Consolidated CDA Release 2.1 StructureDefinition Prototype Publication
2.1.0-draft1 - CI Build United States of America

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: Nutrition Recommendation

Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.130 Version: 2.1.0-draft1
Active as of 2023-01-16 Computable Name: NutritionRecommendation
Other Identifiers: id: urn:oid:2.16.840.1.113883.10.20.22.4.130

This template represents nutrition regimens (e.g., fluid restrictions, calorie minimum), interventions (e.g., NPO, nutritional supplements), and procedures (e.g., G-Tube by bolus, TPN by central line). It may also depict the need for nutrition education.

Usage:

Formal Views of Profile Content

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

This structure is derived from CDAR2.Act

NameFlagsCard.TypeDescription & Constraintsdoco
.. Act 1..1CDAR2.ActBase for all types and resources
... classCode 1..1codeRequired Pattern: ACT
... moodCode 1..1codeBinding: Planned moodCode (Act/Encounter/Procedure) (required)
... Slices for templateId 0..*IISlice: Unordered, Open by value:root
.... templateId:primary 1..1II
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.4.130
... statusCode 1..1CS
.... code 1..1stringRequired Pattern: active
... effectiveTime 0..1IVL_TSThe effectiveTime indicates the time when the activity is intended to take place.
... Slices for entryRelationship 0..*ElementSlice: Unordered, Open by profile:act, profile:encounter, profile:substanceAdministration, profile:supply, profile:procedure, profile:observation
.... entryRelationship:plannedEncounter 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... encounter 1..1PlannedEncounterBase for all types and resources
.... entryRelationship:plannedMedActivity 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... substanceAdministration 1..1PlannedMedicationActivityBase for all types and resources
.... entryRelationship:plannedObs 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... observation 1..1PlannedObservationBase for all types and resources
.... entryRelationship:plannedProc 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... procedure 1..1PlannedProcedureBase for all types and resources
.... entryRelationship:plannedSupply 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... supply 1..1PlannedSupplyBase for all types and resources
.... entryRelationship:plannedAct 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... act 1..1PlannedActBase for all types and resources

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Act.moodCoderequiredPlanned moodCode (Act/Encounter/Procedure)
Act.codepreferredNutrition Recommendations
NameFlagsCard.TypeDescription & Constraintsdoco
.. Act 1..1CDAR2.ActBase for all types and resources
... classCode 1..1codeRequired Pattern: ACT
... moodCode 1..1codeBinding: Planned moodCode (Act/Encounter/Procedure) (required)
... Slices for templateId 0..*IISlice: Unordered, Open by value:root
.... templateId:primary 1..1II
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.4.130
... statusCode 1..1CSBinding: ActStatus (required)
.... code 1..1stringRequired Pattern: active
... effectiveTime 0..1IVL_TSThe effectiveTime indicates the time when the activity is intended to take place.
... Slices for entryRelationship C0..*ElementSlice: Unordered, Open by profile:act, profile:encounter, profile:substanceAdministration, profile:supply, profile:procedure, profile:observation
.... entryRelationship:All Slices Content/Rules for all slices
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
.... entryRelationship:plannedEncounter C0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... contextConductionInd 1..1boolean
..... encounter 1..1PlannedEncounterBase for all types and resources
.... entryRelationship:plannedMedActivity C0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... contextConductionInd 1..1boolean
..... substanceAdministration 1..1PlannedMedicationActivityBase for all types and resources
.... entryRelationship:plannedObs C0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... contextConductionInd 1..1boolean
..... observation 1..1PlannedObservationBase for all types and resources
.... entryRelationship:plannedProc C0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... contextConductionInd 1..1boolean
..... procedure 1..1PlannedProcedureBase for all types and resources
.... entryRelationship:plannedSupply C0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... contextConductionInd 1..1boolean
..... supply 1..1PlannedSupplyBase for all types and resources
.... entryRelationship:plannedAct C0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... contextConductionInd 1..1boolean
..... act 1..1PlannedActBase for all types and resources

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Act.moodCoderequiredPlanned moodCode (Act/Encounter/Procedure)
Act.codepreferredNutrition Recommendations
Act.statusCoderequiredActStatus

