Consolidated CDA Release 2.1 StructureDefinition Prototype Publication
2.1.0-draft1 - CI Build
United States of America
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 
| Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.140 | Version: 2.1.0-draft1 | |||
| Active as of 2023-01-16 | Computable Name: PatientReferralAct | |||
| Other Identifiers: id: urn:oid:2.16.840.1.113883.10.20.22.4.140 | ||||
This template represents the type of referral (e.g., for dental care, to a specialist, for aging problems) and represents whether the referral is for full care or shared care. It may contain a reference to another act in the document instance representing the clinical reason for the referral (e.g., problem, concern, procedure).
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from CDAR2.Act
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Act | 1..1 | CDAR2.Act | Base for all types and resources | |
 classCode | 1..1 | code | Required Pattern: PCPR | |
| moodCode | 1..1 | code | Binding: Patient Referral Act moodCode (required) | |
  Slices for templateId | 0..* | II | Slice: Unordered, Open by value:root | |
   templateId:primary | 1..1 | II | ||
  root | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.140 | |
| id | 1..* | II | In the case of a Consultation Note where this referral is being fulfilled by this consultation, this id would be referenced in the inFullfilmentOf/order/id of the Consultation Note. | |
| code | 1..1 | CD | Binding: Referral Types (required) | |
| statusCode | 1..1 | CS | ||
 code | 1..1 | string | Required Pattern: active | |
| effectiveTime | 1..1 | IVL_TS | The effectiveTime represents the time when the future referral is intended to take place. | |
| priorityCode | 0..1 | CE | ||
 author | 0..* | AuthorParticipation | Base for all types and resources | |
| participant | 0..* | Participant2 | ||
| typeCode | 1..1 | code | Required Pattern: REFT | |
 participantRole | 1..1 | ParticipantRole | ||
| code | 0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |
| Slices for entryRelationship | 0..* | Element | The following entryRelationship represents a reference to another act in the document instance representing the clinical reason for the referral (e.g., problem, concern, procedure). Slice: Unordered, Open by profile:observation | |
 entryRelationship:entryRelationship1 | 0..* | Element | The following entryRelationship represents whether the referral is for full or shared care. | |
  typeCode | 1..1 | code | Required Pattern: SUBJ | |
 observation | 1..1 | Observation | ||
| classCode | 1..1 | code | Required Pattern: OBS | |
| moodCode | 1..1 | code | Required Pattern: RQO | |
| code | 1..1 | CD | ||
| code | 1..1 | string | Required Pattern: ASSERTION | |
| codeSystem | 1..1 | string | Required Pattern: 2.16.840.1.113883.5.4 | |
| statusCode | 1..1 | CS | ||
| code | 1..1 | string | Required Pattern: completed | |
| priorityCode | 0..1 | CE | Binding: ActPriority (preferred) | |
| value | 1..1 | CD | Binding: Care Model (preferred) | |
| entryRelationship:indication | 0..* | Element | ||
| typeCode | 1..1 | code | Required Pattern: RSON | |
| observation | 1..1 | Indication | Base for all types and resources | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Act.moodCode | required | Patient Referral Act moodCode |
| Act.code | required | Referral Types |
| Act.participant.participantRole.code | preferred | Healthcare Provider Taxonomy (a valid code from http://nucc.org/provider-taxonomy) |
| Act.entryRelationship:entryRelationship1.observation.priorityCode | preferred | ActPriority |
| Act.entryRelationship:entryRelationship1.observation.value | preferred | Care Model |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Act | 1..1 | CDAR2.Act | Base for all types and resources | |
 classCode | 1..1 | code | Required Pattern: PCPR | |
| moodCode | 1..1 | code | Binding: Patient Referral Act moodCode (required) | |
| Slices for templateId | 0..* | II | Slice: Unordered, Open by value:root | |
| templateId:primary | 1..1 | II | ||
| root | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.140 | |
| id | 1..* | II | In the case of a Consultation Note where this referral is being fulfilled by this consultation, this id would be referenced in the inFullfilmentOf/order/id of the Consultation Note. | |
| code | 1..1 | CD | Binding: Referral Types (required) | |
| statusCode | 1..1 | CS | Binding: ActStatus (required) | |
| code | 1..1 | string | Required Pattern: active | |
| effectiveTime | 1..1 | IVL_TS | The effectiveTime represents the time when the future referral is intended to take place. | |
| priorityCode | 0..1 | CE | Binding: ActPriority (extensible) | |
| author | 0..* | AuthorParticipation | Base for all types and resources | |
| participant | 0..* | Participant2 | ||
| typeCode | 1..1 | code | Binding: ParticipationType (required) Required Pattern: REFT | |
| participantRole | 1..1 | ParticipantRole | ||
| classCode | 1..1 | code | Binding: RoleClassRoot (required) | |
| code | 0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |
