Paramedicine Summary Of Care CDA
0.0.1-current - ci-build
Paramedicine Summary Of Care CDA
0.0.1-current - ci-build
Paramedicine Summary Of Care CDA, published by IHE Patient Care Coordination Technical Committee. This guide is not an authorized publication; it is the continuous build for version 0.0.1-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/PCC.PCSc/ and changes regularly. See the Directory of published versions
| Official URL: https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE.PCC.CDA.Coverage.Entry | Version: 0.0.1-current | |||
| Draft as of 2025-11-04 | Computable Name: IHE_PCC_CDA_Coverage_Entry | |||
A Coverage Activity groups the policy and authorization acts within a Payers Section to order the payment sources. A Coverage Activity contains one or more Policy Activities, each of which contains zero or more Authorization Activities. The sequenceNumber/@value shows the policy order of preference. The Member Identifier is described in the contained Policy Activity Template 2.16.840.1.113883.10.20.22.4.61.
^HL7 C_CDA description
Payers shall be recorded as described in CCD: 3.1.2.1.1. ^IHE description
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Id | Grade | Path(s) | Description | Expression |
| II-1 | error | Act.typeId, Act.entryRelationship:payer-entries.typeId | An II instance must have either a root or an nullFlavor. |
root.exists() or nullFlavor.exists()
|
| should-effectiveTime | warning | Act | SHOULD contain effectiveTime |
effectiveTime.exists()
|
| should-text-ref-value | warning | Act | SHOULD contain text/reference/@value |
text.reference.value.exists()
|
| value-starts-octothorpe | error | Act.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative |
value.exists() implies value.startsWith('#')
|
This structure is derived from Act
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Act |
C | 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) Constraints: should-text-ref-value, should-effectiveTime |
  Slices for templateId |
2..* | II | Slice: Unordered, Open by value:root, value:extension | |
   templateId:coverage-entry |
1..1 | II | ||
  @root |
1..1 | oid, uuid, ruid | Required Pattern: 1.3.6.1.4.1.19376.1.5.3.1.4.17 | |
 templateId:coverage-act |
1..1 | II | ||
 @root |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.1.20 | |
| @classCode |
1..1 | cs | Fixed Value: ACT | |
| @moodCode |
1..1 | cs | Fixed Value: EVN | |
| id |
S | 1..* | II | |
| code |
1..1 | CD | Payment sources | |
| @code |
1..1 | cs | Required Pattern: 48768-6 | |
 @codeSystem |
1..1 | oid, uuid, ruid | LOINC Required Pattern: 2.16.840.1.113883.6.1 | |
| text |
||||
| reference |
C | 0..1 | TEL | Constraints: value-starts-octothorpe |
| statusCode |
1..1 | CS | ||
| @code |
1..1 | cs | Fixed Value: completed | |
| effectiveTime |
||||
| @value |
S | 0..1 | ts | |
| Slices for entryRelationship |
1..* | EntryRelationship | Slice: Unordered, Open by profile:act, value:typeCode | |
| entryRelationship:payer-entries |
1..* | EntryRelationship | entryRelationship | |
 @typeCode |
1..1 | cs | Fixed Value: COMP | |
| sequenceNumber |
0..1 | INT | ||
 @value |
1..1 | int | ||
 act |
1..1 | IHE_PCC_CDA_Payers_Entry | ||
| Documentation for this format | ||||
| Id | Grade | Path(s) | Description | Expression |
| should-effectiveTime | warning | Act | SHOULD contain effectiveTime |
effectiveTime.exists()
|
| should-text-ref-value | warning | Act | SHOULD contain text/reference/@value |
text.reference.value.exists()
|
| value-starts-octothorpe | error | Act.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative |
value.exists() implies value.startsWith('#')
|
| Id | Grade | Path(s) | Description | Expression |
| II-1 | error | Act.typeId, Act.entryRelationship:payer-entries.typeId | An II instance must have either a root or an nullFlavor. |
root.exists() or nullFlavor.exists()
|
| should-effectiveTime | warning | Act | SHOULD contain effectiveTime |
