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: Coverage Entry

Official URL: https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE.PCC.CDA.Coverage.Entry | Version: 0.0.1-current
Draft as of 2025-11-04 | Computable Name: IHE_PCC_CDA_Coverage_Entry

A Coverage Activity groups the policy and authorization acts within a Payers Section to order the payment sources. A Coverage Activity contains one or more Policy Activities, each of which contains zero or more Authorization Activities. The sequenceNumber/@value shows the policy order of preference. The Member Identifier is described in the contained Policy Activity Template 2.16.840.1.113883.10.20.22.4.61.

^HL7 C_CDA description

Payers shall be recorded as described in CCD: 3.1.2.1.1. ^IHE description

Usages:

- Use this Logical Model Profile: IHE Payers Section

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Act | C | 1..1 | Act | XML Namespace: urn:hl7-org:v3 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: should-text-ref-value, should-effectiveTime
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
realmCode |  | 0..* | CS |
typeId | C | 0..1 | II | Constraints: II-1
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3
@extension |  | 1..1 | st |
Slices for templateId |  | 2..* | II | Slice: Unordered, Open by value:root, value:extension
templateId:coverage-entry |  | 1..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 1.3.6.1.4.1.19376.1.5.3.1.4.17
@extension |  | 0..1 | st |
templateId:coverage-act |  | 1..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.1.20
@extension |  | 0..1 | st |
@classCode |  | 1..1 | cs | Binding: XActClassDocumentEntryAct (2.0.0) (required) Fixed Value: ACT
@moodCode |  | 1..1 | cs | Binding: XDocumentActMood (2.0.0) (required) Fixed Value: EVN
@negationInd |  | 0..1 | bl |
id | S | 1..* | II |
code |  | 1..1 | CD | Payment sources Binding: v3 Code System ActCode (example)
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 1..1 | cs | Required Pattern: 48768-6
@codeSystem |  | 1..1 | oid, uuid, ruid | LOINC Required Pattern: 2.16.840.1.113883.6.1
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
qualifier |  | 0..* | CR |
translation |  | 0..* | CD |
text |  | 0..1 | ED |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@compression |  | 0..1 | cs | Binding: CDACompressionAlgorithm (required)
@integrityCheck |  | 0..1 | bin |
@integrityCheckAlgorithm |  | 0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required)
@language |  | 0..1 | cs |
@mediaType |  | 0..1 | cs | Binding: MediaType (example)
@representation |  | 0..1 | cs | Binding: CDABinaryDataEncoding (required)
xmlText |  | 0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
reference | C | 0..1 | TEL | Constraints: value-starts-octothorpe
thumbnail |  | 0..1 | ED |
statusCode |  | 1..1 | CS | Binding: ActStatus (required)
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 1..1 | cs | Fixed Value: completed
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
effectiveTime |  | 0..1 | IVL_TS |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value | S | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@operator |  | 0..1 | cs | Binding: CDASetOperator (required)
low |  | 0..1 | IVXB_TS |
center |  | 0..1 | TS |
width |  | 0..1 | PQ |
high |  | 0..1 | IVXB_TS |
priorityCode |  | 0..1 | CE | Binding: ActPriority (example)
languageCode |  | 0..1 | CS | Binding: AllLanguages (required)
subject |  | 0..1 | Subject |
specimen |  | 0..* | Specimen |
performer |  | 0..* | Performer2 |
author |  | 0..* | Author |
informant |  | 0..* | Informant |
participant |  | 0..* | Participant2 |
Slices for entryRelationship |  | 1..* | EntryRelationship | Slice: Unordered, Open by profile:act, value:typeCode
entryRelationship:payer-entries |  | 1..* | EntryRelationship | entryRelationship
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
realmCode |  | 0..* | CS |
typeId | C | 0..1 | II | Constraints: II-1
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3
@extension |  | 1..1 | st |
templateId |  | 0..* | II |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: COMP
@inversionInd |  | 0..1 | bl |
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 1..1 | int |
seperatableInd |  | 0..1 | BL |
act |  | 1..1 | IHE_PCC_CDA_Payers_Entry |
encounter |  | 0..1 | Encounter |
observation |  | 0..1 | Observation |
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
reference |  | 0..* | Reference |
precondition |  | 0..* | Precondition |
sdtcPrecondition2 |  | 0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc)
sdtcInFulfillmentOf1 |  | 0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Act.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.templateId:coverage-entry.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.templateId:coverage-act.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.classCode | Base | required | x_ActClassDocumentEntryAct | 📍2.0.0 | THO v5.2
Act.moodCode | Base | required | x_DocumentActMood | 📍2.0.0 | THO v5.2
Act.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v6.5
Act.code.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.text.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.text.compression | Base | required | CDACompressionAlgorithm | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.text.integrityCheckAlgorithm | Base | required | IntegrityCheckAlgorithm | 📍2.0.0 | THO v5.2
Act.text.mediaType | Base | example | MediaType | 📦3.0.0 | THO v6.5
Act.text.representation | Base | required | CDABinaryDataEncoding | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.statusCode | Base | required | ActStatus | 📦3.0.0 | THO v6.5
Act.statusCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.effectiveTime.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.effectiveTime.operator | Base | required | CDASetOperator | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.priorityCode | Base | example | ActPriority | 📦3.0.0 | THO v6.5
Act.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std.
Act.entryRelationship:payer-entries.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.entryRelationship:payer-entries.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.entryRelationship:payer-entries.​typeCode | Base | required | x_ActRelationshipEntryRelationship | 📦3.0.0 | THO v6.5
Act.entryRelationship:payer-entries.​sequenceNumber.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0

