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

## Logical Model: IHE_PCC_Comment_Entry - Detailed Descriptions

Draft as of 2025-11-04

Definitions for the IHE.PCC.Comment.Entry 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`.
Invariants | should-text-ref-value: SHOULD contain text/reference/@value (`text.reference.value.exists()`) should-author: SHOULD contain author (`author.exists()`)
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 | 2..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
Must Support | true
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:comment-activity
Slice Name | comment-activity
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:comment-activity.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:comment-activity.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:comment-activity.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:comment-activity.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 | `2.16.840.1.113883.10.20.1.40`
30. Act.templateId:comment-activity.extension
Definition | A character string as a unique identifier within the scope of the identifier root.
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 | Extension
32. Act.templateId:comment-entry
Slice Name | comment-entry
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
34. Act.templateId:comment-entry.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
36. Act.templateId:comment-entry.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
38. Act.templateId:comment-entry.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
40. Act.templateId:comment-entry.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 | `1.3.6.1.4.1.19376.1.5.3.1.4.2`
42. Act.templateId:comment-entry.extension
Definition | A character string as a unique identifier within the scope of the identifier root.
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 | Extension
44. Act.classCode
Comments | SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:81-9425).
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`
46. Act.moodCode
Comments | SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:81-9426).
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 | `EVN`
48. 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.
50. Act.id
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
52. Act.code
Comments | SHALL contain exactly one [1..1] code (CONF:81-9428).
Control | 1..1
Binding | For example codes, see v3 Code System ActCode (example to `http://terminology.hl7.org/ValueSet/v3-ActCode` )
Type | http://hl7.org/cda/stds/core/StructureDefinition/CD
54. 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
56. 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.
Comments | This code SHALL contain exactly one [1..1] @code="48767-8" Annotation Comment (CONF:81-19159).
Control | 1..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 | `48767-8`
58. Act.code.codeSystem
Definition | Specifies the code system that defines the code.
Comments | This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:81-26501).
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 | Code System
Pattern Value | `2.16.840.1.113883.6.1`
60. 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
62. 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
64. 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
66. 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`.
68. 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`.
70. 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
72. 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
74. 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
76. Act.text
Short | SHOULD reference the portion of section narrative text corresponding to this entry
Comments | SHALL contain exactly one [1..1] text (CONF:81-9430).
Control | 1..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/ED
Must Support | true
78. Act.text.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
80. Act.text.compression
Definition | Indicates whether the raw byte data is compressed, and what compression algorithm was used.
Control | 0..1
Binding | The codes SHALL be taken from CDACompressionAlgorithm (required to `http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm` )
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 | Compression
82. Act.text.integrityCheck
Definition | The integrity check is a short binary value representing a cryptographically strong checksum that is calculated over the binary data. The purpose of this property, when communicated with a reference is for anyone to validate later whether the reference still resolved to the same data that the reference resolved to when the encapsulated data value with reference was created.
Control | 0..1
Type | base64Binary(bin: Binary Data)
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 | Integrity Check
84. Act.text.integrityCheckAlgorithm
Definition | Specifies the algorithm used to compute the integrityCheck value. The cryptographically strong checksum algorithm Secure Hash Algorithm-1 (SHA-1) is currently the industry standard. It has superseded the MD5 algorithm only a couple of years ago, when certain flaws in the security of MD5 were discovered. Currently the SHA-1 hash algorithm is the default choice for the integrity check algorithm. Note that SHA-256 is also entering widespread usage.
Control | 0..1
Binding | The codes SHALL be taken from IntegrityCheckAlgorithm (2.0.0) (required to `http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|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.
Label | Integrity Check Algorithm
86. Act.text.language
Definition | For character based information the language property specifies the human language of the text.
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 | Language
88. Act.text.mediaType
Definition | Identifies the type of the encapsulated data and identifies a method to interpret or render the data.
Control | 0..1
Binding | For example codes, see MediaType (example to `http://terminology.hl7.org/ValueSet/v3-MediaType` )
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 | Media Type
90. Act.text.representation
Control | 0..1
Binding | The codes SHALL be taken from CDABinaryDataEncoding (required to `http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding` )
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.
