HL7.CDA.US.CCDA\Procedure Activity Act - Definitions

This page is part of the CCDA: Consolidated CDA Release (v2.1.0-draft1: CCDA 2.1 Draft) based on FHIR v5.0.0. . For a full list of available versions, see the Directory of published versions

Resource Profile: ProcedureActivityAct - Detailed Descriptions

Active as of 2023-01-16

Definitions for the 2.16.840.1.113883.10.20.22.4.12 resource profile.

Differential Elements Table
Key Elements Table
Snapshot Elements Table

Guidance on how to interpret the contents of this table can be found here.

1. Act
2. Act.classCode
Requirements	SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-8289).
Pattern Value	ACT
3. Act.moodCode
Requirements	SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-8290).
Pattern Value	EVN
4. Act.templateId
Slicing	This element introduces a set of slices on Act.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ root value @ root,
5. Act.templateId:primary
SliceName	primary
Control	1..1
Requirements	SHALL contain exactly one [1..1] templateId (CONF:1098-8291) such that it
6. Act.templateId:primary.root
Control	1..1
Requirements	SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.12" (CONF:1098-10519).
Pattern Value	2.16.840.1.113883.10.20.22.4.12
7. Act.templateId:primary.extension
Control	1..1
Requirements	SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32505).
Pattern Value	2014-06-09
8. Act.id
Control	10..*
Requirements	SHALL contain at least one [1..*] id (CONF:1098-8292).
9. Act.code
Requirements	SHALL contain exactly one [1..1] code (CONF:1098-8293).
Invariants	Defined on this element 1098-19190: This @code SHOULD be selected from LOINC (CodeSystem: 2.16.840.1.113883.6.1) or SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96), and MAY be selected from CPT-4 (CodeSystem: 2.16.840.1.113883.6.12) or ICD10 PCS (CodeSystem: 2.16.840.1.113883.6.4) or CDT-2 (Code System: 2.16.840.1.113883.6.13) (CONF:1098-19190). (: null)
10. Act.code.originalText
Control	0..1
Requirements	This code SHOULD contain zero or one [0..1] originalText (CONF:1098-19186).
11. Act.code.originalText.reference
Control	0..1
Requirements	The originalText, if present, MAY contain zero or one [0..1] reference (CONF:1098-19187).
12. Act.code.originalText.reference.value
Control	0..1
Requirements	The reference, if present, MAY contain zero or one [0..1] @value (CONF:1098-19188).
Invariants	Defined on this element 1098-19189: This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:1098-19189). (: null)
13. Act.statusCode
Control	10..1
Requirements	SHALL contain exactly one [1..1] statusCode (CONF:1098-8298).
14. Act.statusCode.code
Control	1..1
Binding	The codes SHALL be taken from ProcedureAct statusCode
Requirements	This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ProcedureAct statusCode urn:oid:2.16.840.1.113883.11.20.9.22 STATIC 2014-04-23 (CONF:1098-32364).
15. Act.effectiveTime
Control	10..1
Requirements	SHALL contain exactly one [1..1] effectiveTime (CONF:1098-8299).
16. Act.priorityCode
Binding	The codes SHALL be taken from ActPriorityThe codes SHALL be taken from ActPriority; other codes may be used where these codes are not suitable
Requirements	MAY contain zero or one [0..1] priorityCode, which SHALL be selected from ValueSet ActPriority urn:oid:2.16.840.1.113883.1.11.16866 DYNAMIC (CONF:1098-8300).
17. Act.performer
Requirements	SHOULD contain zero or more [0..*] performer (CONF:1098-8301).
18. Act.performer.assignedEntity
Control	1..1
Requirements	The performer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1098-8302).
19. Act.performer.assignedEntity.id
Control	1..*
Requirements	This assignedEntity SHALL contain at least one [1..*] id (CONF:1098-8303).
20. Act.performer.assignedEntity.addr
Control	1..*
Requirements	This assignedEntity SHALL contain at least one [1..*] addr (CONF:1098-8304).
21. Act.performer.assignedEntity.telecom
Control	1..*
Requirements	This assignedEntity SHALL contain at least one [1..*] telecom (CONF:1098-8305).
22. Act.performer.assignedEntity.representedOrganization
Control	0..1
Requirements	This assignedEntity SHOULD contain zero or one [0..1] representedOrganization (CONF:1098-8306).
23. Act.performer.assignedEntity.representedOrganization.id
Control	0..*
Requirements	The representedOrganization, if present, SHOULD contain zero or more [0..*] id (CONF:1098-8307).
24. Act.performer.assignedEntity.representedOrganization.name
Control	0..*
Requirements	The representedOrganization, if present, MAY contain zero or more [0..*] name (CONF:1098-8308).
25. Act.performer.assignedEntity.representedOrganization.telecom
Control	1..*
Requirements	The representedOrganization, if present, SHALL contain at least one [1..*] telecom (CONF:1098-8310).
26. Act.performer.assignedEntity.representedOrganization.addr
Control	1..*
Requirements	The representedOrganization, if present, SHALL contain at least one [1..*] addr (CONF:1098-8309).
27. Act.author
Type	http://hl7.org/fhir/cda/StructureDefinition/Author(AuthorParticipation)
Requirements	SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-32477).
Comments	201810 Errata STU Comment 1619: Updated cardinality from incorrect [1..] to correct [0..]
28. Act.participant
Slicing	This element introduces a set of slices on Act.participant. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ typeCode
29. Act.participant:location
SliceName	location
Control	0..*
Requirements	MAY contain zero or more [0..*] participant (CONF:1098-8311) such that it
30. Act.participant:location.typeCode
Control	1..1
Requirements	SHALL contain exactly one [1..1] @typeCode="LOC" Location (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1098-8312).
Pattern Value	LOC
31. Act.participant:location.participantRole
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ParticipantRole(ServiceDeliveryLocation)
Requirements	SHALL contain exactly one [1..1] Service Delivery Location (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.32) (CONF:1098-15599).