Constraints

IdGradePath(s)DetailsRequirements
act-er-1errorAct.entryRelationship, Act.entryRelationship:plannedEncounter, Act.entryRelationship:plannedMedActivity, Act.entryRelationship:plannedObs, Act.entryRelationship:plannedProc, Act.entryRelationship:plannedSupply, Act.entryRelationship:plannedActOnly one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act
: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
NameFlagsCard.TypeDescription & Constraintsdoco
.. Act 1..1CDAR2.ActBase for all types and resources
... classCode 1..1codeRequired Pattern: ACT
... moodCode 1..1codeBinding: Planned moodCode (Act/Encounter/Procedure) (required)
... realmCode 0..*CS
... Slices for templateId 0..*IISlice: Unordered, Open by value:root
.... templateId:primary 1..1II
..... nullFlavor 0..1codeBinding: NullFlavor (required)
..... assigningAuthorityName 0..1string
..... displayable 0..1boolean
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.4.130
..... extension 0..1string
... id 0..*II
... code 1..1CDBinding: Nutrition Recommendations (preferred)
... negationInd 0..1boolean
... text 0..1ED
... statusCode 1..1CSBinding: ActStatus (required)
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... code 1..1stringRequired Pattern: active
.... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
.... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
... effectiveTime 0..1IVL_TSThe effectiveTime indicates the time when the activity is intended to take place.
... priorityCode 0..1CEBinding: ActPriority (extensible)
... languageCode 0..1CSBinding: HumanLanguage (required)
... subject 0..1Element
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... typeCode 1..1codeBinding: ParticipationTargetSubject (required)
Fixed Value: SBJ
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... awarenessCode 0..1CEBinding: TargetAwareness (extensible)
.... relatedSubject 1..1RelatedSubject
... specimen 0..*Specimen
... performer 0..*Performer2
... author 0..*Author
... informant 0..*Element
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... typeCode 1..1codeBinding: ParticipationInformationGenerator (required)
Fixed Value: INF
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... assignedEntity 0..1AssignedEntity
.... relatedEntity 0..1RelatedEntity
... participant 0..*Participant2
... Slices for entryRelationship C0..*ElementSlice: Unordered, Open by profile:act, profile:encounter, profile:substanceAdministration, profile:supply, profile:procedure, profile:observation
.... entryRelationship:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1code
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... (Choice of one) 1..1
...... observation 0..1Observation
...... regionOfInterest 0..1RegionOfInterest
...... observationMedia 0..1ObservationMedia
...... substanceAdministration 0..1SubstanceAdministration
...... supply 0..1Supply
...... procedure 0..1Procedure
...... encounter 0..1Encounter
...... organizer 0..1Organizer
...... act 0..1Act
.... entryRelationship:plannedEncounter C0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... encounter 1..1PlannedEncounterBase for all types and resources
.... entryRelationship:plannedMedActivity C0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... substanceAdministration 1..1PlannedMedicationActivityBase for all types and resources
.... entryRelationship:plannedObs C0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... observation 1..1PlannedObservationBase for all types and resources
.... entryRelationship:plannedProc C0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... procedure 1..1PlannedProcedureBase for all types and resources
.... entryRelationship:plannedSupply C0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... supply 1..1PlannedSupplyBase for all types and resources
.... entryRelationship:plannedAct C0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... act 1..1PlannedActBase for all types and resources
... reference 0..*Element
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... typeCode 1..1code
.... seperatableInd 0..1BL
.... externalAct 0..1ExternalAct
.... externalObservation 0..1ExternalObservation
.... externalProcedure 0..1ExternalProcedure
.... externalDocument 0..1ExternalDocument
... precondition 0..*Precondition

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Act.moodCoderequiredPlanned moodCode (Act/Encounter/Procedure)
Act.templateId:primary.nullFlavorrequiredNullFlavor
Act.codepreferredNutrition Recommendations
Act.statusCoderequiredActStatus
Act.statusCode.nullFlavorrequiredNullFlavor
Act.priorityCodeextensibleActPriority
Act.languageCoderequiredHumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066)
Act.subject.typeCoderequiredFixed Value: SBJ
Act.subject.contextControlCoderequiredFixed Value: OP
Act.subject.awarenessCodeextensibleTargetAwareness
Act.informant.typeCoderequiredFixed Value: INF
Act.informant.contextControlCoderequiredFixed Value: OP

Constraints

IdGradePath(s)DetailsRequirements
act-er-1errorAct.entryRelationship, Act.entryRelationship:plannedEncounter, Act.entryRelationship:plannedMedActivity, Act.entryRelationship:plannedObs, Act.entryRelationship:plannedProc, Act.entryRelationship:plannedSupply, Act.entryRelationship:plannedActOnly one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act
: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from CDAR2.Act

Summary

Mandatory: 7 elements (12 nested mandatory elements)

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Act.templateId is sliced based on the value of value:root
  • The element Act.entryRelationship is sliced based on the values of profile:act, profile:encounter, profile:substanceAdministration, profile:supply, profile:procedure, profile:observation

