Advance Healthcare Directive Interoperability (cda-adi)
0.1.0 - ci-build

Advance Healthcare Directive Interoperability (cda-adi), published by Health Level Seven. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/cda-adi/ and changes regularly. See the Directory of published versions

## Logical Model: Initial_Treatment_Order_Detail_Part - Detailed Descriptions

Active as of 2026-05-29

Definitions for the InitialTreatmentOrderDetailPart logical model.

- Key Elements Table
- Differential Elements Table
- Snapshot Elements Table

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

0. Act
Definition | Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type. Base definition for all types defined in FHIR type system.
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`.
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
Invariants | II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
8. Act.typeId.nullFlavor
Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
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: value @ root value @ extension
20. Act.templateId:initial-treatment-order-detail-part
Slice Name | initial-treatment-order-detail-part
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:initial-treatment-order-detail-part.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:initial-treatment-order-detail-part.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:initial-treatment-order-detail-part.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:initial-treatment-order-detail-part.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 | `2.16.840.1.113883.9.275.3.2.1`
30. Act.templateId:initial-treatment-order-detail-part.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 | `2026-08-28`
32. Act.classCode
Comments | SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC).
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="RQO" Request (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC).
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 | `RQO`
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
Comments | Entry parts don't really need to be separately identified. If needed, the identifier for the order detail part of this clinical statement can be the id of the statement suffixed with a part# to make it distinct.
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
40. Act.code
Control | 1..1
Binding | For example codes, see ActCode (3.0.0) (example to `http://terminology.hl7.org/ValueSet/v3-ActCode|3.0.0` )
Type | http://hl7.org/cda/stds/core/StructureDefinition/CD
42. Act.code.nullFlavor
Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
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.
Control | 0..1
Binding | Unless not suitable, these codes SHALL be taken from Initial Treatment portable medical order options (extensible to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1115.27` )
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
46. Act.code.codeSystem
Definition | Specifies the code system that defines the code.
Control | 0..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
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 name`valueSet`.
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 name`valueSetVersion`.
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.
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/CD
XML Format | The type of this property is determined using the `xsi:type`attribute.
Label | Translation
64. Act.text
Short | links to the rendering of the portable medical order
Control | 1..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/ED
66. Act.statusCode
Control | 1..1
Binding | The codes SHALL be taken from ActStatus (3.0.0) (required to `http://terminology.hl7.org/ValueSet/v3-ActStatus|3.0.0` )
Type | http://hl7.org/cda/stds/core/StructureDefinition/CS
68. Act.statusCode.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
70. Act.statusCode.code
Definition | The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
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 | Code
Pattern Value | `active`
72. Act.statusCode.codeSystem
Definition | Specifies the code system that defines the code.
Control | 0..0
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
74. Act.statusCode.codeSystemName
Definition | The common name of the coding system.
Control | 0..0
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
76. Act.statusCode.codeSystemVersion
Definition | If applicable, a version descriptor defined specifically for the given code system.
Control | 0..0
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
78. Act.statusCode.displayName
Definition | A name or title for the code, under which the sending system shows the code value to its users.
Control | 0..0
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
80. Act.statusCode.sdtcValueSet
Definition | The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.
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 name`valueSet`.
82. Act.statusCode.sdtcValueSetVersion
Definition | The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.
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 name`valueSetVersion`.
84. Act.statusCode.originalText
Definition | The text or phrase used as the basis for the coding.
Control | 0..0
Type | http://hl7.org/cda/stds/core/StructureDefinition/ED
Label | Original Text
86. Act.statusCode.qualifier
Definition | Specifies additional codes that increase the specificity of the the primary code.
Control | 0..0
Type | http://hl7.org/cda/stds/core/StructureDefinition/CR
Label | Qualifier
88. Act.statusCode.translation
Definition | A set of other concept descriptors that translate this concept descriptor into other code systems.
Control | 0..0
Type | http://hl7.org/cda/stds/core/StructureDefinition/CD
XML Format | The type of this property is determined using the `xsi:type`attribute.
Label | Translation
90. Act.effectiveTime
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
92. Act.priorityCode
Control | 0..1
Binding | For example codes, see ActPriority (3.0.0) (example to `http://terminology.hl7.org/ValueSet/v3-ActPriority|3.0.0` )
Type | http://hl7.org/cda/stds/core/StructureDefinition/CE
94. 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
96. Act.subject
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Subject
98. Act.specimen
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Specimen
100. Act.performer
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Performer2
102. Act.author
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Author
104. Act.informant
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Informant
106. Act.participant
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Participant2
108. Act.entryRelationship
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
110. Act.reference
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Reference
112. Act.precondition
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Precondition
114. 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 name`precondition2`.
116. 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 name`inFulfillmentOf1`.

