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: PatientReferralAct - Detailed Descriptions

Active as of 2023-01-16

Definitions for the 2.16.840.1.113883.10.20.22.4.140 resource profile.

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="PCPR" provision of care (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-30884).

Pattern ValuePCPR
3. Act.moodCode
BindingThe codes SHALL be taken from Patient Referral Act moodCodeFor codes, see (unbound)
Requirements

SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet Patient Referral Act moodCode urn:oid:2.16.840.1.113883.11.20.9.66 STATIC 2014-09-01 (CONF:1098-30885).

4. Act.templateId
SlicingThis 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
SliceNameprimary
Control1..1
Requirements

SHALL contain exactly one [1..1] templateId (CONF:1098-30886) such that it

6. Act.templateId:primary.root
Control1..1
Requirements

SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.140" (CONF:1098-30887).

Pattern Value2.16.840.1.113883.10.20.22.4.140
7. Act.id
Control10..*
Requirements

SHALL contain at least one [1..*] id (CONF:1098-30888).

8. Act.code
BindingThe codes SHALL be taken from Referral TypesThe codes SHALL be taken from v3 Code System ActCode; other codes may be used where these codes are not suitable
Requirements

SHALL contain exactly one [1..1] code, which SHALL be selected from ValueSet Referral Types urn:oid:2.16.840.1.113883.11.20.9.56 DYNAMIC (CONF:1098-30889).

9. Act.statusCode
Control10..1
Requirements

SHALL contain exactly one [1..1] statusCode (CONF:1098-30892).

10. Act.statusCode.code
Control1..1
Requirements

This statusCode SHALL contain exactly one [1..1] @code="active" Active (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-31598).

Pattern Valueactive
11. Act.effectiveTime
Control10..1
Requirements

SHALL contain exactly one [1..1] effectiveTime (CONF:1098-30893).

12. Act.priorityCode
Requirements

SHOULD contain zero or one [0..1] priorityCode (CONF:1098-32623).

13. Act.author
Typehttp://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:1098-31612).

14. Act.participant
Requirements

MAY contain zero or more [0..*] participant (CONF:1098-32635).

15. Act.participant.typeCode
Control1..1
Requirements

The participant, if present, SHALL contain exactly one [1..1] @typeCode="REFT" Referred to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32638).

Pattern ValueREFT
16. Act.participant.participantRole
Control1..1
Requirements

The participant, if present, SHALL contain exactly one [1..1] participantRole (CONF:1098-32636).

17. Act.participant.participantRole.code
Control0..1
BindingThe codes SHOULD be taken from Healthcare Provider Taxonomy
Requirements

This participantRole MAY contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1098-32637).

18. Act.entryRelationship
SlicingThis element introduces a set of slices on Act.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • profile @ observation
19. Act.entryRelationship:entryRelationship1
SliceNameentryRelationship1
Control0..*
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1098-31604) such that it

20. Act.entryRelationship:entryRelationship1.typeCode
Control1..1
Requirements

SHALL contain exactly one [1..1] @typeCode="SUBJ" has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31613).

Pattern ValueSUBJ
21. Act.entryRelationship:entryRelationship1.observation
Control1..1
Requirements

SHALL contain exactly one [1..1] observation (CONF:1098-31605).

22. Act.entryRelationship:entryRelationship1.observation.classCode
Control1..1
Requirements

This observation SHALL contain exactly one [1..1] @classCode="OBS" observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1098-31606).

Pattern ValueOBS
23. Act.entryRelationship:entryRelationship1.observation.moodCode
Control1..1
Requirements

This observation SHALL contain exactly one [1..1] @moodCode="RQO" request (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1098-31607).

Pattern ValueRQO
24. Act.entryRelationship:entryRelationship1.observation.code
Control1..1
Requirements

This observation SHALL contain exactly one [1..1] code (CONF:1098-31608).

25. Act.entryRelationship:entryRelationship1.observation.code.code
Control1..1
Requirements

This code SHALL contain exactly one [1..1] @code="ASSERTION" assertion (CONF:1098-31619).

Pattern ValueASSERTION
26. Act.entryRelationship:entryRelationship1.observation.code.codeSystem
Control1..1
Requirements

This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.4 " (CodeSystem: HL7ActCode urn:oid:2.16.840.1.113883.5.4) (CONF:1098-31620).

Pattern Value2.16.840.1.113883.5.4
27. Act.entryRelationship:entryRelationship1.observation.statusCode
Control1..1
Requirements

This observation SHALL contain exactly one [1..1] statusCode (CONF:1098-31614).

28. Act.entryRelationship:entryRelationship1.observation.statusCode.code
Control1..1
Requirements

This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-31615).