32. Act.entryRelationship
Slicing	This element introduces a set of slices on Act.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators: profile @ encounter profile @ encounter, profile @ encounter, profile @ encounter,
33. Act.entryRelationship:encounter
SliceName	encounter
Control	0..*
Requirements	MAY contain zero or more [0..*] entryRelationship (CONF:1098-8314) such that it
34. Act.entryRelationship:encounter.typeCode
Control	1..1
Requirements	SHALL contain exactly one [1..1] @typeCode="COMP" Has Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-8315).
Pattern Value	COMP
35. Act.entryRelationship:encounter.inversionInd
Control	1..1
Requirements	SHALL contain exactly one [1..1] @inversionInd="true" true (CONF:1098-8316).
Pattern Value	true
36. Act.entryRelationship:encounter.encounter
Control	1..1
Requirements	SHALL contain exactly one [1..1] encounter (CONF:1098-8317).
37. Act.entryRelationship:encounter.encounter.classCode
Control	1..1
Requirements	This encounter SHALL contain exactly one [1..1] @classCode="ENC" Encounter (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-8318).
Pattern Value	ENC
38. Act.entryRelationship:encounter.encounter.moodCode
Control	1..1
Requirements	This encounter SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-8319).
Pattern Value	EVN
39. Act.entryRelationship:encounter.encounter.id
Control	1..1
Requirements	This encounter SHALL contain exactly one [1..1] id (CONF:1098-8320).
Invariants	Defined on this element 1098-16849: Set the encounter ID to the ID of an encounter in another section to signify they are the same encounter (CONF:1098-16849). (: null)
40. Act.entryRelationship:instruction
SliceName	instruction
Control	0..1
Requirements	MAY contain zero or one [0..1] entryRelationship (CONF:1098-8322) such that it
41. Act.entryRelationship:instruction.typeCode
Control	1..1
Requirements	SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-8323).
Pattern Value	SUBJ
42. Act.entryRelationship:instruction.inversionInd
Control	1..1
Requirements	SHALL contain exactly one [1..1] @inversionInd="true" true (CONF:1098-8324).
Pattern Value	true
43. Act.entryRelationship:instruction.act
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Act(Instruction)
Requirements	SHALL contain exactly one [1..1] Instruction (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.20:2014-06-09) (CONF:1098-31396).
44. Act.entryRelationship:indication
SliceName	indication
Control	0..*
Requirements	MAY contain zero or more [0..*] entryRelationship (CONF:1098-8326) such that it
45. Act.entryRelationship:indication.typeCode
Control	1..1
Requirements	SHALL contain exactly one [1..1] @typeCode="RSON" Has Reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-8327).
Pattern Value	RSON
46. Act.entryRelationship:indication.observation
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Observation(Indication)
Requirements	SHALL contain exactly one [1..1] Indication (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.19:2014-06-09) (CONF:1098-15601).
47. Act.entryRelationship:medication
SliceName	medication
Control	0..*
Requirements	MAY contain zero or more [0..*] entryRelationship (CONF:1098-8329) such that it
48. Act.entryRelationship:medication.typeCode
Control	1..1
Requirements	SHALL contain exactly one [1..1] @typeCode="COMP" Has Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-8330).
Pattern Value	COMP
49. Act.entryRelationship:medication.substanceAdministration
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration(MedicationActivity)
Requirements	SHALL contain exactly one [1..1] Medication Activity (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.16:2014-06-09) (CONF:1098-15602).

Guidance on how to interpret the contents of this table can be found here.

1. Act
Definition	Base definition for all types defined in FHIR type system.
Control	10..1*
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
2. Act.classCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-8289).
Pattern Value	ACT
3. Act.moodCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-8290).
Pattern Value	EVN
4. 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	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/II
Slicing	This element introduces a set of slices on Act.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ root value @ root,
5. Act.templateId:primary
SliceName	primary
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/fhir/cda/StructureDefinition/II
Requirements	SHALL contain exactly one [1..1] templateId (CONF:1098-8291) such that it
6. Act.templateId:primary.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
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.12" (CONF:1098-10519).
Pattern Value	2.16.840.1.113883.10.20.22.4.12
7. Act.templateId:primary.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32505).
Pattern Value	2014-06-09
8. Act.id
Control	1..*
Type	http://hl7.org/fhir/cda/StructureDefinition/II
Requirements	SHALL contain at least one [1..*] id (CONF:1098-8292).
9. Act.code
Control	1..1
Binding	The codes SHALL be taken from v3 Code System ActCode; other codes may be used where these codes are not suitable
Type	http://hl7.org/fhir/cda/StructureDefinition/CD
Requirements	SHALL contain exactly one [1..1] code (CONF:1098-8293).
Invariants	Defined on this element 1098-19190: This @code SHOULD be selected from LOINC (CodeSystem: 2.16.840.1.113883.6.1) or SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96), and MAY be selected from CPT-4 (CodeSystem: 2.16.840.1.113883.6.12) or ICD10 PCS (CodeSystem: 2.16.840.1.113883.6.4) or CDT-2 (Code System: 2.16.840.1.113883.6.13) (CONF:1098-19190). (: null)
10. Act.code.originalText
Definition	The text or phrase used as the basis for the coding.
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ED
Requirements	This code SHOULD contain zero or one [0..1] originalText (CONF:1098-19186).
11. Act.code.originalText.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/fhir/cda/StructureDefinition/TEL
Requirements	The originalText, if present, MAY contain zero or one [0..1] reference (CONF:1098-19187).
12. Act.code.originalText.reference.value
Control	0..1
Type	uri
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	The reference, if present, MAY contain zero or one [0..1] @value (CONF:1098-19188).
Invariants	Defined on this element 1098-19189: This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:1098-19189). (: null)
13. Act.statusCode
Control	1..1
Binding	The codes SHALL be taken from ActStatus
Type	http://hl7.org/fhir/cda/StructureDefinition/CS
Requirements	SHALL contain exactly one [1..1] statusCode (CONF:1098-8298).
