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: ADI Healthcare Agent Consent Entry

Official URL: http://hl7.org/cda/us/adi/StructureDefinition/HealthcareAgentConsentEntry | Version: 0.1.0
Draft as of 2026-05-29 | Computable Name: Healthcare_Agent_Consent_Entry
Other Identifiers: urn:ietf:rfc:3986#Uniform Resource Identifier (URI)#urn:hl7ii:2.16.840.1.113883.4.823.1.4.2:2026-08-28

This entry includes the person's consent to appoint a Healthcare Agent. It may include powers granted or denied.

Usages:

- Use this Logical Model Profile: Healthcare Agent Appointment Section

You can also check for usages in the FHIR IG Statistics

### Formal Views of Template Content

Description of Template, Differentials, Snapshots and how the different presentations work.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

This structure is derived from Act

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Act |  |  | Act | XML Namespace: urn:hl7-org:v3 Instance 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:healthcare-agent-consent |  | 1..1 | II |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.4.823.1.4.2
@extension |  | 1..1 | st | Required Pattern: 2026-08-28
@classCode |  | 1..1 | cs | Fixed Value: ACT
@moodCode |  | 1..1 | cs | Fixed Value: EVN
id |  | 1..* | II |
code |  |  |  |
@code |  | 0..1 | cs | Required Pattern: 81377-4
text |  | 1..1 | ED | links to the rendering of the healthcare agent consent
statusCode |  | 1..1 | CS |
effectiveTime |  | 1..1 | IVL_TS |
Slices for entryRelationship | S | 1..* | EntryRelationship | Slice: Unordered, Open by profile:observation
entryRelationship:agent-appointment-part | S | 1..3 | EntryRelationship |
@typeCode |  | 1..1 | cs | Fixed Value: COMP
@inversionInd |  | 0..1 | bl | Fixed Value: false
observation |  | 1..1 | Agent_Appointment_Part |
entryRelationship:powers-granted-part | S | 0..* | EntryRelationship |
@typeCode |  | 1..1 | cs | Fixed Value: COMP
@inversionInd |  | 0..1 | bl | Fixed Value: false
observation | S | 1..1 | Powers_Granted_Part |
entryRelationship:coded-powers-granted-part | S | 0..* | EntryRelationship |
@typeCode |  | 1..1 | cs | Fixed Value: COMP
@inversionInd |  | 0..1 | bl | Fixed Value: false
observation | S | 1..1 | Coded_Powers_Granted_Part |
entryRelationship:powers-denied-part | S | 0..* | EntryRelationship |
@typeCode |  | 1..1 | cs | Fixed Value: COMP
@inversionInd |  | 0..1 | bl | Fixed Value: false
observation | S | 1..1 | Powers_Denied_Part |
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Act |  | 1..1 | Act | XML Namespace: urn:hl7-org:v3 Base for all types and resources Instance 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:healthcare-agent-consent |  | 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: 2.16.840.1.113883.4.823.1.4.2
@extension |  | 1..1 | st | Required Pattern: 2026-08-28
@classCode |  | 1..1 | cs | Binding: XActClassDocumentEntryAct (2.0.0) (required) Fixed Value: ACT
@moodCode |  | 1..1 | cs | Binding: XDocumentActMood (2.0.0) (required) Fixed Value: EVN
@negationInd |  | 0..1 | bl |
id |  | 1..* | II |
code |  | 1..1 | CD | Binding: ActCode (3.0.0) (example)
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 0..1 | cs | Required Pattern: 81377-4
@codeSystem |  | 0..1 | oid, uuid, ruid |
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
qualifier |  | 0..* | CR |
translation |  | 0..* | CD |
text |  | 1..1 | ED | links to the rendering of the healthcare agent consent
statusCode |  | 1..1 | CS | Binding: ActStatus (3.0.0) (required)
effectiveTime |  | 1..1 | IVL_TS |
priorityCode |  | 0..1 | CE | Binding: ActPriority (3.0.0) (example)
languageCode |  | 0..1 | CS | Binding: AllLanguages (required)
subject |  | 0..1 | Subject |
specimen |  | 0..* | Specimen |
performer |  | 0..* | Performer2 |
author |  | 0..* | Author |
informant |  | 0..* | Informant |
participant |  | 0..* | Participant2 |
Slices for entryRelationship | S | 1..* | EntryRelationship | Slice: Unordered, Open by profile:observation