#### Constraints

Id | Grade | Path(s) | Description | Expression
II-1 | error | Act.typeId, Act.entryRelationship:payer-entries.typeId | An II instance must have either a root or an nullFlavor. | `root.exists() or nullFlavor.exists()`
should-effectiveTime | warning | Act | SHOULD contain effectiveTime | `effectiveTime.exists()`
should-text-ref-value | warning | Act | SHOULD contain text/reference/@value | `text.reference.value.exists()`
value-starts-octothorpe | error | Act.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative | `value.exists() implies value.startsWith('#')`

This structure is derived from Act

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Act | C | 1..1 | Act | XML Namespace: urn:hl7-org:v3 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: should-text-ref-value, should-effectiveTime
Slices for templateId |  | 2..* | II | Slice: Unordered, Open by value:root, value:extension
templateId:coverage-entry |  | 1..1 | II |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 1.3.6.1.4.1.19376.1.5.3.1.4.17
templateId:coverage-act |  | 1..1 | II |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.1.20
@classCode |  | 1..1 | cs | Fixed Value: ACT
@moodCode |  | 1..1 | cs | Fixed Value: EVN
id | S | 1..* | II |
code |  | 1..1 | CD | Payment sources
@code |  | 1..1 | cs | Required Pattern: 48768-6
@codeSystem |  | 1..1 | oid, uuid, ruid | LOINC Required Pattern: 2.16.840.1.113883.6.1
text |  |  |  |
reference | C | 0..1 | TEL | Constraints: value-starts-octothorpe
statusCode |  | 1..1 | CS |
@code |  | 1..1 | cs | Fixed Value: completed
effectiveTime |  |  |  |
@value | S | 0..1 | ts |
Slices for entryRelationship |  | 1..* | EntryRelationship | Slice: Unordered, Open by profile:act, value:typeCode
entryRelationship:payer-entries |  | 1..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Fixed Value: COMP
sequenceNumber |  | 0..1 | INT |
@value |  | 1..1 | int |
act |  | 1..1 | IHE_PCC_CDA_Payers_Entry |
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
should-effectiveTime | warning | Act | SHOULD contain effectiveTime | `effectiveTime.exists()`
should-text-ref-value | warning | Act | SHOULD contain text/reference/@value | `text.reference.value.exists()`
value-starts-octothorpe | error | Act.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative | `value.exists() implies value.startsWith('#')`