Pattern Valuecompleted
29. Act.entryRelationship:entryRelationship1.observation.priorityCode
Control0..1
BindingThe codes SHOULD be taken from ActPriority
Requirements

This observation SHOULD contain zero or one [0..1] priorityCode, which SHOULD be selected from ValueSet ActPriority urn:oid:2.16.840.1.113883.1.11.16866 DYNAMIC (CONF:1098-32443).

30. Act.entryRelationship:entryRelationship1.observation.value
Control1..1
BindingThe codes SHOULD be taken from Care Model
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
Requirements

This observation SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHOULD be selected from ValueSet Care Model urn:oid:2.16.840.1.113883.11.20.9.61 DYNAMIC (CONF:1098-31611).

31. Act.entryRelationship:indication
SliceNameindication
Control0..*
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1098-31635) such that it

32. Act.entryRelationship:indication.typeCode
Control1..1
Requirements

SHALL contain exactly one [1..1] @typeCode="RSON" has reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31636).

Pattern ValueRSON
33. Act.entryRelationship:indication.observation
Control1..1
Typehttp://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:1098-32634).

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.

Control10..1*
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
2. Act.classCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @classCode="PCPR" provision of care (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-30884).

Pattern ValuePCPR
3. Act.moodCode
Control1..1
BindingThe codes SHALL be taken from Patient Referral Act moodCode
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet Patient Referral Act moodCode urn:oid:2.16.840.1.113883.11.20.9.66 STATIC 2014-09-01 (CONF:1098-30885).

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

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
SlicingThis 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
SliceNameprimary
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

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

SHALL contain exactly one [1..1] templateId (CONF:1098-30886) 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.

Control1..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.140" (CONF:1098-30887).

Pattern Value2.16.840.1.113883.10.20.22.4.140
7. Act.id
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

SHALL contain at least one [1..*] id (CONF:1098-30888).

8. Act.code
Control1..1
BindingThe codes SHALL be taken from Referral Types
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
Requirements

SHALL contain exactly one [1..1] code, which SHALL be selected from ValueSet Referral Types urn:oid:2.16.840.1.113883.11.20.9.56 DYNAMIC (CONF:1098-30889).

9. Act.statusCode
Control1..1
BindingThe codes SHALL be taken from ActStatus
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
Requirements

SHALL contain exactly one [1..1] statusCode (CONF:1098-30892).

10. 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.

Control1..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

This statusCode SHALL contain exactly one [1..1] @code="active" Active (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-31598).

Pattern Valueactive
11. Act.statusCode.codeSystem
Definition

Specifies the code system that defines the code.

Control0..0
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
12. Act.statusCode.codeSystemName
Definition

The common name of the coding system.

Control0..0
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
13. Act.statusCode.codeSystemVersion
Definition

If applicable, a version descriptor defined specifically for the given code system.

Control0..0
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
14. Act.statusCode.displayName
Definition

A name or title for the code, under which the sending system shows the code value to its users.

Control0..0
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
15. Act.statusCode.originalText
Definition

The text or phrase used as the basis for the coding.

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
16. Act.statusCode.qualifier
Definition

Specifies additional codes that increase the specificity of the the primary code.

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CR
17. Act.statusCode.translation
Definition

A set of other concept descriptors that translate this concept descriptor into other code systems.

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
XML RepresentationThe type of this property is determined using the xsi:type attribute.
18. Act.effectiveTime
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
Requirements

SHALL contain exactly one [1..1] effectiveTime (CONF:1098-30893).

19. Act.priorityCode
Control0..1
BindingThe codes SHALL be taken from ActPriority; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
Requirements

SHOULD contain zero or one [0..1] priorityCode (CONF:1098-32623).

20. Act.author
Definition

Base definition for all types defined in FHIR type system.

Control0..*
Typehttp://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:1098-31612).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
21. Act.participant
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Participant2
Requirements

MAY contain zero or more [0..*] participant (CONF:1098-32635).

22. Act.participant.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationType
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

The participant, if present, SHALL contain exactly one [1..1] @typeCode="REFT" Referred to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32638).

Pattern ValueREFT
23. Act.participant.participantRole
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ParticipantRole
Requirements

The participant, if present, SHALL contain exactly one [1..1] participantRole (CONF:1098-32636).

24. Act.participant.participantRole.classCode
Control1..1
BindingThe codes SHALL be taken from RoleClassRoot
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueROL
25. Act.participant.participantRole.code
Control0..1
BindingThe codes SHOULD be taken from Healthcare Provider Taxonomy
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
Requirements

This participantRole MAY contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1098-32637).