entryRelationship:agent-appointment-part | S | 1..3 | EntryRelationship |
@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 |  | 1..1 | cs | Binding: XActRelationshipEntryRelationship (3.0.0) (required) Fixed Value: COMP
@inversionInd |  | 0..1 | bl | Fixed Value: false
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
act |  | 0..1 | Act |
encounter |  | 0..1 | Encounter |
observation |  | 1..1 | Agent_Appointment_Part |
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
entryRelationship:powers-granted-part | S | 0..* | EntryRelationship |
@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 |  | 1..1 | cs | Binding: XActRelationshipEntryRelationship (3.0.0) (required) Fixed Value: COMP
@inversionInd |  | 0..1 | bl | Fixed Value: false
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
act |  | 0..1 | Act |
encounter |  | 0..1 | Encounter |
observation | S | 1..1 | Powers_Granted_Part |
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
entryRelationship:coded-powers-granted-part | S | 0..* | EntryRelationship |
@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 |  | 1..1 | cs | Binding: XActRelationshipEntryRelationship (3.0.0) (required) Fixed Value: COMP
@inversionInd |  | 0..1 | bl | Fixed Value: false
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
act |  | 0..1 | Act |
encounter |  | 0..1 | Encounter |
observation | S | 1..1 | Coded_Powers_Granted_Part |
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
entryRelationship:powers-denied-part | S | 0..* | EntryRelationship |
@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 |  | 1..1 | cs | Binding: XActRelationshipEntryRelationship (3.0.0) (required) Fixed Value: COMP
@inversionInd |  | 0..1 | bl | Fixed Value: false
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
act |  | 0..1 | Act |
encounter |  | 0..1 | Encounter |
observation | S | 1..1 | Powers_Denied_Part |
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
reference |  | 0..* | Reference |
precondition |  | 0..* | Precondition |
sdtcPrecondition2 |  | 0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc)
sdtcInFulfillmentOf1 |  | 0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Act.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.templateId:healthcare-agent-consent.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.classCode | Base | required | x_ActClassDocumentEntryAct | 📍2.0.0 | THO v5.2
Act.moodCode | Base | required | x_DocumentActMood | 📍2.0.0 | THO v5.2
Act.code | Base | example | v3 Code System ActCode | 📍3.0.0 | THO v7.0
Act.code.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.statusCode | Base | required | ActStatus | 📍3.0.0 | THO v7.0
Act.priorityCode | Base | example | ActPriority | 📍3.0.0 | THO v7.0
Act.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std.
Act.entryRelationship:agent-appointment-part.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.entryRelationship:agent-appointment-part.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.entryRelationship:agent-appointment-part.​typeCode | Base | required | x_ActRelationshipEntryRelationship | 📍3.0.0 | THO v7.0
Act.entryRelationship:powers-granted-part.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.entryRelationship:powers-granted-part.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.entryRelationship:powers-granted-part.​typeCode | Base | required | x_ActRelationshipEntryRelationship | 📍3.0.0 | THO v7.0
Act.entryRelationship:coded-powers-granted-part.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.entryRelationship:coded-powers-granted-part.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.entryRelationship:coded-powers-granted-part.​typeCode | Base | required | x_ActRelationshipEntryRelationship | 📍3.0.0 | THO v7.0
Act.entryRelationship:powers-denied-part.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.entryRelationship:powers-denied-part.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.entryRelationship:powers-denied-part.​typeCode | Base | required | x_ActRelationshipEntryRelationship | 📍3.0.0 | THO v7.0