14. 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.
Control	1..1
Binding	The codes SHALL be taken from ProcedureAct statusCode
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ProcedureAct statusCode urn:oid:2.16.840.1.113883.11.20.9.22 STATIC 2014-04-23 (CONF:1098-32364).
15. Act.statusCode.codeSystem
Definition	Specifies the code system that defines the code.
Control	0..0
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
16. Act.statusCode.codeSystemName
Definition	The common name of the coding system.
Control	0..0
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
17. Act.statusCode.codeSystemVersion
Definition	If applicable, a version descriptor defined specifically for the given code system.
Control	0..0
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
18. 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
XML Representation	In the XML format, this property is represented as an attribute.
19. Act.statusCode.originalText
Definition	The text or phrase used as the basis for the coding.
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/ED
20. Act.statusCode.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/CR
21. 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/fhir/cda/StructureDefinition/CD
XML Representation	The type of this property is determined using the xsi:type attribute.
22. Act.effectiveTime
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/IVL-TS
Requirements	SHALL contain exactly one [1..1] effectiveTime (CONF:1098-8299).
23. Act.priorityCode
Control	0..1
Binding	The codes SHALL be taken from ActPriority
Type	http://hl7.org/fhir/cda/StructureDefinition/CE
Requirements	MAY contain zero or one [0..1] priorityCode, which SHALL be selected from ValueSet ActPriority urn:oid:2.16.840.1.113883.1.11.16866 DYNAMIC (CONF:1098-8300).
24. Act.performer
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Performer2
Requirements	SHOULD contain zero or more [0..*] performer (CONF:1098-8301).
25. Act.performer.assignedEntity
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity
Requirements	The performer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1098-8302).
26. Act.performer.assignedEntity.classCode
Control	1..1
Binding	The codes SHALL be taken from RoleClassAssignedEntity
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	ASSIGNED
Fixed Value	ASSIGNED
27. Act.performer.assignedEntity.id
Control	1..*
Type	http://hl7.org/fhir/cda/StructureDefinition/II
Requirements	This assignedEntity SHALL contain at least one [1..*] id (CONF:1098-8303).
28. Act.performer.assignedEntity.addr
Control	1..*
Type	http://hl7.org/fhir/cda/StructureDefinition/AD
Requirements	This assignedEntity SHALL contain at least one [1..*] addr (CONF:1098-8304).
29. Act.performer.assignedEntity.telecom
Control	1..*
Type	http://hl7.org/fhir/cda/StructureDefinition/TEL
Requirements	This assignedEntity SHALL contain at least one [1..*] telecom (CONF:1098-8305).
30. Act.performer.assignedEntity.representedOrganization
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Organization
Requirements	This assignedEntity SHOULD contain zero or one [0..1] representedOrganization (CONF:1098-8306).
31. Act.performer.assignedEntity.representedOrganization.classCode
Control	1..1
Binding	The codes SHALL be taken from EntityClassOrganization
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	ORG
Fixed Value	ORG
32. Act.performer.assignedEntity.representedOrganization.determinerCode
Control	1..1
Binding	The codes SHALL be taken from EntityDeterminer
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	INSTANCE
Fixed Value	INSTANCE
33. Act.performer.assignedEntity.representedOrganization.id
Definition	The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Control	0..*1
Type	http://hl7.org/fhir/cda/StructureDefinition/IIid
Requirements	The representedOrganization, if present, SHOULD contain zero or more [0..*] id (CONF:1098-8307).
Comments	Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.
34. Act.performer.assignedEntity.representedOrganization.name
Definition	A name associated with the organization.
Control	0..*1 This element is affected by the following invariants: org-1
Type	http://hl7.org/fhir/cda/StructureDefinition/ONstring
Requirements	The representedOrganization, if present, MAY contain zero or more [0..*] name (CONF:1098-8308). Need to use the name as the label of the organization.
Comments	If the name of an organization changes, consider putting the old name in the alias column so that it can still be located through searches.
35. Act.performer.assignedEntity.representedOrganization.telecom
Control	1..*
Type	http://hl7.org/fhir/cda/StructureDefinition/TEL
Requirements	The representedOrganization, if present, SHALL contain at least one [1..*] telecom (CONF:1098-8310).
36. Act.performer.assignedEntity.representedOrganization.addr
Control	1..*
Type	http://hl7.org/fhir/cda/StructureDefinition/AD
Requirements	The representedOrganization, if present, SHALL contain at least one [1..*] addr (CONF:1098-8309).
37. Act.author
Definition	Base definition for all types defined in FHIR type system.
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Author(AuthorParticipation)
Requirements	SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-32477).
Comments	201810 Errata STU Comment 1619: Updated cardinality from incorrect [1..] to correct [0..]
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
38. Act.participant
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Participant2
Slicing	This element introduces a set of slices on Act.participant. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ typeCode
39. Act.participant:location
SliceName	location
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Participant2
Requirements	MAY contain zero or more [0..*] participant (CONF:1098-8311) such that it
40. Act.participant:location.typeCode
Control	1..1
Binding	The codes SHALL be taken from ParticipationType
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @typeCode="LOC" Location (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1098-8312).
Pattern Value	LOC
41. Act.participant:location.participantRole
Definition	Base definition for all types defined in FHIR type system.
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ParticipantRole(ServiceDeliveryLocation)
Requirements	SHALL contain exactly one [1..1] Service Delivery Location (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.32) (CONF:1098-15599).