92. Act.text.xmlText
Definition | Data that is primarily intended for human interpretation or for further machine processing is outside the scope of HL7. This includes unformatted or formatted written language, multimedia data, or structured information as defined by a different standard (e.g., XML-signatures.)
Short | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
Comments | This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.
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 unadorned text.
94. Act.text.reference
Definition | A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data.
Comments | This text SHALL contain exactly one [1..1] reference (CONF:81-15967).
Control | 1..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL
Must Support | true
Label | Reference
Invariants | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (`value.exists() implies value.startsWith('#')`)
96. Act.text.reference.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
98. Act.text.reference.value
Comments | This reference SHALL contain exactly one [1..1] @value (CONF:81-15968).
Control | 1..1
Type | url(url: Universal Resource Locator)
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.
100. Act.text.reference.useablePeriod
Definition | Specifies the periods of time during which the telecommunication address can be used. For a telephone number, this can indicate the time of day in which the party can be reached on that telephone. For a web address, it may specify a time range in which the web content is promised to be available under the given address.
Control | 0..*
Type | Choice of: http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS
Default Type | http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS
XML Format | The type of this property is determined using the `xsi:type`attribute.
Label | Useable Period
102. Act.text.reference.use
Definition | One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need.
Control | 0..*
Binding | The codes SHALL be taken from TelecommunicationAddressUse (2.0.0) (required to `http://terminology.hl7.org/ValueSet/v3-TelecommunicationAddressUse|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.
Label | Use Code
104. Act.text.thumbnail
Definition | An abbreviated rendition of the full data. A thumbnail requires significantly fewer resources than the full data, while still maintaining some distinctive similarity with the full data. A thumbnail is typically used with by-reference encapsulated data. It allows a user to select data more efficiently before actually downloading through the reference.
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/ED
Label | Thumbnail
106. Act.statusCode
Control | 0..1
Binding | The codes SHALL be taken from ActStatus (required to `http://terminology.hl7.org/ValueSet/v3-ActStatus` )
Type | http://hl7.org/cda/stds/core/StructureDefinition/CS
108. Act.effectiveTime
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
110. Act.priorityCode
Control | 0..1
Binding | For example codes, see ActPriority (example to `http://terminology.hl7.org/ValueSet/v3-ActPriority` )
Type | http://hl7.org/cda/stds/core/StructureDefinition/CE
112. 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
114. Act.subject
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Subject
116. Act.specimen
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Specimen
118. Act.performer
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Performer2
120. Act.author
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Author
122. Act.author.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
124. Act.author.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
126. Act.author.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()`)
128. Act.author.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
130. Act.author.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
132. Act.author.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
134. Act.author.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`
136. Act.author.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
138. Act.author.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 | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
140. Act.author.typeCode
Control | 0..1
Binding | The codes SHALL be taken from CDAParticipationType (required to `http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType` )
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 | `AUT`
142. Act.author.contextControlCode
Control | 0..1
Binding | The codes SHALL be taken from CDAContextControl (required to `http://hl7.org/cda/stds/core/ValueSet/CDAContextControl` )
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 | `OP`
144. Act.author.functionCode
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/CE
146. Act.author.time
Control | 1..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/TS
Must Support | true
148. Act.author.assignedAuthor
Control | 1..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/AssignedAuthor
Must Support | true
150. Act.author.assignedAuthor.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
152. Act.author.assignedAuthor.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
154. Act.author.assignedAuthor.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()`)
156. Act.author.assignedAuthor.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
158. Act.author.assignedAuthor.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
160. Act.author.assignedAuthor.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
162. Act.author.assignedAuthor.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`
164. Act.author.assignedAuthor.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
166. Act.author.assignedAuthor.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 | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
168. Act.author.assignedAuthor.classCode
Control | 0..1
Binding | The codes SHALL be taken from RoleClassAssignedEntity (required to `http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity` )
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 | `ASSIGNED`
170. Act.author.assignedAuthor.id
Control | 1..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
Must Support | true
172. Act.author.assignedAuthor.sdtcIdentifiedBy
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy
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`identifiedBy`.