26. Act.entryRelationship
Control0..*
TypeElement
InvariantsDefined 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()))
SlicingThis element introduces a set of slices on Act.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • profile @ observation
27. Act.entryRelationship.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
28. Act.entryRelationship.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
29. Act.entryRelationship:entryRelationship1
SliceNameentryRelationship1
Control0..*
TypeElement
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1098-31604) such that it

InvariantsDefined 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()))
30. Act.entryRelationship:entryRelationship1.typeCode
Control1..1
Typecode
XML RepresentationIn 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) (CONF:1098-31613).

Pattern ValueSUBJ
31. Act.entryRelationship:entryRelationship1.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
32. Act.entryRelationship:entryRelationship1.observation
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
Requirements

SHALL contain exactly one [1..1] observation (CONF:1098-31605).

33. Act.entryRelationship:entryRelationship1.observation.classCode
Control1..1
BindingThe codes SHALL be taken from ActClassObservation
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

This observation SHALL contain exactly one [1..1] @classCode="OBS" observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1098-31606).

Pattern ValueOBS
34. Act.entryRelationship:entryRelationship1.observation.moodCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

This observation SHALL contain exactly one [1..1] @moodCode="RQO" request (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1098-31607).

Pattern ValueRQO
35. Act.entryRelationship:entryRelationship1.observation.code
Definition

Describes what was observed. Sometimes this is called the observation "name".

Control1..1
BindingThe codes SHALL be taken from ObservationType; other codes may be used where these codes are not suitableFor example codes, see LOINCCodes
Typehttp://hl7.org/fhir/cda/StructureDefinition/CDCodeableConcept
XML RepresentationThe type of this property is determined using the xsi:type attribute.
Requirements

This observation SHALL contain exactly one [1..1] code (CONF:1098-31608).

Knowing what kind of observation is being made is essential to understanding the observation.

Alternate NamesName
Comments

All code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.

36. Act.entryRelationship:entryRelationship1.observation.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.

Control1..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

This code SHALL contain exactly one [1..1] @code="ASSERTION" assertion (CONF:1098-31619).

Pattern ValueASSERTION
37. Act.entryRelationship:entryRelationship1.observation.code.codeSystem
Definition

Specifies the code system that defines the code.

Control1..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.4 " (CodeSystem: HL7ActCode urn:oid:2.16.840.1.113883.5.4) (CONF:1098-31620).

Pattern Value2.16.840.1.113883.5.4
38. Act.entryRelationship:entryRelationship1.observation.statusCode
Control1..1
BindingThe codes SHALL be taken from ActStatus
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
Requirements

This observation SHALL contain exactly one [1..1] statusCode (CONF:1098-31614).

39. Act.entryRelationship:entryRelationship1.observation.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.

Control1..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-31615).

Pattern Valuecompleted
40. Act.entryRelationship:entryRelationship1.observation.statusCode.codeSystem
Definition

Specifies the code system that defines the code.

Control0..0
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
41. Act.entryRelationship:entryRelationship1.observation.statusCode.codeSystemName
Definition

The common name of the coding system.

Control0..0
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
42. Act.entryRelationship:entryRelationship1.observation.statusCode.codeSystemVersion
Definition

If applicable, a version descriptor defined specifically for the given code system.

Control0..0
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
43. Act.entryRelationship:entryRelationship1.observation.statusCode.displayName
Definition

A name or title for the code, under which the sending system shows the code value to its users.

Control0..0
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
44. Act.entryRelationship:entryRelationship1.observation.statusCode.originalText
Definition

The text or phrase used as the basis for the coding.

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
45. Act.entryRelationship:entryRelationship1.observation.statusCode.qualifier
Definition

Specifies additional codes that increase the specificity of the the primary code.

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CR
46. Act.entryRelationship:entryRelationship1.observation.statusCode.translation
Definition

A set of other concept descriptors that translate this concept descriptor into other code systems.

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
XML RepresentationThe type of this property is determined using the xsi:type attribute.
47. Act.entryRelationship:entryRelationship1.observation.priorityCode
Control0..1
BindingThe codes SHOULD be taken from ActPriority
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
Requirements

This observation SHOULD contain zero or one [0..1] priorityCode, which SHOULD be selected from ValueSet ActPriority urn:oid:2.16.840.1.113883.1.11.16866 DYNAMIC (CONF:1098-32443).

48. Act.entryRelationship:entryRelationship1.observation.value
Control1..1
BindingThe codes SHOULD be taken from Care Model
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
XML RepresentationThe type of this property is determined using the xsi:type attribute.
Requirements

This observation SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHOULD be selected from ValueSet Care Model urn:oid:2.16.840.1.113883.11.20.9.61 DYNAMIC (CONF:1098-31611).