Differential View

This structure is derived from CDAR2.Act

NameFlagsCard.TypeDescription & Constraintsdoco
.. Act 1..1CDAR2.ActBase for all types and resources
... classCode 1..1codeRequired Pattern: ACT
... moodCode 1..1codeBinding: Planned moodCode (Act/Encounter/Procedure) (required)
... Slices for templateId 0..*IISlice: Unordered, Open by value:root
.... templateId:primary 1..1II
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.4.130
... statusCode 1..1CS
.... code 1..1stringRequired Pattern: active
... effectiveTime 0..1IVL_TSThe effectiveTime indicates the time when the activity is intended to take place.
... Slices for entryRelationship 0..*ElementSlice: Unordered, Open by profile:act, profile:encounter, profile:substanceAdministration, profile:supply, profile:procedure, profile:observation
.... entryRelationship:plannedEncounter 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... encounter 1..1PlannedEncounterBase for all types and resources
.... entryRelationship:plannedMedActivity 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... substanceAdministration 1..1PlannedMedicationActivityBase for all types and resources
.... entryRelationship:plannedObs 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... observation 1..1PlannedObservationBase for all types and resources
.... entryRelationship:plannedProc 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... procedure 1..1PlannedProcedureBase for all types and resources
.... entryRelationship:plannedSupply 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... supply 1..1PlannedSupplyBase for all types and resources
.... entryRelationship:plannedAct 0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... act 1..1PlannedActBase for all types and resources

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Act.moodCoderequiredPlanned moodCode (Act/Encounter/Procedure)
Act.codepreferredNutrition Recommendations

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Act 1..1CDAR2.ActBase for all types and resources
... classCode 1..1codeRequired Pattern: ACT
... moodCode 1..1codeBinding: Planned moodCode (Act/Encounter/Procedure) (required)
... Slices for templateId 0..*IISlice: Unordered, Open by value:root
.... templateId:primary 1..1II
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.4.130
... statusCode 1..1CSBinding: ActStatus (required)
.... code 1..1stringRequired Pattern: active
... effectiveTime 0..1IVL_TSThe effectiveTime indicates the time when the activity is intended to take place.
... Slices for entryRelationship C0..*ElementSlice: Unordered, Open by profile:act, profile:encounter, profile:substanceAdministration, profile:supply, profile:procedure, profile:observation
.... entryRelationship:All Slices Content/Rules for all slices
..... typeCode 1..1code
..... contextConductionInd 1..1boolean
.... entryRelationship:plannedEncounter C0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... contextConductionInd 1..1boolean
..... encounter 1..1PlannedEncounterBase for all types and resources
.... entryRelationship:plannedMedActivity C0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... contextConductionInd 1..1boolean
..... substanceAdministration 1..1PlannedMedicationActivityBase for all types and resources
.... entryRelationship:plannedObs C0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... contextConductionInd 1..1boolean
..... observation 1..1PlannedObservationBase for all types and resources
.... entryRelationship:plannedProc C0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... contextConductionInd 1..1boolean
..... procedure 1..1PlannedProcedureBase for all types and resources
.... entryRelationship:plannedSupply C0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... contextConductionInd 1..1boolean
..... supply 1..1PlannedSupplyBase for all types and resources
.... entryRelationship:plannedAct C0..*Element
..... typeCode 1..1codeRequired Pattern: REFR
..... contextConductionInd 1..1boolean
..... act 1..1PlannedActBase for all types and resources

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Act.moodCoderequiredPlanned moodCode (Act/Encounter/Procedure)
Act.codepreferredNutrition Recommendations
Act.statusCoderequiredActStatus