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
42. Act.entryRelationship
Control	0..*
Type	Element
Invariants	Defined on this element act-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation \| regionOfInterest \| observationMedia \| substanceAdministration \| supply \| procedure \| encounter \| organizer \| act).count() = 1) ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
Slicing	This element introduces a set of slices on Act.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators: profile @ encounter profile @ encounter, profile @ encounter, profile @ encounter,
43. Act.entryRelationship.typeCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
44. Act.entryRelationship.contextConductionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	true
45. Act.entryRelationship:encounter
SliceName	encounter
Control	0..*
Type	Element
Requirements	MAY contain zero or more [0..*] entryRelationship (CONF:1098-8314) such that it
Invariants	Defined on this element act-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation \| regionOfInterest \| observationMedia \| substanceAdministration \| supply \| procedure \| encounter \| organizer \| act).count() = 1) ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
46. Act.entryRelationship:encounter.typeCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @typeCode="COMP" Has Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-8315).
Pattern Value	COMP
47. Act.entryRelationship:encounter.inversionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @inversionInd="true" true (CONF:1098-8316).
Pattern Value	true
48. Act.entryRelationship:encounter.contextConductionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	true
49. Act.entryRelationship:encounter.observation
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Observation
50. Act.entryRelationship:encounter.regionOfInterest
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
51. Act.entryRelationship:encounter.observationMedia
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
52. Act.entryRelationship:encounter.substanceAdministration
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
53. Act.entryRelationship:encounter.supply
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Supply
54. Act.entryRelationship:encounter.procedure
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Procedure
55. Act.entryRelationship:encounter.encounter
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Encounter
Requirements	SHALL contain exactly one [1..1] encounter (CONF:1098-8317).
56. Act.entryRelationship:encounter.organizer
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Organizer
57. Act.entryRelationship:encounter.act
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Act
58. Act.entryRelationship:instruction
SliceName	instruction
Control	0..1
Type	Element
Requirements	MAY contain zero or one [0..1] entryRelationship (CONF:1098-8322) such that it
Invariants	Defined on this element act-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation \| regionOfInterest \| observationMedia \| substanceAdministration \| supply \| procedure \| encounter \| organizer \| act).count() = 1) ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
59. Act.entryRelationship:instruction.typeCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-8323).
Pattern Value	SUBJ
60. Act.entryRelationship:instruction.inversionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @inversionInd="true" true (CONF:1098-8324).
Pattern Value	true
61. Act.entryRelationship:instruction.contextConductionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	true
62. Act.entryRelationship:instruction.observation
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Observation
63. Act.entryRelationship:instruction.regionOfInterest
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
64. Act.entryRelationship:instruction.observationMedia
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
65. Act.entryRelationship:instruction.substanceAdministration
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
66. Act.entryRelationship:instruction.supply
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Supply
67. Act.entryRelationship:instruction.procedure
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Procedure
68. Act.entryRelationship:instruction.encounter
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Encounter
69. Act.entryRelationship:instruction.organizer
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Organizer
70. Act.entryRelationship:instruction.act
Definition	Base definition for all types defined in FHIR type system.
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Act(Instruction)
Requirements	SHALL contain exactly one [1..1] Instruction (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.20:2014-06-09) (CONF:1098-31396).
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
71. Act.entryRelationship:indication
SliceName	indication
Control	0..*
Type	Element
Requirements	MAY contain zero or more [0..*] entryRelationship (CONF:1098-8326) such that it
Invariants	Defined on this element act-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation \| regionOfInterest \| observationMedia \| substanceAdministration \| supply \| procedure \| encounter \| organizer \| act).count() = 1) ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
72. Act.entryRelationship:indication.typeCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @typeCode="RSON" Has Reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-8327).
Pattern Value	RSON
73. Act.entryRelationship:indication.contextConductionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	true
74. Act.entryRelationship:indication.observation
Definition	Base definition for all types defined in FHIR type system.
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Observation(Indication)
Requirements	SHALL contain exactly one [1..1] Indication (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.19:2014-06-09) (CONF:1098-15601).
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
75. Act.entryRelationship:indication.regionOfInterest
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
76. Act.entryRelationship:indication.observationMedia
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
77. Act.entryRelationship:indication.substanceAdministration
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
78. Act.entryRelationship:indication.supply
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Supply
79. Act.entryRelationship:indication.procedure
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Procedure
80. Act.entryRelationship:indication.encounter
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Encounter
81. Act.entryRelationship:indication.organizer
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Organizer
82. Act.entryRelationship:indication.act
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Act
83. Act.entryRelationship:medication
SliceName	medication
Control	0..*
Type	Element
Requirements	MAY contain zero or more [0..*] entryRelationship (CONF:1098-8329) such that it
Invariants	Defined on this element act-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation \| regionOfInterest \| observationMedia \| substanceAdministration \| supply \| procedure \| encounter \| organizer \| act).count() = 1) ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
84. Act.entryRelationship:medication.typeCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @typeCode="COMP" Has Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-8330).
Pattern Value	COMP
85. Act.entryRelationship:medication.contextConductionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	true
86. Act.entryRelationship:medication.observation
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Observation
87. Act.entryRelationship:medication.regionOfInterest
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
88. Act.entryRelationship:medication.observationMedia
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
89. Act.entryRelationship:medication.substanceAdministration
Definition	Base definition for all types defined in FHIR type system.
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration(MedicationActivity)
Requirements	SHALL contain exactly one [1..1] Medication Activity (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.16:2014-06-09) (CONF:1098-15602).
Invariants	Defined on this element 1098-30800: Medication Activity SHOULD include doseQuantity OR rateQuantity (CONF:1098-30800). (: null) ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
90. Act.entryRelationship:medication.supply
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Supply
91. Act.entryRelationship:medication.procedure
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Procedure
92. Act.entryRelationship:medication.encounter
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Encounter
93. Act.entryRelationship:medication.organizer
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Organizer
94. Act.entryRelationship:medication.act
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Act

Guidance on how to interpret the contents of this table can be found here.

1. Act
Definition	Base definition for all types defined in FHIR type system.
