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_CDA_Coverage_Entry - Detailed Descriptions

Draft as of 2025-11-04

Definitions for the IHE.PCC.CDA.Coverage.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-effectiveTime: SHOULD contain effectiveTime (`effectiveTime.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
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:coverage-entry
Slice Name | coverage-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
22. Act.templateId:coverage-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
24. Act.templateId:coverage-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
26. Act.templateId:coverage-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
28. Act.templateId:coverage-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 | `1.3.6.1.4.1.19376.1.5.3.1.4.17`
30. Act.templateId:coverage-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
32. Act.templateId:coverage-act
Slice Name | coverage-act
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:coverage-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
36. Act.templateId:coverage-act.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:coverage-act.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:coverage-act.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 | `2.16.840.1.113883.10.20.1.20`
42. Act.templateId:coverage-act.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:4537-8872).
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:4537-8873).
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 | 1..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
Must Support | true
52. Act.code
Short | Payment sources
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.
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 | `48768-6`
58. Act.code.codeSystem
Definition | Specifies the code system that defines the code.
Short | LOINC
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
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/ED
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.
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL
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.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
98. Act.statusCode
Comments | SHALL contain exactly one [1..1] statusCode (CONF:4537-8875).
Control | 1..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
100. Act.statusCode.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
102. Act.statusCode.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 statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:4537-19094).
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
Fixed Value | `completed`
104. Act.statusCode.codeSystem
Definition | Specifies the code system that defines the code.
Control | 0..0
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
106. Act.statusCode.codeSystemName
Definition | The common name of the coding system.
Control | 0..0
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
108. Act.statusCode.codeSystemVersion
Definition | If applicable, a version descriptor defined specifically for the given code system.
Control | 0..0
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
110. Act.statusCode.displayName
Definition | A name or title for the code, under which the sending system shows the code value to its users.
Control | 0..0
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
112. Act.statusCode.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`.
114. Act.statusCode.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`.
116. Act.statusCode.originalText
Definition | The text or phrase used as the basis for the coding.
Control | 0..0
Type | http://hl7.org/cda/stds/core/StructureDefinition/ED
Label | Original Text
118. Act.statusCode.qualifier
Definition | Specifies additional codes that increase the specificity of the the primary code.
Control | 0..0
Type | http://hl7.org/cda/stds/core/StructureDefinition/CR
Label | Qualifier
120. Act.statusCode.translation
Definition | A set of other concept descriptors that translate this concept descriptor into other code systems.
Control | 0..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
122. Act.effectiveTime
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
124. Act.effectiveTime.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
126. Act.effectiveTime.value
Definition | A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.
Control | 0..1
Type | dateTime(ts: Point in Time)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Date Format | YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
XML Format | In the XML format, this property is represented as an attribute.
128. Act.effectiveTime.operator
Definition | A code specifying whether the set component is included (union) or excluded (set-difference) from the set, or other set operations with the current set component and the set as constructed from the representation stream up to the current point.
Control | 0..1
Binding | The codes SHALL be taken from CDASetOperator (required to `http://hl7.org/cda/stds/core/ValueSet/CDASetOperator` )
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.
Default Value | `I`
130. Act.effectiveTime.low
Definition | This is the low limit of the interval.
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
Label | Low Boundary
132. Act.effectiveTime.center
Definition | The arithmetic mean of the interval (low plus high divided by 2). The purpose of distinguishing the center as a semantic property is for conversions of intervals from and to point values.
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/TS
Label | Central Value
134. Act.effectiveTime.width
Definition | The difference between high and low boundary. The purpose of distinguishing a width property is to handle all cases of incomplete information symmetrically. In any interval representation only two of the three properties high, low, and width need to be stated and the third can be derived.
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/PQ
Label | Width
136. Act.effectiveTime.high
Definition | This is the high limit of the interval.
