Act.text.reference.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Short | The note activity must reference human-readable content in the narrative, so this reference must not be null. |
| Comments | This reference SHALL NOT contain [0..0] @nullFlavor (CONF:3250-16920). |
| Control | 0..0 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 30. Act.text.reference.value | |
| Comments | This reference SHALL contain exactly one [1..1] @value (CONF:3250-16898). |
| Control | 1..1 |
| Type | url(url: Universal Resource Locator) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 32. Act.statusCode | |
| Short | Indicates the status of the note. The most common statusCode is completed indicating the note is signed and finalized. |
| Comments | SHALL contain exactly one [1..1] statusCode (CONF:3250-16916). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ActStatus (required to http://terminology.hl7.org/ValueSet/v3-ActStatus) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 34. Act.effectiveTime | |
| Short | The effectiveTime represents the clinically relevant time of the note. The precise timestamp of creation / updating should be conveyed in author/time. |
| Comments | SHALL contain exactly one [1..1] effectiveTime (CONF:3250-16903). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS |
| Invariants | should-value-att: SHOULD contain @value (value.exists()) |
| 36. Act.effectiveTime.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. |
| Comments | This effectiveTime SHOULD contain zero or one [0..1] @value (CONF:3250-16917). |
| Control | 0..1 |
| Type | dateTime(ts: Point in Time) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Date Format | YYYYMMDDHHMMSS.UUUU[+|-ZZzz] |
| XML Format | In the XML format, this property is represented as an attribute. |
| 38. Act.author | |
| Definition | Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type. |
| Short | Represents the person(s) who wrote the note. |
| Comments | SHALL contain at least one [1..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:3250-16913). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Author(Author Participation) |
| Is Modifier | false |
| 40. Act.participant | |
| Comments | MAY contain zero or more [0..*] participant (CONF:3250-16923) such that it |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Participant2 |
| Slicing | This element introduces a set of slices on Act.participant. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 42. Act.participant:legalAuthenticator | |
| Slice Name | legalAuthenticator |
| Short | Represents the person(s) legally responsible for the contents of the note. |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Participant2 |
| 44. Act.participant:legalAuthenticator.typeCode | |
| Comments | SHALL contain exactly one [1..1] @typeCode="LA" Legal Authenticator (CONF:3250-16925). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from CDAParticipationType (required to http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | LA |
| 46. Act.participant:legalAuthenticator.time | |
| Definition | A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression. |
| Short | Indicates the time of signing the note. |
| Comments | SHALL contain exactly one [1..1] US Realm Date and Time (Interval) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.3) (CONF:3250-16926). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS(US Realm Date and Time - Interval) |
| Is Modifier | false |
| Invariants | ivl-ts-center: Center cannot co-exist with low or high (center.empty() or (low.empty() and high.empty()))ivl-value-shall: If a time interval contains @value, then it shall be precise to at least the day. ( value.exists() implies value.toString().length() >= 10)ivl-value-should: If a time interval contains @value, then it SHOULD contain a time component. ( value.exists() implies value.toString().length() > 10) |
| 48. Act.participant:legalAuthenticator.participantRole | |
| Comments | SHALL contain exactly one [1..1] participantRole (CONF:3250-16924). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole |
| Invariants | 3250-16930: If no id matches an author or participant elsewhere in the document, then playingEntity SHALL be present (CONF:3250-16930). () |
| 50. Act.participant:legalAuthenticator.participantRole.id | |
| Short | This may be the ID of the note author. If so, no additional information in this participant is required. |
| Comments | This participantRole SHALL contain at least one [1..*] id (CONF:3250-16927). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 52. Act.participant:legalAuthenticator.participantRole.playingEntity | |
| Comments | This participantRole MAY contain zero or one [0..1] playingEntity (CONF:3250-16928). |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/PlayingEntity |
| 54. Act.participant:legalAuthenticator.participantRole.playingEntity.name | |
| Definition | A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are "Jim Bob Walton, Jr.", "Adam Everyman", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, "Jim", "Bob", "Walton", and "Jr.". PN differs from EN because the qualifier type cannot include LS (Legal Status). |
| Short | Base for all types and resources |
| Comments | The playingEntity, if present, SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:3250-16929). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/PN(US Realm Person Name (PN.US.FIELDED)) |
| Is Modifier | false |
| Invariants | pn-no-ls: No PN name part may have a qualifier of LS. ((item.delimiter | item.family | item.given | item.prefix | item.suffix).where(qualifier.where($this = 'LS').exists()).empty())81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). ( conformsTo('http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPatientNamePTNUSFIELDED') or item.xmlText.exists())81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). ( item.xmlText.exists() implies (item.delimiter | item.family | item.given | item.prefix | item.suffix).empty()) |
| 56. Act.entryRelationship | |
| Comments | SHOULD contain zero or more [0..*] entryRelationship (CONF:3250-16907) such that it |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship |
| Slicing | This element introduces a set of slices on Act.entryRelationship. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 58. Act.entryRelationship:encounter | |
| Slice Name | encounter |
| Short | Links the note to an encounter. If the Note Activity is present within a document containing an encompassingEncounter, then this entryRelationship is optional and the note is associated with the encounter represented by the encompassingEncounter. |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship |
| 60. Act.entryRelationship:encounter.typeCode | |