Control	1..1
2. Act.classCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-8289).
Pattern Value	ACT
3. Act.moodCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-8290).
Pattern Value	EVN
4. Act.realmCode
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/CS
5. Act.typeId
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/II
6. 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	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/II
Slicing	This element introduces a set of slices on Act.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ root value @ root,
7. Act.templateId:primary
SliceName	primary
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/fhir/cda/StructureDefinition/II
Requirements	SHALL contain exactly one [1..1] templateId (CONF:1098-8291) such that it
8. Act.templateId:primary.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 NullFlavor
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
9. Act.templateId:primary.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
XML Representation	In the XML format, this property is represented as an attribute.
10. Act.templateId:primary.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
XML Representation	In the XML format, this property is represented as an attribute.
11. Act.templateId:primary.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
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.12" (CONF:1098-10519).
Pattern Value	2.16.840.1.113883.10.20.22.4.12
12. Act.templateId:primary.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32505).
Pattern Value	2014-06-09
13. Act.id
Control	1..*
Type	http://hl7.org/fhir/cda/StructureDefinition/II
Requirements	SHALL contain at least one [1..*] id (CONF:1098-8292).
14. Act.code
Control	1..1
Binding	The codes SHALL be taken from v3 Code System ActCode; other codes may be used where these codes are not suitable
Type	http://hl7.org/fhir/cda/StructureDefinition/CD
Requirements	SHALL contain exactly one [1..1] code (CONF:1098-8293).
Invariants	Defined on this element 1098-19190: This @code SHOULD be selected from LOINC (CodeSystem: 2.16.840.1.113883.6.1) or SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96), and MAY be selected from CPT-4 (CodeSystem: 2.16.840.1.113883.6.12) or ICD10 PCS (CodeSystem: 2.16.840.1.113883.6.4) or CDT-2 (Code System: 2.16.840.1.113883.6.13) (CONF:1098-19190). (: )
15. 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 NullFlavor
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
16. 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	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
17. Act.code.codeSystem
Definition	Specifies the code system that defines the code.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
18. Act.code.codeSystemName
Definition	The common name of the coding system.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
19. Act.code.codeSystemVersion
Definition	If applicable, a version descriptor defined specifically for the given code system.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
20. 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
XML Representation	In the XML format, this property is represented as an attribute.
21. 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
XML Representation	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`.
22. 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
XML Representation	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`.
23. Act.code.originalText
Definition	The text or phrase used as the basis for the coding.
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ED
Requirements	This code SHOULD contain zero or one [0..1] originalText (CONF:1098-19186).
24. Act.code.originalText.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 NullFlavor
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
25. Act.code.originalText.charset
Definition	For character-based encoding types, this property specifies the character set and character encoding used. The charset shall be identified by an Internet Assigned Numbers Authority (IANA) Charset Registration [] in accordance with RFC 2978 [].
Control	0..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
26. Act.code.originalText.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 CompressionAlgorithm
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
27. Act.code.originalText.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
XML Representation	In the XML format, this property is represented as an attribute.
28. Act.code.originalText.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
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
29. Act.code.originalText.language
Definition	For character based information the language property specifies the human language of the text.
Control	0..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
30. Act.code.originalText.mediaType
Definition	Identifies the type of the encapsulated data and identifies a method to interpret or render the data.
Control	0..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
31. Act.code.originalText.representation
Control	0..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
32. Act.code.originalText.data[x]
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.)
Control	0..1
Type	Choice of: string, base64Binary
[x] Note	See Choice of Data Types for further information about how to use [x]
XML Representation	In the XML format, this property is represented as unadorned text.
33. Act.code.originalText.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/fhir/cda/StructureDefinition/TEL
Requirements	The originalText, if present, MAY contain zero or one [0..1] reference (CONF:1098-19187).
34. Act.code.originalText.reference.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from NullFlavor
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
35. Act.code.originalText.reference.value
Control	0..1
Type	uri
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	The reference, if present, MAY contain zero or one [0..1] @value (CONF:1098-19188).
Invariants	Defined on this element 1098-19189: This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:1098-19189). (: )
36. Act.code.originalText.reference.useablePeriod
Definition	Specifies the periods of time during which the telecommunication address can be used. For a telephone number, this can indicate the time of day in which the party can be reached on that telephone. For a web address, it may specify a time range in which the web content is promised to be available under the given address.
Control	0..*
Type	Choice of: http://hl7.org/fhir/cda/StructureDefinition/IVL-TS, http://hl7.org/fhir/cda/StructureDefinition/EIVL-TS, http://hl7.org/fhir/cda/StructureDefinition/PIVL-TS, http://hl7.org/fhir/cda/StructureDefinition/SXPR-TS
Default Type	http://hl7.org/fhir/cda/StructureDefinition/SXPR-TS
XML Representation	The type of this property is determined using the xsi:type attribute.
37. Act.code.originalText.reference.use
Definition	One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need.
Control	0..*
Binding	The codes SHALL be taken from AddressUse
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
38. Act.code.originalText.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/fhir/cda/StructureDefinition/ED
39. Act.code.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/CR
40. 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/fhir/cda/StructureDefinition/CD
XML Representation	The type of this property is determined using the xsi:type attribute.
41. Act.negationInd
Control	0..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
42. Act.text
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ED
43. Act.statusCode
Control	1..1
Binding	The codes SHALL be taken from ActStatus
Type	http://hl7.org/fhir/cda/StructureDefinition/CS
Requirements	SHALL contain exactly one [1..1] statusCode (CONF:1098-8298).
44. 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 NullFlavor
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
45. 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.
Control	1..1
Binding	The codes SHALL be taken from ProcedureAct statusCode
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ProcedureAct statusCode urn:oid:2.16.840.1.113883.11.20.9.22 STATIC 2014-04-23 (CONF:1098-32364).
46. Act.statusCode.codeSystem
Definition	Specifies the code system that defines the code.
Control	0..0
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
47. Act.statusCode.codeSystemName
Definition	The common name of the coding system.
Control	0..0
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
48. Act.statusCode.codeSystemVersion
Definition	If applicable, a version descriptor defined specifically for the given code system.
Control	0..0
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
49. 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
XML Representation	In the XML format, this property is represented as an attribute.
50. 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
XML Representation	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`.
