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/2.16.840.1.113883.10.20.22.4.30 | Version: 2.1.0-draft1 | |||
| Active as of 2023-01-16 | Computable Name: AllergyConcernAct | |||
| Other Identifiers: id: urn:hl7ii:2.16.840.1.113883.10.20.22.4.30:2015-08-01 | ||||
This template reflects an ongoing concern on behalf of the provider that placed the allergy on a patient’s allergy list. As long as the underlying condition is of concern to the provider (i.e., as long as the allergy, whether active or resolved, is of ongoing concern and interest to the provider), the statusCode is “active”. Only when the underlying allergy is no longer of concern is the statusCode set to “completed”. The effectiveTime reflects the time that the underlying allergy was felt to be a concern.
The statusCode of the Allergy Concern Act is the definitive indication of the status of the concern, whereas the effectiveTime of the nested Allergy - Intolerance Observation is the definitive indication of whether or not the underlying allergy is resolved.
The effectiveTime/low of the Allergy Concern Act asserts when the concern became active. This equates to the time the concern was authored in the patient’s chart. The effectiveTime/high asserts when the concern was completed (e.g., when the clinician deemed there is no longer any need to track the underlying condition).
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: ACT | |
| moodCode | 1..1 | code | Required Pattern: EVN | |
  Slices for templateId | 0..* | II | Slice: Unordered, Open by value:extension, value:root | |
   templateId:primary | 1..1 | II | ||
  root | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.30 | |
  extension | 1..1 | string | Required Pattern: 2015-08-01 | |
| id | 1..* | II | ||
| code | 1..1 | CD | ||
| code | 1..1 | string | Required Pattern: CONC | |
 codeSystem | 1..1 | string | Required Pattern: 2.16.840.1.113883.5.6 | |
| statusCode | 1..1 | CS | ||
| code | 1..1 | string | Binding: ProblemAct statusCode (required) | |
| effectiveTime | C | 1..1 | IVL_TS | 1198-10085: If statusCode/@code="completed" Completed, then effectiveTime **SHALL** contain [1..1] high (CONF:1198-10085). 1198-7504: If statusCode/@code="active" Active, then effectiveTime **SHALL** contain [1..1] low (CONF:1198-7504). |
 author | 0..* | AuthorParticipation | Base for all types and resources | |
 Slices for entryRelationship | 0..* | Element | Slice: Unordered, Open by profile:observation | |
| entryRelationship:allergyObs | 1..* | Element | ||
| typeCode | 1..1 | code | Required Pattern: SUBJ | |
| observation | 1..1 | AllergyIntoleranceObservation | Base for all types and resources | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Act.statusCode.code | required | ProblemAct statusCode |
| Id | Grade | Path(s) | Details | Requirements |
| 1198-7504 | error | Act.effectiveTime | If statusCode/@code="active" Active, then effectiveTime **SHALL** contain [1..1] low (CONF:1198-7504). : | |
| 1198-10085 | error | Act.effectiveTime | If statusCode/@code="completed" Completed, then effectiveTime **SHALL** contain [1..1] high (CONF:1198-10085). : |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Act | 1..1 | CDAR2.Act | Base for all types and resources | |
 classCode | 1..1 | code | Required Pattern: ACT | |
| moodCode | 1..1 | code | Required Pattern: EVN | |
| Slices for templateId | 0..* | II | Slice: Unordered, Open by value:extension, value:root | |
| templateId:primary | 1..1 | II | ||
| root | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.30 | |
| extension | 1..1 | string | Required Pattern: 2015-08-01 | |
| id | 1..* | II | ||
| code | 1..1 | CD | Binding: v3 Code System ActCode (extensible) | |
| code | 1..1 | string | Required Pattern: CONC | |
| codeSystem | 1..1 | string | Required Pattern: 2.16.840.1.113883.5.6 | |
| statusCode | 1..1 | CS | Binding: ActStatus (required) | |
| code | 1..1 | string | Binding: ProblemAct statusCode (required) | |
| effectiveTime | C | 1..1 | IVL_TS | 1198-10085: If statusCode/@code="completed" Completed, then effectiveTime **SHALL** contain [1..1] high (CONF:1198-10085). 1198-7504: If statusCode/@code="active" Active, then effectiveTime **SHALL** contain [1..1] low (CONF:1198-7504). |
| author | 0..* | AuthorParticipation | Base for all types and resources | |