| Comments | SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:3250-16921). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from x_ActRelationshipEntryRelationship (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | COMP |
| 62. Act.entryRelationship:encounter.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. |
| Comments | SHALL contain exactly one [1..1] @inversionInd="true" (CONF:3250-16922). |
| Control | 1..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | true |
| 64. Act.entryRelationship:encounter.negationInd | |
| Short | To communicate that the note is not associated with any encounter, this entryRelationship MAY be included with @negationInd="true" and encounter/id/@nullFlavor="NA". The negationInd + encounter indicate this note is not associated with any encounter. |
| Comments | MAY contain zero or one [0..1] @negationInd (CONF:3250-16931). |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 66. Act.entryRelationship:encounter.encounter | |
| Comments | SHALL contain exactly one [1..1] encounter (CONF:3250-16908). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Encounter |
| 68. Act.entryRelationship:encounter.encounter.classCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from CDAActClass (required to http://hl7.org/cda/stds/core/ValueSet/CDAActClass) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | ENC |
| 70. Act.entryRelationship:encounter.encounter.moodCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from XDocumentEncounterMood (2.0.0) (required to http://terminology.hl7.org/ValueSet/v3-xDocumentEncounterMood|2.0.0) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 72. Act.entryRelationship:encounter.encounter.id | |
| Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. |
| Short | Logical id of this artifact |
| Comments | This encounter SHALL contain at least one [1..*] id (CONF:3250-16909). Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case. |
| Control | 10..*1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IIid |
| Is Modifier | false |
| Invariants | 3250-16914: If the id does not match an encounter/id from the Encounters Section or encompassingEncounter within the same document and the id does not contain @nullFlavor="NA", then this entry SHALL conform to the Encounter Activity (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.49:2015-08-01) (CONF:3250-16914). () |
| 74. Act.reference | |
| Comments | MAY contain zero or more [0..*] reference (CONF:3250-16910) such that it |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Reference |
| Slicing | This element introduces a set of slices on Act.reference. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 76. Act.reference:externalDocument | |
| Slice Name | externalDocument |
| Short | Represents an unstructured C-CDA document containing the original contents of the note in the original format. |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Reference |
| 78. Act.reference:externalDocument.typeCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from x_ActRelationshipExternalReference (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipExternalReference) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 80. Act.reference:externalDocument.externalDocument | |
| Comments | SHALL contain exactly one [1..1] externalDocument (CONF:3250-16911). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ExternalDocument |
| Invariants | should-code: SHOULD contain code (code.exists()) |
| 82. Act.reference:externalDocument.externalDocument.id | |
| Comments | This externalDocument SHALL contain exactly one [1..1] id (CONF:3250-16915). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 84. Act.reference:externalDocument.externalDocument.code | |
| Comments | This externalDocument SHOULD contain zero or one [0..1] code (CONF:3250-16918). |
| Control | 0..1 |
| Binding | For example codes, see FHIRDocumentTypeCodes (example to http://hl7.org/fhir/ValueSet/doc-typecodes) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
Guidance on how to interpret the contents of this table can be found here
| 0. Act | |
| Definition | Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type. |
| Short | Base for all types and resources |
| Control | 1..1 |
| Is Modifier | false |
| Logical Container | ClinicalDocument (CDA Class) |
| Validation | Instance of this type are validated by templateId |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:v3. |
| Invariants | should-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists()) |
| 2. Act.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 4. Act.realmCode | |
| Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 6. Act.typeId | |
| Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 8. Act.typeId.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 10. Act.typeId.assigningAuthorityName | |
| Definition | A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Assigning Authority Name |
| 12. Act.typeId.displayable | |
| Definition | Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false). |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Displayable |
| 14. Act.typeId.root | |
| Definition | Identifies the type as an HL7 Registered model |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Fixed Value | 2.16.840.1.113883.1.3 |
| 16. Act.typeId.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Control | 1..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| 18. Act.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| Slicing | This element introduces a set of slices on Act.templateId. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 20. Act.templateId:note-activity | |
| Slice Name | note-activity |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 22. Act.templateId:note-activity.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 24. Act.templateId:note-activity.assigningAuthorityName | |
| Definition | A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Assigning Authority Name |
| 26. Act.templateId:note-activity.displayable | |
| Definition | Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false). |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Displayable |
| 28. Act.templateId:note-activity.root | |
| Definition | A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier. |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Pattern Value | 2.16.840.1.113883.10.20.22.4.202 |
| 30. Act.templateId:note-activity.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Control | 1..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| Pattern Value | 2016-11-01 |
| 32. Act.classCode | |
| Comments | SHALL contain exactly one [1..1] @classCode="ACT" Act (CONF:3250-16899). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from XActClassDocumentEntryAct (2.0.0) (required to http://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryAct|2.0.0) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | ACT |