51. 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
XML Representation	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`.
52. Act.statusCode.originalText
Definition	The text or phrase used as the basis for the coding.
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/ED
53. Act.statusCode.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/CR
54. 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/fhir/cda/StructureDefinition/CD
XML Representation	The type of this property is determined using the xsi:type attribute.
55. Act.effectiveTime
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/IVL-TS
Requirements	SHALL contain exactly one [1..1] effectiveTime (CONF:1098-8299).
56. Act.priorityCode
Control	0..1
Binding	The codes SHALL be taken from ActPriority
Type	http://hl7.org/fhir/cda/StructureDefinition/CE
Requirements	MAY contain zero or one [0..1] priorityCode, which SHALL be selected from ValueSet ActPriority urn:oid:2.16.840.1.113883.1.11.16866 DYNAMIC (CONF:1098-8300).
57. Act.languageCode
Control	0..1
Binding	The codes SHALL be taken from HumanLanguage
Type	http://hl7.org/fhir/cda/StructureDefinition/CS
58. Act.subject
Control	0..1
Type	Element
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
59. Act.subject.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Summary	false
60. Act.subject.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control	0..*
Type	Extension
Summary	false
Alternate Names	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Slicing	This element introduces a set of slices on Act.subject.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
61. Act.subject.typeCode
Control	1..1
Binding	The codes SHALL be taken from ParticipationTargetSubject
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	SBJ
Fixed Value	SBJ
62. Act.subject.contextControlCode
Control	1..1
Binding	The codes SHALL be taken from ContextControl
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	OP
Fixed Value	OP
63. Act.subject.awarenessCode
Control	0..1
Binding	The codes SHALL be taken from TargetAwareness; other codes may be used where these codes are not suitable
Type	http://hl7.org/fhir/cda/StructureDefinition/CE
64. Act.subject.relatedSubject
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/RelatedSubject
65. Act.specimen
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Specimen
66. Act.performer
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Performer2
Requirements	SHOULD contain zero or more [0..*] performer (CONF:1098-8301).
67. Act.performer.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 NullFlavor
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
68. Act.performer.typeCode
Control	0..1
Binding	The codes SHALL be taken from ParticipationPhysicalPerformer
Type	code(cs)
XML Representation	In the XML format, this property is represented as an attribute.
Fixed Value	PRF
69. Act.performer.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/fhir/cda/StructureDefinition/CS
70. Act.performer.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/fhir/cda/StructureDefinition/II
71. Act.performer.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/fhir/cda/StructureDefinition/II
72. Act.performer.functionCode
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/CE
XML Representation	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.
73. Act.performer.time
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/IVL-TS
74. Act.performer.modeCode
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/CE
75. Act.performer.assignedEntity
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity
Requirements	The performer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1098-8302).
76. Act.performer.assignedEntity.classCode
Control	1..1
Binding	The codes SHALL be taken from RoleClassAssignedEntity
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	ASSIGNED
Fixed Value	ASSIGNED
77. Act.performer.assignedEntity.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/fhir/cda/StructureDefinition/II
78. Act.performer.assignedEntity.id
Control	1..*
Type	http://hl7.org/fhir/cda/StructureDefinition/II
Requirements	This assignedEntity SHALL contain at least one [1..*] id (CONF:1098-8303).
79. Act.performer.assignedEntity.sdtcIdentifiedBy
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/IdentifiedBy
XML Representation	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name `identifiedBy`.
80. Act.performer.assignedEntity.code
Control	0..1
Binding	The codes SHALL be taken from v3 Code System RoleCode; other codes may be used where these codes are not suitable
Type	http://hl7.org/fhir/cda/StructureDefinition/CE
81. Act.performer.assignedEntity.addr
Control	1..*
Type	http://hl7.org/fhir/cda/StructureDefinition/AD
Requirements	This assignedEntity SHALL contain at least one [1..*] addr (CONF:1098-8304).
82. Act.performer.assignedEntity.telecom
Control	1..*
Type	http://hl7.org/fhir/cda/StructureDefinition/TEL
Requirements	This assignedEntity SHALL contain at least one [1..*] telecom (CONF:1098-8305).
83. Act.performer.assignedEntity.assignedPerson
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Person
84. Act.performer.assignedEntity.representedOrganization
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Organization
Requirements	This assignedEntity SHOULD contain zero or one [0..1] representedOrganization (CONF:1098-8306).
85. Act.performer.assignedEntity.representedOrganization.classCode
Control	1..1
Binding	The codes SHALL be taken from EntityClassOrganization
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	ORG
Fixed Value	ORG
86. Act.performer.assignedEntity.representedOrganization.determinerCode
Control	1..1
Binding	The codes SHALL be taken from EntityDeterminer
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	INSTANCE
Fixed Value	INSTANCE
87. Act.performer.assignedEntity.representedOrganization.templateId
Definition	When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/II
88. Act.performer.assignedEntity.representedOrganization.id
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/II
Requirements	The representedOrganization, if present, SHOULD contain zero or more [0..*] id (CONF:1098-8307).
89. Act.performer.assignedEntity.representedOrganization.name
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/ON
Requirements	The representedOrganization, if present, MAY contain zero or more [0..*] name (CONF:1098-8308).
90. Act.performer.assignedEntity.representedOrganization.telecom
Control	1..*
Type	http://hl7.org/fhir/cda/StructureDefinition/TEL
Requirements	The representedOrganization, if present, SHALL contain at least one [1..*] telecom (CONF:1098-8310).
91. Act.performer.assignedEntity.representedOrganization.addr
Control	1..*
Type	http://hl7.org/fhir/cda/StructureDefinition/AD
Requirements	The representedOrganization, if present, SHALL contain at least one [1..*] addr (CONF:1098-8309).