#### Constraints

Id | Grade | Path(s) | Description | Expression
II-1 | error | Act.typeId, Act.entryRelationship:agent-appointment-part.typeId, Act.entryRelationship:powers-granted-part.typeId, Act.entryRelationship:coded-powers-granted-part.typeId, Act.entryRelationship:powers-denied-part.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
--- | --- | --- | --- | ---
Act |  | 1..1 | Act | XML Namespace: urn:hl7-org:v3 Base for all types and resources Instance 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:healthcare-agent-consent |  | 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: 2.16.840.1.113883.4.823.1.4.2
@extension |  | 1..1 | st | Required Pattern: 2026-08-28
@classCode |  | 1..1 | cs | Binding: XActClassDocumentEntryAct (2.0.0) (required) Fixed Value: ACT
@moodCode |  | 1..1 | cs | Binding: XDocumentActMood (2.0.0) (required) Fixed Value: EVN
@negationInd |  | 0..1 | bl |
id |  | 1..* | II |
code |  | 1..1 | CD | Binding: ActCode (3.0.0) (example)
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 0..1 | cs | Required Pattern: 81377-4
@codeSystem |  | 0..1 | oid, uuid, ruid |
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
qualifier |  | 0..* | CR |
translation |  | 0..* | CD |
text |  | 1..1 | ED | links to the rendering of the healthcare agent consent
statusCode |  | 1..1 | CS | Binding: ActStatus (3.0.0) (required)
effectiveTime |  | 1..1 | IVL_TS |
priorityCode |  | 0..1 | CE | Binding: ActPriority (3.0.0) (example)
languageCode |  | 0..1 | CS | Binding: AllLanguages (required)
subject |  | 0..1 | Subject |
specimen |  | 0..* | Specimen |
performer |  | 0..* | Performer2 |
author |  | 0..* | Author |
informant |  | 0..* | Informant |
participant |  | 0..* | Participant2 |
Slices for entryRelationship | S | 1..* | EntryRelationship | Slice: Unordered, Open by profile:observation
entryRelationship:agent-appointment-part | S | 1..3 | EntryRelationship |
@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 |  | 1..1 | cs | Binding: XActRelationshipEntryRelationship (3.0.0) (required) Fixed Value: COMP
@inversionInd |  | 0..1 | bl | Fixed Value: false
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
act |  | 0..1 | Act |
encounter |  | 0..1 | Encounter |
observation |  | 1..1 | Agent_Appointment_Part |
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
entryRelationship:powers-granted-part | S | 0..* | EntryRelationship |
@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 |  | 1..1 | cs | Binding: XActRelationshipEntryRelationship (3.0.0) (required) Fixed Value: COMP
@inversionInd |  | 0..1 | bl | Fixed Value: false
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
act |  | 0..1 | Act |
encounter |  | 0..1 | Encounter |
observation | S | 1..1 | Powers_Granted_Part |
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
entryRelationship:coded-powers-granted-part | S | 0..* | EntryRelationship |
@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 |  | 1..1 | cs | Binding: XActRelationshipEntryRelationship (3.0.0) (required) Fixed Value: COMP
@inversionInd |  | 0..1 | bl | Fixed Value: false
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
act |  | 0..1 | Act |
encounter |  | 0..1 | Encounter |
observation | S | 1..1 | Coded_Powers_Granted_Part |
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
entryRelationship:powers-denied-part | S | 0..* | EntryRelationship |
@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 |  | 1..1 | cs | Binding: XActRelationshipEntryRelationship (3.0.0) (required) Fixed Value: COMP
@inversionInd |  | 0..1 | bl | Fixed Value: false
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
act |  | 0..1 | Act |
encounter |  | 0..1 | Encounter |
observation | S | 1..1 | Powers_Denied_Part |
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
reference |  | 0..* | Reference |
precondition |  | 0..* | Precondition |
sdtcPrecondition2 |  | 0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc)
sdtcInFulfillmentOf1 |  | 0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Act.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.templateId:healthcare-agent-consent.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.classCode | Base | required | x_ActClassDocumentEntryAct | 📍2.0.0 | THO v5.2
Act.moodCode | Base | required | x_DocumentActMood | 📍2.0.0 | THO v5.2
Act.code | Base | example | v3 Code System ActCode | 📍3.0.0 | THO v7.0
Act.code.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.statusCode | Base | required | ActStatus | 📍3.0.0 | THO v7.0
Act.priorityCode | Base | example | ActPriority | 📍3.0.0 | THO v7.0
Act.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std.
Act.entryRelationship:agent-appointment-part.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.entryRelationship:agent-appointment-part.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.entryRelationship:agent-appointment-part.​typeCode | Base | required | x_ActRelationshipEntryRelationship | 📍3.0.0 | THO v7.0
Act.entryRelationship:powers-granted-part.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.entryRelationship:powers-granted-part.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.entryRelationship:powers-granted-part.​typeCode | Base | required | x_ActRelationshipEntryRelationship | 📍3.0.0 | THO v7.0
Act.entryRelationship:coded-powers-granted-part.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.entryRelationship:coded-powers-granted-part.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.entryRelationship:coded-powers-granted-part.​typeCode | Base | required | x_ActRelationshipEntryRelationship | 📍3.0.0 | THO v7.0
Act.entryRelationship:powers-denied-part.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.entryRelationship:powers-denied-part.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.entryRelationship:powers-denied-part.​typeCode | Base | required | x_ActRelationshipEntryRelationship | 📍3.0.0 | THO v7.0

