Consolidated CDA (C-CDA), published by Health Level Seven. This guide is not an authorized publication; it is the continuous build for version 4.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/CDA-ccda/ and changes regularly. See the Directory of published versions
Logical Model:
Plan of Treatment Section
Official URL : http://hl7.org/cda/us/ccda/StructureDefinition/PlanofTreatmentSection
Version :
4.0.0
Draft
as of 2025-10-02
Computable Name : PlanofTreatmentSection
Other Identifiers: urn:ietf:rfc:3986#Uniform Resource Identifier (URI)#urn:hl7ii:2.16.840.1.113883.10.20.22.2.10:2014-06-09
This section, formerly known as "Plan of Care", contains data that define pending orders, interventions, encounters, services, and procedures for the patient. It is limited to prospective, unfulfilled, or incomplete orders and requests only. These are indicated by the @moodCode of the entries within this section. All active, incomplete, or pending orders, appointments, referrals, procedures, services, or any other pending event of clinical significance to the current care of the patient should be listed.
This section may also contain information about ongoing care of the patient, clinical reminders, patient's values, beliefs, preferences, care expectations, and overarching care goals.
Clinical reminders are placed here to provide prompts for disease prevention and management, patient safety, and healthcare quality improvements, including widely accepted performance measures.
Values may include the importance of quality of life over longevity. These values are taken into account when prioritizing all problems and their treatments.
Beliefs may include comfort with dying or the refusal of blood transfusions because of the patient's religious convictions.
Preferences may include liquid medicines over tablets, or treatment via secure email instead of in person.
Care expectations may range from being treated only by female clinicians, to expecting all calls to be returned within 24 hours.
Overarching goals described in this section are not tied to a specific condition, problem, health concern, or intervention. Examples of overarching goals could be to minimize pain or dependence on others, or to walk a daughter down the aisle for her marriage.
The plan may also indicate that patient education will be provided.
When this section.text contains extra information not contained in the discrete entries, it is helpful to wrap the text of this section in a Note Activity to support ingestion.
Usages:
You can also check for usages in the FHIR IG Statistics
Changes since version 3.0.0:
New Content
Formal Views of Template Content
Description of Template, Differentials, Snapshots and how the different presentations work .
This structure is derived from Section
Name Flags Card. Type Description & Constraints Filter: Bindings Constraints Obligations
Section
Section
XML Namespace: urn:hl7-org:v3Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class)
Slices for templateId
1 .. *
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Slice: Unordered, Open by value:root, value:extension
templateId:section
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@root
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oid , uuid , ruid
Required Pattern: 2.16.840.1.113883.10.20.22.2.10
@extension
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st
Required Pattern: 2014-06-09
code
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CE
Plan of care note
@code
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cs
Required Pattern: 18776-5
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Required Pattern: 2.16.840.1.113883.6.1
title
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ST
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entry:plannedProc
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procedure
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PlannedProcedure
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substanceAdministration
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PlannedMedicationActivity
𝗨𝗦𝗖𝗗𝗜: MedicationOrder
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supply
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PlannedSupply
entry:instruction
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observation
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act
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entry:goal
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Documentation for this format
Name Flags Card. Type Description & Constraints Filter: Bindings Constraints Obligations
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Required Pattern: 2.16.840.1.113883.6.1
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XML Namespace: urn:hl7-org:sdtcXML: valueSet (urn:hl7-org:sdtc)
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𝗨𝗦𝗖𝗗𝗜: MedicationOrder
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Binding: CDANullFlavor ( required )
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section
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Section
Documentation for this format
Terminology Bindings
Constraints
Id
Grade
Path(s)
Description
Expression
II-1
error
Section.typeId, Section.entry:plannedEnc.typeId, Section.entry:plannedProc.typeId, Section.entry:plannedMed.typeId, Section.entry:plannedSupply.typeId, Section.entry:instruction.typeId, Section.entry:handoffCommParticipants.typeId, Section.entry:nutrition.typeId, Section.entry:plannedImmunization.typeId, Section.entry:goal.typeId, Section.entry:notes.typeId, Section.component.typeId
An II instance must have either a root or an nullFlavor.