| Slices for entryRelationship | C | 0..* | Element | The following entryRelationship represents a reference to another act in the document instance representing the clinical reason for the referral (e.g., problem, concern, procedure). Slice: Unordered, Open by profile:observation |
| entryRelationship:All Slices | Content/Rules for all slices | |||
 typeCode | 1..1 | code | ||
 contextConductionInd | 1..1 | boolean | ||
| entryRelationship:entryRelationship1 | C | 0..* | Element | The following entryRelationship represents whether the referral is for full or shared care. |
| typeCode | 1..1 | code | Required Pattern: SUBJ | |
| contextConductionInd | 1..1 | boolean | ||
| observation | 1..1 | Observation | ||
| classCode | 1..1 | code | Binding: ActClassObservation (required) Required Pattern: OBS | |
| moodCode | 1..1 | code | Required Pattern: RQO | |
| code | 1..1 | CD | Binding: ObservationType (extensible) | |
| code | 1..1 | string | Required Pattern: ASSERTION | |
| codeSystem | 1..1 | string | Required Pattern: 2.16.840.1.113883.5.4 | |
| statusCode | 1..1 | CS | Binding: ActStatus (required) | |
| code | 1..1 | string | Required Pattern: completed | |
| priorityCode | 0..1 | CE | Binding: ActPriority (preferred) | |
| value | 1..1 | CD | Binding: Care Model (preferred) | |
| entryRelationship:indication | C | 0..* | Element | |
| typeCode | 1..1 | code | Required Pattern: RSON | |
| contextConductionInd | 1..1 | boolean | ||
| observation | 1..1 | Indication | Base for all types and resources | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Act.moodCode | required | Patient Referral Act moodCode |
| Act.code | required | Referral Types |
| Act.statusCode | required | ActStatus |
| Act.priorityCode | extensible | ActPriority |
| Act.participant.typeCode | required | Pattern: REFT |
| Act.participant.participantRole.classCode | required | RoleClassRoot |
| Act.participant.participantRole.code | preferred | Healthcare Provider Taxonomy (a valid code from http://nucc.org/provider-taxonomy) |
| Act.entryRelationship:entryRelationship1.observation.classCode | required | Pattern: OBS |
| Act.entryRelationship:entryRelationship1.observation.code | extensible | ObservationType |
| Act.entryRelationship:entryRelationship1.observation.statusCode | required | ActStatus |
| Act.entryRelationship:entryRelationship1.observation.priorityCode | preferred | ActPriority |
| Act.entryRelationship:entryRelationship1.observation.value | preferred | Care Model |
| Id | Grade | Path(s) | Details | Requirements |
| act-er-1 | error | Act.entryRelationship, Act.entryRelationship:entryRelationship1, Act.entryRelationship:indication | 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 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Act | 1..1 | CDAR2.Act | Base for all types and resources | |
| classCode | 1..1 | code | Required Pattern: PCPR | |
| moodCode | 1..1 | code | Binding: Patient Referral Act moodCode (required) | |
| realmCode | 0..* | CS | ||
| typeId | 0..1 | II | ||
| Slices for templateId | 0..* | II | Slice: Unordered, Open by value:root | |
| templateId:primary | 1..1 | II | ||
| nullFlavor | 0..1 | code | Binding: NullFlavor (required) | |
| assigningAuthorityName | 0..1 | string | ||
| displayable | 0..1 | boolean | ||
| root | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.140 | |
 extension | 0..1 | string | ||
| id | 1..* | II | In the case of a Consultation Note where this referral is being fulfilled by this consultation, this id would be referenced in the inFullfilmentOf/order/id of the Consultation Note. | |
| code | 1..1 | CD | Binding: Referral Types (required) | |
| negationInd | 0..1 | boolean | ||
| text | 0..1 | ED | ||
| statusCode | 1..1 | CS | Binding: ActStatus (required) | |
| nullFlavor | 0..1 | code | Binding: NullFlavor (required) | |
| code | 1..1 | string | Required Pattern: active | |
| sdtcValueSet | 0..1 | string | XML: valueSet (urn:hl7-org:sdtc) | |
| sdtcValueSetVersion | 0..1 | string | XML: valueSetVersion (urn:hl7-org:sdtc) | |
| effectiveTime | 1..1 | IVL_TS | The effectiveTime represents the time when the future referral is intended to take place. | |
| priorityCode | 0..1 | CE | Binding: ActPriority (extensible) | |
| languageCode | 0..1 | CS | Binding: HumanLanguage (required) | |
 subject | 0..1 | Element | ||
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| typeCode | 1..1 | code | Binding: ParticipationTargetSubject (required) Fixed Value: SBJ | |
| contextControlCode | 1..1 | code | Binding: ContextControl (required) Fixed Value: OP | |
| awarenessCode | 0..1 | CE | Binding: TargetAwareness (extensible) | |
| relatedSubject | 1..1 | RelatedSubject | ||
| specimen | 0..* | Specimen | ||
| performer | 0..* | Performer2 | ||
| author | 0..* | AuthorParticipation | Base for all types and resources | |
| informant | 0..* | Element | ||
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| typeCode | 1..1 | code | Binding: ParticipationInformationGenerator (required) Fixed Value: INF | |
| contextControlCode | 1..1 | code | Binding: ContextControl (required) Fixed Value: OP | |
| assignedEntity | 0..1 | AssignedEntity | ||
| relatedEntity | 0..1 | RelatedEntity | ||
| participant | 0..* | Participant2 | ||