#### Constraints

Id | Grade | Path(s) | Description | Expression
II-1 | error | Act.typeId, Act.entryRelationship:agent-appointment-part.typeId, Act.entryRelationship:powers-granted-part.typeId, Act.entryRelationship:coded-powers-granted-part.typeId, Act.entryRelationship:powers-denied-part.typeId | An II instance must have either a root or an nullFlavor. | `root.exists() or nullFlavor.exists()`

This structure is derived from Act

Summary

Mandatory: 11 elements(3 nested mandatory elements)
Must-Support: 8 elements
Fixed: 10 elements

Structures

This structure refers to these other structures:

- Agent Appointment Part of the ADI Healthcare Agent Consent Entry (http://hl7.org/cda/us/adi/StructureDefinition/AgentAppointmentPart)
- Powers Granted Part of the ADI Healthcare Agent Consent Entry (http://hl7.org/cda/us/adi/StructureDefinition/PowersGrantedPart)
- Coded Powers Granted Part of the ADI Healthcare Agent Consent Entry (http://hl7.org/cda/us/adi/StructureDefinition/CodedPowersGrantedPart)
- Powers Denied Part of the ADI Healthcare Agent Consent Entry (http://hl7.org/cda/us/adi/StructureDefinition/PowersDeniedPart)

Slices

This structure defines the following Slices:

- The element 2 is sliced based on the values of Act.templateId
- The element 1 is sliced based on the value of Act.entryRelationship

Differential View

This structure is derived from Act

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Act |  |  | Act | XML Namespace: urn:hl7-org:v3 Instance 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:healthcare-agent-consent |  | 1..1 | II |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.4.823.1.4.2
@extension |  | 1..1 | st | Required Pattern: 2026-08-28
@classCode |  | 1..1 | cs | Fixed Value: ACT
@moodCode |  | 1..1 | cs | Fixed Value: EVN
id |  | 1..* | II |
code |  |  |  |
@code |  | 0..1 | cs | Required Pattern: 81377-4
text |  | 1..1 | ED | links to the rendering of the healthcare agent consent
statusCode |  | 1..1 | CS |
effectiveTime |  | 1..1 | IVL_TS |
Slices for entryRelationship | S | 1..* | EntryRelationship | Slice: Unordered, Open by profile:observation
entryRelationship:agent-appointment-part | S | 1..3 | EntryRelationship |
@typeCode |  | 1..1 | cs | Fixed Value: COMP
@inversionInd |  | 0..1 | bl | Fixed Value: false
observation |  | 1..1 | Agent_Appointment_Part |
entryRelationship:powers-granted-part | S | 0..* | EntryRelationship |
@typeCode |  | 1..1 | cs | Fixed Value: COMP
@inversionInd |  | 0..1 | bl | Fixed Value: false
observation | S | 1..1 | Powers_Granted_Part |
entryRelationship:coded-powers-granted-part | S | 0..* | EntryRelationship |
@typeCode |  | 1..1 | cs | Fixed Value: COMP
@inversionInd |  | 0..1 | bl | Fixed Value: false
observation | S | 1..1 | Coded_Powers_Granted_Part |
entryRelationship:powers-denied-part | S | 0..* | EntryRelationship |
@typeCode |  | 1..1 | cs | Fixed Value: COMP
@inversionInd |  | 0..1 | bl | Fixed Value: false
observation | S | 1..1 | Powers_Denied_Part |
Documentation for this format

