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: ProblemConcernAct - Detailed Descriptions

Active as of 2023-01-16

Definitions for the 2.16.840.1.113883.10.20.22.4.3 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="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-9024).

Pattern ValueACT
3. Act.moodCode
Requirements

SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-9025).

Pattern ValueEVN
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 @ extension
  • value @ extension,
5. Act.templateId:primary
SliceNameprimary
Control1..1
Requirements

SHALL contain exactly one [1..1] templateId (CONF:1198-16772) such that it

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

SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.3" (CONF:1198-16773).

Pattern Value2.16.840.1.113883.10.20.22.4.3
7. Act.templateId:primary.extension
Control1..1
Requirements

SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32509).

Pattern Value2015-08-01
8. Act.id
Control10..*
Requirements

SHALL contain at least one [1..*] id (CONF:1198-9026).

9. Act.code
Requirements

SHALL contain exactly one [1..1] code (CONF:1198-9027).

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

This code SHALL contain exactly one [1..1] @code="CONC" Concern (CONF:1198-19184).

Pattern ValueCONC
11. Act.code.codeSystem
Control1..1
Requirements

This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.6" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1198-32168).

Pattern Value2.16.840.1.113883.5.6
12. Act.statusCode
Control10..1
Requirements

SHALL contain exactly one [1..1] statusCode (CONF:1198-9029).

13. Act.statusCode.code
Control1..1
BindingThe codes SHALL be taken from ProblemAct statusCode
Requirements

This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ProblemAct statusCode urn:oid:2.16.840.1.113883.11.20.9.19 STATIC (CONF:1198-31525).

14. Act.effectiveTime
Control10..1
Requirements

SHALL contain exactly one [1..1] effectiveTime (CONF:1198-9030).

15. Act.effectiveTime.low
Control1..1
Requirements

This effectiveTime SHALL contain exactly one [1..1] low (CONF:1198-9032).

16. Act.effectiveTime.high
Control0..1
Requirements

This effectiveTime MAY contain zero or one [0..1] high (CONF:1198-9033).

17. 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:1198-31146).

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:problem
SliceNameproblem
Control1..*
Requirements

SHALL contain at least one [1..*] entryRelationship (CONF:1198-9034) such that it

20. Act.entryRelationship:problem.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 STATIC) (CONF:1198-9035).

Pattern ValueSUBJ
21. Act.entryRelationship:problem.observation
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(ProblemObservation)
Requirements

SHALL contain exactly one [1..1] Problem Observation (V3) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.4:2015-08-01) (CONF:1198-15980).

22. Act.entryRelationship:priority
SliceNamepriority
Control0..*
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1198-31638) such that it

23. Act.entryRelationship:priority.typeCode
Control1..1
Requirements

SHALL contain exactly one [1..1] @typeCode="REFR" refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31639).

Pattern ValueREFR
24. Act.entryRelationship:priority.observation
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(PriorityPreference)
Requirements

SHALL contain exactly one [1..1] Priority Preference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.143) (CONF:1198-31640).

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="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-9024).

Pattern ValueACT
3. Act.moodCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-9025).

Pattern ValueEVN
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 @ extension
  • value @ extension,
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:1198-16772) 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="2.16.840.1.113883.10.20.22.4.3" (CONF:1198-16773).

Pattern Value2.16.840.1.113883.10.20.22.4.3
7. Act.templateId:primary.extension
Definition

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

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

SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32509).

Pattern Value2015-08-01
8. Act.id
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

SHALL contain at least one [1..*] id (CONF:1198-9026).

9. Act.code
Control1..1
BindingThe codes SHALL be taken from v3 Code System ActCode; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
Requirements

SHALL contain exactly one [1..1] code (CONF:1198-9027).

10. Act.code.code
Definition

The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

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="CONC" Concern (CONF:1198-19184).

Pattern ValueCONC
11. Act.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="2.16.840.1.113883.5.6" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1198-32168).

Pattern Value2.16.840.1.113883.5.6
12. 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:1198-9029).

13. 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
BindingThe codes SHALL be taken from ProblemAct statusCode
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ProblemAct statusCode urn:oid:2.16.840.1.113883.11.20.9.19 STATIC (CONF:1198-31525).

14. 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.
15. 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.
16. 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.
17. 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.
18. Act.statusCode.originalText
Definition

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

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
19. 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
20. 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.
21. Act.effectiveTime
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
Requirements

SHALL contain exactly one [1..1] effectiveTime (CONF:1198-9030).

22. Act.effectiveTime.low
Definition

This is the low limit of the interval.

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

This effectiveTime SHALL contain exactly one [1..1] low (CONF:1198-9032).