| nullFlavor | 0..1 | code | Binding: NullFlavor (required) | |
| typeCode | 1..1 | code | Binding: ParticipationType (required) Required Pattern: REFT | |
| contextControlCode | 0..1 | code | Binding: ContextControl (required) Fixed Value: OP | |
| realmCode | 0..* | CS | ||
| typeId | 0..1 | II | ||
| templateId | 0..* | II | ||
| sdtcFunctionCode | 0..1 | CE | XML: functionCode (urn:hl7-org:sdtc) | |
| time | 0..1 | IVL_TS | ||
| awarenessCode | 0..1 | CE | ||
| participantRole | 1..1 | ParticipantRole | ||
| classCode | 1..1 | code | Binding: RoleClassRoot (required) | |
| templateId | 0..* | II | ||
| id | 0..* | II | ||
| sdtcIdentifiedBy | 0..* | IdentifiedBy | XML: identifiedBy (urn:hl7-org:sdtc) | |
| code | 0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |
| addr | 0..* | AD | ||
| telecom | 0..* | TEL | ||
| playingDevice | 0..1 | Device | ||
| playingEntity | 0..1 | PlayingEntity | ||
| scopingEntity | 0..1 | Entity | ||
| Slices for entryRelationship | C | 0..* | Element | The following entryRelationship represents a reference to another act in the document instance representing the clinical reason for the referral (e.g., problem, concern, procedure). Slice: Unordered, Open by profile:observation |
| entryRelationship:All Slices | Content/Rules for all slices | |||
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| typeCode | 1..1 | code | ||
| inversionInd | 0..1 | boolean | ||
| contextConductionInd | 1..1 | boolean | ||
| sequenceNumber | 0..1 | INT | ||
| negationInd | 0..1 | boolean | ||
| seperatableInd | 0..1 | BL | ||
 (Choice of one) | 1..1 | |||
| observation | 0..1 | Observation | ||
| regionOfInterest | 0..1 | RegionOfInterest | ||
| observationMedia | 0..1 | ObservationMedia | ||
| substanceAdministration | 0..1 | SubstanceAdministration | ||
| supply | 0..1 | Supply | ||
| procedure | 0..1 | Procedure | ||
| encounter | 0..1 | Encounter | ||
| organizer | 0..1 | Organizer | ||
| act | 0..1 | Act | ||
| entryRelationship:entryRelationship1 | C | 0..* | Element | The following entryRelationship represents whether the referral is for full or shared care. |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| typeCode | 1..1 | code | Required Pattern: SUBJ | |
| inversionInd | 0..1 | boolean | ||
| contextConductionInd | 1..1 | boolean | ||
| sequenceNumber | 0..1 | INT | ||
| negationInd | 0..1 | boolean | ||
| seperatableInd | 0..1 | BL | ||
| observation | 1..1 | Observation | ||
| classCode | 1..1 | code | Binding: ActClassObservation (required) Required Pattern: OBS | |
| moodCode | 1..1 | code | Required Pattern: RQO | |
| negationInd | 0..1 | boolean | ||
| realmCode | 0..* | CS | ||
| typeId | 0..1 | II | ||
| templateId | 0..* | II | ||
| id | 0..* | II | ||
| code | 1..1 | CD | Binding: ObservationType (extensible) | |
| nullFlavor | 0..1 | code | Binding: NullFlavor (required) | |
| code | 1..1 | string | Required Pattern: ASSERTION | |
| codeSystem | 1..1 | string | Required Pattern: 2.16.840.1.113883.5.4 | |
| codeSystemName | 0..1 | string | ||
| codeSystemVersion | 0..1 | string | ||
| displayName | 0..1 | string | ||
| sdtcValueSet | 0..1 | string | XML: valueSet (urn:hl7-org:sdtc) | |
| sdtcValueSetVersion | 0..1 | string | XML: valueSetVersion (urn:hl7-org:sdtc) | |
| originalText | 0..1 | ED | ||
| qualifier | 0..* | CR | ||
| translation | 0..* | CD | ||
| derivationExpr | 0..1 | ED | ||
| text | 0..1 | ED | ||
| statusCode | 1..1 | CS | Binding: ActStatus (required) | |
| nullFlavor | 0..1 | code | Binding: NullFlavor (required) | |
| code | 1..1 | string | Required Pattern: completed | |
| sdtcValueSet | 0..1 | string | XML: valueSet (urn:hl7-org:sdtc) | |
| sdtcValueSetVersion | 0..1 | string | XML: valueSetVersion (urn:hl7-org:sdtc) | |
| effectiveTime | 0..1 | IVL_TS | ||
| priorityCode | 0..1 | CE | Binding: ActPriority (preferred) | |
| repeatNumber | 0..1 | IVL_INT | ||
| languageCode | 0..1 | CS | Binding: HumanLanguage (required) | |
| value | 1..1 | CD | Binding: Care Model (preferred) | |
| interpretationCode | 0..* | CE | Binding: ObservationInterpretation (required) | |
| methodCode | 0..* | CE | Binding: ObservationMethod (extensible) | |
| targetSiteCode | 0..* | CD | ||
| subject | 0..1 | Element | ||
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| typeCode | 1..1 | code | Binding: ParticipationTargetSubject (required) Fixed Value: SBJ | |
| contextControlCode | 1..1 | code | Binding: ContextControl (required) Fixed Value: OP | |
| awarenessCode | 0..1 | CE | Binding: TargetAwareness (extensible) | |
| relatedSubject | 1..1 | RelatedSubject | ||
| specimen | 0..* | Specimen | ||
| performer | 0..* | Performer2 | ||
| author | 0..* | Author | ||
| informant | 0..* | Element | ||
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| typeCode | 1..1 | code | Binding: ParticipationInformationGenerator (required) Fixed Value: INF | |
| contextControlCode | 1..1 | code | Binding: ContextControl (required) Fixed Value: OP | |
| assignedEntity | 0..1 | AssignedEntity | ||
| relatedEntity | 0..1 | RelatedEntity | ||
| participant | 0..* | Participant2 | ||
| entryRelationship | C | 0..* | Element | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| typeCode | 1..1 | code | ||
