HL7.CDA.US.CCDA\Drug Monitoring 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: DrugMonitoringAct - Detailed Descriptions

Active as of 2023-01-16

Definitions for the 2.16.840.1.113883.10.20.22.4.123 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) (CONF:1098-30823).
Pattern Value	ACT
3. Act.moodCode
Requirements	SHALL contain exactly one [1..1] @moodCode="INT" (CONF:1098-28656).
Pattern Value	INT
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
5. Act.templateId:primary
SliceName	primary
Control	1..1
Requirements	SHALL contain exactly one [1..1] templateId (CONF:1098-28657) such that it
6. Act.templateId:primary.root
Control	1..1
Requirements	SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.123" (CONF:1098-28658).
Pattern Value	2.16.840.1.113883.10.20.22.4.123
7. Act.id
Control	10..*
Requirements	SHALL contain at least one [1..*] id (CONF:1098-31920).
8. Act.code
Requirements	SHALL contain exactly one [1..1] code (CONF:1098-28660).
9. Act.code.code
Control	1..1
Requirements	This code SHALL contain exactly one [1..1] @code="395170001" medication monitoring (regime/therapy) (CONF:1098-30818).
Pattern Value	395170001
10. Act.code.codeSystem
Control	1..1
Requirements	This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.96" (CodeSystem: SNOMED CT urn:oid:2.16.840.1.113883.6.96) (CONF:1098-30819).
Pattern Value	2.16.840.1.113883.6.96
11. Act.statusCode
Control	10..1
Requirements	SHALL contain exactly one [1..1] statusCode (CONF:1098-31921).
12. Act.statusCode.code
Control	1..1
Binding	The codes SHALL be taken from ActStatus
Requirements	This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ActStatus urn:oid:2.16.840.1.113883.1.11.15933 DYNAMIC (CONF:1098-32358).
13. Act.effectiveTime
Control	10..1
Requirements	SHALL contain exactly one [1..1] effectiveTime (CONF:1098-31922).
14. 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
15. Act.participant:participant1
SliceName	participant1
Control	1..*
Requirements	SHALL contain at least one [1..*] participant (CONF:1098-28661) such that it
16. Act.participant:participant1.typeCode
Control	1..1
Requirements	SHALL contain exactly one [1..1] @typeCode="RESP" (CONF:1098-28663).
Pattern Value	RESP
17. Act.participant:participant1.participantRole
Control	1..1
Requirements	SHALL contain exactly one [1..1] participantRole (CONF:1098-28662).
18. Act.participant:participant1.participantRole.classCode
Control	1..1
Requirements	This participantRole SHALL contain exactly one [1..1] @classCode="ASSIGNED" (CONF:1098-28664).
Pattern Value	ASSIGNED
19. Act.participant:participant1.participantRole.id
Control	1..*
Requirements	This participantRole SHALL contain at least one [1..*] id (CONF:1098-28665).
20. Act.participant:participant1.participantRole.playingEntity
Control	1..1
Requirements	This participantRole SHALL contain exactly one [1..1] playingEntity (CONF:1098-28667).
21. Act.participant:participant1.participantRole.playingEntity.classCode
Control	1..1
Requirements	This playingEntity SHALL contain exactly one [1..1] @classCode="PSN" (CONF:1098-28668).
Pattern Value	PSN
22. Act.participant:participant1.participantRole.playingEntity.name
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/PN(USRealmPersonNamePNUSFIELDED)
Requirements	This playingEntity SHALL contain exactly one [1..1] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:1098-28669).

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) (CONF:1098-30823).
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="INT" (CONF:1098-28656).
Pattern Value	INT
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
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:1098-28657) 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="2.16.840.1.113883.10.20.22.4.123" (CONF:1098-28658).
Pattern Value	2.16.840.1.113883.10.20.22.4.123
7. Act.id
Control	1..*
Type	http://hl7.org/fhir/cda/StructureDefinition/II
Requirements	SHALL contain at least one [1..*] id (CONF:1098-31920).
8. 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:1098-28660).
9. Act.code.code
Definition	The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.
Control	1..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	This code SHALL contain exactly one [1..1] @code="395170001" medication monitoring (regime/therapy) (CONF:1098-30818).
Pattern Value	395170001
10. Act.code.codeSystem
Definition	Specifies the code system that defines the code.
Control	1..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.96" (CodeSystem: SNOMED CT urn:oid:2.16.840.1.113883.6.96) (CONF:1098-30819).
Pattern Value	2.16.840.1.113883.6.96
11. 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:1098-31921).
12. 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 ActStatus
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 ActStatus urn:oid:2.16.840.1.113883.1.11.15933 DYNAMIC (CONF:1098-32358).