root.exists() or nullFlavor.exists()
Name Flags Card. Type Description & Constraints Filter: Bindings Constraints Obligations
Section
1..1
Section
XML Namespace: urn:hl7-org:v3 Base for all types and resourcesInstance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class)
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cs
Binding: CDANullFlavor ( required )
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Required Pattern: 2.16.840.1.113883.10.20.22.2.10
@extension
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Required Pattern: 2014-06-09
@ID
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cs
Binding: ActClassRecordOrganizer ( required ) Fixed Value: DOCSECT
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Binding: CDAActMood ( required ) Fixed Value: EVN
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II
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Required Pattern: 18776-5
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Required Pattern: 2.16.840.1.113883.6.1
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XML Namespace: urn:hl7-org:sdtcXML: valueSet (urn:hl7-org:sdtc)
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XML Namespace: urn:hl7-org:sdtcXML: valueSetVersion (urn:hl7-org:sdtc)
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Slices for entry
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Binding: x_ActRelationshipEntry ( required )
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Fixed Value: true
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Binding: CDANullFlavor ( required )
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Binding: CDANullFlavor ( required )
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Binding: CDANullFlavor ( required )
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Binding: CDANullFlavor ( required )
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Fixed Value: true
act
0..1
Act
encounter
0..1
Encounter
observation
0..1
Observation
observationMedia
0..1
ObservationMedia
organizer
0..1
Organizer
procedure
0..1
Procedure
regionOfInterest
0..1
RegionOfInterest
substanceAdministration
1..1
PlannedMedicationActivity
𝗨𝗦𝗖𝗗𝗜: MedicationOrder
supply
0..1
Supply
entry:plannedSupply
0..*
Entry
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
realmCode
0..*
CS
typeId
C
0..1
II
Constraints: II-1
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
@assigningAuthorityName
0..1
st
@displayable
0..1
bl
@root
1..1
oid , uuid , ruid
Fixed Value: 2.16.840.1.113883.1.3
@extension
1..1
st
templateId
0..*
II
@typeCode
0..1
cs
Binding: x_ActRelationshipEntry ( required )
@contextConductionInd
0..1
bl
Fixed Value: true
act
0..1
Act
encounter
0..1
Encounter
observation
0..1
Observation
observationMedia
0..1
ObservationMedia
organizer
0..1
Organizer
procedure
0..1
Procedure
regionOfInterest
0..1
RegionOfInterest
substanceAdministration
0..1
SubstanceAdministration
supply
1..1
PlannedSupply
entry:instruction
0..*
Entry
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
realmCode
0..*
CS
typeId
C
0..1
II
Constraints: II-1
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
@assigningAuthorityName
0..1
st
@displayable
0..1
bl
@root
1..1
oid , uuid , ruid
Fixed Value: 2.16.840.1.113883.1.3
@extension
1..1
st
templateId
0..*
II
@typeCode
0..1
cs
Binding: x_ActRelationshipEntry ( required )
@contextConductionInd
0..1
bl
Fixed Value: true
act
0..1
Act
encounter
0..1
Encounter
observation
1..1
InstructionObservation
observationMedia
0..1
ObservationMedia
organizer
0..1
Organizer
procedure
0..1
Procedure
regionOfInterest
0..1
RegionOfInterest
substanceAdministration
0..1
SubstanceAdministration
supply
0..1
Supply
entry:handoffCommParticipants
0..*
Entry
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
realmCode
0..*
CS
typeId
C
0..1
II
Constraints: II-1
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
@assigningAuthorityName
0..1
st
@displayable
0..1
bl
@root
1..1
oid , uuid , ruid
Fixed Value: 2.16.840.1.113883.1.3
@extension
1..1
st
templateId
0..*
II
@typeCode
0..1
cs
Binding: x_ActRelationshipEntry ( required )
@contextConductionInd
0..1
bl
Fixed Value: true
act
1..1
HandoffCommunicationParticipants
encounter
0..1
Encounter
observation
0..1
Observation
observationMedia
0..1
ObservationMedia
organizer
0..1
Organizer
procedure
0..1
Procedure
regionOfInterest
0..1
RegionOfInterest
substanceAdministration
0..1
SubstanceAdministration
supply
0..1
Supply
entry:nutrition
0..*