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Act | C | 1..1 | Act | XML Namespace: urn:hl7-org:v3 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: should-text-ref-value, should-effectiveTime
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
realmCode |  | 0..* | CS |
typeId | C | 0..1 | II | Constraints: II-1
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3
@extension |  | 1..1 | st |
Slices for templateId |  | 2..* | II | Slice: Unordered, Open by value:root, value:extension
templateId:coverage-entry |  | 1..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 1.3.6.1.4.1.19376.1.5.3.1.4.17
@extension |  | 0..1 | st |
templateId:coverage-act |  | 1..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.1.20
@extension |  | 0..1 | st |
@classCode |  | 1..1 | cs | Binding: XActClassDocumentEntryAct (2.0.0) (required) Fixed Value: ACT
@moodCode |  | 1..1 | cs | Binding: XDocumentActMood (2.0.0) (required) Fixed Value: EVN
@negationInd |  | 0..1 | bl |
id | S | 1..* | II |
code |  | 1..1 | CD | Payment sources Binding: v3 Code System ActCode (example)
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 1..1 | cs | Required Pattern: 48768-6
@codeSystem |  | 1..1 | oid, uuid, ruid | LOINC Required Pattern: 2.16.840.1.113883.6.1
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
qualifier |  | 0..* | CR |
translation |  | 0..* | CD |
text |  | 0..1 | ED |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@compression |  | 0..1 | cs | Binding: CDACompressionAlgorithm (required)
@integrityCheck |  | 0..1 | bin |
@integrityCheckAlgorithm |  | 0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required)
@language |  | 0..1 | cs |
@mediaType |  | 0..1 | cs | Binding: MediaType (example)
@representation |  | 0..1 | cs | Binding: CDABinaryDataEncoding (required)
xmlText |  | 0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
reference | C | 0..1 | TEL | Constraints: value-starts-octothorpe
thumbnail |  | 0..1 | ED |
statusCode |  | 1..1 | CS | Binding: ActStatus (required)
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 1..1 | cs | Fixed Value: completed
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
effectiveTime |  | 0..1 | IVL_TS |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value | S | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@operator |  | 0..1 | cs | Binding: CDASetOperator (required)
low |  | 0..1 | IVXB_TS |
center |  | 0..1 | TS |
width |  | 0..1 | PQ |
high |  | 0..1 | IVXB_TS |
priorityCode |  | 0..1 | CE | Binding: ActPriority (example)
languageCode |  | 0..1 | CS | Binding: AllLanguages (required)
subject |  | 0..1 | Subject |
specimen |  | 0..* | Specimen |
performer |  | 0..* | Performer2 |
author |  | 0..* | Author |
informant |  | 0..* | Informant |
participant |  | 0..* | Participant2 |
Slices for entryRelationship |  | 1..* | EntryRelationship | Slice: Unordered, Open by profile:act, value:typeCode
entryRelationship:payer-entries |  | 1..* | EntryRelationship | entryRelationship
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
realmCode |  | 0..* | CS |
typeId | C | 0..1 | II | Constraints: II-1
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3
@extension |  | 1..1 | st |
templateId |  | 0..* | II |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: COMP
@inversionInd |  | 0..1 | bl |
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 1..1 | int |
seperatableInd |  | 0..1 | BL |
act |  | 1..1 | IHE_PCC_CDA_Payers_Entry |
encounter |  | 0..1 | Encounter |
observation |  | 0..1 | Observation |
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
reference |  | 0..* | Reference |
precondition |  | 0..* | Precondition |
sdtcPrecondition2 |  | 0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc)
sdtcInFulfillmentOf1 |  | 0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Act.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.templateId:coverage-entry.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.templateId:coverage-act.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.classCode | Base | required | x_ActClassDocumentEntryAct | 📍2.0.0 | THO v5.2
Act.moodCode | Base | required | x_DocumentActMood | 📍2.0.0 | THO v5.2
Act.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v6.5
Act.code.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.text.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.text.compression | Base | required | CDACompressionAlgorithm | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.text.integrityCheckAlgorithm | Base | required | IntegrityCheckAlgorithm | 📍2.0.0 | THO v5.2
Act.text.mediaType | Base | example | MediaType | 📦3.0.0 | THO v6.5
Act.text.representation | Base | required | CDABinaryDataEncoding | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.statusCode | Base | required | ActStatus | 📦3.0.0 | THO v6.5
Act.statusCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.effectiveTime.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.effectiveTime.operator | Base | required | CDASetOperator | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.priorityCode | Base | example | ActPriority | 📦3.0.0 | THO v6.5
Act.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std.
Act.entryRelationship:payer-entries.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.entryRelationship:payer-entries.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.entryRelationship:payer-entries.​typeCode | Base | required | x_ActRelationshipEntryRelationship | 📦3.0.0 | THO v6.5
Act.entryRelationship:payer-entries.​sequenceNumber.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0