174. Act.author.assignedAuthor.code
Control | 0..1
Binding | For example codes, see CDARoleCode (example to `http://hl7.org/cda/stds/core/ValueSet/CDARoleCode` )
Type | http://hl7.org/cda/stds/core/StructureDefinition/CE
176. Act.author.assignedAuthor.addr
Control | 1..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/AD
Must Support | true
178. Act.author.assignedAuthor.telecom
Control | 1..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL
Must Support | true
180. Act.author.assignedAuthor.assignedPerson
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Person
Must Support | true
182. Act.author.assignedAuthor.assignedPerson.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
184. Act.author.assignedAuthor.assignedPerson.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
186. Act.author.assignedAuthor.assignedPerson.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()`)
188. Act.author.assignedAuthor.assignedPerson.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
190. Act.author.assignedAuthor.assignedPerson.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
192. Act.author.assignedAuthor.assignedPerson.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
194. Act.author.assignedAuthor.assignedPerson.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`
196. Act.author.assignedAuthor.assignedPerson.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
198. Act.author.assignedAuthor.assignedPerson.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 | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
200. Act.author.assignedAuthor.assignedPerson.classCode
Control | 0..1
Binding | The codes SHALL be taken from EntityClassLivingSubject (required to `http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject` )
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 | `PSN`
202. Act.author.assignedAuthor.assignedPerson.determinerCode
Control | 0..1
Binding | The codes SHALL be taken from EntityDeterminer (required to `http://terminology.hl7.org/ValueSet/v3-EntityDeterminer` )
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 | `INSTANCE`
204. Act.author.assignedAuthor.assignedPerson.name
Definition | A name associated with the person.
Short | A name associated with the person
Comments | Person may have multiple names with different uses or applicable periods.
Control | 10..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/PN HumanName
Is Modifier | false
Must Support | true
Requirements | Need to be able to track the person by multiple names. Examples are your official name and a partner name.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
206. Act.author.assignedAuthor.assignedPerson.sdtcDesc
Definition | The desc extension allows multimedia depictions of patients, healthcare providers, or other individuals to be included in a CDA document.
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/ED
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`desc`.
208. Act.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship
Definition | Each participant role other than an informant/relatedEntity may have zero or more relationship roles with the patient. Each of these roles can be expressed with an asPatientRelationship element which further describes the type of role using a code element.
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
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`asPatientRelationship`.
210. Act.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.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
212. Act.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.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
214. Act.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.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()`)
216. Act.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.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
218. Act.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.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
220. Act.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.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
222. Act.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.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`
224. Act.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.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
226. Act.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.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 | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
228. Act.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.classCode
Control | 1..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.
Fixed Value | `PRS`
230. Act.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.determinerCode
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.
Fixed Value | `INSTANCE`
232. Act.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.code
Control | 1..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/CE
XML Format | In the XML format, this property has the namespace `urn:hl7-org:sdtc`.
234. Act.author.assignedAuthor.assignedAuthoringDevice
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/AuthoringDevice
236. Act.author.assignedAuthor.representedOrganization
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Organization
Must Support | true
238. Act.author.assignedAuthor.representedOrganization.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
240. Act.author.assignedAuthor.representedOrganization.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
242. Act.author.assignedAuthor.representedOrganization.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()`)
244. Act.author.assignedAuthor.representedOrganization.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
246. Act.author.assignedAuthor.representedOrganization.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
248. Act.author.assignedAuthor.representedOrganization.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
250. Act.author.assignedAuthor.representedOrganization.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`
252. Act.author.assignedAuthor.representedOrganization.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
254. Act.author.assignedAuthor.representedOrganization.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 | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
256. Act.author.assignedAuthor.representedOrganization.classCode
Control | 0..1
Binding | The codes SHALL be taken from EntityClassOrganization (required to `http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization` )
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 | `ORG`
258. Act.author.assignedAuthor.representedOrganization.determinerCode
Control | 0..1
Binding | The codes SHALL be taken from EntityDeterminer (required to `http://terminology.hl7.org/ValueSet/v3-EntityDeterminer` )
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 | `INSTANCE`
260. Act.author.assignedAuthor.representedOrganization.id
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Short | Logical id of this artifact
Comments | Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.