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
Label | High Boundary
138. 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
140. 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
142. Act.subject
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Subject
144. Act.specimen
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Specimen
146. Act.performer
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Performer2
148. Act.author
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Author
150. Act.informant
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Informant
152. Act.participant
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Participant2
154. Act.entryRelationship
Control | 1..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
Slicing | This element introduces a set of slices on `Act.entryRelationship`. The slices areUnordered and Open, and can be differentiated using the following discriminators: profile @ act value @ typeCode
156. Act.entryRelationship:payer-entries
Slice Name | payer-entries
Short | entryRelationship
Comments | SHALL contain at least one [1..*] entryRelationship (CONF:4537-8878) such that it
Control | 1..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
158. Act.entryRelationship:payer-entries.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
160. Act.entryRelationship:payer-entries.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
162. Act.entryRelationship:payer-entries.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()`)
164. Act.entryRelationship:payer-entries.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
166. Act.entryRelationship:payer-entries.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
168. Act.entryRelationship:payer-entries.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
170. Act.entryRelationship:payer-entries.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`
172. Act.entryRelationship:payer-entries.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
174. Act.entryRelationship:payer-entries.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
176. Act.entryRelationship:payer-entries.typeCode
Comments | SHALL contain exactly one [1..1] @typeCode="COMP" has component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:4537-8879).
Control | 1..1
Binding | The codes SHALL be taken from x_ActRelationshipEntryRelationship (required to `http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship` )
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 | `COMP`
178. Act.entryRelationship:payer-entries.inversionInd
Definition | The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.
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.
180. Act.entryRelationship:payer-entries.contextConductionInd
Definition | The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.
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.
Default Value | `true`
182. Act.entryRelationship:payer-entries.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.
184. Act.entryRelationship:payer-entries.sequenceNumber
Comments | MAY contain zero or one [0..1] sequenceNumber (CONF:4537-17174).
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/INT
186. Act.entryRelationship:payer-entries.sequenceNumber.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
188. Act.entryRelationship:payer-entries.sequenceNumber.value
Control | 1..1
Type | integer(int: Integer Number)
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.
190. Act.entryRelationship:payer-entries.seperatableInd
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/BL
192. Act.entryRelationship:payer-entries.act
Control | 1..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Act(Payers Entry)
194. Act.entryRelationship:payer-entries.encounter
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Encounter
196. Act.entryRelationship:payer-entries.observation
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Observation
198. Act.entryRelationship:payer-entries.observationMedia
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
200. Act.entryRelationship:payer-entries.organizer
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Organizer
202. Act.entryRelationship:payer-entries.procedure
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Procedure
204. Act.entryRelationship:payer-entries.regionOfInterest
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
206. Act.entryRelationship:payer-entries.substanceAdministration
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
208. Act.entryRelationship:payer-entries.supply
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Supply
210. Act.reference
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Reference
212. Act.precondition
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Precondition
214. 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`.
216. 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-effectiveTime: SHOULD contain effectiveTime (`effectiveTime.exists()`)
2. Act.templateId
Control | 2..?
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:coverage-entry
Slice Name | coverage-entry
Control | 1..1
6. Act.templateId:coverage-entry.root
Control | 1..?
Pattern Value | `1.3.6.1.4.1.19376.1.5.3.1.4.17`
8. Act.templateId:coverage-act
Slice Name | coverage-act
Control | 1..1
10. Act.templateId:coverage-act.root
Control | 1..?
Pattern Value | `2.16.840.1.113883.10.20.1.20`
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:4537-8872).
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:4537-8873).
Fixed Value | `EVN`
16. Act.id
Control | 1..?
Must Support | true
18. Act.code
Short | Payment sources
20. Act.code.code
Control | 1..?
Pattern Value | `48768-6`
22. Act.code.codeSystem
Short | LOINC
Control | 1..?
Pattern Value | `2.16.840.1.113883.6.1`
24. Act.text
26. Act.text.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('#')`)
28. Act.statusCode
Comments | SHALL contain exactly one [1..1] statusCode (CONF:4537-8875).
Control | 1..?
30. Act.statusCode.code
Comments | This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:4537-19094).