92. Act.performer.assignedEntity.representedOrganization.standardIndustryClassCode
Control	0..1
Binding	The codes SHALL be taken from OrganizationIndustryClassNAICS; other codes may be used where these codes are not suitable
Type	http://hl7.org/fhir/cda/StructureDefinition/CE
93. Act.performer.assignedEntity.representedOrganization.asOrganizationPartOf
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/OrganizationPartOf
94. Act.author
Definition	Base definition for all types defined in FHIR type system.
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Author(AuthorParticipation)
Requirements	SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-32477).
Comments	201810 Errata STU Comment 1619: Updated cardinality from incorrect [1..] to correct [0..]
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
95. Act.informant
Control	0..*
Type	Element
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
96. Act.informant.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Summary	false
97. Act.informant.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control	0..*
Type	Extension
Summary	false
Alternate Names	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Slicing	This element introduces a set of slices on Act.informant.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
98. Act.informant.typeCode
Control	1..1
Binding	The codes SHALL be taken from ParticipationInformationGenerator
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	INF
Fixed Value	INF
99. Act.informant.contextControlCode
Control	1..1
Binding	The codes SHALL be taken from ContextControl
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	OP
Fixed Value	OP
100. Act.informant.assignedEntity
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity
101. Act.informant.relatedEntity
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/RelatedEntity
102. Act.participant
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Participant2
Slicing	This element introduces a set of slices on Act.participant. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ typeCode
103. Act.participant:location
SliceName	location
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Participant2
Requirements	MAY contain zero or more [0..*] participant (CONF:1098-8311) such that it
104. Act.participant:location.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 NullFlavor
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
105. Act.participant:location.typeCode
Control	1..1
Binding	The codes SHALL be taken from ParticipationType
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @typeCode="LOC" Location (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1098-8312).
Pattern Value	LOC
106. Act.participant:location.contextControlCode
Control	0..1
Binding	The codes SHALL be taken from ContextControl
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Fixed Value	OP
107. Act.participant:location.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/fhir/cda/StructureDefinition/CS
108. Act.participant:location.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/fhir/cda/StructureDefinition/II
109. Act.participant:location.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/fhir/cda/StructureDefinition/II
110. Act.participant:location.sdtcFunctionCode
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/CE
XML Representation	In the XML format, this property has the namespace `urn:hl7-org:sdtc`.In the XML format, this property has the actual name `functionCode`.
111. Act.participant:location.time
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/IVL-TS
112. Act.participant:location.awarenessCode
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/CE
113. Act.participant:location.participantRole
Definition	Base definition for all types defined in FHIR type system.
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ParticipantRole(ServiceDeliveryLocation)
Requirements	SHALL contain exactly one [1..1] Service Delivery Location (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.32) (CONF:1098-15599).
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
114. Act.entryRelationship
Control	0..*
Type	Element
Invariants	Defined on this element act-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation \| regionOfInterest \| observationMedia \| substanceAdministration \| supply \| procedure \| encounter \| organizer \| act).count() = 1) ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
Slicing	This element introduces a set of slices on Act.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators: profile @ encounter profile @ encounter, profile @ encounter, profile @ encounter,
115. Act.entryRelationship.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Summary	false
116. Act.entryRelationship.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control	0..*
Type	Extension
Summary	false
Alternate Names	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Slicing	This element introduces a set of slices on Act.entryRelationship.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
117. Act.entryRelationship.typeCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
118. Act.entryRelationship.inversionInd
Control	0..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
119. Act.entryRelationship.contextConductionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	true
120. Act.entryRelationship.sequenceNumber
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/INT
121. Act.entryRelationship.negationInd
Control	0..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
122. Act.entryRelationship.seperatableInd
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/BL
123. Act.entryRelationship.observation
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Observation
124. Act.entryRelationship.regionOfInterest
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
125. Act.entryRelationship.observationMedia
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
126. Act.entryRelationship.substanceAdministration
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
127. Act.entryRelationship.supply
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Supply
128. Act.entryRelationship.procedure
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Procedure
129. Act.entryRelationship.encounter
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Encounter
130. Act.entryRelationship.organizer
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Organizer
131. Act.entryRelationship.act
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Act
132. Act.entryRelationship:encounter
SliceName	encounter
Control	0..*
Type	Element
Requirements	MAY contain zero or more [0..*] entryRelationship (CONF:1098-8314) such that it
Invariants	Defined on this element act-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation \| regionOfInterest \| observationMedia \| substanceAdministration \| supply \| procedure \| encounter \| organizer \| act).count() = 1) ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
133. Act.entryRelationship:encounter.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Summary	false
134. Act.entryRelationship:encounter.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control	0..*
Type	Extension
Summary	false
Alternate Names	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Slicing	This element introduces a set of slices on Act.entryRelationship.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
135. Act.entryRelationship:encounter.typeCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @typeCode="COMP" Has Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-8315).
Pattern Value	COMP
136. Act.entryRelationship:encounter.inversionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @inversionInd="true" true (CONF:1098-8316).
Pattern Value	true
137. Act.entryRelationship:encounter.contextConductionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	true
138. Act.entryRelationship:encounter.sequenceNumber
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/INT
139. Act.entryRelationship:encounter.negationInd
Control	0..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
140. Act.entryRelationship:encounter.seperatableInd
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/BL
141. Act.entryRelationship:encounter.observation
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Observation
142. Act.entryRelationship:encounter.regionOfInterest
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
143. Act.entryRelationship:encounter.observationMedia
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
144. Act.entryRelationship:encounter.substanceAdministration
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
145. Act.entryRelationship:encounter.supply
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Supply
146. Act.entryRelationship:encounter.procedure
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Procedure
147. Act.entryRelationship:encounter.encounter
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Encounter
Requirements	SHALL contain exactly one [1..1] encounter (CONF:1098-8317).