Control | 0..*1
Type | http://hl7.org/cda/stds/core/StructureDefinition/II id
Is Modifier | false
262. Act.author.assignedAuthor.representedOrganization.name
Definition | A name associated with the organization.
Short | Name used for the organization
Comments | If the name of an organization changes, consider putting the old name in the alias column so that it can still be located through searches.
Control | 10..*1 This element is affected by the following invariants: org-1
Type | http://hl7.org/cda/stds/core/StructureDefinition/ON string
Is Modifier | false
Must Support | true
Requirements | Need to use the name as the label of the organization.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
264. Act.author.assignedAuthor.representedOrganization.telecom
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL
266. Act.author.assignedAuthor.representedOrganization.addr
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/AD
268. Act.author.assignedAuthor.representedOrganization.standardIndustryClassCode
Control | 0..1
Binding | For example codes, see OrganizationIndustryClassNAICS (example to `http://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS` )
Type | http://hl7.org/cda/stds/core/StructureDefinition/CE
270. Act.author.assignedAuthor.representedOrganization.asOrganizationPartOf
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/OrganizationPartOf
272. Act.informant
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Informant
274. Act.participant
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Participant2
276. Act.entryRelationship
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
278. Act.reference
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Reference
280. Act.precondition
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Precondition
282. 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`.
284. 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`.
Invariants | should-text-ref-value: SHOULD contain text/reference/@value (`text.reference.value.exists()`) should-author: SHOULD contain author (`author.exists()`)
2. Act.templateId
Control | 2..?
Must Support | true
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:comment-activity
Slice Name | comment-activity
Control | 1..1
6. Act.templateId:comment-activity.root
Control | 1..?
Pattern Value | `2.16.840.1.113883.10.20.1.40`
8. Act.templateId:comment-entry
Slice Name | comment-entry
Control | 1..1
10. Act.templateId:comment-entry.root
Control | 1..?
Pattern Value | `1.3.6.1.4.1.19376.1.5.3.1.4.2`
12. Act.classCode
Comments | SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:81-9425).
Fixed Value | `ACT`
14. Act.moodCode
Comments | SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:81-9426).
Fixed Value | `EVN`
16. Act.code
Comments | SHALL contain exactly one [1..1] code (CONF:81-9428).
18. Act.code.code
Comments | This code SHALL contain exactly one [1..1] @code="48767-8" Annotation Comment (CONF:81-19159).
Control | 1..?
Pattern Value | `48767-8`
20. Act.code.codeSystem
Comments | This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:81-26501).
Control | 1..?
Pattern Value | `2.16.840.1.113883.6.1`
22. Act.text
Short | SHOULD reference the portion of section narrative text corresponding to this entry
Comments | SHALL contain exactly one [1..1] text (CONF:81-9430).
Control | 1..?
Must Support | true
24. Act.text.reference
Comments | This text SHALL contain exactly one [1..1] reference (CONF:81-15967).
Control | 1..?
Must Support | true
Invariants | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (`value.exists() implies value.startsWith('#')`)
26. Act.text.reference.value
Comments | This reference SHALL contain exactly one [1..1] @value (CONF:81-15968).
Control | 1..?
28. Act.author
30. Act.author.time
Must Support | true
32. Act.author.assignedAuthor
Must Support | true
34. Act.author.assignedAuthor.id
Must Support | true
36. Act.author.assignedAuthor.addr
Control | 1..?
Must Support | true
38. Act.author.assignedAuthor.telecom
Control | 1..?
Must Support | true
40. Act.author.assignedAuthor.assignedPerson
Must Support | true
42. Act.author.assignedAuthor.assignedPerson.name
Control | 1..?
Must Support | true
44. Act.author.assignedAuthor.representedOrganization
Must Support | true
46. Act.author.assignedAuthor.representedOrganization.name
Control | 1..?
Must Support | true

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`.
Invariants | should-text-ref-value: SHOULD contain text/reference/@value (`text.reference.value.exists()`) should-author: SHOULD contain author (`author.exists()`)
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 | 2..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
Must Support | true
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:comment-activity
Slice Name | comment-activity
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:comment-activity.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:comment-activity.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:comment-activity.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:comment-activity.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 | `2.16.840.1.113883.10.20.1.40`
30. Act.templateId:comment-activity.extension
Definition | A character string as a unique identifier within the scope of the identifier root.