| 34. Act.moodCode | |
| Comments | SHALL contain exactly one [1..1] @moodCode="EVN" Event (CONF:3250-16900). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from XDocumentActMood (2.0.0) (required to http://terminology.hl7.org/ValueSet/v3-xDocumentActMood|2.0.0) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | EVN |
| 36. Act.negationInd | |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 38. Act.id | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 40. Act.code | |
| Comments | SHALL contain exactly one [1..1] code (CONF:3250-16895). |
| Control | 1..1 |
| Binding | For example codes, see v3 Code System ActCode (example to http://terminology.hl7.org/ValueSet/v3-ActCode) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| Invariants | should-translation: SHOULD contain translation (translation.exists()) |
| 42. Act.code.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 44. Act.code.code | |
| Definition | The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache. |
| Comments | This code SHALL contain exactly one [1..1] @code="34109-9" Note (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:3250-16940). |
| Control | 1..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code |
| Pattern Value | 34109-9 |
| 46. Act.code.codeSystem | |
| Definition | Specifies the code system that defines the code. |
| Comments | This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" LOINC (CONF:3250-16941). |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System |
| Pattern Value | 2.16.840.1.113883.6.1 |
| 48. Act.code.codeSystemName | |
| Definition | The common name of the coding system. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Name |
| 50. Act.code.codeSystemVersion | |
| Definition | If applicable, a version descriptor defined specifically for the given code system. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Version |
| 52. Act.code.displayName | |
| Definition | A name or title for the code, under which the sending system shows the code value to its users. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Display Name |
| 54. Act.code.sdtcValueSet | |
| Definition | The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept. |
| Control | 0..1 |
| Type | string(oid: ISO Object Identifier) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSet. |
| 56. Act.code.sdtcValueSetVersion | |
| Definition | The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSetVersion. |
| 58. Act.code.originalText | |
| Definition | The text or phrase used as the basis for the coding. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| Label | Original Text |
| 60. Act.code.qualifier | |
| Definition | Specifies additional codes that increase the specificity of the the primary code. |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CR |
| Label | Qualifier |
| 62. Act.code.translation | |
| Definition | A set of other concept descriptors that translate this concept descriptor into other code systems. |
| Short | If the Note Activity is within a narrative-only section (e.g. Hospital Course), the translation MAY match the section code (CONF:3250-16943). If the Note Activity is within a Note Section, the translation SHOULD match or specialize the section code (CONF:3250-16942). |
| Comments | This code SHOULD contain zero or more [0..*] translation, which SHOULD be selected from ValueSet Note Types urn:oid:2.16.840.1.113883.11.20.9.68 DYNAMIC (CONF:3250-16939). |
| Control | 0..* |
| Binding | The codes SHOULD be taken from Note Types (preferred to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.68) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| XML Format | The type of this property is determined using the xsi:typeattribute. |
| Label | Translation |
| 64. Act.text | |
| Short | SHOULD reference the portion of section narrative text corresponding to this entry |
| Comments | SHALL contain exactly one [1..1] text (CONF:3250-16896). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| Invariants | 3250-16912: If @mediaType is present, the text SHALL contain exactly one [1..1] @representation="B64" and mixed content corresponding to the contents of the note (CONF:3250-16912). (mediaType.exists() implies (representation = 'B64' and xmlText.exists())) |
| 66. Act.text.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 68. Act.text.compression | |
| Definition | Indicates whether the raw byte data is compressed, and what compression algorithm was used. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDACompressionAlgorithm (required to http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Compression |
| 70. Act.text.integrityCheck | |
| Definition | The integrity check is a short binary value representing a cryptographically strong checksum that is calculated over the binary data. The purpose of this property, when communicated with a reference is for anyone to validate later whether the reference still resolved to the same data that the reference resolved to when the encapsulated data value with reference was created. |
| Control | 0..1 |
| Type | base64Binary(bin: Binary Data) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Integrity Check |
| 72. Act.text.integrityCheckAlgorithm | |
| Definition | Specifies the algorithm used to compute the integrityCheck value. The cryptographically strong checksum algorithm Secure Hash Algorithm-1 (SHA-1) is currently the industry standard. It has superseded the MD5 algorithm only a couple of years ago, when certain flaws in the security of MD5 were discovered. Currently the SHA-1 hash algorithm is the default choice for the integrity check algorithm. Note that SHA-256 is also entering widespread usage. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from IntegrityCheckAlgorithm (2.0.0) (required to http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Integrity Check Algorithm |
| 74. Act.text.language | |
| Definition | For character based information the language property specifies the human language of the text. |
| Control | 0..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Language |
| 76. Act.text.mediaType | |
| Definition | Identifies the type of the encapsulated data and identifies a method to interpret or render the data. |
| Short | If the note was originally in another format, such as RTF, this element may also contain the base-64-encoded raw data of the note in addition to a reference to the narrative. |
| Comments | This text MAY contain zero or one [0..1] @mediaType, which SHOULD be selected from ValueSet SupportedFileFormats urn:oid:2.16.840.1.113883.11.20.7.1 DYNAMIC (CONF:3250-16906). |
| Control | 0..1 |