| inversionInd | 0..1 | boolean | ||
| contextConductionInd | 1..1 | boolean | ||
| sequenceNumber | 0..1 | INT | ||
| negationInd | 0..1 | boolean | ||
| seperatableInd | 0..1 | BL | ||
| (Choice of one) | 1..1 | |||
| observation | 0..1 | Observation | ||
| regionOfInterest | 0..1 | RegionOfInterest | ||
| observationMedia | 0..1 | ObservationMedia | ||
| substanceAdministration | 0..1 | SubstanceAdministration | ||
| supply | 0..1 | Supply | ||
| procedure | 0..1 | Procedure | ||
| encounter | 0..1 | Encounter | ||
| organizer | 0..1 | Organizer | ||
| act | 0..1 | Act | ||
| reference | 0..* | Element | ||
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| typeCode | 1..1 | code | ||
| seperatableInd | 0..1 | BL | ||
| externalAct | 0..1 | ExternalAct | ||
| externalObservation | 0..1 | ExternalObservation | ||
| externalProcedure | 0..1 | ExternalProcedure | ||
| externalDocument | 0..1 | ExternalDocument | ||
| precondition | 0..* | Precondition | ||
| referenceRange | 0..* | Element | ||
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| typeCode | 1..1 | code | Binding: ActRelationshipPertains (required) Fixed Value: REFV | |
| observationRange | 1..1 | ObservationRange | ||
| entryRelationship:indication | C | 0..* | Element | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| typeCode | 1..1 | code | Required Pattern: RSON | |
| inversionInd | 0..1 | boolean | ||
| contextConductionInd | 1..1 | boolean | ||
| sequenceNumber | 0..1 | INT | ||
| negationInd | 0..1 | boolean | ||
| seperatableInd | 0..1 | BL | ||
| observation | 1..1 | Indication | Base for all types and resources | |
| reference | 0..* | Element | ||
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| typeCode | 1..1 | code | ||
| seperatableInd | 0..1 | BL | ||
| externalAct | 0..1 | ExternalAct | ||
| externalObservation | 0..1 | ExternalObservation | ||
| externalProcedure | 0..1 | ExternalProcedure | ||
| externalDocument | 0..1 | ExternalDocument | ||
| precondition | 0..* | Precondition | ||
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Act.moodCode | required | Patient Referral Act moodCode |
| Act.templateId:primary.nullFlavor | required | NullFlavor |
| Act.code | required | Referral Types |
| Act.statusCode | required | ActStatus |
| Act.statusCode.nullFlavor | required | NullFlavor |
| Act.priorityCode | extensible | ActPriority |
| Act.languageCode | required | HumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066) |
| Act.subject.typeCode | required | Fixed Value: SBJ |
| Act.subject.contextControlCode | required | Fixed Value: OP |
| Act.subject.awarenessCode | extensible | TargetAwareness |
| Act.informant.typeCode | required | Fixed Value: INF |
| Act.informant.contextControlCode | required | Fixed Value: OP |
| Act.participant.nullFlavor | required | NullFlavor |
| Act.participant.typeCode | required | Pattern: REFT |
| Act.participant.contextControlCode | required | Fixed Value: OP |
| Act.participant.participantRole.classCode | required | RoleClassRoot |
| Act.participant.participantRole.code | preferred | Healthcare Provider Taxonomy (a valid code from http://nucc.org/provider-taxonomy) |
| Act.entryRelationship:entryRelationship1.observation.classCode | required | Pattern: OBS |
| Act.entryRelationship:entryRelationship1.observation.code | extensible | ObservationType |
| Act.entryRelationship:entryRelationship1.observation.code.nullFlavor | required | NullFlavor |
| Act.entryRelationship:entryRelationship1.observation.statusCode | required | ActStatus |
| Act.entryRelationship:entryRelationship1.observation.statusCode.nullFlavor | required | NullFlavor |
| Act.entryRelationship:entryRelationship1.observation.priorityCode | preferred | ActPriority |
| Act.entryRelationship:entryRelationship1.observation.languageCode | required | HumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066) |
| Act.entryRelationship:entryRelationship1.observation.value | preferred | Care Model |
| Act.entryRelationship:entryRelationship1.observation.interpretationCode | required | ObservationInterpretation |
| Act.entryRelationship:entryRelationship1.observation.methodCode | extensible | ObservationMethod |
| Act.entryRelationship:entryRelationship1.observation.subject.typeCode | required | Fixed Value: SBJ |
| Act.entryRelationship:entryRelationship1.observation.subject.contextControlCode | required | Fixed Value: OP |
| Act.entryRelationship:entryRelationship1.observation.subject.awarenessCode | extensible | TargetAwareness |
| Act.entryRelationship:entryRelationship1.observation.informant.typeCode | required | Fixed Value: INF |
| Act.entryRelationship:entryRelationship1.observation.informant.contextControlCode | required | Fixed Value: OP |
| Act.entryRelationship:entryRelationship1.observation.referenceRange.typeCode | required | Fixed Value: REFV |
| Id | Grade | Path(s) | Details | Requirements |
| act-er-1 | error | Act.entryRelationship, Act.entryRelationship:entryRelationship1, Act.entryRelationship:indication | 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 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-er-1 | error | Act.entryRelationship:entryRelationship1.observation.entryRelationship | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