Constraints

IdGradePath(s)DetailsRequirements
act-er-1errorAct.entryRelationship, Act.entryRelationship:plannedEncounter, Act.entryRelationship:plannedMedActivity, Act.entryRelationship:plannedObs, Act.entryRelationship:plannedProc, Act.entryRelationship:plannedSupply, Act.entryRelationship:plannedActOnly one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act
: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Act 1..1CDAR2.ActBase for all types and resources
... classCode 1..1codeRequired Pattern: ACT
... moodCode 1..1codeBinding: Planned moodCode (Act/Encounter/Procedure) (required)
... realmCode 0..*CS
... Slices for templateId 0..*IISlice: Unordered, Open by value:root
.... templateId:primary 1..1II
..... nullFlavor 0..1codeBinding: NullFlavor (required)
..... assigningAuthorityName 0..1string
..... displayable 0..1boolean
..... root 1..1stringRequired Pattern: 2.16.840.1.113883.10.20.22.4.130
..... extension 0..1string
... id 0..*II
... code 1..1CDBinding: Nutrition Recommendations (preferred)
... negationInd 0..1boolean
... text 0..1ED
... statusCode 1..1CSBinding: ActStatus (required)
.... nullFlavor 0..1codeBinding: NullFlavor (required)
.... code 1..1stringRequired Pattern: active
.... sdtcValueSet 0..1stringXML: valueSet (urn:hl7-org:sdtc)
.... sdtcValueSetVersion 0..1stringXML: valueSetVersion (urn:hl7-org:sdtc)
... effectiveTime 0..1IVL_TSThe effectiveTime indicates the time when the activity is intended to take place.
... priorityCode 0..1CEBinding: ActPriority (extensible)
... languageCode 0..1CSBinding: HumanLanguage (required)
... subject 0..1Element
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... typeCode 1..1codeBinding: ParticipationTargetSubject (required)
Fixed Value: SBJ
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... awarenessCode 0..1CEBinding: TargetAwareness (extensible)
.... relatedSubject 1..1RelatedSubject
... specimen 0..*Specimen
... performer 0..*Performer2
... author 0..*Author
... informant 0..*Element
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... typeCode 1..1codeBinding: ParticipationInformationGenerator (required)
Fixed Value: INF
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... assignedEntity 0..1AssignedEntity
.... relatedEntity 0..1RelatedEntity
... participant 0..*Participant2
... Slices for entryRelationship C0..*ElementSlice: Unordered, Open by profile:act, profile:encounter, profile:substanceAdministration, profile:supply, profile:procedure, profile:observation
.... entryRelationship:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1code
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... (Choice of one) 1..1
...... observation 0..1Observation
...... regionOfInterest 0..1RegionOfInterest
...... observationMedia 0..1ObservationMedia
...... substanceAdministration 0..1SubstanceAdministration
...... supply 0..1Supply
...... procedure 0..1Procedure
...... encounter 0..1Encounter
...... organizer 0..1Organizer
...... act 0..1Act
.... entryRelationship:plannedEncounter C0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... encounter 1..1PlannedEncounterBase for all types and resources
.... entryRelationship:plannedMedActivity C0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... substanceAdministration 1..1PlannedMedicationActivityBase for all types and resources
.... entryRelationship:plannedObs C0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... observation 1..1PlannedObservationBase for all types and resources
.... entryRelationship:plannedProc C0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... procedure 1..1PlannedProcedureBase for all types and resources
.... entryRelationship:plannedSupply C0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... supply 1..1PlannedSupplyBase for all types and resources
.... entryRelationship:plannedAct C0..*Element
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... typeCode 1..1codeRequired Pattern: REFR
..... inversionInd 0..1boolean
..... contextConductionInd 1..1boolean
..... sequenceNumber 0..1INT
..... negationInd 0..1boolean
..... seperatableInd 0..1BL
..... act 1..1PlannedActBase for all types and resources
... reference 0..*Element
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... typeCode 1..1code
.... seperatableInd 0..1BL
.... externalAct 0..1ExternalAct
.... externalObservation 0..1ExternalObservation
.... externalProcedure 0..1ExternalProcedure
.... externalDocument 0..1ExternalDocument
... precondition 0..*Precondition

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Act.moodCoderequiredPlanned moodCode (Act/Encounter/Procedure)
Act.templateId:primary.nullFlavorrequiredNullFlavor
Act.codepreferredNutrition Recommendations
Act.statusCoderequiredActStatus
Act.statusCode.nullFlavorrequiredNullFlavor
Act.priorityCodeextensibleActPriority
Act.languageCoderequiredHumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066)
Act.subject.typeCoderequiredFixed Value: SBJ
Act.subject.contextControlCoderequiredFixed Value: OP
Act.subject.awarenessCodeextensibleTargetAwareness
Act.informant.typeCoderequiredFixed Value: INF
Act.informant.contextControlCoderequiredFixed Value: OP

Constraints

IdGradePath(s)DetailsRequirements
act-er-1errorAct.entryRelationship, Act.entryRelationship:plannedEncounter, Act.entryRelationship:plannedMedActivity, Act.entryRelationship:plannedObs, Act.entryRelationship:plannedProc, Act.entryRelationship:plannedSupply, Act.entryRelationship:plannedActOnly one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act
: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from CDAR2.Act

Summary

Mandatory: 7 elements (12 nested mandatory elements)

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Act.templateId is sliced based on the value of value:root
  • The element Act.entryRelationship is sliced based on the values of profile:act, profile:encounter, profile:substanceAdministration, profile:supply, profile:procedure, profile:observation

 

​Other representations of profile: CSV, Excel, Schematron