Entry
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
realmCode
0..*
CS
typeId
C
0..1
II
Constraints: II-1
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
@assigningAuthorityName
0..1
st
@displayable
0..1
bl
@root
1..1
oid , uuid , ruid
Fixed Value: 2.16.840.1.113883.1.3
@extension
1..1
st
templateId
0..*
II
@typeCode
0..1
cs
Binding: x_ActRelationshipEntry ( required )
@contextConductionInd
0..1
bl
Fixed Value: true
act
1..1
NutritionRecommendation
encounter
0..1
Encounter
observation
0..1
Observation
observationMedia
0..1
ObservationMedia
organizer
0..1
Organizer
procedure
0..1
Procedure
regionOfInterest
0..1
RegionOfInterest
substanceAdministration
0..1
SubstanceAdministration
supply
0..1
Supply
entry:plannedImmunization
0..*
Entry
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
realmCode
0..*
CS
typeId
C
0..1
II
Constraints: II-1
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
@assigningAuthorityName
0..1
st
@displayable
0..1
bl
@root
1..1
oid , uuid , ruid
Fixed Value: 2.16.840.1.113883.1.3
@extension
1..1
st
templateId
0..*
II
@typeCode
0..1
cs
Binding: x_ActRelationshipEntry ( required )
@contextConductionInd
0..1
bl
Fixed Value: true
act
0..1
Act
encounter
0..1
Encounter
observation
0..1
Observation
observationMedia
0..1
ObservationMedia
organizer
0..1
Organizer
procedure
0..1
Procedure
regionOfInterest
0..1
RegionOfInterest
substanceAdministration
1..1
PlannedImmunizationActivity
supply
0..1
Supply
entry:goal
0..*
Entry
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
realmCode
0..*
CS
typeId
C
0..1
II
Constraints: II-1
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
@assigningAuthorityName
0..1
st
@displayable
0..1
bl
@root
1..1
oid , uuid , ruid
Fixed Value: 2.16.840.1.113883.1.3
@extension
1..1
st
templateId
0..*
II
@typeCode
0..1
cs
Binding: x_ActRelationshipEntry ( required )
@contextConductionInd
0..1
bl
Fixed Value: true
act
0..1
Act
encounter
0..1
Encounter
observation
1..1
GoalObservation
observationMedia
0..1
ObservationMedia
organizer
0..1
Organizer
procedure
0..1
Procedure
regionOfInterest
0..1
RegionOfInterest
substanceAdministration
0..1
SubstanceAdministration
supply
0..1
Supply
entry:notes
0..*
Entry
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
realmCode
0..*
CS
typeId
C
0..1
II
Constraints: II-1
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
@assigningAuthorityName
0..1
st
@displayable
0..1
bl
@root
1..1
oid , uuid , ruid
Fixed Value: 2.16.840.1.113883.1.3
@extension
1..1
st
templateId
0..*
II
@typeCode
0..1
cs
Binding: x_ActRelationshipEntry ( required )
@contextConductionInd
0..1
bl
Fixed Value: true
act
1..1
NoteActivity
encounter
0..1
Encounter
observation
0..1
Observation
observationMedia
0..1
ObservationMedia
organizer
0..1
Organizer
procedure
0..1
Procedure
regionOfInterest
0..1
RegionOfInterest
substanceAdministration
0..1
SubstanceAdministration
supply
0..1
Supply
component
0..*
InfrastructureRoot
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
realmCode
0..*
CS
typeId
C
0..1
II
Constraints: II-1
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
@assigningAuthorityName
0..1
st
@displayable
0..1
bl
@root
1..1
oid , uuid , ruid
Fixed Value: 2.16.840.1.113883.1.3
@extension
1..1
st
templateId
0..*
II
@typeCode
0..1
cs
Fixed Value: COMP
@contextConductionInd
0..1
bl
Fixed Value: true
section
1..1
Section
Documentation for this format
Terminology Bindings
Constraints
Id
Grade
Path(s)
Description
Expression
II-1
error
Section.typeId, Section.entry:plannedEnc.typeId, Section.entry:plannedProc.typeId, Section.entry:plannedMed.typeId, Section.entry:plannedSupply.typeId, Section.entry:instruction.typeId, Section.entry:handoffCommParticipants.typeId, Section.entry:nutrition.typeId, Section.entry:plannedImmunization.typeId, Section.entry:goal.typeId, Section.entry:notes.typeId, Section.component.typeId
An II instance must have either a root or an nullFlavor.
root.exists() or nullFlavor.exists()
This structure is derived from Section
Summary
Mandatory: 9 elements(10 nested mandatory elements)
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices :
The element 2 is sliced based on the values of Section.templateId
The element 6 is sliced based on the values of Section.entry
Differential View
This structure is derived from Section
Name Flags Card. Type Description & Constraints Filter: Bindings Constraints Obligations
Section
Section
XML Namespace: urn:hl7-org:v3Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class)