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Act |  | 1..1 | Act | XML Namespace: urn:hl7-org:v3 Base for all types and resources Instance 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:healthcare-agent-consent |  | 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: 2.16.840.1.113883.4.823.1.4.2
@extension |  | 1..1 | st | Required Pattern: 2026-08-28
@classCode |  | 1..1 | cs | Binding: XActClassDocumentEntryAct (2.0.0) (required) Fixed Value: ACT
@moodCode |  | 1..1 | cs | Binding: XDocumentActMood (2.0.0) (required) Fixed Value: EVN
@negationInd |  | 0..1 | bl |
id |  | 1..* | II |
code |  | 1..1 | CD | Binding: ActCode (3.0.0) (example)
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 0..1 | cs | Required Pattern: 81377-4
@codeSystem |  | 0..1 | oid, uuid, ruid |
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
qualifier |  | 0..* | CR |
translation |  | 0..* | CD |
text |  | 1..1 | ED | links to the rendering of the healthcare agent consent
statusCode |  | 1..1 | CS | Binding: ActStatus (3.0.0) (required)
effectiveTime |  | 1..1 | IVL_TS |
priorityCode |  | 0..1 | CE | Binding: ActPriority (3.0.0) (example)
languageCode |  | 0..1 | CS | Binding: AllLanguages (required)
subject |  | 0..1 | Subject |
specimen |  | 0..* | Specimen |
performer |  | 0..* | Performer2 |
author |  | 0..* | Author |
informant |  | 0..* | Informant |
participant |  | 0..* | Participant2 |
Slices for entryRelationship | S | 1..* | EntryRelationship | Slice: Unordered, Open by profile:observation
entryRelationship:agent-appointment-part | S | 1..3 | EntryRelationship |
@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 |  | 1..1 | cs | Binding: XActRelationshipEntryRelationship (3.0.0) (required) Fixed Value: COMP
@inversionInd |  | 0..1 | bl | Fixed Value: false
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
act |  | 0..1 | Act |
encounter |  | 0..1 | Encounter |
observation |  | 1..1 | Agent_Appointment_Part |
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
entryRelationship:powers-granted-part | S | 0..* | EntryRelationship |
@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 |  | 1..1 | cs | Binding: XActRelationshipEntryRelationship (3.0.0) (required) Fixed Value: COMP
@inversionInd |  | 0..1 | bl | Fixed Value: false
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
act |  | 0..1 | Act |
encounter |  | 0..1 | Encounter |
observation | S | 1..1 | Powers_Granted_Part |
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
entryRelationship:coded-powers-granted-part | S | 0..* | EntryRelationship |
@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 |  | 1..1 | cs | Binding: XActRelationshipEntryRelationship (3.0.0) (required) Fixed Value: COMP
@inversionInd |  | 0..1 | bl | Fixed Value: false
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
act |  | 0..1 | Act |
encounter |  | 0..1 | Encounter |
observation | S | 1..1 | Coded_Powers_Granted_Part |
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
entryRelationship:powers-denied-part | S | 0..* | EntryRelationship |
@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 |  | 1..1 | cs | Binding: XActRelationshipEntryRelationship (3.0.0) (required) Fixed Value: COMP
@inversionInd |  | 0..1 | bl | Fixed Value: false
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
act |  | 0..1 | Act |
encounter |  | 0..1 | Encounter |
observation | S | 1..1 | Powers_Denied_Part |
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
reference |  | 0..* | Reference |
precondition |  | 0..* | Precondition |
sdtcPrecondition2 |  | 0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc)
sdtcInFulfillmentOf1 |  | 0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Act.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.templateId:healthcare-agent-consent.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.classCode | Base | required | x_ActClassDocumentEntryAct | 📍2.0.0 | THO v5.2
Act.moodCode | Base | required | x_DocumentActMood | 📍2.0.0 | THO v5.2
Act.code | Base | example | v3 Code System ActCode | 📍3.0.0 | THO v7.0
Act.code.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.statusCode | Base | required | ActStatus | 📍3.0.0 | THO v7.0
Act.priorityCode | Base | example | ActPriority | 📍3.0.0 | THO v7.0
Act.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std.
Act.entryRelationship:agent-appointment-part.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.entryRelationship:agent-appointment-part.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.entryRelationship:agent-appointment-part.​typeCode | Base | required | x_ActRelationshipEntryRelationship | 📍3.0.0 | THO v7.0
Act.entryRelationship:powers-granted-part.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.entryRelationship:powers-granted-part.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.entryRelationship:powers-granted-part.​typeCode | Base | required | x_ActRelationshipEntryRelationship | 📍3.0.0 | THO v7.0
Act.entryRelationship:coded-powers-granted-part.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.entryRelationship:coded-powers-granted-part.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.entryRelationship:coded-powers-granted-part.​typeCode | Base | required | x_ActRelationshipEntryRelationship | 📍3.0.0 | THO v7.0
Act.entryRelationship:powers-denied-part.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.entryRelationship:powers-denied-part.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.entryRelationship:powers-denied-part.​typeCode | Base | required | x_ActRelationshipEntryRelationship | 📍3.0.0 | THO v7.0