148. Act.entryRelationship:encounter.organizer
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Organizer
149. Act.entryRelationship:encounter.act
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Act
150. Act.entryRelationship:instruction
SliceName	instruction
Control	0..1
Type	Element
Requirements	MAY contain zero or one [0..1] entryRelationship (CONF:1098-8322) such that it
Invariants	Defined on this element act-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation \| regionOfInterest \| observationMedia \| substanceAdministration \| supply \| procedure \| encounter \| organizer \| act).count() = 1) ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
151. Act.entryRelationship:instruction.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Summary	false
152. Act.entryRelationship:instruction.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control	0..*
Type	Extension
Summary	false
Alternate Names	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Slicing	This element introduces a set of slices on Act.entryRelationship.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
153. Act.entryRelationship:instruction.typeCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-8323).
Pattern Value	SUBJ
154. Act.entryRelationship:instruction.inversionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @inversionInd="true" true (CONF:1098-8324).
Pattern Value	true
155. Act.entryRelationship:instruction.contextConductionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	true
156. Act.entryRelationship:instruction.sequenceNumber
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/INT
157. Act.entryRelationship:instruction.negationInd
Control	0..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
158. Act.entryRelationship:instruction.seperatableInd
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/BL
159. Act.entryRelationship:instruction.observation
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Observation
160. Act.entryRelationship:instruction.regionOfInterest
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
161. Act.entryRelationship:instruction.observationMedia
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
162. Act.entryRelationship:instruction.substanceAdministration
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
163. Act.entryRelationship:instruction.supply
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Supply
164. Act.entryRelationship:instruction.procedure
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Procedure
165. Act.entryRelationship:instruction.encounter
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Encounter
166. Act.entryRelationship:instruction.organizer
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Organizer
167. Act.entryRelationship:instruction.act
Definition	Base definition for all types defined in FHIR type system.
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Act(Instruction)
Requirements	SHALL contain exactly one [1..1] Instruction (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.20:2014-06-09) (CONF:1098-31396).
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
168. Act.entryRelationship:indication
SliceName	indication
Control	0..*
Type	Element
Requirements	MAY contain zero or more [0..*] entryRelationship (CONF:1098-8326) such that it
Invariants	Defined on this element act-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation \| regionOfInterest \| observationMedia \| substanceAdministration \| supply \| procedure \| encounter \| organizer \| act).count() = 1) ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
169. Act.entryRelationship:indication.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Summary	false
170. Act.entryRelationship:indication.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control	0..*
Type	Extension
Summary	false
Alternate Names	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Slicing	This element introduces a set of slices on Act.entryRelationship.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
171. Act.entryRelationship:indication.typeCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @typeCode="RSON" Has Reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-8327).
Pattern Value	RSON
172. Act.entryRelationship:indication.inversionInd
Control	0..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
173. Act.entryRelationship:indication.contextConductionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	true
174. Act.entryRelationship:indication.sequenceNumber
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/INT
175. Act.entryRelationship:indication.negationInd
Control	0..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
176. Act.entryRelationship:indication.seperatableInd
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/BL
177. Act.entryRelationship:indication.observation
Definition	Base definition for all types defined in FHIR type system.
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Observation(Indication)
Requirements	SHALL contain exactly one [1..1] Indication (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.19:2014-06-09) (CONF:1098-15601).
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
178. Act.entryRelationship:indication.regionOfInterest
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
179. Act.entryRelationship:indication.observationMedia
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
180. Act.entryRelationship:indication.substanceAdministration
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
181. Act.entryRelationship:indication.supply
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Supply
182. Act.entryRelationship:indication.procedure
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Procedure
183. Act.entryRelationship:indication.encounter
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Encounter
184. Act.entryRelationship:indication.organizer
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Organizer
185. Act.entryRelationship:indication.act
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Act
186. Act.entryRelationship:medication
SliceName	medication
Control	0..*
Type	Element
Requirements	MAY contain zero or more [0..*] entryRelationship (CONF:1098-8329) such that it
Invariants	Defined on this element act-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation \| regionOfInterest \| observationMedia \| substanceAdministration \| supply \| procedure \| encounter \| organizer \| act).count() = 1) ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
187. Act.entryRelationship:medication.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Summary	false
188. Act.entryRelationship:medication.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control	0..*
Type	Extension
Summary	false
Alternate Names	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Slicing	This element introduces a set of slices on Act.entryRelationship.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
189. Act.entryRelationship:medication.typeCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @typeCode="COMP" Has Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-8330).
Pattern Value	COMP
190. Act.entryRelationship:medication.inversionInd
Control	0..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
191. Act.entryRelationship:medication.contextConductionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	true
192. Act.entryRelationship:medication.sequenceNumber
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/INT
193. Act.entryRelationship:medication.negationInd
Control	0..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
194. Act.entryRelationship:medication.seperatableInd
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/BL
195. Act.entryRelationship:medication.observation
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Observation
196. Act.entryRelationship:medication.regionOfInterest
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
197. Act.entryRelationship:medication.observationMedia
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
198. Act.entryRelationship:medication.substanceAdministration
Definition	Base definition for all types defined in FHIR type system.
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration(MedicationActivity)
Requirements	SHALL contain exactly one [1..1] Medication Activity (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.16:2014-06-09) (CONF:1098-15602).
Invariants	Defined on this element 1098-30800: Medication Activity SHOULD include doseQuantity OR rateQuantity (CONF:1098-30800). (: ) ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
199. Act.entryRelationship:medication.supply
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Supply
200. Act.entryRelationship:medication.procedure
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Procedure
201. Act.entryRelationship:medication.encounter
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Encounter
202. Act.entryRelationship:medication.organizer
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Organizer
203. Act.entryRelationship:medication.act
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Act
204. Act.reference
Control	0..*
Type	Element
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
205. Act.reference.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Summary	false
206. Act.reference.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control	0..*
Type	Extension
Summary	false
Alternate Names	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Slicing	This element introduces a set of slices on Act.reference.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
207. Act.reference.typeCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
208. Act.reference.seperatableInd
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/BL
209. Act.reference.externalAct
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ExternalAct
210. Act.reference.externalObservation
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ExternalObservation
211. Act.reference.externalProcedure
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure
212. Act.reference.externalDocument
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ExternalDocument
213. Act.precondition
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Precondition