effectiveTime.exists()
|
| should-text-ref-value | warning | Act | SHOULD contain text/reference/@value |
text.reference.value.exists()
|
| value-starts-octothorpe | error | Act.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative |
value.exists() implies value.startsWith('#')
|
This structure is derived from Act
Summary
Mandatory: 12 elements(1 nested mandatory element)
Must-Support: 2 elements
Fixed: 4 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Key Elements View
| Id | Grade | Path(s) | Description | Expression |
| II-1 | error | Act.typeId, Act.entryRelationship:payer-entries.typeId | An II instance must have either a root or an nullFlavor. |
root.exists() or nullFlavor.exists()
|
| should-effectiveTime | warning | Act | SHOULD contain effectiveTime |
effectiveTime.exists()
|
| should-text-ref-value | warning | Act | SHOULD contain text/reference/@value |
text.reference.value.exists()
|
| value-starts-octothorpe | error | Act.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative |
value.exists() implies value.startsWith('#')
|
Differential View
This structure is derived from Act
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Act |
C | 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) Constraints: should-text-ref-value, should-effectiveTime |
| Slices for templateId |
2..* | II | Slice: Unordered, Open by value:root, value:extension | |
| templateId:coverage-entry |
1..1 | II | ||
| @root |
1..1 | oid, uuid, ruid | Required Pattern: 1.3.6.1.4.1.19376.1.5.3.1.4.17 | |
| templateId:coverage-act |
1..1 | II | ||
| @root |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.1.20 | |
| @classCode |
1..1 | cs | Fixed Value: ACT | |
| @moodCode |
1..1 | cs | Fixed Value: EVN | |
| id |
S | 1..* | II | |
| code |
1..1 | CD | Payment sources | |
| @code |
1..1 | cs | Required Pattern: 48768-6 | |
| @codeSystem |
1..1 | oid, uuid, ruid | LOINC Required Pattern: 2.16.840.1.113883.6.1 | |
| text |
||||
| reference |
C | 0..1 | TEL | Constraints: value-starts-octothorpe |
| statusCode |
1..1 | CS | ||
| @code |
1..1 | cs | Fixed Value: completed | |
| effectiveTime |
||||
| @value |
S | 0..1 | ts | |
| Slices for entryRelationship |
1..* | EntryRelationship | Slice: Unordered, Open by profile:act, value:typeCode | |
| entryRelationship:payer-entries |
1..* | EntryRelationship | entryRelationship | |
| @typeCode |
1..1 | cs | Fixed Value: COMP | |
| sequenceNumber |
0..1 | INT | ||
| @value |
1..1 | int | ||
| act |
1..1 | IHE_PCC_CDA_Payers_Entry | ||
| Documentation for this format | ||||
| Id | Grade | Path(s) | Description | Expression |
| should-effectiveTime | warning | Act | SHOULD contain effectiveTime |
effectiveTime.exists()
|
| should-text-ref-value | warning | Act | SHOULD contain text/reference/@value |
text.reference.value.exists()
|
| value-starts-octothorpe | error | Act.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative |
value.exists() implies value.startsWith('#')
|
Snapshot View
| Id | Grade | Path(s) | Description | Expression |
| II-1 | error | Act.typeId, Act.entryRelationship:payer-entries.typeId | An II instance must have either a root or an nullFlavor. |
root.exists() or nullFlavor.exists()
|
| should-effectiveTime | warning | Act | SHOULD contain effectiveTime |
effectiveTime.exists()
|
| should-text-ref-value | warning | Act | SHOULD contain text/reference/@value |
text.reference.value.exists()
|
| value-starts-octothorpe | error | Act.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative |
value.exists() implies value.startsWith('#')
|
This structure is derived from Act
Summary
Mandatory: 12 elements(1 nested mandatory element)
Must-Support: 2 elements
Fixed: 4 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
IG © 2023+ IHE Patient Care Coordination Technical Committee. Package ihe.pcc.pscc#0.0.1-current based on FHIR 5.0.0. Generated 2025-11-04
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