Clinical Document Architecture V2.1
2.1.0 - CI Build

Clinical Document Architecture V2.1, published by Health Level 7. This is not an authorized publication; it is the continuous build for version 2.1.0). This version is based on the current content of https://github.com/HL7/cda-core-2.0/ and changes regularly. See the Directory of published versions

StructureDefinition: CDAR2.Act

A derivative of the RIM Act class, to be used when the other more specific classes aren’t appropriate. Act.negationInd, when set to “true”, is a positive assertion that the Act as a whole is negated. Some properties such as Act.id, Act.moodCode, and the participations are not affected. These properties always have the same meaning: i.e., the author remains the author of the negative Act. An act statement with negationInd is still a statement about the specific fact described by the Act. For instance, a negated “finding of wheezing on July 1” means that the author positively denies that there was wheezing on July 1, and that he takes the same responsibility for such statement and the same requirement to have evidence for such statement than if he had not used negation.

The official URL for this profile is:

http://hl7.org/fhir/cda/StructureDefinition/Act

Formal Views of Profile Content

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

This structure is derived from

Summary

Mandatory: 0 element (20 nested mandatory elements)
Fixed Value: 8 elements

This structure is derived from

NameFlagsCard.TypeDescription & Constraintsdoco
.. Act 1..1
... classCode 1..1code
... moodCode 1..1code
... templateId 0..*II
... negationInd 0..1boolean
... text 0..1ED
... statusCode 0..1CSBinding: v3 Code System ActStatus (required)
... effectiveTime 0..1IVL-TS
... priorityCode 0..1CEBinding: v3 Code System ActPriority (extensible)
... languageCode 0..1CSBinding: V3 Value SetHumanLanguage (required)
... subject 0..1Element
.... typeCode 1..1codeBinding: V3 Value SetParticipationTargetSubject (required)
Fixed Value: SBJ
.... contextControlCode 1..1codeBinding: v3 Code System ContextControl (required)
Fixed Value: OP
.... awarenessCode 0..1CEBinding: v3 Code System TargetAwareness (extensible)
.... relatedSubject 1..1RelatedSubject
... specimen 0..*Element
.... typeCode 1..1codeBinding: V3 Value SetParticipationTargetDirect (required)
Fixed Value: SPC
.... specimenRole 1..1SpecimenRole
... performer 0..*Element
.... typeCode 1..1codeBinding: V3 Value SetParticipationPhysicalPerformer (required)
Fixed Value: PRF
.... time 0..1IVL-TS
.... modeCode 0..1CEBinding: v3 Code System ParticipationMode (extensible)
.... assignedEntity 1..1AssignedEntity
... author 0..*Author
... informant 0..*Element
.... typeCode 1..1codeBinding: V3 Value SetParticipationInformationGenerator (required)
Fixed Value: INF
.... contextControlCode 1..1codeBinding: v3 Code System ContextControl (required)
Fixed Value: OP
.... assignedEntity 0..1AssignedEntity
.... relatedEntity 0..1RelatedEntity
... participant 0..*Element
.... typeCode 1..1codeBinding: v3 Code System ParticipationType (required)
.... contextControlCode 1..1codeBinding: v3 Code System ContextControl (required)
Fixed Value: OP
.... time 0..1IVL-TS
.... awarenessCode 0..1CEBinding: v3 Code System TargetAwareness (extensible)
.... participantRole 1..1ParticipantRole
... entryRelationship 0..*Element
.... typeCode 1..1code
.... inversionInd 0..1boolean
.... contextConductionInd 1..1boolean
.... sequenceNumber 0..1INT
.... negationInd 0..1boolean
.... seperatableInd 0..1BL
.... observation 0..1Observation
.... regionOfInterest 0..1RegionOfInterest
.... observationMedia 0..1ObservationMedia
.... substanceAdministration 0..1SubstanceAdministration
.... supply 0..1Supply
.... procedure 0..1Procedure
.... encounter 0..1Encounter
.... organizer 0..1Organizer
.... act 0..1Act
... reference 0..*Element
.... typeCode 1..1code
.... seperatableInd 0..1BL
.... externalAct 0..1ExternalAct
.... externalObservation 0..1ExternalObservation
.... externalProcedure 0..1ExternalProcedure
.... externalDocument 0..1ExternalDocument
... precondition 0..*Element
.... typeCode 1..1codeBinding: V3 Value SetActRelationshipConditional (required)
Fixed Value: PRCN
.... criterion 1..1Criterion