This structure is derived from CDAR2.Act
Summary
Mandatory: 9 elements (14 nested mandatory elements)
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from CDAR2.Act
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Act | 1..1 | CDAR2.Act | Base for all types and resources | |
| classCode | 1..1 | code | Required Pattern: PCPR | |
| moodCode | 1..1 | code | Binding: Patient Referral Act moodCode (required) | |
| Slices for templateId | 0..* | II | Slice: Unordered, Open by value:root | |
| templateId:primary | 1..1 | II | ||
| root | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.140 | |
| id | 1..* | II | In the case of a Consultation Note where this referral is being fulfilled by this consultation, this id would be referenced in the inFullfilmentOf/order/id of the Consultation Note. | |
| code | 1..1 | CD | Binding: Referral Types (required) | |
| statusCode | 1..1 | CS | ||
| code | 1..1 | string | Required Pattern: active | |
| effectiveTime | 1..1 | IVL_TS | The effectiveTime represents the time when the future referral is intended to take place. | |
| priorityCode | 0..1 | CE | ||
| author | 0..* | AuthorParticipation | Base for all types and resources | |
| participant | 0..* | Participant2 | ||
| typeCode | 1..1 | code | Required Pattern: REFT | |
| participantRole | 1..1 | ParticipantRole | ||
| code | 0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |
| Slices for entryRelationship | 0..* | Element | The following entryRelationship represents a reference to another act in the document instance representing the clinical reason for the referral (e.g., problem, concern, procedure). Slice: Unordered, Open by profile:observation | |
| entryRelationship:entryRelationship1 | 0..* | Element | The following entryRelationship represents whether the referral is for full or shared care. | |
| typeCode | 1..1 | code | Required Pattern: SUBJ | |
| observation | 1..1 | Observation | ||
| classCode | 1..1 | code | Required Pattern: OBS | |
| moodCode | 1..1 | code | Required Pattern: RQO | |
| code | 1..1 | CD | ||
| code | 1..1 | string | Required Pattern: ASSERTION | |
| codeSystem | 1..1 | string | Required Pattern: 2.16.840.1.113883.5.4 | |
| statusCode | 1..1 | CS | ||
| code | 1..1 | string | Required Pattern: completed | |
| priorityCode | 0..1 | CE | Binding: ActPriority (preferred) | |
| value | 1..1 | CD | Binding: Care Model (preferred) | |
| entryRelationship:indication | 0..* | Element | ||
| typeCode | 1..1 | code | Required Pattern: RSON | |
| observation | 1..1 | Indication | Base for all types and resources | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Act.moodCode | required | Patient Referral Act moodCode |
| Act.code | required | Referral Types |
| Act.participant.participantRole.code | preferred | Healthcare Provider Taxonomy (a valid code from http://nucc.org/provider-taxonomy) |
| Act.entryRelationship:entryRelationship1.observation.priorityCode | preferred | ActPriority |
| Act.entryRelationship:entryRelationship1.observation.value | preferred | Care Model |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Act | 1..1 | CDAR2.Act | Base for all types and resources | |
| classCode | 1..1 | code | Required Pattern: PCPR | |
| moodCode | 1..1 | code | Binding: Patient Referral Act moodCode (required) | |
| Slices for templateId | 0..* | II | Slice: Unordered, Open by value:root | |
| templateId:primary | 1..1 | II | ||
| root | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.140 | |
| id | 1..* | II | In the case of a Consultation Note where this referral is being fulfilled by this consultation, this id would be referenced in the inFullfilmentOf/order/id of the Consultation Note. | |
| code | 1..1 | CD | Binding: Referral Types (required) | |
| statusCode | 1..1 | CS | Binding: ActStatus (required) | |
| code | 1..1 | string | Required Pattern: active | |
| effectiveTime | 1..1 | IVL_TS | The effectiveTime represents the time when the future referral is intended to take place. | |
| priorityCode | 0..1 | CE | Binding: ActPriority (extensible) | |
| author | 0..* | AuthorParticipation | Base for all types and resources | |
| participant | 0..* | Participant2 | ||
| typeCode | 1..1 | code | Binding: ParticipationType (required) Required Pattern: REFT | |
| participantRole | 1..1 | ParticipantRole | ||
| classCode | 1..1 | code | Binding: RoleClassRoot (required) | |
| code | 0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |
| Slices for entryRelationship | C | 0..* | Element | The following entryRelationship represents a reference to another act in the document instance representing the clinical reason for the referral (e.g., problem, concern, procedure). Slice: Unordered, Open by profile:observation |
| entryRelationship:All Slices | Content/Rules for all slices | |||
| typeCode | 1..1 | code | ||
| contextConductionInd | 1..1 | boolean | ||
| entryRelationship:entryRelationship1 | C | 0..* | Element | The following entryRelationship represents whether the referral is for full or shared care. |