49. Act.entryRelationship:entryRelationship1.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
50. Act.entryRelationship:entryRelationship1.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
51. Act.entryRelationship:entryRelationship1.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
52. Act.entryRelationship:entryRelationship1.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
53. Act.entryRelationship:entryRelationship1.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
54. Act.entryRelationship:entryRelationship1.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
55. Act.entryRelationship:entryRelationship1.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
56. Act.entryRelationship:entryRelationship1.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
57. Act.entryRelationship:indication
SliceNameindication
Control0..*
TypeElement
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1098-31635) such that it

InvariantsDefined 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()))
58. Act.entryRelationship:indication.typeCode
Control1..1
Typecode
XML RepresentationIn 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) (CONF:1098-31636).

Pattern ValueRSON
59. Act.entryRelationship:indication.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
60. Act.entryRelationship:indication.observation
Definition

Base definition for all types defined in FHIR type system.

Control1..1
Typehttp://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:1098-32634).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
61. Act.entryRelationship:indication.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
62. Act.entryRelationship:indication.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
63. Act.entryRelationship:indication.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
64. Act.entryRelationship:indication.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
65. Act.entryRelationship:indication.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
66. Act.entryRelationship:indication.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
67. Act.entryRelationship:indication.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
68. Act.entryRelationship:indication.act
Control0..0
Typehttp://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.

Control1..1
2. Act.classCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @classCode="PCPR" provision of care (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-30884).

Pattern ValuePCPR
3. Act.moodCode
Control1..1
BindingThe codes SHALL be taken from Patient Referral Act moodCode
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet Patient Referral Act moodCode urn:oid:2.16.840.1.113883.11.20.9.66 STATIC 2014-09-01 (CONF:1098-30885).

4. Act.realmCode
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
5. Act.typeId
Control0..1
Typehttp://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

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
SlicingThis 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
SliceNameprimary
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

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

SHALL contain exactly one [1..1] templateId (CONF:1098-30886) 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.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
XML RepresentationIn 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.

Control0..1
Typestring
XML RepresentationIn 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).

Control0..1
Typeboolean
XML RepresentationIn 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.

Control1..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.140" (CONF:1098-30887).

Pattern Value2.16.840.1.113883.10.20.22.4.140
12. Act.templateId:primary.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
13. Act.id
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

SHALL contain at least one [1..*] id (CONF:1098-30888).

14. Act.code
Control1..1
BindingThe codes SHALL be taken from Referral Types
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
Requirements

SHALL contain exactly one [1..1] code, which SHALL be selected from ValueSet Referral Types urn:oid:2.16.840.1.113883.11.20.9.56 DYNAMIC (CONF:1098-30889).

15. Act.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
16. Act.text
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
17. Act.statusCode
Control1..1
BindingThe codes SHALL be taken from ActStatus
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
Requirements

SHALL contain exactly one [1..1] statusCode (CONF:1098-30892).

18. Act.statusCode.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
19. 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.

Control1..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

This statusCode SHALL contain exactly one [1..1] @code="active" Active (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-31598).

Pattern Valueactive
20. Act.statusCode.codeSystem
Definition

Specifies the code system that defines the code.

Control0..0
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
21. Act.statusCode.codeSystemName
Definition

The common name of the coding system.

Control0..0
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
22. Act.statusCode.codeSystemVersion
Definition

If applicable, a version descriptor defined specifically for the given code system.

Control0..0
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
23. Act.statusCode.displayName
Definition

A name or title for the code, under which the sending system shows the code value to its users.

Control0..0
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
24. 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.

Control0..1
Typestring
XML RepresentationIn 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.
25. 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.

Control0..1
Typestring
XML RepresentationIn 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.
26. Act.statusCode.originalText
Definition

The text or phrase used as the basis for the coding.

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
27. Act.statusCode.qualifier
Definition

Specifies additional codes that increase the specificity of the the primary code.

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CR
28. Act.statusCode.translation
Definition

A set of other concept descriptors that translate this concept descriptor into other code systems.

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
XML RepresentationThe type of this property is determined using the xsi:type attribute.
29. Act.effectiveTime
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
Requirements

SHALL contain exactly one [1..1] effectiveTime (CONF:1098-30893).

30. Act.priorityCode
Control0..1
BindingThe codes SHALL be taken from ActPriority; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
Requirements

SHOULD contain zero or one [0..1] priorityCode (CONF:1098-32623).

31. Act.languageCode
Control0..1
BindingThe codes SHALL be taken from HumanLanguage
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
32. Act.subject
Control0..1
TypeElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
33. 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.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
34. 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.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, 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.