| Slices for entryRelationship | C | 0..* | Element | Slice: Unordered, Open by profile:observation |
 entryRelationship:All Slices | Content/Rules for all slices | |||
  typeCode | 1..1 | code | ||
 contextConductionInd | 1..1 | boolean | ||
| entryRelationship:allergyObs | C | 1..* | Element | |
| typeCode | 1..1 | code | Required Pattern: SUBJ | |
| contextConductionInd | 1..1 | boolean | ||
| observation | 1..1 | AllergyIntoleranceObservation | Base for all types and resources | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Act.code | extensible | ActCode |
| Act.statusCode | required | ActStatus |
| Act.statusCode.code | required | ProblemAct statusCode |
| Id | Grade | Path(s) | Details | Requirements |
| 1198-7504 | error | Act.effectiveTime | If statusCode/@code="active" Active, then effectiveTime **SHALL** contain [1..1] low (CONF:1198-7504). : | |
| 1198-10085 | error | Act.effectiveTime | If statusCode/@code="completed" Completed, then effectiveTime **SHALL** contain [1..1] high (CONF:1198-10085). : | |
| act-er-1 | error | Act.entryRelationship, Act.entryRelationship:allergyObs | 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: ACT | |
| moodCode | 1..1 | code | Required Pattern: EVN | |
| realmCode | 0..* | CS | ||
| typeId | 0..1 | II | ||
| Slices for templateId | 0..* | II | Slice: Unordered, Open by value:extension, 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: 2.16.840.1.113883.10.20.22.4.30 | |
| extension | 1..1 | string | Required Pattern: 2015-08-01 | |
| id | 1..* | II | ||
| code | 1..1 | CD | Binding: v3 Code System ActCode (extensible) | |
| nullFlavor | 0..1 | code | Binding: NullFlavor (required) | |
| code | 1..1 | string | Required Pattern: CONC | |
| codeSystem | 1..1 | string | Required Pattern: 2.16.840.1.113883.5.6 | |
| 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 | ||
| 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 | Binding: ProblemAct statusCode (required) | |
| sdtcValueSet | 0..1 | string | XML: valueSet (urn:hl7-org:sdtc) | |
| sdtcValueSetVersion | 0..1 | string | XML: valueSetVersion (urn:hl7-org:sdtc) | |
| effectiveTime | C | 1..1 | IVL_TS | 1198-10085: If statusCode/@code="completed" Completed, then effectiveTime **SHALL** contain [1..1] high (CONF:1198-10085). 1198-7504: If statusCode/@code="active" Active, then effectiveTime **SHALL** contain [1..1] low (CONF:1198-7504). |
| 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 | ||
| Slices for entryRelationship | C | 0..* | Element | 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:allergyObs | C | 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 | 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 | AllergyIntoleranceObservation | 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.templateId:primary.nullFlavor | required | NullFlavor |
| Act.code | extensible | ActCode |
| Act.code.nullFlavor | required | NullFlavor |
| Act.statusCode | required | ActStatus |
| Act.statusCode.nullFlavor | required | NullFlavor |
| Act.statusCode.code | required | ProblemAct statusCode |
| 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 |
| Id | Grade | Path(s) | Details | Requirements |
| 1198-7504 | error | Act.effectiveTime | If statusCode/@code="active" Active, then effectiveTime **SHALL** contain [1..1] low (CONF:1198-7504). : | |
| 1198-10085 | error | Act.effectiveTime | If statusCode/@code="completed" Completed, then effectiveTime **SHALL** contain [1..1] high (CONF:1198-10085). : | |
| act-er-1 | error | Act.entryRelationship, Act.entryRelationship:allergyObs | 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() |
This structure is derived from CDAR2.Act
Summary
Mandatory: 15 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: ACT | |
| moodCode | 1..1 | code | Required Pattern: EVN | |
| Slices for templateId | 0..* | II | Slice: Unordered, Open by value:extension, value:root | |
| templateId:primary | 1..1 | II | ||
| root | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.30 | |
| extension | 1..1 | string | Required Pattern: 2015-08-01 | |
| id | 1..* | II | ||
| code | 1..1 | CD | ||
| code | 1..1 | string | Required Pattern: CONC | |
| codeSystem | 1..1 | string | Required Pattern: 2.16.840.1.113883.5.6 | |