| typeCode | 1..1 | code | Required Pattern: SUBJ | |
| contextConductionInd | 1..1 | boolean | ||
| observation | 1..1 | Observation | ||
| classCode | 1..1 | code | Binding: ActClassObservation (required) Required Pattern: OBS | |
| moodCode | 1..1 | code | Required Pattern: RQO | |
| code | 1..1 | CD | Binding: ObservationType (extensible) | |
| code | 1..1 | string | Required Pattern: ASSERTION | |
| codeSystem | 1..1 | string | Required Pattern: 2.16.840.1.113883.5.4 | |
| statusCode | 1..1 | CS | Binding: ActStatus (required) | |
| code | 1..1 | string | Required Pattern: completed | |
| priorityCode | 0..1 | CE | Binding: ActPriority (preferred) | |
| value | 1..1 | CD | Binding: Care Model (preferred) | |
| entryRelationship:indication | C | 0..* | Element | |
| typeCode | 1..1 | code | Required Pattern: RSON | |
| contextConductionInd | 1..1 | boolean | ||
| observation | 1..1 | Indication | Base for all types and resources | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Act.moodCode | required | Patient Referral Act moodCode |
| Act.code | required | Referral Types |
| Act.statusCode | required | ActStatus |
| Act.priorityCode | extensible | ActPriority |
| Act.participant.typeCode | required | Pattern: REFT |
| Act.participant.participantRole.classCode | required | RoleClassRoot |
| Act.participant.participantRole.code | preferred | Healthcare Provider Taxonomy (a valid code from http://nucc.org/provider-taxonomy) |
| Act.entryRelationship:entryRelationship1.observation.classCode | required | Pattern: OBS |
| Act.entryRelationship:entryRelationship1.observation.code | extensible | ObservationType |
| Act.entryRelationship:entryRelationship1.observation.statusCode | required | ActStatus |
| Act.entryRelationship:entryRelationship1.observation.priorityCode | preferred | ActPriority |
| Act.entryRelationship:entryRelationship1.observation.value | preferred | Care Model |
| Id | Grade | Path(s) | Details | Requirements |
| act-er-1 | error | Act.entryRelationship, Act.entryRelationship:entryRelationship1, Act.entryRelationship:indication | 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 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Act | 1..1 | CDAR2.Act | Base for all types and resources | |
| classCode | 1..1 | code | Required Pattern: PCPR | |
| moodCode | 1..1 | code | Binding: Patient Referral Act moodCode (required) | |
| realmCode | 0..* | CS | ||
| typeId | 0..1 | II | ||
| Slices for templateId | 0..* | II | Slice: Unordered, Open by value:root | |
| templateId:primary | 1..1 | II | ||
| nullFlavor | 0..1 | code | Binding: NullFlavor (required) | |
| assigningAuthorityName | 0..1 | string | ||
| displayable | 0..1 | boolean | ||
| root | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.140 | |
| extension | 0..1 | string | ||
| id | 1..* | II | In the case of a Consultation Note where this referral is being fulfilled by this consultation, this id would be referenced in the inFullfilmentOf/order/id of the Consultation Note. | |
| code | 1..1 | CD | Binding: Referral Types (required) | |
| negationInd | 0..1 | boolean | ||
| text | 0..1 | ED | ||
| statusCode | 1..1 | CS | Binding: ActStatus (required) | |
| nullFlavor | 0..1 | code | Binding: NullFlavor (required) | |
| code | 1..1 | string | Required Pattern: active | |
| sdtcValueSet | 0..1 | string | XML: valueSet (urn:hl7-org:sdtc) | |
| sdtcValueSetVersion | 0..1 | string | XML: valueSetVersion (urn:hl7-org:sdtc) | |
| effectiveTime | 1..1 | IVL_TS | The effectiveTime represents the time when the future referral is intended to take place. | |
| priorityCode | 0..1 | CE | Binding: ActPriority (extensible) | |
| languageCode | 0..1 | CS | Binding: HumanLanguage (required) | |
| subject | 0..1 | Element | ||
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| typeCode | 1..1 | code | Binding: ParticipationTargetSubject (required) Fixed Value: SBJ | |
| contextControlCode | 1..1 | code | Binding: ContextControl (required) Fixed Value: OP | |
| awarenessCode | 0..1 | CE | Binding: TargetAwareness (extensible) | |
| relatedSubject | 1..1 | RelatedSubject | ||
| specimen | 0..* | Specimen | ||
| performer | 0..* | Performer2 | ||
| author | 0..* | AuthorParticipation | Base for all types and resources | |
| informant | 0..* | Element | ||
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| typeCode | 1..1 | code | Binding: ParticipationInformationGenerator (required) Fixed Value: INF | |
| contextControlCode | 1..1 | code | Binding: ContextControl (required) Fixed Value: OP | |
| assignedEntity | 0..1 | AssignedEntity | ||
| relatedEntity | 0..1 | RelatedEntity | ||
| participant | 0..* | Participant2 | ||
| nullFlavor | 0..1 | code | Binding: NullFlavor (required) | |
| typeCode | 1..1 | code | Binding: ParticipationType (required) Required Pattern: REFT | |
| contextControlCode | 0..1 | code | Binding: ContextControl (required) Fixed Value: OP | |
| realmCode | 0..* | CS | ||
| typeId | 0..1 | II | ||
| templateId | 0..* | II | ||
| sdtcFunctionCode | 0..1 | CE | XML: functionCode (urn:hl7-org:sdtc) | |
| time | 0..1 | IVL_TS | ||
| awarenessCode | 0..1 | CE | ||
| participantRole | 1..1 | ParticipantRole | ||