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

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`.
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: value @ root value @ extension
4. Act.templateId:initial-treatment-order-detail-part
Slice Name | initial-treatment-order-detail-part
Control | 1..1
6. Act.templateId:initial-treatment-order-detail-part.root
Control | 1..?
Pattern Value | `2.16.840.1.113883.9.275.3.2.1`
8. Act.templateId:initial-treatment-order-detail-part.extension
Control | 1..?
Pattern Value | `2026-08-28`
10. Act.classCode
Comments | SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC).
Fixed Value | `ACT`
12. Act.moodCode
Comments | SHALL contain exactly one [1..1] @moodCode="RQO" Request (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC).
Fixed Value | `RQO`
14. Act.id
Comments | Entry parts don't really need to be separately identified. If needed, the identifier for the order detail part of this clinical statement can be the id of the statement suffixed with a part# to make it distinct.
16. Act.code
18. Act.code.code
Binding | Unless not suitable, these codes SHALL be taken from Initial Treatment portable medical order options (extensible to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1115.27` )
20. Act.text
Short | links to the rendering of the portable medical order
Control | 1..?
22. Act.statusCode
Control | 1..?
24. Act.statusCode.code
Pattern Value | `active`

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

0. Act
Definition | Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.
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`.
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
Invariants | II-1: An II instance must have either a root or an nullFlavor. (`root.exists() or nullFlavor.exists()`)
8. Act.typeId.nullFlavor
Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
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: value @ root value @ extension
20. Act.templateId:initial-treatment-order-detail-part
Slice Name | initial-treatment-order-detail-part
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:initial-treatment-order-detail-part.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:initial-treatment-order-detail-part.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:initial-treatment-order-detail-part.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:initial-treatment-order-detail-part.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 | `2.16.840.1.113883.9.275.3.2.1`
30. Act.templateId:initial-treatment-order-detail-part.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 | `2026-08-28`
32. Act.classCode
Comments | SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC).
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="RQO" Request (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC).
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 | `RQO`
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
Comments | Entry parts don't really need to be separately identified. If needed, the identifier for the order detail part of this clinical statement can be the id of the statement suffixed with a part# to make it distinct.
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
40. Act.code
Control | 1..1
Binding | For example codes, see ActCode (3.0.0) (example to `http://terminology.hl7.org/ValueSet/v3-ActCode|3.0.0` )
Type | http://hl7.org/cda/stds/core/StructureDefinition/CD
42. Act.code.nullFlavor
Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
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.
Control | 0..1
Binding | Unless not suitable, these codes SHALL be taken from Initial Treatment portable medical order options (extensible to `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1115.27` )
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
46. Act.code.codeSystem
Definition | Specifies the code system that defines the code.
Control | 0..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
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 name`valueSet`.
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 name`valueSetVersion`.
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.
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/CD
XML Format | The type of this property is determined using the `xsi:type`attribute.
Label | Translation
64. Act.text
Short | links to the rendering of the portable medical order
Control | 1..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/ED
66. Act.statusCode
Control | 1..1
Binding | The codes SHALL be taken from ActStatus (3.0.0) (required to `http://terminology.hl7.org/ValueSet/v3-ActStatus|3.0.0` )
Type | http://hl7.org/cda/stds/core/StructureDefinition/CS
68. Act.statusCode.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
70. Act.statusCode.code
Definition | The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
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 | Code
Pattern Value | `active`
72. Act.statusCode.codeSystem
Definition | Specifies the code system that defines the code.
Control | 0..0
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
74. Act.statusCode.codeSystemName
Definition | The common name of the coding system.
Control | 0..0
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
76. Act.statusCode.codeSystemVersion
Definition | If applicable, a version descriptor defined specifically for the given code system.
Control | 0..0
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
78. Act.statusCode.displayName
Definition | A name or title for the code, under which the sending system shows the code value to its users.
Control | 0..0
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
80. Act.statusCode.sdtcValueSet
Definition | The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.
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 name`valueSet`.
82. Act.statusCode.sdtcValueSetVersion
Definition | The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.
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 name`valueSetVersion`.
84. Act.statusCode.originalText
Definition | The text or phrase used as the basis for the coding.
Control | 0..0
Type | http://hl7.org/cda/stds/core/StructureDefinition/ED
Label | Original Text
86. Act.statusCode.qualifier
Definition | Specifies additional codes that increase the specificity of the the primary code.
Control | 0..0
Type | http://hl7.org/cda/stds/core/StructureDefinition/CR
Label | Qualifier
88. Act.statusCode.translation
Definition | A set of other concept descriptors that translate this concept descriptor into other code systems.
Control | 0..0
Type | http://hl7.org/cda/stds/core/StructureDefinition/CD
XML Format | The type of this property is determined using the `xsi:type`attribute.
Label | Translation
90. Act.effectiveTime
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
92. Act.priorityCode
Control | 0..1
Binding | For example codes, see ActPriority (3.0.0) (example to `http://terminology.hl7.org/ValueSet/v3-ActPriority|3.0.0` )
Type | http://hl7.org/cda/stds/core/StructureDefinition/CE
94. 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
96. Act.subject
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Subject
98. Act.specimen
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Specimen
100. Act.performer
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Performer2
102. Act.author
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Author
104. Act.informant
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Informant
106. Act.participant
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Participant2
108. Act.entryRelationship
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
110. Act.reference
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Reference
112. Act.precondition
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Precondition
114. 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 name`precondition2`.
116. 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 name`inFulfillmentOf1`.