Slices for templateId
1 .. *
II
Slice: Unordered, Open by value:root, value:extension
templateId:section
1..1
II
@root
1..1
oid , uuid , ruid
Required Pattern: 2.16.840.1.113883.10.20.22.2.10
@extension
1..1
st
Required Pattern: 2014-06-09
code
1..1
CE
Plan of care note
@code
1..1
cs
Required Pattern: 18776-5
@codeSystem
1..1
oid , uuid , ruid
Required Pattern: 2.16.840.1.113883.6.1
title
1..1
ST
text
1..1
xhtml
Slices for entry
0 .. *
Entry
Slice: Unordered, Open by profile:observation, profile:encounter, profile:procedure, profile:substanceAdministration, profile:supply, profile:act
entry:plannedEnc
0..*
Entry
encounter
1..1
PlannedEncounter
entry:plannedProc
0..*
Entry
procedure
1..1
PlannedProcedure
entry:plannedMed
0..*
Entry
substanceAdministration
1..1
PlannedMedicationActivity
𝗨𝗦𝗖𝗗𝗜: MedicationOrder
entry:plannedSupply
0..*
Entry
supply
1..1
PlannedSupply
entry:instruction
0..*
Entry
observation
1..1
InstructionObservation
entry:handoffCommParticipants
0..*
Entry
act
1..1
HandoffCommunicationParticipants
entry:nutrition
0..*
Entry
act
1..1
NutritionRecommendation
entry:plannedImmunization
0..*
Entry
substanceAdministration
1..1
PlannedImmunizationActivity
entry:goal
0..*
Entry
observation
1..1
GoalObservation
entry:notes
0..*
Entry
act
1..1
NoteActivity
Documentation for this format
Key Elements View
Name Flags Card. Type Description & Constraints Filter: Bindings Constraints Obligations
Section
1..1
Section
XML Namespace: urn:hl7-org:v3 Base for all types and resourcesInstance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class)
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
realmCode
0..*
CS
typeId
C
0..1
II
Constraints: II-1
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
@assigningAuthorityName
0..1
st
@displayable
0..1
bl
@root
1..1
oid , uuid , ruid
Fixed Value: 2.16.840.1.113883.1.3
@extension
1..1
st
Slices for templateId
1 .. *
II
Slice: Unordered, Open by value:root, value:extension
templateId:section
1..1
II
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
@assigningAuthorityName
0..1
st
@displayable
0..1
bl
@root
1..1
oid , uuid , ruid
Required Pattern: 2.16.840.1.113883.10.20.22.2.10
@extension
1..1
st
Required Pattern: 2014-06-09
@ID
0..1
xs:ID
@classCode
0..1
cs
Binding: ActClassRecordOrganizer ( required ) Fixed Value: DOCSECT
@moodCode
0..1
cs
Binding: CDAActMood ( required ) Fixed Value: EVN
id
0..1
II
code
1..1
CE
Plan of care note
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
@code
1..1
cs
Required Pattern: 18776-5
@codeSystem
1..1
oid , uuid , ruid
Required Pattern: 2.16.840.1.113883.6.1
@codeSystemName
0..1
st
@codeSystemVersion
0..1
st
@displayName
0..1
st
@sdtcValueSet
0..1
oid
XML Namespace: urn:hl7-org:sdtcXML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion
0..1
st
XML Namespace: urn:hl7-org:sdtcXML: valueSetVersion (urn:hl7-org:sdtc)
originalText
0..1
ED
translation
0..*
CD
title
1..1
ST
text
1..1
xhtml
confidentialityCode
0..1
CE
languageCode
0..1
CS
Binding: AllLanguages ( required )
subject
0..1
Subject
author
0..*
Author
informant
0..*
Informant
Slices for entry
0 .. *
Entry
Slice: Unordered, Open by profile:observation, profile:encounter, profile:procedure, profile:substanceAdministration, profile:supply, profile:act
entry:plannedEnc
0..*
Entry
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
realmCode
0..*
CS
typeId
C
0..1
II
Constraints: II-1
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
@assigningAuthorityName
0..1
st
@displayable
0..1
bl
@root
1..1
oid , uuid , ruid
Fixed Value: 2.16.840.1.113883.1.3
@extension
1..1
st
templateId
0..*
II
@typeCode
0..1
cs
Binding: x_ActRelationshipEntry ( required )
@contextConductionInd
0..1
bl
Fixed Value: true
act
0..1
Act
encounter
1..1
PlannedEncounter
observation
0..1
Observation
observationMedia
0..1
ObservationMedia
organizer
0..1
Organizer
procedure
0..1
Procedure
regionOfInterest
0..1
RegionOfInterest
substanceAdministration
0..1
SubstanceAdministration
supply
0..1
Supply
entry:plannedProc
0..*
Entry
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
realmCode
0..*
CS
typeId
C
0..1
II
Constraints: II-1
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
@assigningAuthorityName
0..1
st
@displayable
0..1
bl
@root
1..1
oid , uuid , ruid
Fixed Value: 2.16.840.1.113883.1.3
@extension
1..1
st
templateId
0..*
II
@typeCode
0..1
cs
Binding: x_ActRelationshipEntry ( required )
@contextConductionInd
0..1
bl
Fixed Value: true
act
0..1
Act