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Act 1..1
... classCode 1..1code
... moodCode 1..1code
... templateId 0..*II
... negationInd 0..1boolean
... text 0..1ED
... statusCode 0..1CSBinding: v3 Code System ActStatus (required)
... effectiveTime 0..1IVL-TS
... priorityCode 0..1CEBinding: v3 Code System ActPriority (extensible)
... languageCode 0..1CSBinding: V3 Value SetHumanLanguage (required)
... subject 0..1Element
.... typeCode 1..1codeBinding: V3 Value SetParticipationTargetSubject (required)
Fixed Value: SBJ
.... contextControlCode 1..1codeBinding: v3 Code System ContextControl (required)
Fixed Value: OP
.... awarenessCode 0..1CEBinding: v3 Code System TargetAwareness (extensible)
.... relatedSubject 1..1RelatedSubject
... specimen 0..*Element
.... typeCode 1..1codeBinding: V3 Value SetParticipationTargetDirect (required)
Fixed Value: SPC
.... specimenRole 1..1SpecimenRole
... performer 0..*Element
.... typeCode 1..1codeBinding: V3 Value SetParticipationPhysicalPerformer (required)
Fixed Value: PRF
.... time 0..1IVL-TS
.... modeCode 0..1CEBinding: v3 Code System ParticipationMode (extensible)
.... assignedEntity 1..1AssignedEntity
... author 0..*Author
... informant 0..*Element
.... typeCode 1..1codeBinding: V3 Value SetParticipationInformationGenerator (required)
Fixed Value: INF
.... contextControlCode 1..1codeBinding: v3 Code System ContextControl (required)
Fixed Value: OP
.... assignedEntity 0..1AssignedEntity
.... relatedEntity 0..1RelatedEntity
... participant 0..*Element
.... typeCode 1..1codeBinding: v3 Code System ParticipationType (required)
.... contextControlCode 1..1codeBinding: v3 Code System ContextControl (required)
Fixed Value: OP
.... time 0..1IVL-TS
.... awarenessCode 0..1CEBinding: v3 Code System TargetAwareness (extensible)
.... participantRole 1..1ParticipantRole
... entryRelationship 0..*Element
.... typeCode 1..1code
.... inversionInd 0..1boolean
.... contextConductionInd 1..1boolean
.... sequenceNumber 0..1INT
.... negationInd 0..1boolean
.... seperatableInd 0..1BL
.... observation 0..1Observation
.... regionOfInterest 0..1RegionOfInterest
.... observationMedia 0..1ObservationMedia
.... substanceAdministration 0..1SubstanceAdministration
.... supply 0..1Supply
.... procedure 0..1Procedure
.... encounter 0..1Encounter
.... organizer 0..1Organizer
.... act 0..1Act
... reference 0..*Element
.... typeCode 1..1code
.... seperatableInd 0..1BL
.... externalAct 0..1ExternalAct
.... externalObservation 0..1ExternalObservation
.... externalProcedure 0..1ExternalProcedure
.... externalDocument 0..1ExternalDocument
... precondition 0..*Element
.... typeCode 1..1codeBinding: V3 Value SetActRelationshipConditional (required)
Fixed Value: PRCN
.... criterion 1..1Criterion