| Binding | The codes SHOULD be taken from SupportedFileFormats (preferred to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.7.1) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Media Type |
| 78. Act.text.representation | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDABinaryDataEncoding (required to http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 80. Act.text.xmlText | |
| Definition | Data that is primarily intended for human interpretation or for further machine processing is outside the scope of HL7. This includes unformatted or formatted written language, multimedia data, or structured information as defined by a different standard (e.g., XML-signatures.) |
| Short | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. |
| Comments | This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as unadorned text. |
| 82. Act.text.reference | |
| Definition | A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data. |
| Comments | This text SHALL contain exactly one [1..1] reference (CONF:3250-16897). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL |
| Label | Reference |
| Invariants | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (value.exists() implies value.startsWith('#')) |
| 84. Act.text.reference.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Short | The note activity must reference human-readable content in the narrative, so this reference must not be null. |
| Comments | This reference SHALL NOT contain [0..0] @nullFlavor (CONF:3250-16920). |
| Control | 0..0 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 86. Act.text.reference.value | |
| Comments | This reference SHALL contain exactly one [1..1] @value (CONF:3250-16898). |
| Control | 1..1 |
| Type | url(url: Universal Resource Locator) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 88. Act.text.reference.useablePeriod | |
| Definition | Specifies the periods of time during which the telecommunication address can be used. For a telephone number, this can indicate the time of day in which the party can be reached on that telephone. For a web address, it may specify a time range in which the web content is promised to be available under the given address. |
| Control | 0..* |
| Type | Choice of: http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS |
| Default Type | http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS |
| XML Format | The type of this property is determined using the xsi:typeattribute. |
| Label | Useable Period |
| 90. Act.text.reference.use | |
| Definition | One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need. |
| Control | 0..* |
| Binding | The codes SHALL be taken from TelecommunicationAddressUse (2.0.0) (required to http://terminology.hl7.org/ValueSet/v3-TelecommunicationAddressUse|2.0.0) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Use Code |
| 92. Act.text.thumbnail | |
| Definition | An abbreviated rendition of the full data. A thumbnail requires significantly fewer resources than the full data, while still maintaining some distinctive similarity with the full data. A thumbnail is typically used with by-reference encapsulated data. It allows a user to select data more efficiently before actually downloading through the reference. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| Label | Thumbnail |
| 94. Act.statusCode | |
| Short | Indicates the status of the note. The most common statusCode is completed indicating the note is signed and finalized. |
| Comments | SHALL contain exactly one [1..1] statusCode (CONF:3250-16916). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ActStatus (required to http://terminology.hl7.org/ValueSet/v3-ActStatus) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 96. Act.effectiveTime | |
| Short | The effectiveTime represents the clinically relevant time of the note. The precise timestamp of creation / updating should be conveyed in author/time. |
| Comments | SHALL contain exactly one [1..1] effectiveTime (CONF:3250-16903). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS |
| Invariants | should-value-att: SHOULD contain @value (value.exists()) |
| 98. Act.effectiveTime.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 100. Act.effectiveTime.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. |
| Comments | This effectiveTime SHOULD contain zero or one [0..1] @value (CONF:3250-16917). |
| Control | 0..1 |
| Type | dateTime(ts: Point in Time) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Date Format | YYYYMMDDHHMMSS.UUUU[+|-ZZzz] |
| XML Format | In the XML format, this property is represented as an attribute. |
| 102. Act.effectiveTime.operator | |
| Definition | A code specifying whether the set component is included (union) or excluded (set-difference) from the set, or other set operations with the current set component and the set as constructed from the representation stream up to the current point. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDASetOperator (required to http://hl7.org/cda/stds/core/ValueSet/CDASetOperator) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Default Value | I |
| 104. Act.effectiveTime.low | |
| Definition | This is the low limit of the interval. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS |
| Label | Low Boundary |
| 106. Act.effectiveTime.center | |
| Definition | The arithmetic mean of the interval (low plus high divided by 2). The purpose of distinguishing the center as a semantic property is for conversions of intervals from and to point values. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TS |
| Label | Central Value |
| 108. Act.effectiveTime.width | |
| Definition | The difference between high and low boundary. The purpose of distinguishing a width property is to handle all cases of incomplete information symmetrically. In any interval representation only two of the three properties high, low, and width need to be stated and the third can be derived. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/PQ |
| Label | Width |
| 110. Act.effectiveTime.high | |
| Definition | This is the high limit of the interval. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS |
| Label | High Boundary |
| 112. Act.priorityCode | |
| Control | 0..1 |
| Binding | For example codes, see ActPriority (example to http://terminology.hl7.org/ValueSet/v3-ActPriority) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 114. Act.languageCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from AllLanguages (required to http://hl7.org/fhir/ValueSet/all-languages) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 116. Act.subject | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Subject |
| 118. Act.specimen | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Specimen |
| 120. Act.performer | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Performer2 |
| 122. Act.author | |