13. 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.
14. 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.
15. 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.
16. 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.
17. 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
18. 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
19. 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.
20. Act.effectiveTime
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/IVL-TS
Requirements	SHALL contain exactly one [1..1] effectiveTime (CONF:1098-31922).
21. 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
22. Act.participant:participant1
SliceName	participant1
Control	1..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Participant2
Requirements	SHALL contain at least one [1..*] participant (CONF:1098-28661) such that it
23. Act.participant:participant1.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="RESP" (CONF:1098-28663).
Pattern Value	RESP
24. Act.participant:participant1.participantRole
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ParticipantRole
Requirements	SHALL contain exactly one [1..1] participantRole (CONF:1098-28662).
25. Act.participant:participant1.participantRole.classCode
Control	1..1
Binding	The codes SHALL be taken from RoleClassRoot
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	This participantRole SHALL contain exactly one [1..1] @classCode="ASSIGNED" (CONF:1098-28664).
Default Value	ROL
Pattern Value	ASSIGNED
26. Act.participant:participant1.participantRole.id
Control	1..*
Type	http://hl7.org/fhir/cda/StructureDefinition/II
Requirements	This participantRole SHALL contain at least one [1..*] id (CONF:1098-28665).
27. Act.participant:participant1.participantRole.playingEntity
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/PlayingEntity
Requirements	This participantRole SHALL contain exactly one [1..1] playingEntity (CONF:1098-28667).
28. Act.participant:participant1.participantRole.playingEntity.classCode
Control	1..1
Binding	The codes SHALL be taken from EntityClassRoot
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	This playingEntity SHALL contain exactly one [1..1] @classCode="PSN" (CONF:1098-28668).
Default Value	ENT
Pattern Value	PSN
29. Act.participant:participant1.participantRole.playingEntity.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
30. Act.participant:participant1.participantRole.playingEntity.name
Definition	A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are "Jim Bob Walton, Jr.", "Adam Everyman", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, "Jim", "Bob", "Walton", and "Jr.". PN differs from EN because the qualifier type cannot include LS (Legal Status).
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/PN(USRealmPersonNamePNUSFIELDED)
Requirements	This playingEntity SHALL contain exactly one [1..1] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:1098-28669).
Invariants	Defined on this element 81-9371: The content of name SHALL be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). (: null) 81-9372: The string SHALL NOT contain name parts (CONF:81-9372). (: null) ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))

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) (CONF:1098-30823).
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="INT" (CONF:1098-28656).
Pattern Value	INT
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
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:1098-28657) 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="2.16.840.1.113883.10.20.22.4.123" (CONF:1098-28658).
Pattern Value	2.16.840.1.113883.10.20.22.4.123
12. Act.templateId:primary.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
13. Act.id
Control	1..*
Type	http://hl7.org/fhir/cda/StructureDefinition/II
Requirements	SHALL contain at least one [1..*] id (CONF:1098-31920).
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:1098-28660).
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	1..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	This code SHALL contain exactly one [1..1] @code="395170001" medication monitoring (regime/therapy) (CONF:1098-30818).
Pattern Value	395170001
17. Act.code.codeSystem
Definition	Specifies the code system that defines the code.
Control	1..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.96" (CodeSystem: SNOMED CT urn:oid:2.16.840.1.113883.6.96) (CONF:1098-30819).
Pattern Value	2.16.840.1.113883.6.96
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
24. 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
25. 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.
26. Act.negationInd
Control	0..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
27. Act.text
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ED
28. 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:1098-31921).
29. 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.
30. 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 ActStatus
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 ActStatus urn:oid:2.16.840.1.113883.1.11.15933 DYNAMIC (CONF:1098-32358).
31. 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.
32. 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.
33. 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.
34. 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.
35. 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`.
36. 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`.
37. 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
38. 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
39. 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.
40. Act.effectiveTime
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/IVL-TS
Requirements	SHALL contain exactly one [1..1] effectiveTime (CONF:1098-31922).
41. Act.priorityCode
Control	0..1
Binding	The codes SHALL be taken from ActPriority; other codes may be used where these codes are not suitable
Type	http://hl7.org/fhir/cda/StructureDefinition/CE
42. Act.languageCode
Control	0..1
Binding	The codes SHALL be taken from HumanLanguage
Type	http://hl7.org/fhir/cda/StructureDefinition/CS
43. 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()))
44. 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
45. 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
46. 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
47. 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
48. 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
49. Act.subject.relatedSubject
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/RelatedSubject
50. Act.specimen
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Specimen
51. Act.performer
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Performer2
52. Act.author
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Author
53. 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()))
54. 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
55. 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
56. 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
57. 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
58. Act.informant.assignedEntity
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity
59. Act.informant.relatedEntity
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/RelatedEntity
60. 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
61. Act.participant:participant1
SliceName	participant1
Control	1..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Participant2
Requirements	SHALL contain at least one [1..*] participant (CONF:1098-28661) such that it