encounter
0..1
Encounter
observation
0..1
Observation
observationMedia
0..1
ObservationMedia
organizer
0..1
Organizer
procedure
1..1
PlannedProcedure
regionOfInterest
0..1
RegionOfInterest
substanceAdministration
0..1
SubstanceAdministration
supply
0..1
Supply
entry:plannedMed
0..*
Entry
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
realmCode
0..*
CS
typeId
C
0..1
II
Constraints: II-1
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
@assigningAuthorityName
0..1
st
@displayable
0..1
bl
@root
1..1
oid , uuid , ruid
Fixed Value: 2.16.840.1.113883.1.3
@extension
1..1
st
templateId
0..*
II
@typeCode
0..1
cs
Binding: x_ActRelationshipEntry ( required )
@contextConductionInd
0..1
bl
Fixed Value: true
act
0..1
Act
encounter
0..1
Encounter
observation
0..1
Observation
observationMedia
0..1
ObservationMedia
organizer
0..1
Organizer
procedure
0..1
Procedure
regionOfInterest
0..1
RegionOfInterest
substanceAdministration
1..1
PlannedMedicationActivity
𝗨𝗦𝗖𝗗𝗜: MedicationOrder
supply
0..1
Supply
entry:plannedSupply
0..*
Entry
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
realmCode
0..*
CS
typeId
C
0..1
II
Constraints: II-1
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
@assigningAuthorityName
0..1
st
@displayable
0..1
bl
@root
1..1
oid , uuid , ruid
Fixed Value: 2.16.840.1.113883.1.3
@extension
1..1
st
templateId
0..*
II
@typeCode
0..1
cs
Binding: x_ActRelationshipEntry ( required )
@contextConductionInd
0..1
bl
Fixed Value: true
act
0..1
Act
encounter
0..1
Encounter
observation
0..1
Observation
observationMedia
0..1
ObservationMedia
organizer
0..1
Organizer
procedure
0..1
Procedure
regionOfInterest
0..1
RegionOfInterest
substanceAdministration
0..1
SubstanceAdministration
supply
1..1
PlannedSupply
entry:instruction
0..*
Entry
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
realmCode
0..*
CS
typeId
C
0..1
II
Constraints: II-1
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
@assigningAuthorityName
0..1
st
@displayable
0..1
bl
@root
1..1
oid , uuid , ruid
Fixed Value: 2.16.840.1.113883.1.3
@extension
1..1
st
templateId
0..*
II
@typeCode
0..1
cs
Binding: x_ActRelationshipEntry ( required )
@contextConductionInd
0..1
bl
Fixed Value: true
act
0..1
Act
encounter
0..1
Encounter
observation
1..1
InstructionObservation
observationMedia
0..1
ObservationMedia
organizer
0..1
Organizer
procedure
0..1
Procedure
regionOfInterest
0..1
RegionOfInterest
substanceAdministration
0..1
SubstanceAdministration
supply
0..1
Supply
entry:handoffCommParticipants
0..*
Entry
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
realmCode
0..*
CS
typeId
C
0..1
II
Constraints: II-1
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
@assigningAuthorityName
0..1
st
@displayable
0..1
bl
@root
1..1
oid , uuid , ruid
Fixed Value: 2.16.840.1.113883.1.3
@extension
1..1
st
templateId
0..*
II
@typeCode
0..1
cs
Binding: x_ActRelationshipEntry ( required )
@contextConductionInd
0..1
bl
Fixed Value: true
act
1..1
HandoffCommunicationParticipants
encounter
0..1
Encounter
observation
0..1
Observation
observationMedia
0..1
ObservationMedia
organizer
0..1
Organizer
procedure
0..1
Procedure
regionOfInterest
0..1
RegionOfInterest
substanceAdministration
0..1
SubstanceAdministration
supply
0..1
Supply
entry:nutrition
0..*
Entry
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
realmCode
0..*
CS
typeId
C
0..1
II
Constraints: II-1
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
@assigningAuthorityName
0..1
st
@displayable
0..1
bl
@root
1..1
oid , uuid , ruid
Fixed Value: 2.16.840.1.113883.1.3
@extension
1..1
st
templateId
0..*
II
@typeCode
0..1
cs
Binding: x_ActRelationshipEntry ( required )
@contextConductionInd
0..1
bl
Fixed Value: true
act
1..1
NutritionRecommendation
encounter
0..1
Encounter
observation
0..1
Observation
observationMedia
0..1
ObservationMedia
organizer
0..1
Organizer
procedure
0..1
Procedure
regionOfInterest
0..1
RegionOfInterest
substanceAdministration
0..1
SubstanceAdministration
supply
0..1
Supply
entry:plannedImmunization
0..*
Entry
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
realmCode
0..*
CS
typeId
C
0..1
II
Constraints: II-1
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
@assigningAuthorityName
0..1
st
@displayable
0..1
bl
@root
1..1
oid , uuid , ruid
Fixed Value: 2.16.840.1.113883.1.3
@extension
1..1
st
templateId
0..*
II
@typeCode
0..1
cs
Binding: x_ActRelationshipEntry ( required )
@contextConductionInd
0..1
bl
Fixed Value: true
act
0..1
Act
encounter
0..1