#### Constraints

Id | Grade | Path(s) | Description | Expression
II-1 | error | Act.typeId, Act.entryRelationship:agent-appointment-part.typeId, Act.entryRelationship:powers-granted-part.typeId, Act.entryRelationship:coded-powers-granted-part.typeId, Act.entryRelationship:powers-denied-part.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
--- | --- | --- | --- | ---
Act |  | 1..1 | Act | XML Namespace: urn:hl7-org:v3 Base for all types and resources Instance 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:healthcare-agent-consent |  | 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: 2.16.840.1.113883.4.823.1.4.2
@extension |  | 1..1 | st | Required Pattern: 2026-08-28
@classCode |  | 1..1 | cs | Binding: XActClassDocumentEntryAct (2.0.0) (required) Fixed Value: ACT
@moodCode |  | 1..1 | cs | Binding: XDocumentActMood (2.0.0) (required) Fixed Value: EVN
@negationInd |  | 0..1 | bl |
id |  | 1..* | II |
code |  | 1..1 | CD | Binding: ActCode (3.0.0) (example)
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 0..1 | cs | Required Pattern: 81377-4
@codeSystem |  | 0..1 | oid, uuid, ruid |
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
qualifier |  | 0..* | CR |
translation |  | 0..* | CD |
text |  | 1..1 | ED | links to the rendering of the healthcare agent consent
statusCode |  | 1..1 | CS | Binding: ActStatus (3.0.0) (required)
effectiveTime |  | 1..1 | IVL_TS |
priorityCode |  | 0..1 | CE | Binding: ActPriority (3.0.0) (example)
languageCode |  | 0..1 | CS | Binding: AllLanguages (required)
subject |  | 0..1 | Subject |
specimen |  | 0..* | Specimen |
performer |  | 0..* | Performer2 |
author |  | 0..* | Author |
informant |  | 0..* | Informant |
participant |  | 0..* | Participant2 |
Slices for entryRelationship | S | 1..* | EntryRelationship | Slice: Unordered, Open by profile:observation
entryRelationship:agent-appointment-part | S | 1..3 | EntryRelationship |
@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 |  | 1..1 | cs | Binding: XActRelationshipEntryRelationship (3.0.0) (required) Fixed Value: COMP
@inversionInd |  | 0..1 | bl | Fixed Value: false
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
act |  | 0..1 | Act |
encounter |  | 0..1 | Encounter |
observation |  | 1..1 | Agent_Appointment_Part |
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
entryRelationship:powers-granted-part | S | 0..* | EntryRelationship |
@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 |  | 1..1 | cs | Binding: XActRelationshipEntryRelationship (3.0.0) (required) Fixed Value: COMP
@inversionInd |  | 0..1 | bl | Fixed Value: false
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
act |  | 0..1 | Act |
encounter |  | 0..1 | Encounter |
observation | S | 1..1 | Powers_Granted_Part |
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
entryRelationship:coded-powers-granted-part | S | 0..* | EntryRelationship |
@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 |  | 1..1 | cs | Binding: XActRelationshipEntryRelationship (3.0.0) (required) Fixed Value: COMP
@inversionInd |  | 0..1 | bl | Fixed Value: false
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
act |  | 0..1 | Act |
encounter |  | 0..1 | Encounter |
observation | S | 1..1 | Coded_Powers_Granted_Part |
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
entryRelationship:powers-denied-part | S | 0..* | EntryRelationship |
@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 |  | 1..1 | cs | Binding: XActRelationshipEntryRelationship (3.0.0) (required) Fixed Value: COMP
@inversionInd |  | 0..1 | bl | Fixed Value: false
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
act |  | 0..1 | Act |
encounter |  | 0..1 | Encounter |
observation | S | 1..1 | Powers_Denied_Part |
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
reference |  | 0..* | Reference |
precondition |  | 0..* | Precondition |
sdtcPrecondition2 |  | 0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc)
sdtcInFulfillmentOf1 |  | 0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Act.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.templateId:healthcare-agent-consent.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.classCode | Base | required | x_ActClassDocumentEntryAct | 📍2.0.0 | THO v5.2
Act.moodCode | Base | required | x_DocumentActMood | 📍2.0.0 | THO v5.2
Act.code | Base | example | v3 Code System ActCode | 📍3.0.0 | THO v7.0
Act.code.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.statusCode | Base | required | ActStatus | 📍3.0.0 | THO v7.0
Act.priorityCode | Base | example | ActPriority | 📍3.0.0 | THO v7.0
Act.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std.
Act.entryRelationship:agent-appointment-part.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.entryRelationship:agent-appointment-part.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.entryRelationship:agent-appointment-part.​typeCode | Base | required | x_ActRelationshipEntryRelationship | 📍3.0.0 | THO v7.0
Act.entryRelationship:powers-granted-part.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.entryRelationship:powers-granted-part.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.entryRelationship:powers-granted-part.​typeCode | Base | required | x_ActRelationshipEntryRelationship | 📍3.0.0 | THO v7.0
Act.entryRelationship:coded-powers-granted-part.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.entryRelationship:coded-powers-granted-part.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.entryRelationship:coded-powers-granted-part.​typeCode | Base | required | x_ActRelationshipEntryRelationship | 📍3.0.0 | THO v7.0
Act.entryRelationship:powers-denied-part.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.entryRelationship:powers-denied-part.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.2-sd | Clinical Document Architecture v2.0
Act.entryRelationship:powers-denied-part.​typeCode | Base | required | x_ActRelationshipEntryRelationship | 📍3.0.0 | THO v7.0