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 | Extension
32. Act.templateId:comment-entry
Slice Name | comment-entry
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
34. Act.templateId:comment-entry.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
36. Act.templateId:comment-entry.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
38. Act.templateId:comment-entry.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
40. Act.templateId:comment-entry.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 | `1.3.6.1.4.1.19376.1.5.3.1.4.2`
42. Act.templateId:comment-entry.extension
Definition | A character string as a unique identifier within the scope of the identifier root.
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 | Extension
44. Act.classCode
Comments | SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:81-9425).
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`
46. Act.moodCode
Comments | SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:81-9426).
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 | `EVN`
48. 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.
50. Act.id
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
52. Act.code
Comments | SHALL contain exactly one [1..1] code (CONF:81-9428).
Control | 1..1
Binding | For example codes, see v3 Code System ActCode (example to `http://terminology.hl7.org/ValueSet/v3-ActCode` )
Type | http://hl7.org/cda/stds/core/StructureDefinition/CD
54. 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
56. 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.
Comments | This code SHALL contain exactly one [1..1] @code="48767-8" Annotation Comment (CONF:81-19159).
Control | 1..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 | `48767-8`
58. Act.code.codeSystem
Definition | Specifies the code system that defines the code.
Comments | This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:81-26501).
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 | Code System
Pattern Value | `2.16.840.1.113883.6.1`
60. 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
62. 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
64. 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
66. 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`.
68. 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`.
70. 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
72. 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
74. 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
76. Act.text
Short | SHOULD reference the portion of section narrative text corresponding to this entry
Comments | SHALL contain exactly one [1..1] text (CONF:81-9430).
Control | 1..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/ED
Must Support | true
78. Act.text.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
80. Act.text.compression
Definition | Indicates whether the raw byte data is compressed, and what compression algorithm was used.
Control | 0..1
Binding | The codes SHALL be taken from CDACompressionAlgorithm (required to `http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm` )
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 | Compression
82. Act.text.integrityCheck
Definition | The integrity check is a short binary value representing a cryptographically strong checksum that is calculated over the binary data. The purpose of this property, when communicated with a reference is for anyone to validate later whether the reference still resolved to the same data that the reference resolved to when the encapsulated data value with reference was created.
Control | 0..1
Type | base64Binary(bin: Binary Data)
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 | Integrity Check
84. Act.text.integrityCheckAlgorithm
Definition | Specifies the algorithm used to compute the integrityCheck value. The cryptographically strong checksum algorithm Secure Hash Algorithm-1 (SHA-1) is currently the industry standard. It has superseded the MD5 algorithm only a couple of years ago, when certain flaws in the security of MD5 were discovered. Currently the SHA-1 hash algorithm is the default choice for the integrity check algorithm. Note that SHA-256 is also entering widespread usage.
Control | 0..1
Binding | The codes SHALL be taken from IntegrityCheckAlgorithm (2.0.0) (required to `http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|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.
Label | Integrity Check Algorithm
86. Act.text.language
Definition | For character based information the language property specifies the human language of the text.
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 | Language
88. Act.text.mediaType
Definition | Identifies the type of the encapsulated data and identifies a method to interpret or render the data.
Control | 0..1
Binding | For example codes, see MediaType (example to `http://terminology.hl7.org/ValueSet/v3-MediaType` )
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 | Media Type
90. Act.text.representation
Control | 0..1
Binding | The codes SHALL be taken from CDABinaryDataEncoding (required to `http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding` )
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.
92. Act.text.xmlText
Definition | Data that is primarily intended for human interpretation or for further machine processing is outside the scope of HL7. This includes unformatted or formatted written language, multimedia data, or structured information as defined by a different standard (e.g., XML-signatures.)
Short | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
Comments | This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.
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 unadorned text.
94. Act.text.reference
Definition | A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data.
Comments | This text SHALL contain exactly one [1..1] reference (CONF:81-15967).
Control | 1..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL
Must Support | true
Label | Reference
Invariants | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (`value.exists() implies value.startsWith('#')`)
96. Act.text.reference.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
98. Act.text.reference.value
Comments | This reference SHALL contain exactly one [1..1] @value (CONF:81-15968).