InvariantsDefined 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())
SlicingThis 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
35. Act.subject.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationTargetSubject
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueSBJ
Fixed ValueSBJ
36. Act.subject.contextControlCode
Control1..1
BindingThe codes SHALL be taken from ContextControl
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueOP
Fixed ValueOP
37. Act.subject.awarenessCode
Control0..1
BindingThe codes SHALL be taken from TargetAwareness; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
38. Act.subject.relatedSubject
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RelatedSubject
39. Act.specimen
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Specimen
40. Act.performer
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Performer2
41. Act.author
Definition

Base definition for all types defined in FHIR type system.

Control0..*
Typehttp://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:1098-31612).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
42. Act.informant
Control0..*
TypeElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
43. 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.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
44. 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.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, 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.

InvariantsDefined 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())
SlicingThis 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
45. Act.informant.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationInformationGenerator
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueINF
Fixed ValueINF
46. Act.informant.contextControlCode
Control1..1
BindingThe codes SHALL be taken from ContextControl
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueOP
Fixed ValueOP
47. Act.informant.assignedEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AssignedEntity
48. Act.informant.relatedEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RelatedEntity
49. Act.participant
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Participant2
Requirements

MAY contain zero or more [0..*] participant (CONF:1098-32635).

50. Act.participant.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
51. Act.participant.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationType
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

The participant, if present, SHALL contain exactly one [1..1] @typeCode="REFT" Referred to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32638).

Pattern ValueREFT
52. Act.participant.contextControlCode
Control0..1
BindingThe codes SHALL be taken from ContextControl
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed ValueOP
53. Act.participant.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

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
54. Act.participant.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.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
55. Act.participant.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

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
56. Act.participant.sdtcFunctionCode
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
XML RepresentationIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual name functionCode.
57. Act.participant.time
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
58. Act.participant.awarenessCode
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
59. Act.participant.participantRole
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ParticipantRole
Requirements

The participant, if present, SHALL contain exactly one [1..1] participantRole (CONF:1098-32636).

60. Act.participant.participantRole.classCode
Control1..1
BindingThe codes SHALL be taken from RoleClassRoot
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueROL
61. Act.participant.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

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
62. Act.participant.participantRole.id
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
63. Act.participant.participantRole.sdtcIdentifiedBy
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/IdentifiedBy
XML RepresentationIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual name identifiedBy.
64. Act.participant.participantRole.code
Control0..1
BindingThe codes SHOULD be taken from Healthcare Provider Taxonomy
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
Requirements

This participantRole MAY contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1098-32637).

65. Act.participant.participantRole.addr
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/AD
66. Act.participant.participantRole.telecom
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/TEL
67. Act.participant.participantRole.playingDevice
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Device
68. Act.participant.participantRole.playingEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/PlayingEntity
69. Act.participant.participantRole.scopingEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Entity
70. Act.entryRelationship
Control0..*
TypeElement
InvariantsDefined 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()))
SlicingThis element introduces a set of slices on Act.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • profile @ observation
71. 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.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
72. 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.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, 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.

InvariantsDefined 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())
SlicingThis 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
73. Act.entryRelationship.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
74. Act.entryRelationship.inversionInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
75. Act.entryRelationship.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
76. Act.entryRelationship.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
77. Act.entryRelationship.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
78. Act.entryRelationship.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
79. Act.entryRelationship.observation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
80. Act.entryRelationship.regionOfInterest
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
81. Act.entryRelationship.observationMedia
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
82. Act.entryRelationship.substanceAdministration
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
83. Act.entryRelationship.supply
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
84. Act.entryRelationship.procedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
85. Act.entryRelationship.encounter
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
86. Act.entryRelationship.organizer
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
87. Act.entryRelationship.act
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
88. Act.entryRelationship:entryRelationship1
SliceNameentryRelationship1
Control0..*
TypeElement
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1098-31604) such that it

InvariantsDefined 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()))
89. Act.entryRelationship:entryRelationship1.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
90. Act.entryRelationship:entryRelationship1.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.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, 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.

InvariantsDefined 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())
SlicingThis 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
91. Act.entryRelationship:entryRelationship1.typeCode
Control1..1
Typecode
XML RepresentationIn 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) (CONF:1098-31613).

Pattern ValueSUBJ
92. Act.entryRelationship:entryRelationship1.inversionInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
93. Act.entryRelationship:entryRelationship1.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
94. Act.entryRelationship:entryRelationship1.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
95. Act.entryRelationship:entryRelationship1.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
96. Act.entryRelationship:entryRelationship1.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
97. Act.entryRelationship:entryRelationship1.observation
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
Requirements

SHALL contain exactly one [1..1] observation (CONF:1098-31605).