#### Constraints

Id | Grade | Path(s) | Description | Expression
II-1 | error | Act.typeId, Act.entryRelationship:payer-entries.typeId | An II instance must have either a root or an nullFlavor. | `root.exists() or nullFlavor.exists()`
should-effectiveTime | warning | Act | SHOULD contain effectiveTime | `effectiveTime.exists()`
should-text-ref-value | warning | Act | SHOULD contain text/reference/@value | `text.reference.value.exists()`
value-starts-octothorpe | error | Act.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative | `value.exists() implies value.startsWith('#')`

This structure is derived from Act

Summary

Mandatory: 12 elements(1 nested mandatory element)
Must-Support: 2 elements
Fixed: 4 elements

Structures

This structure refers to these other structures:

- Payers Entry (https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE.PCC.CDA.Payers.Entry)

Slices

This structure defines the following Slices:

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

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Act | C | 1..1 | Act | XML Namespace: urn:hl7-org:v3 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: should-text-ref-value, should-effectiveTime
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
realmCode |  | 0..* | CS |
typeId | C | 0..1 | II | Constraints: II-1
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3
@extension |  | 1..1 | st |
Slices for templateId |  | 2..* | II | Slice: Unordered, Open by value:root, value:extension
templateId:coverage-entry |  | 1..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 1.3.6.1.4.1.19376.1.5.3.1.4.17
@extension |  | 0..1 | st |
templateId:coverage-act |  | 1..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.1.20
@extension |  | 0..1 | st |
@classCode |  | 1..1 | cs | Binding: XActClassDocumentEntryAct (2.0.0) (required) Fixed Value: ACT
@moodCode |  | 1..1 | cs | Binding: XDocumentActMood (2.0.0) (required) Fixed Value: EVN
@negationInd |  | 0..1 | bl |
id | S | 1..* | II |
code |  | 1..1 | CD | Payment sources Binding: v3 Code System ActCode (example)
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 1..1 | cs | Required Pattern: 48768-6
@codeSystem |  | 1..1 | oid, uuid, ruid | LOINC Required Pattern: 2.16.840.1.113883.6.1
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
qualifier |  | 0..* | CR |
translation |  | 0..* | CD |
text |  | 0..1 | ED |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@compression |  | 0..1 | cs | Binding: CDACompressionAlgorithm (required)
@integrityCheck |  | 0..1 | bin |
@integrityCheckAlgorithm |  | 0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required)
@language |  | 0..1 | cs |
@mediaType |  | 0..1 | cs | Binding: MediaType (example)
@representation |  | 0..1 | cs | Binding: CDABinaryDataEncoding (required)
xmlText |  | 0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
reference | C | 0..1 | TEL | Constraints: value-starts-octothorpe
thumbnail |  | 0..1 | ED |
statusCode |  | 1..1 | CS | Binding: ActStatus (required)
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 1..1 | cs | Fixed Value: completed
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
effectiveTime |  | 0..1 | IVL_TS |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value | S | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@operator |  | 0..1 | cs | Binding: CDASetOperator (required)
low |  | 0..1 | IVXB_TS |
center |  | 0..1 | TS |
width |  | 0..1 | PQ |
high |  | 0..1 | IVXB_TS |
priorityCode |  | 0..1 | CE | Binding: ActPriority (example)
languageCode |  | 0..1 | CS | Binding: AllLanguages (required)
subject |  | 0..1 | Subject |
specimen |  | 0..* | Specimen |
performer |  | 0..* | Performer2 |
author |  | 0..* | Author |
informant |  | 0..* | Informant |
participant |  | 0..* | Participant2 |
Slices for entryRelationship |  | 1..* | EntryRelationship | Slice: Unordered, Open by profile:act, value:typeCode
entryRelationship:payer-entries |  | 1..* | EntryRelationship | entryRelationship
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
realmCode |  | 0..* | CS |
typeId | C | 0..1 | II | Constraints: II-1
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3
@extension |  | 1..1 | st |
templateId |  | 0..* | II |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: COMP
@inversionInd |  | 0..1 | bl |
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 1..1 | int |
seperatableInd |  | 0..1 | BL |
act |  | 1..1 | IHE_PCC_CDA_Payers_Entry |
encounter |  | 0..1 | Encounter |
observation |  | 0..1 | Observation |
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
reference |  | 0..* | Reference |
precondition |  | 0..* | Precondition |
sdtcPrecondition2 |  | 0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc)
sdtcInFulfillmentOf1 |  | 0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Act.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.templateId:coverage-entry.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.templateId:coverage-act.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.classCode | Base | required | x_ActClassDocumentEntryAct | 📍2.0.0 | THO v5.2
Act.moodCode | Base | required | x_DocumentActMood | 📍2.0.0 | THO v5.2
Act.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v6.5
Act.code.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.text.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.text.compression | Base | required | CDACompressionAlgorithm | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.text.integrityCheckAlgorithm | Base | required | IntegrityCheckAlgorithm | 📍2.0.0 | THO v5.2
Act.text.mediaType | Base | example | MediaType | 📦3.0.0 | THO v6.5
Act.text.representation | Base | required | CDABinaryDataEncoding | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.statusCode | Base | required | ActStatus | 📦3.0.0 | THO v6.5
Act.statusCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.effectiveTime.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.effectiveTime.operator | Base | required | CDASetOperator | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.priorityCode | Base | example | ActPriority | 📦3.0.0 | THO v6.5
Act.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std.
Act.entryRelationship:payer-entries.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.entryRelationship:payer-entries.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.entryRelationship:payer-entries.​typeCode | Base | required | x_ActRelationshipEntryRelationship | 📦3.0.0 | THO v6.5
Act.entryRelationship:payer-entries.​sequenceNumber.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0

#### Constraints

Id | Grade | Path(s) | Description | Expression
II-1 | error | Act.typeId, Act.entryRelationship:payer-entries.typeId | An II instance must have either a root or an nullFlavor. | `root.exists() or nullFlavor.exists()`
should-effectiveTime | warning | Act | SHOULD contain effectiveTime | `effectiveTime.exists()`
should-text-ref-value | warning | Act | SHOULD contain text/reference/@value | `text.reference.value.exists()`
value-starts-octothorpe | error | Act.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative | `value.exists() implies value.startsWith('#')`