Encounter
observation
0..1
Observation
observationMedia
0..1
ObservationMedia
organizer
0..1
Organizer
procedure
0..1
Procedure
regionOfInterest
0..1
RegionOfInterest
substanceAdministration
1..1
PlannedImmunizationActivity
supply
0..1
Supply
entry:goal
0..*
Entry
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
realmCode
0..*
CS
typeId
C
0..1
II
Constraints: II-1
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
@assigningAuthorityName
0..1
st
@displayable
0..1
bl
@root
1..1
oid , uuid , ruid
Fixed Value: 2.16.840.1.113883.1.3
@extension
1..1
st
templateId
0..*
II
@typeCode
0..1
cs
Binding: x_ActRelationshipEntry ( required )
@contextConductionInd
0..1
bl
Fixed Value: true
act
0..1
Act
encounter
0..1
Encounter
observation
1..1
GoalObservation
observationMedia
0..1
ObservationMedia
organizer
0..1
Organizer
procedure
0..1
Procedure
regionOfInterest
0..1
RegionOfInterest
substanceAdministration
0..1
SubstanceAdministration
supply
0..1
Supply
entry:notes
0..*
Entry
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
realmCode
0..*
CS
typeId
C
0..1
II
Constraints: II-1
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
@assigningAuthorityName
0..1
st
@displayable
0..1
bl
@root
1..1
oid , uuid , ruid
Fixed Value: 2.16.840.1.113883.1.3
@extension
1..1
st
templateId
0..*
II
@typeCode
0..1
cs
Binding: x_ActRelationshipEntry ( required )
@contextConductionInd
0..1
bl
Fixed Value: true
act
1..1
NoteActivity
encounter
0..1
Encounter
observation
0..1
Observation
observationMedia
0..1
ObservationMedia
organizer
0..1
Organizer
procedure
0..1
Procedure
regionOfInterest
0..1
RegionOfInterest
substanceAdministration
0..1
SubstanceAdministration
supply
0..1
Supply
component
0..*
InfrastructureRoot
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
realmCode
0..*
CS
typeId
C
0..1
II
Constraints: II-1
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
@assigningAuthorityName
0..1
st
@displayable
0..1
bl
@root
1..1
oid , uuid , ruid
Fixed Value: 2.16.840.1.113883.1.3
@extension
1..1
st
templateId
0..*
II
@typeCode
0..1
cs
Fixed Value: COMP
@contextConductionInd
0..1
bl
Fixed Value: true
section
1..1
Section
Documentation for this format
Terminology Bindings
Constraints
Id
Grade
Path(s)
Description
Expression
II-1
error
Section.typeId, Section.entry:plannedEnc.typeId, Section.entry:plannedProc.typeId, Section.entry:plannedMed.typeId, Section.entry:plannedSupply.typeId, Section.entry:instruction.typeId, Section.entry:handoffCommParticipants.typeId, Section.entry:nutrition.typeId, Section.entry:plannedImmunization.typeId, Section.entry:goal.typeId, Section.entry:notes.typeId, Section.component.typeId
An II instance must have either a root or an nullFlavor.
root.exists() or nullFlavor.exists()
Snapshot View
Name Flags Card. Type Description & Constraints Filter: Bindings Constraints Obligations
Section
1..1
Section
XML Namespace: urn:hl7-org:v3 Base for all types and resourcesInstance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class)
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
realmCode
0..*
CS
typeId
C
0..1
II
Constraints: II-1
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
@assigningAuthorityName
0..1
st
@displayable
0..1
bl
@root
1..1
oid , uuid , ruid
Fixed Value: 2.16.840.1.113883.1.3
@extension
1..1
st
Slices for templateId
1 .. *
II
Slice: Unordered, Open by value:root, value:extension
templateId:section
1..1
II
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
@assigningAuthorityName
0..1
st
@displayable
0..1
bl
@root
1..1
oid , uuid , ruid
Required Pattern: 2.16.840.1.113883.10.20.22.2.10
@extension
1..1
st
Required Pattern: 2014-06-09
@ID
0..1
xs:ID
@classCode
0..1
cs
Binding: ActClassRecordOrganizer ( required ) Fixed Value: DOCSECT
@moodCode
0..1
cs
Binding: CDAActMood ( required ) Fixed Value: EVN
id
0..1
II
code
1..1
CE
Plan of care note
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
@code
1..1
cs
Required Pattern: 18776-5
@codeSystem
1..1
oid , uuid , ruid
Required Pattern: 2.16.840.1.113883.6.1
@codeSystemName
0..1
st
@codeSystemVersion
0..1
st
@displayName
0..1
st
@sdtcValueSet
0..1
oid
XML Namespace: urn:hl7-org:sdtcXML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion
0..1
st
XML Namespace: urn:hl7-org:sdtcXML: valueSetVersion (urn:hl7-org:sdtc)
originalText
0..1
ED
translation
0..*
CD
title
1..1
ST
text
1..1
xhtml
confidentialityCode
0..1
CE
languageCode
0..1
CS
Binding: AllLanguages ( required )
subject
0..1
Subject
author
0..*
Author