doco Documentation for this format

This structure is derived from

Summary

Mandatory: 0 element (20 nested mandatory elements)
Fixed Value: 8 elements

Differential View

This structure is derived from

NameFlagsCard.TypeDescription & Constraintsdoco
.. Act 1..1
... classCode 1..1code
... moodCode 1..1code
... templateId 0..*II
... negationInd 0..1boolean
... text 0..1ED
... statusCode 0..1CSBinding: v3 Code System ActStatus (required)
... effectiveTime 0..1IVL-TS
... priorityCode 0..1CEBinding: v3 Code System ActPriority (extensible)
... languageCode 0..1CSBinding: V3 Value SetHumanLanguage (required)
... subject 0..1Element
.... typeCode 1..1codeBinding: V3 Value SetParticipationTargetSubject (required)
Fixed Value: SBJ
.... contextControlCode 1..1codeBinding: v3 Code System ContextControl (required)
Fixed Value: OP
.... awarenessCode 0..1CEBinding: v3 Code System TargetAwareness (extensible)
.... relatedSubject 1..1RelatedSubject
... specimen 0..*Element
.... typeCode 1..1codeBinding: V3 Value SetParticipationTargetDirect (required)
Fixed Value: SPC
.... specimenRole 1..1SpecimenRole
... performer 0..*Element
.... typeCode 1..1codeBinding: V3 Value SetParticipationPhysicalPerformer (required)
Fixed Value: PRF
.... time 0..1IVL-TS
.... modeCode 0..1CEBinding: v3 Code System ParticipationMode (extensible)
.... assignedEntity 1..1AssignedEntity
... author 0..*Author
... informant 0..*Element
.... typeCode 1..1codeBinding: V3 Value SetParticipationInformationGenerator (required)
Fixed Value: INF
.... contextControlCode 1..1codeBinding: v3 Code System ContextControl (required)
Fixed Value: OP
.... assignedEntity 0..1AssignedEntity
.... relatedEntity 0..1RelatedEntity
... participant 0..*Element
.... typeCode 1..1codeBinding: v3 Code System ParticipationType (required)
.... contextControlCode 1..1codeBinding: v3 Code System ContextControl (required)
Fixed Value: OP
.... time 0..1IVL-TS
.... awarenessCode 0..1CEBinding: v3 Code System TargetAwareness (extensible)
.... participantRole 1..1ParticipantRole
... entryRelationship 0..*Element
.... typeCode 1..1code
.... inversionInd 0..1boolean
.... contextConductionInd 1..1boolean
.... sequenceNumber 0..1INT
.... negationInd 0..1boolean
.... seperatableInd 0..1BL
.... observation 0..1Observation
.... regionOfInterest 0..1RegionOfInterest
.... observationMedia 0..1ObservationMedia
.... substanceAdministration 0..1SubstanceAdministration
.... supply 0..1Supply
.... procedure 0..1Procedure
.... encounter 0..1Encounter
.... organizer 0..1Organizer
.... act 0..1Act
... reference 0..*Element
.... typeCode 1..1code
.... seperatableInd 0..1BL
.... externalAct 0..1ExternalAct
.... externalObservation 0..1ExternalObservation
.... externalProcedure 0..1ExternalProcedure
.... externalDocument 0..1ExternalDocument
... precondition 0..*Element
.... typeCode 1..1codeBinding: V3 Value SetActRelationshipConditional (required)
Fixed Value: PRCN
.... criterion 1..1Criterion