98. Act.entryRelationship:entryRelationship1.observation.classCode
Control1..1
BindingThe codes SHALL be taken from ActClassObservation
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

This observation SHALL contain exactly one [1..1] @classCode="OBS" observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1098-31606).

Pattern ValueOBS
99. Act.entryRelationship:entryRelationship1.observation.moodCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

This observation SHALL contain exactly one [1..1] @moodCode="RQO" request (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1098-31607).

Pattern ValueRQO
100. Act.entryRelationship:entryRelationship1.observation.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
101. Act.entryRelationship:entryRelationship1.observation.realmCode
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
102. Act.entryRelationship:entryRelationship1.observation.typeId
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
103. Act.entryRelationship:entryRelationship1.observation.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

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
104. Act.entryRelationship:entryRelationship1.observation.id
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
105. Act.entryRelationship:entryRelationship1.observation.code
Control1..1
BindingThe codes SHALL be taken from ObservationType; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
XML RepresentationThe type of this property is determined using the xsi:type attribute.
Requirements

This observation SHALL contain exactly one [1..1] code (CONF:1098-31608).

106. Act.entryRelationship:entryRelationship1.observation.code.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
107. Act.entryRelationship:entryRelationship1.observation.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.

Control1..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

This code SHALL contain exactly one [1..1] @code="ASSERTION" assertion (CONF:1098-31619).

Pattern ValueASSERTION
108. Act.entryRelationship:entryRelationship1.observation.code.codeSystem
Definition

Specifies the code system that defines the code.

Control1..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.4 " (CodeSystem: HL7ActCode urn:oid:2.16.840.1.113883.5.4) (CONF:1098-31620).

Pattern Value2.16.840.1.113883.5.4
109. Act.entryRelationship:entryRelationship1.observation.code.codeSystemName
Definition

The common name of the coding system.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
110. Act.entryRelationship:entryRelationship1.observation.code.codeSystemVersion
Definition

If applicable, a version descriptor defined specifically for the given code system.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
111. Act.entryRelationship:entryRelationship1.observation.code.displayName
Definition

A name or title for the code, under which the sending system shows the code value to its users.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
112. Act.entryRelationship:entryRelationship1.observation.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.

Control0..1
Typestring
XML RepresentationIn 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.
113. Act.entryRelationship:entryRelationship1.observation.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.

Control0..1
Typestring
XML RepresentationIn 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.
114. Act.entryRelationship:entryRelationship1.observation.code.originalText
Definition

The text or phrase used as the basis for the coding.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
115. Act.entryRelationship:entryRelationship1.observation.code.qualifier
Definition

Specifies additional codes that increase the specificity of the the primary code.

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CR
116. Act.entryRelationship:entryRelationship1.observation.code.translation
Definition

A set of other concept descriptors that translate this concept descriptor into other code systems.

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
XML RepresentationThe type of this property is determined using the xsi:type attribute.
117. Act.entryRelationship:entryRelationship1.observation.derivationExpr
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ST
118. Act.entryRelationship:entryRelationship1.observation.text
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
XML RepresentationThe type of this property is determined using the xsi:type attribute.
119. Act.entryRelationship:entryRelationship1.observation.statusCode
Control1..1
BindingThe codes SHALL be taken from ActStatus
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
Requirements

This observation SHALL contain exactly one [1..1] statusCode (CONF:1098-31614).

120. Act.entryRelationship:entryRelationship1.observation.statusCode.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
121. Act.entryRelationship:entryRelationship1.observation.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.

Control1..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-31615).

Pattern Valuecompleted
122. Act.entryRelationship:entryRelationship1.observation.statusCode.codeSystem
Definition

Specifies the code system that defines the code.

Control0..0
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
123. Act.entryRelationship:entryRelationship1.observation.statusCode.codeSystemName
Definition

The common name of the coding system.

Control0..0
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
124. Act.entryRelationship:entryRelationship1.observation.statusCode.codeSystemVersion
Definition

If applicable, a version descriptor defined specifically for the given code system.

Control0..0
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
125. Act.entryRelationship:entryRelationship1.observation.statusCode.displayName
Definition

A name or title for the code, under which the sending system shows the code value to its users.

Control0..0
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
126. Act.entryRelationship:entryRelationship1.observation.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.

Control0..1
Typestring
XML RepresentationIn 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.
127. Act.entryRelationship:entryRelationship1.observation.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.

Control0..1
Typestring
XML RepresentationIn 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.
128. Act.entryRelationship:entryRelationship1.observation.statusCode.originalText
Definition

The text or phrase used as the basis for the coding.

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
129. Act.entryRelationship:entryRelationship1.observation.statusCode.qualifier
Definition

Specifies additional codes that increase the specificity of the the primary code.