23. Act.effectiveTime.high
Definition

This is the high limit of the interval.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/TS
Requirements

This effectiveTime MAY contain zero or one [0..1] high (CONF:1198-9033).

24. 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:1198-31146).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
25. 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
26. Act.entryRelationship.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
27. Act.entryRelationship.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
28. Act.entryRelationship:problem
SliceNameproblem
Control1..*
TypeElement
Requirements

SHALL contain at least one [1..*] entryRelationship (CONF:1198-9034) 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()))
29. Act.entryRelationship:problem.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 STATIC) (CONF:1198-9035).

Pattern ValueSUBJ
30. Act.entryRelationship:problem.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
31. Act.entryRelationship:problem.observation
Definition

Base definition for all types defined in FHIR type system.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(ProblemObservation)
Requirements

SHALL contain exactly one [1..1] Problem Observation (V3) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.4:2015-08-01) (CONF:1198-15980).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
32. Act.entryRelationship:problem.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
33. Act.entryRelationship:problem.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
34. Act.entryRelationship:problem.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
35. Act.entryRelationship:problem.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
36. Act.entryRelationship:problem.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
37. Act.entryRelationship:problem.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
38. Act.entryRelationship:problem.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
39. Act.entryRelationship:problem.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
40. Act.entryRelationship:priority
SliceNamepriority
Control0..*
TypeElement
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1198-31638) 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()))
41. Act.entryRelationship:priority.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="REFR" refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31639).

Pattern ValueREFR
42. Act.entryRelationship:priority.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
43. Act.entryRelationship:priority.observation
Definition

Base definition for all types defined in FHIR type system.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(PriorityPreference)
Requirements

SHALL contain exactly one [1..1] Priority Preference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.143) (CONF:1198-31640).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
44. Act.entryRelationship:priority.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
45. Act.entryRelationship:priority.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
46. Act.entryRelationship:priority.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
47. Act.entryRelationship:priority.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
48. Act.entryRelationship:priority.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
49. Act.entryRelationship:priority.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
50. Act.entryRelationship:priority.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
51. Act.entryRelationship:priority.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="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-9024).

Pattern ValueACT
3. Act.moodCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-9025).

Pattern ValueEVN
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 @ extension
  • value @ extension,
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:1198-16772) 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="2.16.840.1.113883.10.20.22.4.3" (CONF:1198-16773).

Pattern Value2.16.840.1.113883.10.20.22.4.3
12. Act.templateId:primary.extension
Definition

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

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

SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32509).

Pattern Value2015-08-01
13. Act.id
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

SHALL contain at least one [1..*] id (CONF:1198-9026).

14. Act.code
Control1..1
BindingThe codes SHALL be taken from v3 Code System ActCode; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
Requirements

SHALL contain exactly one [1..1] code (CONF:1198-9027).

15. Act.code.nullFlavor
Definition

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

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

The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

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="CONC" Concern (CONF:1198-19184).

Pattern ValueCONC
17. Act.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="2.16.840.1.113883.5.6" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1198-32168).

Pattern Value2.16.840.1.113883.5.6
18. Act.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.
19. Act.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.
20. Act.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.
21. Act.code.sdtcValueSet
Definition

The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.

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.
22. Act.code.sdtcValueSetVersion
Definition

The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.

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.
23. Act.code.originalText
Definition

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

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
24. Act.code.qualifier
Definition

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

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CR
25. Act.code.translation
Definition

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

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
XML RepresentationThe type of this property is determined using the xsi:type attribute.
26. Act.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
27. Act.text
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
28. 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:1198-9029).

29. Act.statusCode.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
30. Act.statusCode.code
Definition

The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

Control1..1
BindingThe codes SHALL be taken from ProblemAct statusCode
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ProblemAct statusCode urn:oid:2.16.840.1.113883.11.20.9.19 STATIC (CONF:1198-31525).

31. 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.
32. 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.
33. 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.
34. 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.
35. Act.statusCode.sdtcValueSet
Definition

The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.

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.
36. Act.statusCode.sdtcValueSetVersion
Definition

The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.

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.
37. Act.statusCode.originalText
Definition

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

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
38. 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
39. 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.
40. Act.effectiveTime
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
Requirements

SHALL contain exactly one [1..1] effectiveTime (CONF:1198-9030).

41. Act.effectiveTime.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.
42. Act.effectiveTime.value
Definition

A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.

Control0..1
TypedateTime
XML RepresentationIn the XML format, this property is represented as an attribute.
43. Act.effectiveTime.inclusive
Definition

Specifies whether the limit is included in the interval (interval is closed) or excluded from the interval (interval is open).

Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
44. Act.effectiveTime.operator
Definition

A code specifying whether the set component is included (union) or excluded (set-difference) from the set, or other set operations with the current set component and the set as constructed from the representation stream up to the current point.

Control0..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
45. Act.effectiveTime.low
Definition

This is the low limit of the interval.

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

This effectiveTime SHALL contain exactly one [1..1] low (CONF:1198-9032).

46. Act.effectiveTime.high
Definition

This is the high limit of the interval.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/TS
Requirements

This effectiveTime MAY contain zero or one [0..1] high (CONF:1198-9033).

47. Act.effectiveTime.width
Definition

The difference between high and low boundary. The purpose of distinguishing a width property is to handle all cases of incomplete information symmetrically. In any interval representation only two of the three properties high, low, and width need to be stated and the third can be derived.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/PQ
48. Act.effectiveTime.center
Definition

The arithmetic mean of the interval (low plus high divided by 2). The purpose of distinguishing the center as a semantic property is for conversions of intervals from and to point values.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/TS
49. 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
50. Act.languageCode
Control0..1
BindingThe codes SHALL be taken from HumanLanguage
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
51. 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()))
52. 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
53. 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
54. 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
55. 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
56. 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
57. Act.subject.relatedSubject
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RelatedSubject
58. Act.specimen
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Specimen
59. Act.performer
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Performer2
60. 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:1198-31146).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
61. 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()))
62. 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
63. 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
64. 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
65. 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
66. Act.informant.assignedEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AssignedEntity
67. Act.informant.relatedEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RelatedEntity
68. Act.participant
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Participant2
69. 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
70. 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
71. 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
72. Act.entryRelationship.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
73. Act.entryRelationship.inversionInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
74. Act.entryRelationship.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
75. Act.entryRelationship.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
76. Act.entryRelationship.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
77. Act.entryRelationship.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
78. Act.entryRelationship.observation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
79. Act.entryRelationship.regionOfInterest
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
80. Act.entryRelationship.observationMedia
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
81. Act.entryRelationship.substanceAdministration
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
82. Act.entryRelationship.supply
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
83. Act.entryRelationship.procedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
84. Act.entryRelationship.encounter
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
85. Act.entryRelationship.organizer
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
86. Act.entryRelationship.act
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
87. Act.entryRelationship:problem
SliceNameproblem
Control1..*
TypeElement
Requirements

SHALL contain at least one [1..*] entryRelationship (CONF:1198-9034) 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()))
88. Act.entryRelationship:problem.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
89. Act.entryRelationship:problem.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
90. Act.entryRelationship:problem.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 STATIC) (CONF:1198-9035).

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

Base definition for all types defined in FHIR type system.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(ProblemObservation)
Requirements

SHALL contain exactly one [1..1] Problem Observation (V3) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.4:2015-08-01) (CONF:1198-15980).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
97. Act.entryRelationship:problem.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
98. Act.entryRelationship:problem.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
99. Act.entryRelationship:problem.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
100. Act.entryRelationship:problem.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
101. Act.entryRelationship:problem.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
102. Act.entryRelationship:problem.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
103. Act.entryRelationship:problem.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
104. Act.entryRelationship:problem.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
105. Act.entryRelationship:priority
SliceNamepriority
Control0..*
TypeElement
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1198-31638) 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()))
106. Act.entryRelationship:priority.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
107. Act.entryRelationship:priority.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
108. Act.entryRelationship:priority.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="REFR" refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31639).

Pattern ValueREFR
109. Act.entryRelationship:priority.inversionInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
110. Act.entryRelationship:priority.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
111. Act.entryRelationship:priority.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
112. Act.entryRelationship:priority.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
113. Act.entryRelationship:priority.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
114. Act.entryRelationship:priority.observation
Definition

Base definition for all types defined in FHIR type system.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(PriorityPreference)
Requirements

SHALL contain exactly one [1..1] Priority Preference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.143) (CONF:1198-31640).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
115. Act.entryRelationship:priority.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
116. Act.entryRelationship:priority.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
117. Act.entryRelationship:priority.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
118. Act.entryRelationship:priority.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
119. Act.entryRelationship:priority.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
120. Act.entryRelationship:priority.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
121. Act.entryRelationship:priority.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
122. Act.entryRelationship:priority.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
123. 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()))
124. 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
125. 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
126. Act.reference.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
127. Act.reference.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
128. Act.reference.externalAct
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalAct
129. Act.reference.externalObservation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalObservation
130. Act.reference.externalProcedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure
131. Act.reference.externalDocument
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalDocument
132. Act.precondition
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Precondition