Control | 1..?
Fixed Value | `completed`
32. Act.effectiveTime
34. Act.effectiveTime.value
Must Support | true
36. Act.entryRelationship
Control | 1..?
Slicing | This element introduces a set of slices on `Act.entryRelationship`. The slices areUnordered and Open, and can be differentiated using the following discriminators: profile @ act value @ typeCode
38. Act.entryRelationship:payer-entries
Slice Name | payer-entries
Short | entryRelationship
Comments | SHALL contain at least one [1..*] entryRelationship (CONF:4537-8878) such that it
Control | 1..*
40. Act.entryRelationship:payer-entries.typeCode
Comments | SHALL contain exactly one [1..1] @typeCode="COMP" has component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:4537-8879).
Fixed Value | `COMP`
42. Act.entryRelationship:payer-entries.sequenceNumber
Comments | MAY contain zero or one [0..1] sequenceNumber (CONF:4537-17174).
44. Act.entryRelationship:payer-entries.sequenceNumber.value
Control | 1..?
46. Act.entryRelationship:payer-entries.act
Control | 1..?
Type | http://hl7.org/cda/stds/core/StructureDefinition/Act(Payers Entry)

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-effectiveTime: SHOULD contain effectiveTime (`effectiveTime.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
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:coverage-entry
Slice Name | coverage-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
22. Act.templateId:coverage-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
24. Act.templateId:coverage-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
26. Act.templateId:coverage-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
28. Act.templateId:coverage-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 | `1.3.6.1.4.1.19376.1.5.3.1.4.17`
30. Act.templateId:coverage-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
32. Act.templateId:coverage-act
Slice Name | coverage-act
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:coverage-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
36. Act.templateId:coverage-act.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:coverage-act.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:coverage-act.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 | `2.16.840.1.113883.10.20.1.20`
42. Act.templateId:coverage-act.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:4537-8872).
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:4537-8873).
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 | 1..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/II
Must Support | true
52. Act.code
Short | Payment sources
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.
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 | `48768-6`
58. Act.code.codeSystem
Definition | Specifies the code system that defines the code.
Short | LOINC
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
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/ED
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.
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL
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.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
98. Act.statusCode
Comments | SHALL contain exactly one [1..1] statusCode (CONF:4537-8875).
Control | 1..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
100. Act.statusCode.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
102. Act.statusCode.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 statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:4537-19094).
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
Fixed Value | `completed`
104. Act.statusCode.codeSystem
Definition | Specifies the code system that defines the code.
Control | 0..0
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
106. Act.statusCode.codeSystemName
Definition | The common name of the coding system.
Control | 0..0
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
108. Act.statusCode.codeSystemVersion
Definition | If applicable, a version descriptor defined specifically for the given code system.
Control | 0..0
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
110. Act.statusCode.displayName
Definition | A name or title for the code, under which the sending system shows the code value to its users.
Control | 0..0
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
112. Act.statusCode.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`.
114. Act.statusCode.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`.
116. Act.statusCode.originalText
Definition | The text or phrase used as the basis for the coding.
Control | 0..0
Type | http://hl7.org/cda/stds/core/StructureDefinition/ED
Label | Original Text
118. Act.statusCode.qualifier
Definition | Specifies additional codes that increase the specificity of the the primary code.
Control | 0..0
Type | http://hl7.org/cda/stds/core/StructureDefinition/CR
Label | Qualifier
120. Act.statusCode.translation
Definition | A set of other concept descriptors that translate this concept descriptor into other code systems.
Control | 0..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
122. Act.effectiveTime
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
124. Act.effectiveTime.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
126. Act.effectiveTime.value
Definition | A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.
Control | 0..1
Type | dateTime(ts: Point in Time)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Date Format | YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
XML Format | In the XML format, this property is represented as an attribute.
128. Act.effectiveTime.operator
Definition | A code specifying whether the set component is included (union) or excluded (set-difference) from the set, or other set operations with the current set component and the set as constructed from the representation stream up to the current point.