| Definition | Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type. |
| Short | Represents the person(s) who wrote the note. |
| Comments | SHALL contain at least one [1..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:3250-16913). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Author(Author Participation) |
| Is Modifier | false |
| 124. Act.informant | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Informant |
| 126. Act.participant | |
| Comments | MAY contain zero or more [0..*] participant (CONF:3250-16923) such that it |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Participant2 |
| Slicing | This element introduces a set of slices on Act.participant. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 128. Act.participant:legalAuthenticator | |
| Slice Name | legalAuthenticator |
| Short | Represents the person(s) legally responsible for the contents of the note. |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Participant2 |
| 130. Act.participant:legalAuthenticator.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 132. Act.participant:legalAuthenticator.realmCode | |
| Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 134. Act.participant:legalAuthenticator.typeId | |
| Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 136. Act.participant:legalAuthenticator.typeId.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 138. Act.participant:legalAuthenticator.typeId.assigningAuthorityName | |
| Definition | A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Assigning Authority Name |
| 140. Act.participant:legalAuthenticator.typeId.displayable | |
| Definition | Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false). |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Displayable |
| 142. Act.participant:legalAuthenticator.typeId.root | |
| Definition | Identifies the type as an HL7 Registered model |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Fixed Value | 2.16.840.1.113883.1.3 |
| 144. Act.participant:legalAuthenticator.typeId.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Control | 1..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| 146. Act.participant:legalAuthenticator.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 148. Act.participant:legalAuthenticator.typeCode | |
| Comments | SHALL contain exactly one [1..1] @typeCode="LA" Legal Authenticator (CONF:3250-16925). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from CDAParticipationType (required to http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | LA |
| 150. Act.participant:legalAuthenticator.contextControlCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDAContextControl (required to http://hl7.org/cda/stds/core/ValueSet/CDAContextControl) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | OP |
| 152. Act.participant:legalAuthenticator.sdtcFunctionCode | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namefunctionCode. |
| 154. Act.participant:legalAuthenticator.time | |
| Definition | A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression. |
| Short | Indicates the time of signing the note. |
| Comments | SHALL contain exactly one [1..1] US Realm Date and Time (Interval) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.3) (CONF:3250-16926). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS(US Realm Date and Time - Interval) |
| Is Modifier | false |
| Invariants | ivl-ts-center: Center cannot co-exist with low or high (center.empty() or (low.empty() and high.empty()))ivl-value-shall: If a time interval contains @value, then it shall be precise to at least the day. ( value.exists() implies value.toString().length() >= 10)ivl-value-should: If a time interval contains @value, then it SHOULD contain a time component. ( value.exists() implies value.toString().length() > 10) |
| 156. Act.participant:legalAuthenticator.awarenessCode | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 158. Act.participant:legalAuthenticator.participantRole | |
| Comments | SHALL contain exactly one [1..1] participantRole (CONF:3250-16924). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole |
| Invariants | 3250-16930: If no id matches an author or participant elsewhere in the document, then playingEntity SHALL be present (CONF:3250-16930). () |
| 160. Act.participant:legalAuthenticator.participantRole.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 162. Act.participant:legalAuthenticator.participantRole.realmCode | |
| Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 164. Act.participant:legalAuthenticator.participantRole.typeId | |
| Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 166. Act.participant:legalAuthenticator.participantRole.typeId.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 168. Act.participant:legalAuthenticator.participantRole.typeId.assigningAuthorityName | |
| Definition | A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Assigning Authority Name |
| 170. Act.participant:legalAuthenticator.participantRole.typeId.displayable | |
| Definition | Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false). |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Displayable |
| 172. Act.participant:legalAuthenticator.participantRole.typeId.root | |
| Definition | Identifies the type as an HL7 Registered model |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Fixed Value | 2.16.840.1.113883.1.3 |
| 174. Act.participant:legalAuthenticator.participantRole.typeId.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Control | 1..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| 176. Act.participant:legalAuthenticator.participantRole.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 178. Act.participant:legalAuthenticator.participantRole.classCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDARoleClassRoot (required to http://hl7.org/cda/stds/core/ValueSet/CDARoleClassRoot) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Default Value | ROL |
| 180. Act.participant:legalAuthenticator.participantRole.id | |
| Short | This may be the ID of the note author. If so, no additional information in this participant is required. |
| Comments | This participantRole SHALL contain at least one [1..*] id (CONF:3250-16927). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 182. Act.participant:legalAuthenticator.participantRole.sdtcIdentifiedBy | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameidentifiedBy. |
| 184. Act.participant:legalAuthenticator.participantRole.code | |
| Control | 0..1 |
| Binding | For example codes, see CDARoleCode (example to http://hl7.org/cda/stds/core/ValueSet/CDARoleCode) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 186. Act.participant:legalAuthenticator.participantRole.addr | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AD |