Differential View

This structure is derived from Act

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Act | C | 1..1 | Act | XML Namespace: urn:hl7-org:v3 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: should-text-ref-value, should-effectiveTime
Slices for templateId |  | 2..* | II | Slice: Unordered, Open by value:root, value:extension
templateId:coverage-entry |  | 1..1 | II |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 1.3.6.1.4.1.19376.1.5.3.1.4.17
templateId:coverage-act |  | 1..1 | II |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.1.20
@classCode |  | 1..1 | cs | Fixed Value: ACT
@moodCode |  | 1..1 | cs | Fixed Value: EVN
id | S | 1..* | II |
code |  | 1..1 | CD | Payment sources
@code |  | 1..1 | cs | Required Pattern: 48768-6
@codeSystem |  | 1..1 | oid, uuid, ruid | LOINC Required Pattern: 2.16.840.1.113883.6.1
text |  |  |  |
reference | C | 0..1 | TEL | Constraints: value-starts-octothorpe
statusCode |  | 1..1 | CS |
@code |  | 1..1 | cs | Fixed Value: completed
effectiveTime |  |  |  |
@value | S | 0..1 | ts |
Slices for entryRelationship |  | 1..* | EntryRelationship | Slice: Unordered, Open by profile:act, value:typeCode
entryRelationship:payer-entries |  | 1..* | EntryRelationship | entryRelationship
@typeCode |  | 1..1 | cs | Fixed Value: COMP
sequenceNumber |  | 0..1 | INT |
@value |  | 1..1 | int |
act |  | 1..1 | IHE_PCC_CDA_Payers_Entry |
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
should-effectiveTime | warning | Act | SHOULD contain effectiveTime | `effectiveTime.exists()`
should-text-ref-value | warning | Act | SHOULD contain text/reference/@value | `text.reference.value.exists()`
value-starts-octothorpe | error | Act.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative | `value.exists() implies value.startsWith('#')`