Control | 0..1
Binding | The codes SHALL be taken from CDASetOperator (required to `http://hl7.org/cda/stds/core/ValueSet/CDASetOperator` )
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.
Default Value | `I`
130. Act.effectiveTime.low
Definition | This is the low limit of the interval.
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
Label | Low Boundary
132. Act.effectiveTime.center
Definition | The arithmetic mean of the interval (low plus high divided by 2). The purpose of distinguishing the center as a semantic property is for conversions of intervals from and to point values.
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/TS
Label | Central Value
134. Act.effectiveTime.width
Definition | The difference between high and low boundary. The purpose of distinguishing a width property is to handle all cases of incomplete information symmetrically. In any interval representation only two of the three properties high, low, and width need to be stated and the third can be derived.
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/PQ
Label | Width
136. Act.effectiveTime.high
Definition | This is the high limit of the interval.
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
Label | High Boundary
138. 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
140. 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
142. Act.subject
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Subject
144. Act.specimen
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Specimen
146. Act.performer
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Performer2
148. Act.author
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Author
150. Act.informant
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Informant
152. Act.participant
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Participant2
154. Act.entryRelationship
Control | 1..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
Slicing | This element introduces a set of slices on `Act.entryRelationship`. The slices areUnordered and Open, and can be differentiated using the following discriminators: profile @ act value @ typeCode
156. Act.entryRelationship:payer-entries
Slice Name | payer-entries
Short | entryRelationship
Comments | SHALL contain at least one [1..*] entryRelationship (CONF:4537-8878) such that it
Control | 1..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
158. Act.entryRelationship:payer-entries.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
160. Act.entryRelationship:payer-entries.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
162. Act.entryRelationship:payer-entries.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()`)
164. Act.entryRelationship:payer-entries.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
166. Act.entryRelationship:payer-entries.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
168. Act.entryRelationship:payer-entries.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
170. Act.entryRelationship:payer-entries.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`
172. Act.entryRelationship:payer-entries.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
174. Act.entryRelationship:payer-entries.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
176. Act.entryRelationship:payer-entries.typeCode
Comments | SHALL contain exactly one [1..1] @typeCode="COMP" has component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:4537-8879).
Control | 1..1
Binding | The codes SHALL be taken from x_ActRelationshipEntryRelationship (required to `http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship` )
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 | `COMP`
178. Act.entryRelationship:payer-entries.inversionInd
Definition | The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.
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.
180. Act.entryRelationship:payer-entries.contextConductionInd
Definition | The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.
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.
Default Value | `true`
182. Act.entryRelationship:payer-entries.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.
184. Act.entryRelationship:payer-entries.sequenceNumber
Comments | MAY contain zero or one [0..1] sequenceNumber (CONF:4537-17174).
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/INT
186. Act.entryRelationship:payer-entries.sequenceNumber.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
188. Act.entryRelationship:payer-entries.sequenceNumber.value
Control | 1..1
Type | integer(int: Integer Number)
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.
190. Act.entryRelationship:payer-entries.seperatableInd
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/BL
192. Act.entryRelationship:payer-entries.act
Control | 1..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Act(Payers Entry)
194. Act.entryRelationship:payer-entries.encounter
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Encounter
196. Act.entryRelationship:payer-entries.observation
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Observation
198. Act.entryRelationship:payer-entries.observationMedia
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
200. Act.entryRelationship:payer-entries.organizer
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Organizer
202. Act.entryRelationship:payer-entries.procedure
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Procedure
204. Act.entryRelationship:payer-entries.regionOfInterest
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
206. Act.entryRelationship:payer-entries.substanceAdministration
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
208. Act.entryRelationship:payer-entries.supply
Control | 0..1
Type | http://hl7.org/cda/stds/core/StructureDefinition/Supply
210. Act.reference
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Reference
212. Act.precondition
Control | 0..*
Type | http://hl7.org/cda/stds/core/StructureDefinition/Precondition
214. 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`.
216. 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`.