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CR
130. Act.entryRelationship:entryRelationship1.observation.statusCode.translation
Definition

A set of other concept descriptors that translate this concept descriptor into other code systems.

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
XML RepresentationThe type of this property is determined using the xsi:type attribute.
131. Act.entryRelationship:entryRelationship1.observation.effectiveTime
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
132. Act.entryRelationship:entryRelationship1.observation.priorityCode
Control0..1
BindingThe codes SHOULD be taken from ActPriority
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
Requirements

This observation SHOULD contain zero or one [0..1] priorityCode, which SHOULD be selected from ValueSet ActPriority urn:oid:2.16.840.1.113883.1.11.16866 DYNAMIC (CONF:1098-32443).

133. Act.entryRelationship:entryRelationship1.observation.repeatNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-INT
134. Act.entryRelationship:entryRelationship1.observation.languageCode
Control0..1
BindingThe codes SHALL be taken from HumanLanguage
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
135. Act.entryRelationship:entryRelationship1.observation.value
Control1..1
BindingThe codes SHOULD be taken from Care Model
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
XML RepresentationThe type of this property is determined using the xsi:type attribute.
Requirements

This observation SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHOULD be selected from ValueSet Care Model urn:oid:2.16.840.1.113883.11.20.9.61 DYNAMIC (CONF:1098-31611).

136. Act.entryRelationship:entryRelationship1.observation.interpretationCode
Control0..*
BindingThe codes SHALL be taken from ObservationInterpretation
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
137. Act.entryRelationship:entryRelationship1.observation.methodCode
Control0..*
BindingThe codes SHALL be taken from ObservationMethod; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
138. Act.entryRelationship:entryRelationship1.observation.targetSiteCode
Definition

Drawn from concept domain ActSite

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
139. Act.entryRelationship:entryRelationship1.observation.subject
Control0..1
TypeElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
140. Act.entryRelationship:entryRelationship1.observation.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.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
141. Act.entryRelationship:entryRelationship1.observation.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.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, 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.

InvariantsDefined 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())
SlicingThis element introduces a set of slices on Act.entryRelationship.observation.subject.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
142. Act.entryRelationship:entryRelationship1.observation.subject.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationTargetSubject
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueSBJ
Fixed ValueSBJ
143. Act.entryRelationship:entryRelationship1.observation.subject.contextControlCode
Control1..1
BindingThe codes SHALL be taken from ContextControl
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueOP
Fixed ValueOP
144. Act.entryRelationship:entryRelationship1.observation.subject.awarenessCode
Control0..1
BindingThe codes SHALL be taken from TargetAwareness; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
145. Act.entryRelationship:entryRelationship1.observation.subject.relatedSubject
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RelatedSubject
146. Act.entryRelationship:entryRelationship1.observation.specimen
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Specimen
147. Act.entryRelationship:entryRelationship1.observation.performer
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Performer2
148. Act.entryRelationship:entryRelationship1.observation.author
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Author
149. Act.entryRelationship:entryRelationship1.observation.informant
Control0..*
TypeElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
150. Act.entryRelationship:entryRelationship1.observation.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.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
151. Act.entryRelationship:entryRelationship1.observation.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.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, 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.

InvariantsDefined 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())
SlicingThis element introduces a set of slices on Act.entryRelationship.observation.informant.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
152. Act.entryRelationship:entryRelationship1.observation.informant.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationInformationGenerator
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueINF
Fixed ValueINF
153. Act.entryRelationship:entryRelationship1.observation.informant.contextControlCode
Control1..1
BindingThe codes SHALL be taken from ContextControl
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueOP
Fixed ValueOP
154. Act.entryRelationship:entryRelationship1.observation.informant.assignedEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AssignedEntity
155. Act.entryRelationship:entryRelationship1.observation.informant.relatedEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RelatedEntity
156. Act.entryRelationship:entryRelationship1.observation.participant
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Participant2
157. Act.entryRelationship:entryRelationship1.observation.entryRelationship
Control0..*
TypeElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
obs-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)
158. Act.entryRelationship:entryRelationship1.observation.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.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
159. Act.entryRelationship:entryRelationship1.observation.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.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, 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.