| 188. Act.participant:legalAuthenticator.participantRole.telecom | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL |
| 190. Act.participant:legalAuthenticator.participantRole.playingDevice | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Device |
| 192. Act.participant:legalAuthenticator.participantRole.playingEntity | |
| Comments | This participantRole MAY contain zero or one [0..1] playingEntity (CONF:3250-16928). |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/PlayingEntity |
| 194. Act.participant:legalAuthenticator.participantRole.playingEntity.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 196. Act.participant:legalAuthenticator.participantRole.playingEntity.realmCode | |
| Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 198. Act.participant:legalAuthenticator.participantRole.playingEntity.typeId | |
| Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 200. Act.participant:legalAuthenticator.participantRole.playingEntity.typeId.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 202. Act.participant:legalAuthenticator.participantRole.playingEntity.typeId.assigningAuthorityName | |
| Definition | A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Assigning Authority Name |
| 204. Act.participant:legalAuthenticator.participantRole.playingEntity.typeId.displayable | |
| Definition | Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false). |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Displayable |
| 206. Act.participant:legalAuthenticator.participantRole.playingEntity.typeId.root | |
| Definition | Identifies the type as an HL7 Registered model |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Fixed Value | 2.16.840.1.113883.1.3 |
| 208. Act.participant:legalAuthenticator.participantRole.playingEntity.typeId.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Control | 1..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| 210. Act.participant:legalAuthenticator.participantRole.playingEntity.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 212. Act.participant:legalAuthenticator.participantRole.playingEntity.classCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from EntityClassRoot (required to http://terminology.hl7.org/ValueSet/v3-EntityClassRoot) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Default Value | ENT |
| 214. Act.participant:legalAuthenticator.participantRole.playingEntity.determinerCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from EntityDeterminer (required to http://terminology.hl7.org/ValueSet/v3-EntityDeterminer) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | INSTANCE |
| 216. Act.participant:legalAuthenticator.participantRole.playingEntity.code | |
| Control | 0..1 |
| Binding | For example codes, see CDAEntityCode (example to http://hl7.org/cda/stds/core/ValueSet/CDAEntityCode) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 218. Act.participant:legalAuthenticator.participantRole.playingEntity.quantity | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/PQ |
| 220. Act.participant:legalAuthenticator.participantRole.playingEntity.name | |
| Definition | A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are "Jim Bob Walton, Jr.", "Adam Everyman", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, "Jim", "Bob", "Walton", and "Jr.". PN differs from EN because the qualifier type cannot include LS (Legal Status). |
| Short | Base for all types and resources |
| Comments | The playingEntity, if present, SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:3250-16929). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/PN(US Realm Person Name (PN.US.FIELDED)) |
| Is Modifier | false |
| Invariants | pn-no-ls: No PN name part may have a qualifier of LS. ((item.delimiter | item.family | item.given | item.prefix | item.suffix).where(qualifier.where($this = 'LS').exists()).empty())81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). ( conformsTo('http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPatientNamePTNUSFIELDED') or item.xmlText.exists())81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). ( item.xmlText.exists() implies (item.delimiter | item.family | item.given | item.prefix | item.suffix).empty()) |
| 222. Act.participant:legalAuthenticator.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. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TS |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namebirthTime. |
| 224. Act.participant:legalAuthenticator.participantRole.playingEntity.desc | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| 226. Act.participant:legalAuthenticator.participantRole.scopingEntity | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Entity |
| 228. Act.entryRelationship | |
| Comments | SHOULD contain zero or more [0..*] entryRelationship (CONF:3250-16907) such that it |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship |
| Slicing | This element introduces a set of slices on Act.entryRelationship. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 230. Act.entryRelationship:encounter | |
| Slice Name | encounter |
| Short | Links the note to an encounter. If the Note Activity is present within a document containing an encompassingEncounter, then this entryRelationship is optional and the note is associated with the encounter represented by the encompassingEncounter. |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship |
| 232. Act.entryRelationship:encounter.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 234. Act.entryRelationship:encounter.realmCode | |
| Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 236. Act.entryRelationship:encounter.typeId | |
| Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 238. Act.entryRelationship:encounter.typeId.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 240. Act.entryRelationship:encounter.typeId.assigningAuthorityName | |
| Definition | A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Assigning Authority Name |
| 242. Act.entryRelationship:encounter.typeId.displayable | |
| Definition | Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false). |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Displayable |
| 244. Act.entryRelationship:encounter.typeId.root | |
| Definition | Identifies the type as an HL7 Registered model |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Fixed Value | 2.16.840.1.113883.1.3 |
| 246. Act.entryRelationship:encounter.typeId.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Control | 1..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| 248. Act.entryRelationship:encounter.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 250. Act.entryRelationship:encounter.typeCode | |
| Comments | SHALL contain exactly one [1..1] @typeCode="COMP" (CONF:3250-16921). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from x_ActRelationshipEntryRelationship (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | COMP |