Control | 1..1
Type | url(url: Universal Resource Locator)
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.
100. Act.text.reference.useablePeriod
Definition | Specifies the periods of time during which the telecommunication address can be used. For a telephone number, this can indicate the time of day in which the party can be reached on that telephone. For a web address, it may specify a time range in which the web content is promised to be available under the given address.
Control | 0..*
Type | Choice of: http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS
Default Type | http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS
XML Format | The type of this property is determined using the `xsi:type`attribute.
Label | Useable Period
102. Act.text.reference.use
Definition | One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need.
Control | 0..*
Binding | The codes SHALL be taken from TelecommunicationAddressUse (2.0.0) (required to `http://terminology.hl7.org/ValueSet/v3-TelecommunicationAddressUse|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.
Label | Use Code
104. Act.text.thumbnail
Definition | An abbreviated rendition of the full data. A thumbnail requires significantly fewer resources than the full data, while still maintaining some distinctive similarity with the full data. A thumbnail is typically used with by-reference encapsulated data. It allows a user to select data more efficiently before actually downloading through the reference.
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/ED
Label | Thumbnail
106. Act.statusCode
Control | 0..1
Binding | The codes SHALL be taken from ActStatus (required to `http://terminology.hl7.org/ValueSet/v3-ActStatus` )
Type | http://hl7.org/cda/stds/core/StructureDefinition/CS
108. Act.effectiveTime
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
110. Act.priorityCode
Control | 0..1
Binding | For example codes, see ActPriority (example to `http://terminology.hl7.org/ValueSet/v3-ActPriority` )
Type | http://hl7.org/cda/stds/core/StructureDefinition/CE
112. 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
114. Act.subject
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Subject
116. Act.specimen
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Specimen
118. Act.performer
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Performer2
120. Act.author
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Author
122. Act.author.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
124. Act.author.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
126. Act.author.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()`)
128. Act.author.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
130. Act.author.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
132. Act.author.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
134. Act.author.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`
136. Act.author.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
138. Act.author.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 | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
140. Act.author.typeCode
Control | 0..1
Binding | The codes SHALL be taken from CDAParticipationType (required to `http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType` )
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 | `AUT`
142. Act.author.contextControlCode
Control | 0..1
Binding | The codes SHALL be taken from CDAContextControl (required to `http://hl7.org/cda/stds/core/ValueSet/CDAContextControl` )
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 | `OP`
144. Act.author.functionCode
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/CE
146. Act.author.time
Control | 1..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/TS
Must Support | true
148. Act.author.assignedAuthor
Control | 1..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/AssignedAuthor
Must Support | true
150. Act.author.assignedAuthor.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
152. Act.author.assignedAuthor.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
154. Act.author.assignedAuthor.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()`)
156. Act.author.assignedAuthor.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
158. Act.author.assignedAuthor.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
160. Act.author.assignedAuthor.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
162. Act.author.assignedAuthor.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`
164. Act.author.assignedAuthor.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
166. Act.author.assignedAuthor.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 | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
168. Act.author.assignedAuthor.classCode
Control | 0..1
Binding | The codes SHALL be taken from RoleClassAssignedEntity (required to `http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity` )
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 | `ASSIGNED`
170. Act.author.assignedAuthor.id
Control | 1..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
Must Support | true
172. Act.author.assignedAuthor.sdtcIdentifiedBy
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy
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`identifiedBy`.