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Act 1..1
... classCode 1..1code
... moodCode 1..1code
... templateId 0..*II
... negationInd 0..1boolean
... text 0..1ED
... statusCode 0..1CSBinding: v3 Code System ActStatus (required)
... effectiveTime 0..1IVL-TS
... priorityCode 0..1CEBinding: v3 Code System ActPriority (extensible)
... languageCode 0..1CSBinding: V3 Value SetHumanLanguage (required)
... subject 0..1Element
.... typeCode 1..1codeBinding: V3 Value SetParticipationTargetSubject (required)
Fixed Value: SBJ
.... contextControlCode 1..1codeBinding: v3 Code System ContextControl (required)
Fixed Value: OP
.... awarenessCode 0..1CEBinding: v3 Code System TargetAwareness (extensible)
.... relatedSubject 1..1RelatedSubject
... specimen 0..*Element
.... typeCode 1..1codeBinding: V3 Value SetParticipationTargetDirect (required)
Fixed Value: SPC
.... specimenRole 1..1SpecimenRole
... performer 0..*Element
.... typeCode 1..1codeBinding: V3 Value SetParticipationPhysicalPerformer (required)
Fixed Value: PRF
.... time 0..1IVL-TS
.... modeCode 0..1CEBinding: v3 Code System ParticipationMode (extensible)
.... assignedEntity 1..1AssignedEntity
... author 0..*Author
... informant 0..*Element
.... typeCode 1..1codeBinding: V3 Value SetParticipationInformationGenerator (required)
Fixed Value: INF
.... contextControlCode 1..1codeBinding: v3 Code System ContextControl (required)
Fixed Value: OP
.... assignedEntity 0..1AssignedEntity
.... relatedEntity 0..1RelatedEntity
... participant 0..*Element
.... typeCode 1..1codeBinding: v3 Code System ParticipationType (required)
.... contextControlCode 1..1codeBinding: v3 Code System ContextControl (required)
Fixed Value: OP
.... time 0..1IVL-TS
.... awarenessCode 0..1CEBinding: v3 Code System TargetAwareness (extensible)
.... participantRole 1..1ParticipantRole
... entryRelationship 0..*Element
.... typeCode 1..1code
.... inversionInd 0..1boolean
.... contextConductionInd 1..1boolean
.... sequenceNumber 0..1INT
.... negationInd 0..1boolean
.... seperatableInd 0..1BL
.... observation 0..1Observation
.... regionOfInterest 0..1RegionOfInterest
.... observationMedia 0..1ObservationMedia
.... substanceAdministration 0..1SubstanceAdministration
.... supply 0..1Supply
.... procedure 0..1Procedure
.... encounter 0..1Encounter
.... organizer 0..1Organizer
.... act 0..1Act
... reference 0..*Element
.... typeCode 1..1code
.... seperatableInd 0..1BL
.... externalAct 0..1ExternalAct
.... externalObservation 0..1ExternalObservation
.... externalProcedure 0..1ExternalProcedure
.... externalDocument 0..1ExternalDocument
... precondition 0..*Element
.... typeCode 1..1codeBinding: V3 Value SetActRelationshipConditional (required)
Fixed Value: PRCN
.... criterion 1..1Criterion

doco Documentation for this format

 

Other representations of profile: Schematron

Terminology Bindings

Terminology Bindings

PathConformanceValueSet / Code
Act.codeextensiblev3.ActCode
Act.statusCoderequiredv3.ActStatus
Act.priorityCodeextensiblev3.ActPriority
Act.languageCoderequiredv3.HumanLanguage
Act.subject.typeCoderequiredFixed Value: SBJ
Act.subject.contextControlCoderequiredFixed Value: OP
Act.subject.awarenessCodeextensiblev3.TargetAwareness
Act.specimen.typeCoderequiredFixed Value: SPC
Act.performer.typeCoderequiredFixed Value: PRF
Act.performer.modeCodeextensiblev3.ParticipationMode
Act.informant.typeCoderequiredFixed Value: INF
Act.informant.contextControlCoderequiredFixed Value: OP
Act.participant.typeCoderequiredv3.ParticipationType
Act.participant.contextControlCoderequiredFixed Value: OP
Act.participant.awarenessCodeextensiblev3.TargetAwareness
Act.precondition.typeCoderequiredFixed Value: PRCN

Constraints

Constraints

IdPathDetailsRequirements