| 252. Act.entryRelationship:encounter.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. |
| Comments | SHALL contain exactly one [1..1] @inversionInd="true" (CONF:3250-16922). |
| Control | 1..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | true |
| 254. Act.entryRelationship:encounter.contextConductionInd | |
| Definition | The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context. |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Default Value | true |
| 256. Act.entryRelationship:encounter.negationInd | |
| Short | To communicate that the note is not associated with any encounter, this entryRelationship MAY be included with @negationInd="true" and encounter/id/@nullFlavor="NA". The negationInd + encounter indicate this note is not associated with any encounter. |
| Comments | MAY contain zero or one [0..1] @negationInd (CONF:3250-16931). |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 258. Act.entryRelationship:encounter.sequenceNumber | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/INT |
| 260. Act.entryRelationship:encounter.seperatableInd | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/BL |
| 262. Act.entryRelationship:encounter.act | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Act |
| 264. Act.entryRelationship:encounter.encounter | |
| Comments | SHALL contain exactly one [1..1] encounter (CONF:3250-16908). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Encounter |
| 266. Act.entryRelationship:encounter.encounter.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 268. Act.entryRelationship:encounter.encounter.realmCode | |
| Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 270. Act.entryRelationship:encounter.encounter.typeId | |
| Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 272. Act.entryRelationship:encounter.encounter.typeId.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 274. Act.entryRelationship:encounter.encounter.typeId.assigningAuthorityName | |
| Definition | A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Assigning Authority Name |
| 276. Act.entryRelationship:encounter.encounter.typeId.displayable | |
| Definition | Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false). |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Displayable |
| 278. Act.entryRelationship:encounter.encounter.typeId.root | |
| Definition | Identifies the type as an HL7 Registered model |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Fixed Value | 2.16.840.1.113883.1.3 |
| 280. Act.entryRelationship:encounter.encounter.typeId.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Control | 1..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| 282. Act.entryRelationship:encounter.encounter.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 284. Act.entryRelationship:encounter.encounter.classCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from CDAActClass (required to http://hl7.org/cda/stds/core/ValueSet/CDAActClass) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | ENC |
| 286. Act.entryRelationship:encounter.encounter.moodCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from XDocumentEncounterMood (2.0.0) (required to http://terminology.hl7.org/ValueSet/v3-xDocumentEncounterMood|2.0.0) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 288. Act.entryRelationship:encounter.encounter.id | |
| Comments | This encounter SHALL contain at least one [1..*] id (CONF:3250-16909). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| Invariants | 3250-16914: If the id does not match an encounter/id from the Encounters Section or encompassingEncounter within the same document and the id does not contain @nullFlavor="NA", then this entry SHALL conform to the Encounter Activity (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.49:2015-08-01) (CONF:3250-16914). () |
| 290. Act.entryRelationship:encounter.encounter.code | |
| Control | 0..1 |
| Binding | For example codes, see ActEncounterCode (example to http://terminology.hl7.org/ValueSet/v3-ActEncounterCode) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| 292. Act.entryRelationship:encounter.encounter.text | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| 294. Act.entryRelationship:encounter.encounter.statusCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from ActStatus (required to http://terminology.hl7.org/ValueSet/v3-ActStatus) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 296. Act.entryRelationship:encounter.encounter.effectiveTime | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS |
| 298. Act.entryRelationship:encounter.encounter.sdtcDischargeDispositionCode | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namedischargeDispositionCode. |
| 300. Act.entryRelationship:encounter.encounter.priorityCode | |
| Control | 0..1 |
| Binding | For example codes, see ActPriority (example to http://terminology.hl7.org/ValueSet/v3-ActPriority) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 302. Act.entryRelationship:encounter.encounter.subject | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Subject |
| 304. Act.entryRelationship:encounter.encounter.specimen | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Specimen |
| 306. Act.entryRelationship:encounter.encounter.performer | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Performer2 |
| 308. Act.entryRelationship:encounter.encounter.author | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Author |
| 310. Act.entryRelationship:encounter.encounter.informant | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Informant |
| 312. Act.entryRelationship:encounter.encounter.participant | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Participant2 |
| 314. Act.entryRelationship:encounter.encounter.entryRelationship | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship |
| 316. Act.entryRelationship:encounter.encounter.reference | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Reference |
| 318. Act.entryRelationship:encounter.encounter.precondition | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Precondition |
| 320. Act.entryRelationship:encounter.encounter.sdtcPrecondition2 | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Precondition2 |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameprecondition2. |
| 322. Act.entryRelationship:encounter.encounter.sdtcInFulfillmentOf1 | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1 |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameinFulfillmentOf1. |
| 324. Act.entryRelationship:encounter.observation | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Observation |
| 326. Act.entryRelationship:encounter.observationMedia | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia |