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Act | C | 1..1 | Act | XML Namespace: urn:hl7-org:v3 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: should-text-ref-value, should-effectiveTime
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
realmCode |  | 0..* | CS |
typeId | C | 0..1 | II | Constraints: II-1
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3
@extension |  | 1..1 | st |
Slices for templateId |  | 2..* | II | Slice: Unordered, Open by value:root, value:extension
templateId:coverage-entry |  | 1..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 1.3.6.1.4.1.19376.1.5.3.1.4.17
@extension |  | 0..1 | st |
templateId:coverage-act |  | 1..1 | II |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.1.20
@extension |  | 0..1 | st |
@classCode |  | 1..1 | cs | Binding: XActClassDocumentEntryAct (2.0.0) (required) Fixed Value: ACT
@moodCode |  | 1..1 | cs | Binding: XDocumentActMood (2.0.0) (required) Fixed Value: EVN
@negationInd |  | 0..1 | bl |
id | S | 1..* | II |
code |  | 1..1 | CD | Payment sources Binding: v3 Code System ActCode (example)
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 1..1 | cs | Required Pattern: 48768-6
@codeSystem |  | 1..1 | oid, uuid, ruid | LOINC Required Pattern: 2.16.840.1.113883.6.1
@codeSystemName |  | 0..1 | st |
@codeSystemVersion |  | 0..1 | st |
@displayName |  | 0..1 | st |
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText |  | 0..1 | ED |
qualifier |  | 0..* | CR |
translation |  | 0..* | CD |
text |  | 0..1 | ED |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@compression |  | 0..1 | cs | Binding: CDACompressionAlgorithm (required)
@integrityCheck |  | 0..1 | bin |
@integrityCheckAlgorithm |  | 0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required)
@language |  | 0..1 | cs |
@mediaType |  | 0..1 | cs | Binding: MediaType (example)
@representation |  | 0..1 | cs | Binding: CDABinaryDataEncoding (required)
xmlText |  | 0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
reference | C | 0..1 | TEL | Constraints: value-starts-octothorpe
thumbnail |  | 0..1 | ED |
statusCode |  | 1..1 | CS | Binding: ActStatus (required)
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@code |  | 1..1 | cs | Fixed Value: completed
@sdtcValueSet |  | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion |  | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
effectiveTime |  | 0..1 | IVL_TS |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value | S | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@operator |  | 0..1 | cs | Binding: CDASetOperator (required)
low |  | 0..1 | IVXB_TS |
center |  | 0..1 | TS |
width |  | 0..1 | PQ |
high |  | 0..1 | IVXB_TS |
priorityCode |  | 0..1 | CE | Binding: ActPriority (example)
languageCode |  | 0..1 | CS | Binding: AllLanguages (required)
subject |  | 0..1 | Subject |
specimen |  | 0..* | Specimen |
performer |  | 0..* | Performer2 |
author |  | 0..* | Author |
informant |  | 0..* | Informant |
participant |  | 0..* | Participant2 |
Slices for entryRelationship |  | 1..* | EntryRelationship | Slice: Unordered, Open by profile:act, value:typeCode
entryRelationship:payer-entries |  | 1..* | EntryRelationship | entryRelationship
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
realmCode |  | 0..* | CS |
typeId | C | 0..1 | II | Constraints: II-1
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@assigningAuthorityName |  | 0..1 | st |
@displayable |  | 0..1 | bl |
@root |  | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3
@extension |  | 1..1 | st |
templateId |  | 0..* | II |
@typeCode |  | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: COMP