62. Act.participant:participant1.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.
63. Act.participant:participant1.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="RESP" (CONF:1098-28663).
Pattern Value	RESP
64. Act.participant:participant1.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
65. Act.participant:participant1.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
66. Act.participant:participant1.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
67. Act.participant:participant1.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
68. Act.participant:participant1.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`.
69. Act.participant:participant1.time
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/IVL-TS
70. Act.participant:participant1.awarenessCode
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/CE
71. Act.participant:participant1.participantRole
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ParticipantRole
Requirements	SHALL contain exactly one [1..1] participantRole (CONF:1098-28662).
72. Act.participant:participant1.participantRole.classCode
Control	1..1
Binding	The codes SHALL be taken from RoleClassRoot
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	This participantRole SHALL contain exactly one [1..1] @classCode="ASSIGNED" (CONF:1098-28664).
Default Value	ROL
Pattern Value	ASSIGNED
73. Act.participant:participant1.participantRole.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
74. Act.participant:participant1.participantRole.id
Control	1..*
Type	http://hl7.org/fhir/cda/StructureDefinition/II
Requirements	This participantRole SHALL contain at least one [1..*] id (CONF:1098-28665).
75. Act.participant:participant1.participantRole.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`.
76. Act.participant:participant1.participantRole.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
77. Act.participant:participant1.participantRole.addr
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/AD
78. Act.participant:participant1.participantRole.telecom
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/TEL
79. Act.participant:participant1.participantRole.playingDevice
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Device
80. Act.participant:participant1.participantRole.playingEntity
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/PlayingEntity
Requirements	This participantRole SHALL contain exactly one [1..1] playingEntity (CONF:1098-28667).
81. Act.participant:participant1.participantRole.playingEntity.classCode
Control	1..1
Binding	The codes SHALL be taken from EntityClassRoot
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	This playingEntity SHALL contain exactly one [1..1] @classCode="PSN" (CONF:1098-28668).
Default Value	ENT
Pattern Value	PSN
82. Act.participant:participant1.participantRole.playingEntity.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
83. Act.participant:participant1.participantRole.playingEntity.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
84. Act.participant:participant1.participantRole.playingEntity.code
Control	0..1
Binding	The codes SHALL be taken from EntityCode; other codes may be used where these codes are not suitable
Type	http://hl7.org/fhir/cda/StructureDefinition/CE
85. Act.participant:participant1.participantRole.playingEntity.quantity
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/PQ
86. Act.participant:participant1.participantRole.playingEntity.name
Definition	A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are "Jim Bob Walton, Jr.", "Adam Everyman", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, "Jim", "Bob", "Walton", and "Jr.". PN differs from EN because the qualifier type cannot include LS (Legal Status).
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/PN(USRealmPersonNamePNUSFIELDED)
Requirements	This playingEntity SHALL contain exactly one [1..1] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:1098-28669).
Invariants	Defined on this element 81-9371: The content of name SHALL be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). (: ) 81-9372: The string SHALL NOT contain name parts (CONF:81-9372). (: ) ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
87. Act.participant:participant1.participantRole.playingEntity.desc
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ED
88. Act.participant:participant1.participantRole.scopingEntity
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Entity
89. 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()))
90. 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
91. 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
92. Act.entryRelationship.typeCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
93. Act.entryRelationship.inversionInd
Control	0..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
94. Act.entryRelationship.contextConductionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	true
95. Act.entryRelationship.sequenceNumber
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/INT
96. Act.entryRelationship.negationInd
Control	0..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
97. Act.entryRelationship.seperatableInd
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/BL
98. Act.entryRelationship.observation
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Observation
99. Act.entryRelationship.regionOfInterest
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
100. Act.entryRelationship.observationMedia
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
101. Act.entryRelationship.substanceAdministration
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
102. Act.entryRelationship.supply
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Supply
103. Act.entryRelationship.procedure
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Procedure
104. Act.entryRelationship.encounter
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Encounter
105. Act.entryRelationship.organizer
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Organizer
106. Act.entryRelationship.act
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Act
107. 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()))
108. 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
109. 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
110. Act.reference.typeCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
111. Act.reference.seperatableInd
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/BL
112. Act.reference.externalAct
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ExternalAct
113. Act.reference.externalObservation
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ExternalObservation
114. Act.reference.externalProcedure
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure
115. Act.reference.externalDocument
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ExternalDocument
116. Act.precondition
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Precondition