informant
0..*
Informant
Slices for entry
0 .. *
Entry
Slice: Unordered, Open by profile:observation, profile:encounter, profile:procedure, profile:substanceAdministration, profile:supply, profile:act
entry:plannedEnc
0..*
Entry
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
realmCode
0..*
CS
typeId
C
0..1
II
Constraints: II-1
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
@assigningAuthorityName
0..1
st
@displayable
0..1
bl
@root
1..1
oid , uuid , ruid
Fixed Value: 2.16.840.1.113883.1.3
@extension
1..1
st
templateId
0..*
II
@typeCode
0..1
cs
Binding: x_ActRelationshipEntry ( required )
@contextConductionInd
0..1
bl
Fixed Value: true
act
0..1
Act
encounter
1..1
PlannedEncounter
observation
0..1
Observation
observationMedia
0..1
ObservationMedia
organizer
0..1
Organizer
procedure
0..1
Procedure
regionOfInterest
0..1
RegionOfInterest
substanceAdministration
0..1
SubstanceAdministration
supply
0..1
Supply
entry:plannedProc
0..*
Entry
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
realmCode
0..*
CS
typeId
C
0..1
II
Constraints: II-1
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
@assigningAuthorityName
0..1
st
@displayable
0..1
bl
@root
1..1
oid , uuid , ruid
Fixed Value: 2.16.840.1.113883.1.3
@extension
1..1
st
templateId
0..*
II
@typeCode
0..1
cs
Binding: x_ActRelationshipEntry ( required )
@contextConductionInd
0..1
bl
Fixed Value: true
act
0..1
Act
encounter
0..1
Encounter
observation
0..1
Observation
observationMedia
0..1
ObservationMedia
organizer
0..1
Organizer
procedure
1..1
PlannedProcedure
regionOfInterest
0..1
RegionOfInterest
substanceAdministration
0..1
SubstanceAdministration
supply
0..1
Supply
entry:plannedMed
0..*
Entry
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
realmCode
0..*
CS
typeId
C
0..1
II
Constraints: II-1
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
@assigningAuthorityName
0..1
st
@displayable
0..1
bl
@root
1..1
oid , uuid , ruid
Fixed Value: 2.16.840.1.113883.1.3
@extension
1..1
st
templateId
0..*
II
@typeCode
0..1
cs
Binding: x_ActRelationshipEntry ( required )
@contextConductionInd
0..1
bl
Fixed Value: true
act
0..1
Act
encounter
0..1
Encounter
observation
0..1
Observation
observationMedia
0..1
ObservationMedia
organizer
0..1
Organizer
procedure
0..1
Procedure
regionOfInterest
0..1
RegionOfInterest
substanceAdministration
1..1
PlannedMedicationActivity
𝗨𝗦𝗖𝗗𝗜: MedicationOrder
supply
0..1
Supply
entry:plannedSupply
0..*
Entry
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
realmCode
0..*
CS
typeId
C
0..1
II
Constraints: II-1
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
@assigningAuthorityName
0..1
st
@displayable
0..1
bl
@root
1..1
oid , uuid , ruid
Fixed Value: 2.16.840.1.113883.1.3
@extension
1..1
st
templateId
0..*
II
@typeCode
0..1
cs
Binding: x_ActRelationshipEntry ( required )
@contextConductionInd
0..1
bl
Fixed Value: true
act
0..1
Act
encounter
0..1
Encounter
observation
0..1
Observation
observationMedia
0..1
ObservationMedia
organizer
0..1
Organizer
procedure
0..1
Procedure
regionOfInterest
0..1
RegionOfInterest
substanceAdministration
0..1
SubstanceAdministration
supply
1..1
PlannedSupply
entry:instruction
0..*
Entry
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
realmCode
0..*
CS
typeId
C
0..1
II
Constraints: II-1
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
@assigningAuthorityName
0..1
st
@displayable
0..1
bl
@root
1..1
oid , uuid , ruid
Fixed Value: 2.16.840.1.113883.1.3
@extension
1..1
st
templateId
0..*
II
@typeCode
0..1
cs
Binding: x_ActRelationshipEntry ( required )
@contextConductionInd
0..1
bl
Fixed Value: true
act
0..1
Act
encounter
0..1
Encounter
observation
1..1
InstructionObservation
observationMedia
0..1
ObservationMedia
organizer
0..1
Organizer
procedure
0..1
Procedure
regionOfInterest
0..1
RegionOfInterest
substanceAdministration
0..1
SubstanceAdministration
supply
0..1
Supply
entry:handoffCommParticipants
0..*
Entry
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
realmCode
0..*
CS
typeId
C
0..1
II
Constraints: II-1
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
@assigningAuthorityName
0..1
st
@displayable
0..1
bl
@root
1..1
oid , uuid , ruid
Fixed Value: 2.16.840.1.113883.1.3
@extension
1..1
st
templateId
0..*
II
@typeCode
0..1
cs
Binding: x_ActRelationshipEntry ( required )
@contextConductionInd
0..1
bl
Fixed Value: true
act
1..1
HandoffCommunicationParticipants
encounter
0..1
Encounter
observation
0..1
Observation
observationMedia
0..1
ObservationMedia