@inversionInd |  | 0..1 | bl |
@contextConductionInd |  | 0..1 | bl |
@negationInd |  | 0..1 | bl |
sequenceNumber |  | 0..1 | INT |
@nullFlavor |  | 0..1 | cs | Binding: CDANullFlavor (required)
@value |  | 1..1 | int |
seperatableInd |  | 0..1 | BL |
act |  | 1..1 | IHE_PCC_CDA_Payers_Entry |
encounter |  | 0..1 | Encounter |
observation |  | 0..1 | Observation |
observationMedia |  | 0..1 | ObservationMedia |
organizer |  | 0..1 | Organizer |
procedure |  | 0..1 | Procedure |
regionOfInterest |  | 0..1 | RegionOfInterest |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
reference |  | 0..* | Reference |
precondition |  | 0..* | Precondition |
sdtcPrecondition2 |  | 0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc)
sdtcInFulfillmentOf1 |  | 0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Act.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.templateId:coverage-entry.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.templateId:coverage-act.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.classCode | Base | required | x_ActClassDocumentEntryAct | 📍2.0.0 | THO v5.2
Act.moodCode | Base | required | x_DocumentActMood | 📍2.0.0 | THO v5.2
Act.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v6.5
Act.code.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.text.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.text.compression | Base | required | CDACompressionAlgorithm | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.text.integrityCheckAlgorithm | Base | required | IntegrityCheckAlgorithm | 📍2.0.0 | THO v5.2
Act.text.mediaType | Base | example | MediaType | 📦3.0.0 | THO v6.5
Act.text.representation | Base | required | CDABinaryDataEncoding | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.statusCode | Base | required | ActStatus | 📦3.0.0 | THO v6.5
Act.statusCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.effectiveTime.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.effectiveTime.operator | Base | required | CDASetOperator | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.priorityCode | Base | example | ActPriority | 📦3.0.0 | THO v6.5
Act.languageCode | Base | required | All Languages | 📦5.0.0 | FHIR Std.
Act.entryRelationship:payer-entries.​nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.entryRelationship:payer-entries.​typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0
Act.entryRelationship:payer-entries.​typeCode | Base | required | x_ActRelationshipEntryRelationship | 📦3.0.0 | THO v6.5
Act.entryRelationship:payer-entries.​sequenceNumber.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0

#### Constraints

Id | Grade | Path(s) | Description | Expression
II-1 | error | Act.typeId, Act.entryRelationship:payer-entries.typeId | An II instance must have either a root or an nullFlavor. | `root.exists() or nullFlavor.exists()`
should-effectiveTime | warning | Act | SHOULD contain effectiveTime | `effectiveTime.exists()`
should-text-ref-value | warning | Act | SHOULD contain text/reference/@value | `text.reference.value.exists()`
value-starts-octothorpe | error | Act.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative | `value.exists() implies value.startsWith('#')`

This structure is derived from Act

Summary

Mandatory: 12 elements(1 nested mandatory element)
Must-Support: 2 elements
Fixed: 4 elements

Structures

This structure refers to these other structures:

- Payers Entry (https://profiles.ihe.net/PCC/PSCc/StructureDefinition/IHE.PCC.CDA.Payers.Entry)

Slices

This structure defines the following Slices:

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

Other representations of profile: CSV, Excel