| classCode | 1..1 | code | Binding: RoleClassRoot (required) | |
| templateId | 0..* | II | ||
| id | 0..* | II | ||
| sdtcIdentifiedBy | 0..* | IdentifiedBy | XML: identifiedBy (urn:hl7-org:sdtc) | |
| code | 0..1 | CE | Binding: Healthcare Provider Taxonomy (preferred) | |
| addr | 0..* | AD | ||
| telecom | 0..* | TEL | ||
| playingDevice | 0..1 | Device | ||
| playingEntity | 0..1 | PlayingEntity | ||
| scopingEntity | 0..1 | Entity | ||
| Slices for entryRelationship | C | 0..* | Element | The following entryRelationship represents a reference to another act in the document instance representing the clinical reason for the referral (e.g., problem, concern, procedure). Slice: Unordered, Open by profile:observation |
| entryRelationship:All Slices | Content/Rules for all slices | |||
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| typeCode | 1..1 | code | ||
| inversionInd | 0..1 | boolean | ||
| contextConductionInd | 1..1 | boolean | ||
| sequenceNumber | 0..1 | INT | ||
| negationInd | 0..1 | boolean | ||
| seperatableInd | 0..1 | BL | ||
| (Choice of one) | 1..1 | |||
| observation | 0..1 | Observation | ||
| regionOfInterest | 0..1 | RegionOfInterest | ||
| observationMedia | 0..1 | ObservationMedia | ||
| substanceAdministration | 0..1 | SubstanceAdministration | ||
| supply | 0..1 | Supply | ||
| procedure | 0..1 | Procedure | ||
| encounter | 0..1 | Encounter | ||
| organizer | 0..1 | Organizer | ||
| act | 0..1 | Act | ||
| entryRelationship:entryRelationship1 | C | 0..* | Element | The following entryRelationship represents whether the referral is for full or shared care. |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| typeCode | 1..1 | code | Required Pattern: SUBJ | |
| inversionInd | 0..1 | boolean | ||
| contextConductionInd | 1..1 | boolean | ||
| sequenceNumber | 0..1 | INT | ||
| negationInd | 0..1 | boolean | ||
| seperatableInd | 0..1 | BL | ||
| observation | 1..1 | Observation | ||
| classCode | 1..1 | code | Binding: ActClassObservation (required) Required Pattern: OBS | |
| moodCode | 1..1 | code | Required Pattern: RQO | |
| negationInd | 0..1 | boolean | ||
| realmCode | 0..* | CS | ||
| typeId | 0..1 | II | ||
| templateId | 0..* | II | ||
| id | 0..* | II | ||
| code | 1..1 | CD | Binding: ObservationType (extensible) | |
| nullFlavor | 0..1 | code | Binding: NullFlavor (required) | |
| code | 1..1 | string | Required Pattern: ASSERTION | |
| codeSystem | 1..1 | string | Required Pattern: 2.16.840.1.113883.5.4 | |
| codeSystemName | 0..1 | string | ||
| codeSystemVersion | 0..1 | string | ||
| displayName | 0..1 | string | ||
| sdtcValueSet | 0..1 | string | XML: valueSet (urn:hl7-org:sdtc) | |
| sdtcValueSetVersion | 0..1 | string | XML: valueSetVersion (urn:hl7-org:sdtc) | |
| originalText | 0..1 | ED | ||
| qualifier | 0..* | CR | ||
| translation | 0..* | CD | ||
| derivationExpr | 0..1 | ED | ||
| text | 0..1 | ED | ||
| statusCode | 1..1 | CS | Binding: ActStatus (required) | |
| nullFlavor | 0..1 | code | Binding: NullFlavor (required) | |
| code | 1..1 | string | Required Pattern: completed | |
| sdtcValueSet | 0..1 | string | XML: valueSet (urn:hl7-org:sdtc) | |
| sdtcValueSetVersion | 0..1 | string | XML: valueSetVersion (urn:hl7-org:sdtc) | |
| effectiveTime | 0..1 | IVL_TS | ||
| priorityCode | 0..1 | CE | Binding: ActPriority (preferred) | |
| repeatNumber | 0..1 | IVL_INT | ||
| languageCode | 0..1 | CS | Binding: HumanLanguage (required) | |
| value | 1..1 | CD | Binding: Care Model (preferred) | |
| interpretationCode | 0..* | CE | Binding: ObservationInterpretation (required) | |
| methodCode | 0..* | CE | Binding: ObservationMethod (extensible) | |
| targetSiteCode | 0..* | CD | ||
| subject | 0..1 | Element | ||
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| typeCode | 1..1 | code | Binding: ParticipationTargetSubject (required) Fixed Value: SBJ | |
| contextControlCode | 1..1 | code | Binding: ContextControl (required) Fixed Value: OP | |
| awarenessCode | 0..1 | CE | Binding: TargetAwareness (extensible) | |
| relatedSubject | 1..1 | RelatedSubject | ||
| specimen | 0..* | Specimen | ||
| performer | 0..* | Performer2 | ||
| author | 0..* | Author | ||
| informant | 0..* | Element | ||
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| typeCode | 1..1 | code | Binding: ParticipationInformationGenerator (required) Fixed Value: INF | |
| contextControlCode | 1..1 | code | Binding: ContextControl (required) Fixed Value: OP | |
| assignedEntity | 0..1 | AssignedEntity | ||
| relatedEntity | 0..1 | RelatedEntity | ||
| participant | 0..* | Participant2 | ||
| entryRelationship | C | 0..* | Element | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| typeCode | 1..1 | code | ||
| inversionInd | 0..1 | boolean | ||
| contextConductionInd | 1..1 | boolean | ||
| sequenceNumber | 0..1 | INT | ||
| negationInd | 0..1 | boolean | ||
| seperatableInd | 0..1 | BL | ||
| (Choice of one) | 1..1 | |||
| observation | 0..1 | Observation | ||
| regionOfInterest | 0..1 | RegionOfInterest | ||
| observationMedia | 0..1 | ObservationMedia | ||
| substanceAdministration | 0..1 | SubstanceAdministration | ||