174. Act.author.assignedAuthor.code
Control | 0..1
Binding | For example codes, see CDARoleCode (example to `http://hl7.org/cda/stds/core/ValueSet/CDARoleCode` )
Type | http://hl7.org/cda/stds/core/StructureDefinition/CE
176. Act.author.assignedAuthor.addr
Control | 1..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/AD
Must Support | true
178. Act.author.assignedAuthor.telecom
Control | 1..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL
Must Support | true
180. Act.author.assignedAuthor.assignedPerson
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Person
Must Support | true
182. Act.author.assignedAuthor.assignedPerson.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
184. Act.author.assignedAuthor.assignedPerson.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
186. Act.author.assignedAuthor.assignedPerson.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()`)
188. Act.author.assignedAuthor.assignedPerson.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
190. Act.author.assignedAuthor.assignedPerson.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
192. Act.author.assignedAuthor.assignedPerson.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
194. Act.author.assignedAuthor.assignedPerson.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`
196. Act.author.assignedAuthor.assignedPerson.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
198. Act.author.assignedAuthor.assignedPerson.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 | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
200. Act.author.assignedAuthor.assignedPerson.classCode
Control | 0..1
Binding | The codes SHALL be taken from EntityClassLivingSubject (required to `http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject` )
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 | `PSN`
202. Act.author.assignedAuthor.assignedPerson.determinerCode
Control | 0..1
Binding | The codes SHALL be taken from EntityDeterminer (required to `http://terminology.hl7.org/ValueSet/v3-EntityDeterminer` )
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 | `INSTANCE`
204. Act.author.assignedAuthor.assignedPerson.name
Control | 1..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/PN
Must Support | true
206. Act.author.assignedAuthor.assignedPerson.sdtcDesc
Definition | The desc extension allows multimedia depictions of patients, healthcare providers, or other individuals to be included in a CDA document.
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/ED
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`desc`.
208. Act.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship
Definition | Each participant role other than an informant/relatedEntity may have zero or more relationship roles with the patient. Each of these roles can be expressed with an asPatientRelationship element which further describes the type of role using a code element.
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
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`asPatientRelationship`.
210. Act.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.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
212. Act.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.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
214. Act.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.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()`)
216. Act.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.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
218. Act.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.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
220. Act.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.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
222. Act.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.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`
224. Act.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.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
226. Act.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.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 | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
228. Act.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.classCode
Control | 1..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.
Fixed Value | `PRS`
230. Act.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.determinerCode
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.
Fixed Value | `INSTANCE`
232. Act.author.assignedAuthor.assignedPerson.sdtcAsPatientRelationship.code
Control | 1..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/CE
XML Format | In the XML format, this property has the namespace `urn:hl7-org:sdtc`.
234. Act.author.assignedAuthor.assignedAuthoringDevice
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/AuthoringDevice
236. Act.author.assignedAuthor.representedOrganization
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Organization
Must Support | true
238. Act.author.assignedAuthor.representedOrganization.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
240. Act.author.assignedAuthor.representedOrganization.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
242. Act.author.assignedAuthor.representedOrganization.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()`)
244. Act.author.assignedAuthor.representedOrganization.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
246. Act.author.assignedAuthor.representedOrganization.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
248. Act.author.assignedAuthor.representedOrganization.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
250. Act.author.assignedAuthor.representedOrganization.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`
252. Act.author.assignedAuthor.representedOrganization.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
254. Act.author.assignedAuthor.representedOrganization.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 | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
256. Act.author.assignedAuthor.representedOrganization.classCode
Control | 0..1
Binding | The codes SHALL be taken from EntityClassOrganization (required to `http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization` )
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 | `ORG`
258. Act.author.assignedAuthor.representedOrganization.determinerCode
Control | 0..1
Binding | The codes SHALL be taken from EntityDeterminer (required to `http://terminology.hl7.org/ValueSet/v3-EntityDeterminer` )
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 | `INSTANCE`
260. Act.author.assignedAuthor.representedOrganization.id
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
262. Act.author.assignedAuthor.representedOrganization.name
Control | 1..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/ON
Must Support | true
264. Act.author.assignedAuthor.representedOrganization.telecom
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL
266. Act.author.assignedAuthor.representedOrganization.addr
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/AD
268. Act.author.assignedAuthor.representedOrganization.standardIndustryClassCode
Control | 0..1
Binding | For example codes, see OrganizationIndustryClassNAICS (example to `http://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS` )
Type | http://hl7.org/cda/stds/core/StructureDefinition/CE
270. Act.author.assignedAuthor.representedOrganization.asOrganizationPartOf
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/OrganizationPartOf
272. Act.informant
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Informant
274. Act.participant
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Participant2
276. Act.entryRelationship
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
278. Act.reference
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Reference
280. Act.precondition
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Precondition
282. 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`.
284. 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`.