organizer
0..1
Organizer
procedure
0..1
Procedure
regionOfInterest
0..1
RegionOfInterest
substanceAdministration
0..1
SubstanceAdministration
supply
0..1
Supply
entry:nutrition
0..*
Entry
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
realmCode
0..*
CS
typeId
C
0..1
II
Constraints: II-1
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
@assigningAuthorityName
0..1
st
@displayable
0..1
bl
@root
1..1
oid , uuid , ruid
Fixed Value: 2.16.840.1.113883.1.3
@extension
1..1
st
templateId
0..*
II
@typeCode
0..1
cs
Binding: x_ActRelationshipEntry ( required )
@contextConductionInd
0..1
bl
Fixed Value: true
act
1..1
NutritionRecommendation
encounter
0..1
Encounter
observation
0..1
Observation
observationMedia
0..1
ObservationMedia
organizer
0..1
Organizer
procedure
0..1
Procedure
regionOfInterest
0..1
RegionOfInterest
substanceAdministration
0..1
SubstanceAdministration
supply
0..1
Supply
entry:plannedImmunization
0..*
Entry
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
realmCode
0..*
CS
typeId
C
0..1
II
Constraints: II-1
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
@assigningAuthorityName
0..1
st
@displayable
0..1
bl
@root
1..1
oid , uuid , ruid
Fixed Value: 2.16.840.1.113883.1.3
@extension
1..1
st
templateId
0..*
II
@typeCode
0..1
cs
Binding: x_ActRelationshipEntry ( required )
@contextConductionInd
0..1
bl
Fixed Value: true
act
0..1
Act
encounter
0..1
Encounter
observation
0..1
Observation
observationMedia
0..1
ObservationMedia
organizer
0..1
Organizer
procedure
0..1
Procedure
regionOfInterest
0..1
RegionOfInterest
substanceAdministration
1..1
PlannedImmunizationActivity
supply
0..1
Supply
entry:goal
0..*
Entry
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
realmCode
0..*
CS
typeId
C
0..1
II
Constraints: II-1
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
@assigningAuthorityName
0..1
st
@displayable
0..1
bl
@root
1..1
oid , uuid , ruid
Fixed Value: 2.16.840.1.113883.1.3
@extension
1..1
st
templateId
0..*
II
@typeCode
0..1
cs
Binding: x_ActRelationshipEntry ( required )
@contextConductionInd
0..1
bl
Fixed Value: true
act
0..1
Act
encounter
0..1
Encounter
observation
1..1
GoalObservation
observationMedia
0..1
ObservationMedia
organizer
0..1
Organizer
procedure
0..1
Procedure
regionOfInterest
0..1
RegionOfInterest
substanceAdministration
0..1
SubstanceAdministration
supply
0..1
Supply
entry:notes
0..*
Entry
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
realmCode
0..*
CS
typeId
C
0..1
II
Constraints: II-1
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
@assigningAuthorityName
0..1
st
@displayable
0..1
bl
@root
1..1
oid , uuid , ruid
Fixed Value: 2.16.840.1.113883.1.3
@extension
1..1
st
templateId
0..*
II
@typeCode
0..1
cs
Binding: x_ActRelationshipEntry ( required )
@contextConductionInd
0..1
bl
Fixed Value: true
act
1..1
NoteActivity
encounter
0..1
Encounter
observation
0..1
Observation
observationMedia
0..1
ObservationMedia
organizer
0..1
Organizer
procedure
0..1
Procedure
regionOfInterest
0..1
RegionOfInterest
substanceAdministration
0..1
SubstanceAdministration
supply
0..1
Supply
component
0..*
InfrastructureRoot
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
realmCode
0..*
CS
typeId
C
0..1
II
Constraints: II-1
@nullFlavor
0..1
cs
Binding: CDANullFlavor ( required )
@assigningAuthorityName
0..1
st
@displayable
0..1
bl
@root
1..1
oid , uuid , ruid
Fixed Value: 2.16.840.1.113883.1.3
@extension
1..1
st
templateId
0..*
II
@typeCode
0..1
cs
Fixed Value: COMP
@contextConductionInd
0..1
bl
Fixed Value: true
section
1..1
Section
Documentation for this format
Terminology Bindings
Constraints
Id
Grade
Path(s)
Description
Expression
II-1
error
Section.typeId, Section.entry:plannedEnc.typeId, Section.entry:plannedProc.typeId, Section.entry:plannedMed.typeId, Section.entry:plannedSupply.typeId, Section.entry:instruction.typeId, Section.entry:handoffCommParticipants.typeId, Section.entry:nutrition.typeId, Section.entry:plannedImmunization.typeId, Section.entry:goal.typeId, Section.entry:notes.typeId, Section.component.typeId
An II instance must have either a root or an nullFlavor.
root.exists() or nullFlavor.exists()
This structure is derived from Section
Summary
Mandatory: 9 elements(10 nested mandatory elements)
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices :
The element 2 is sliced based on the values of Section.templateId
The element 6 is sliced based on the values of Section.entry
Other representations of profile: CSV , Excel