| 328. Act.entryRelationship:encounter.organizer | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Organizer |
| 330. Act.entryRelationship:encounter.procedure | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Procedure |
| 332. Act.entryRelationship:encounter.regionOfInterest | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest |
| 334. Act.entryRelationship:encounter.substanceAdministration | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration |
| 336. Act.entryRelationship:encounter.supply | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Supply |
| 338. Act.reference | |
| Comments | MAY contain zero or more [0..*] reference (CONF:3250-16910) such that it |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Reference |
| Slicing | This element introduces a set of slices on Act.reference. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 340. Act.reference:externalDocument | |
| Slice Name | externalDocument |
| Short | Represents an unstructured C-CDA document containing the original contents of the note in the original format. |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Reference |
| 342. Act.reference:externalDocument.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 344. Act.reference:externalDocument.realmCode | |
| Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 346. Act.reference:externalDocument.typeId | |
| Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 348. Act.reference:externalDocument.typeId.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 350. Act.reference:externalDocument.typeId.assigningAuthorityName | |
| Definition | A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Assigning Authority Name |
| 352. Act.reference:externalDocument.typeId.displayable | |
| Definition | Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false). |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Displayable |
| 354. Act.reference:externalDocument.typeId.root | |
| Definition | Identifies the type as an HL7 Registered model |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Fixed Value | 2.16.840.1.113883.1.3 |
| 356. Act.reference:externalDocument.typeId.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Control | 1..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| 358. Act.reference:externalDocument.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 360. Act.reference:externalDocument.typeCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from x_ActRelationshipExternalReference (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipExternalReference) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 362. Act.reference:externalDocument.seperatableInd | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/BL |
| 364. Act.reference:externalDocument.externalAct | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ExternalAct |
| 366. Act.reference:externalDocument.externalObservation | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ExternalObservation |
| 368. Act.reference:externalDocument.externalProcedure | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ExternalProcedure |
| 370. Act.reference:externalDocument.externalDocument | |
| Comments | SHALL contain exactly one [1..1] externalDocument (CONF:3250-16911). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ExternalDocument |
| Invariants | should-code: SHOULD contain code (code.exists()) |
| 372. Act.reference:externalDocument.externalDocument.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 374. Act.reference:externalDocument.externalDocument.realmCode | |
| Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 376. Act.reference:externalDocument.externalDocument.typeId | |
| Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 378. Act.reference:externalDocument.externalDocument.typeId.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 380. Act.reference:externalDocument.externalDocument.typeId.assigningAuthorityName | |
| Definition | A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Assigning Authority Name |
| 382. Act.reference:externalDocument.externalDocument.typeId.displayable | |
| Definition | Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false). |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Displayable |
| 384. Act.reference:externalDocument.externalDocument.typeId.root | |
| Definition | Identifies the type as an HL7 Registered model |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Fixed Value | 2.16.840.1.113883.1.3 |
| 386. Act.reference:externalDocument.externalDocument.typeId.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Control | 1..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| 388. Act.reference:externalDocument.externalDocument.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 390. Act.reference:externalDocument.externalDocument.classCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from ActClassDocument (required to http://terminology.hl7.org/ValueSet/v3-ActClassDocument) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Default Value | DOC |
| 392. Act.reference:externalDocument.externalDocument.moodCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDAActMood (required to http://hl7.org/cda/stds/core/ValueSet/CDAActMood) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | EVN |
| 394. Act.reference:externalDocument.externalDocument.id | |
| Comments | This externalDocument SHALL contain exactly one [1..1] id (CONF:3250-16915). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 396. Act.reference:externalDocument.externalDocument.code | |
| Comments | This externalDocument SHOULD contain zero or one [0..1] code (CONF:3250-16918). |
| Control | 0..1 |
| Binding | For example codes, see FHIRDocumentTypeCodes (example to http://hl7.org/fhir/ValueSet/doc-typecodes) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| 398. Act.reference:externalDocument.externalDocument.text | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| 400. Act.reference:externalDocument.externalDocument.setId | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 402. Act.reference:externalDocument.externalDocument.versionNumber | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/INT |
| 404. Act.precondition | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Precondition |
| 406. Act.sdtcPrecondition2 | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Precondition2 |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameprecondition2. |
| 408. Act.sdtcInFulfillmentOf1 | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1 |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameinFulfillmentOf1. |
IG © 2019+ Health Level Seven. Package hl7.cda.us.ccda#3.0.0 based on FHIR 5.0.0. Generated 2024-07-23
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