| supply | 0..1 | Supply | ||
| procedure | 0..1 | Procedure | ||
| encounter | 0..1 | Encounter | ||
| organizer | 0..1 | Organizer | ||
| act | 0..1 | Act | ||
| reference | 0..* | Element | ||
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| typeCode | 1..1 | code | ||
| seperatableInd | 0..1 | BL | ||
| externalAct | 0..1 | ExternalAct | ||
| externalObservation | 0..1 | ExternalObservation | ||
| externalProcedure | 0..1 | ExternalProcedure | ||
| externalDocument | 0..1 | ExternalDocument | ||
| precondition | 0..* | Precondition | ||
| referenceRange | 0..* | Element | ||
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| typeCode | 1..1 | code | Binding: ActRelationshipPertains (required) Fixed Value: REFV | |
| observationRange | 1..1 | ObservationRange | ||
| entryRelationship:indication | C | 0..* | Element | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| typeCode | 1..1 | code | Required Pattern: RSON | |
| inversionInd | 0..1 | boolean | ||
| contextConductionInd | 1..1 | boolean | ||
| sequenceNumber | 0..1 | INT | ||
| negationInd | 0..1 | boolean | ||
| seperatableInd | 0..1 | BL | ||
| observation | 1..1 | Indication | Base for all types and resources | |
| reference | 0..* | Element | ||
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| typeCode | 1..1 | code | ||
| seperatableInd | 0..1 | BL | ||
| externalAct | 0..1 | ExternalAct | ||
| externalObservation | 0..1 | ExternalObservation | ||
| externalProcedure | 0..1 | ExternalProcedure | ||
| externalDocument | 0..1 | ExternalDocument | ||
| precondition | 0..* | Precondition | ||
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Act.moodCode | required | Patient Referral Act moodCode |
| Act.templateId:primary.nullFlavor | required | NullFlavor |
| Act.code | required | Referral Types |
| Act.statusCode | required | ActStatus |
| Act.statusCode.nullFlavor | required | NullFlavor |
| Act.priorityCode | extensible | ActPriority |
| Act.languageCode | required | HumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066) |
| Act.subject.typeCode | required | Fixed Value: SBJ |
| Act.subject.contextControlCode | required | Fixed Value: OP |
| Act.subject.awarenessCode | extensible | TargetAwareness |
| Act.informant.typeCode | required | Fixed Value: INF |
| Act.informant.contextControlCode | required | Fixed Value: OP |
| Act.participant.nullFlavor | required | NullFlavor |
| Act.participant.typeCode | required | Pattern: REFT |
| Act.participant.contextControlCode | required | Fixed Value: OP |
| Act.participant.participantRole.classCode | required | RoleClassRoot |
| Act.participant.participantRole.code | preferred | Healthcare Provider Taxonomy (a valid code from http://nucc.org/provider-taxonomy) |
| Act.entryRelationship:entryRelationship1.observation.classCode | required | Pattern: OBS |
| Act.entryRelationship:entryRelationship1.observation.code | extensible | ObservationType |
| Act.entryRelationship:entryRelationship1.observation.code.nullFlavor | required | NullFlavor |
| Act.entryRelationship:entryRelationship1.observation.statusCode | required | ActStatus |
| Act.entryRelationship:entryRelationship1.observation.statusCode.nullFlavor | required | NullFlavor |
| Act.entryRelationship:entryRelationship1.observation.priorityCode | preferred | ActPriority |
| Act.entryRelationship:entryRelationship1.observation.languageCode | required | HumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066) |
| Act.entryRelationship:entryRelationship1.observation.value | preferred | Care Model |
| Act.entryRelationship:entryRelationship1.observation.interpretationCode | required | ObservationInterpretation |
| Act.entryRelationship:entryRelationship1.observation.methodCode | extensible | ObservationMethod |
| Act.entryRelationship:entryRelationship1.observation.subject.typeCode | required | Fixed Value: SBJ |
| Act.entryRelationship:entryRelationship1.observation.subject.contextControlCode | required | Fixed Value: OP |
| Act.entryRelationship:entryRelationship1.observation.subject.awarenessCode | extensible | TargetAwareness |
| Act.entryRelationship:entryRelationship1.observation.informant.typeCode | required | Fixed Value: INF |
| Act.entryRelationship:entryRelationship1.observation.informant.contextControlCode | required | Fixed Value: OP |
| Act.entryRelationship:entryRelationship1.observation.referenceRange.typeCode | required | Fixed Value: REFV |
| Id | Grade | Path(s) | Details | Requirements |
| act-er-1 | error | Act.entryRelationship, Act.entryRelationship:entryRelationship1, Act.entryRelationship:indication | 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 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-er-1 | error | Act.entryRelationship:entryRelationship1.observation.entryRelationship | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
This structure is derived from CDAR2.Act
Summary
Mandatory: 9 elements (14 nested mandatory elements)
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
IG © 2019+ Health Level Seven. Package hl7.cda.us.ccda#2.1.0-draft1 based on FHIR 5.0.0-snapshot3. Generated 2023-01-16
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