InvariantsDefined 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())
SlicingThis element introduces a set of slices on Act.entryRelationship.observation.entryRelationship.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
160. Act.entryRelationship:entryRelationship1.observation.entryRelationship.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
161. Act.entryRelationship:entryRelationship1.observation.entryRelationship.inversionInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
162. Act.entryRelationship:entryRelationship1.observation.entryRelationship.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
163. Act.entryRelationship:entryRelationship1.observation.entryRelationship.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
164. Act.entryRelationship:entryRelationship1.observation.entryRelationship.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
165. Act.entryRelationship:entryRelationship1.observation.entryRelationship.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
166. Act.entryRelationship:entryRelationship1.observation.entryRelationship.observation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
167. Act.entryRelationship:entryRelationship1.observation.entryRelationship.regionOfInterest
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
168. Act.entryRelationship:entryRelationship1.observation.entryRelationship.observationMedia
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
169. Act.entryRelationship:entryRelationship1.observation.entryRelationship.substanceAdministration
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
170. Act.entryRelationship:entryRelationship1.observation.entryRelationship.supply
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
171. Act.entryRelationship:entryRelationship1.observation.entryRelationship.procedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
172. Act.entryRelationship:entryRelationship1.observation.entryRelationship.encounter
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
173. Act.entryRelationship:entryRelationship1.observation.entryRelationship.organizer
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
174. Act.entryRelationship:entryRelationship1.observation.entryRelationship.act
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
175. Act.entryRelationship:entryRelationship1.observation.reference
Control0..*
TypeElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
176. Act.entryRelationship:entryRelationship1.observation.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.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
177. Act.entryRelationship:entryRelationship1.observation.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.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, 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.

InvariantsDefined 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())
SlicingThis element introduces a set of slices on Act.entryRelationship.observation.reference.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
178. Act.entryRelationship:entryRelationship1.observation.reference.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
179. Act.entryRelationship:entryRelationship1.observation.reference.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
180. Act.entryRelationship:entryRelationship1.observation.reference.externalAct
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalAct
181. Act.entryRelationship:entryRelationship1.observation.reference.externalObservation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalObservation
182. Act.entryRelationship:entryRelationship1.observation.reference.externalProcedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure
183. Act.entryRelationship:entryRelationship1.observation.reference.externalDocument
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalDocument
184. Act.entryRelationship:entryRelationship1.observation.precondition
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Precondition
185. Act.entryRelationship:entryRelationship1.observation.referenceRange
Control0..*
TypeElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
186. Act.entryRelationship:entryRelationship1.observation.referenceRange.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
187. Act.entryRelationship:entryRelationship1.observation.referenceRange.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.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, 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.

InvariantsDefined 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())
SlicingThis element introduces a set of slices on Act.entryRelationship.observation.referenceRange.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
188. Act.entryRelationship:entryRelationship1.observation.referenceRange.typeCode
Control1..1
BindingThe codes SHALL be taken from ActRelationshipPertains
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueREFV
Fixed ValueREFV
189. Act.entryRelationship:entryRelationship1.observation.referenceRange.observationRange
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationRange
190. Act.entryRelationship:entryRelationship1.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
191. Act.entryRelationship:entryRelationship1.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
192. Act.entryRelationship:entryRelationship1.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
193. Act.entryRelationship:entryRelationship1.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
194. Act.entryRelationship:entryRelationship1.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
195. Act.entryRelationship:entryRelationship1.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
196. Act.entryRelationship:entryRelationship1.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
197. Act.entryRelationship:entryRelationship1.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
198. Act.entryRelationship:indication
SliceNameindication
Control0..*
TypeElement
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1098-31635) such that it

InvariantsDefined 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()))
199. 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.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
200. 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.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, 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.

InvariantsDefined 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())
SlicingThis 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
201. Act.entryRelationship:indication.typeCode
Control1..1
Typecode
XML RepresentationIn 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) (CONF:1098-31636).

Pattern ValueRSON
202. Act.entryRelationship:indication.inversionInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
203. Act.entryRelationship:indication.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
204. Act.entryRelationship:indication.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
205. Act.entryRelationship:indication.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
206. Act.entryRelationship:indication.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
207. Act.entryRelationship:indication.observation
Definition

Base definition for all types defined in FHIR type system.

Control1..1
Typehttp://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:1098-32634).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
208. Act.entryRelationship:indication.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
209. Act.entryRelationship:indication.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
210. Act.entryRelationship:indication.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
211. Act.entryRelationship:indication.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
212. Act.entryRelationship:indication.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
213. Act.entryRelationship:indication.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
214. Act.entryRelationship:indication.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
215. Act.entryRelationship:indication.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
216. Act.reference
Control0..*
TypeElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
217. 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.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
218. 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.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, 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.

InvariantsDefined 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())
SlicingThis 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
219. Act.reference.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
220. Act.reference.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
221. Act.reference.externalAct
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalAct
222. Act.reference.externalObservation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalObservation
223. Act.reference.externalProcedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure
224. Act.reference.externalDocument
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalDocument
225. Act.precondition
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Precondition