#### Constraints

Id | Grade | Path(s) | Description | Expression
II-1 | error | Act.typeId, Act.entryRelationship:agent-appointment-part.typeId, Act.entryRelationship:powers-granted-part.typeId, Act.entryRelationship:coded-powers-granted-part.typeId, Act.entryRelationship:powers-denied-part.typeId | An II instance must have either a root or an nullFlavor. | `root.exists() or nullFlavor.exists()`

This structure is derived from Act

Summary

Mandatory: 11 elements(3 nested mandatory elements)
Must-Support: 8 elements
Fixed: 10 elements

Structures

This structure refers to these other structures:

- Agent Appointment Part of the ADI Healthcare Agent Consent Entry (http://hl7.org/cda/us/adi/StructureDefinition/AgentAppointmentPart)
- Powers Granted Part of the ADI Healthcare Agent Consent Entry (http://hl7.org/cda/us/adi/StructureDefinition/PowersGrantedPart)
- Coded Powers Granted Part of the ADI Healthcare Agent Consent Entry (http://hl7.org/cda/us/adi/StructureDefinition/CodedPowersGrantedPart)
- Powers Denied Part of the ADI Healthcare Agent Consent Entry (http://hl7.org/cda/us/adi/StructureDefinition/PowersDeniedPart)

Slices

This structure defines the following Slices:

- The element 2 is sliced based on the values of Act.templateId
- The element 1 is sliced based on the value of Act.entryRelationship

Other representations of profile: CSV, Excel