| statusCode | 1..1 | CS | ||
| code | 1..1 | string | Binding: ProblemAct statusCode (required) | |
| effectiveTime | C | 1..1 | IVL_TS | 1198-10085: If statusCode/@code="completed" Completed, then effectiveTime **SHALL** contain [1..1] high (CONF:1198-10085). 1198-7504: If statusCode/@code="active" Active, then effectiveTime **SHALL** contain [1..1] low (CONF:1198-7504). |
| author | 0..* | AuthorParticipation | Base for all types and resources | |
| Slices for entryRelationship | 0..* | Element | Slice: Unordered, Open by profile:observation | |
| entryRelationship:allergyObs | 1..* | Element | ||
| typeCode | 1..1 | code | Required Pattern: SUBJ | |
| observation | 1..1 | AllergyIntoleranceObservation | Base for all types and resources | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Act.statusCode.code | required | ProblemAct statusCode |
| Id | Grade | Path(s) | Details | Requirements |
| 1198-7504 | error | Act.effectiveTime | If statusCode/@code="active" Active, then effectiveTime **SHALL** contain [1..1] low (CONF:1198-7504). : | |
| 1198-10085 | error | Act.effectiveTime | If statusCode/@code="completed" Completed, then effectiveTime **SHALL** contain [1..1] high (CONF:1198-10085). : |
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: ACT | |
| moodCode | 1..1 | code | Required Pattern: EVN | |
| Slices for templateId | 0..* | II | Slice: Unordered, Open by value:extension, value:root | |
| templateId:primary | 1..1 | II | ||
| root | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.30 | |
| extension | 1..1 | string | Required Pattern: 2015-08-01 | |
| id | 1..* | II | ||
| code | 1..1 | CD | Binding: v3 Code System ActCode (extensible) | |
| code | 1..1 | string | Required Pattern: CONC | |
| codeSystem | 1..1 | string | Required Pattern: 2.16.840.1.113883.5.6 | |
| statusCode | 1..1 | CS | Binding: ActStatus (required) | |
| code | 1..1 | string | Binding: ProblemAct statusCode (required) | |
| effectiveTime | C | 1..1 | IVL_TS | 1198-10085: If statusCode/@code="completed" Completed, then effectiveTime **SHALL** contain [1..1] high (CONF:1198-10085). 1198-7504: If statusCode/@code="active" Active, then effectiveTime **SHALL** contain [1..1] low (CONF:1198-7504). |
| author | 0..* | AuthorParticipation | Base for all types and resources | |
| Slices for entryRelationship | C | 0..* | Element | Slice: Unordered, Open by profile:observation |
| entryRelationship:All Slices | Content/Rules for all slices | |||
| typeCode | 1..1 | code | ||
| contextConductionInd | 1..1 | boolean | ||
| entryRelationship:allergyObs | C | 1..* | Element | |
| typeCode | 1..1 | code | Required Pattern: SUBJ | |
| contextConductionInd | 1..1 | boolean | ||
| observation | 1..1 | AllergyIntoleranceObservation | Base for all types and resources | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Act.code | extensible | ActCode |
| Act.statusCode | required | ActStatus |
| Act.statusCode.code | required | ProblemAct statusCode |
| Id | Grade | Path(s) | Details | Requirements |
| 1198-7504 | error | Act.effectiveTime | If statusCode/@code="active" Active, then effectiveTime **SHALL** contain [1..1] low (CONF:1198-7504). : | |
| 1198-10085 | error | Act.effectiveTime | If statusCode/@code="completed" Completed, then effectiveTime **SHALL** contain [1..1] high (CONF:1198-10085). : | |
| act-er-1 | error | Act.entryRelationship, Act.entryRelationship:allergyObs | 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: ACT | |
| moodCode | 1..1 | code | Required Pattern: EVN | |
| realmCode | 0..* | CS | ||
| typeId | 0..1 | II | ||
| Slices for templateId | 0..* | II | Slice: Unordered, Open by value:extension, 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: 2.16.840.1.113883.10.20.22.4.30 | |
| extension | 1..1 | string | Required Pattern: 2015-08-01 | |
| id | 1..* | II | ||
| code | 1..1 | CD | Binding: v3 Code System ActCode (extensible) | |
| nullFlavor | 0..1 | code | Binding: NullFlavor (required) | |
| code | 1..1 | string | Required Pattern: CONC | |
| codeSystem | 1..1 | string | Required Pattern: 2.16.840.1.113883.5.6 | |
| 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 | ||
| 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 | Binding: ProblemAct statusCode (required) | |
| sdtcValueSet | 0..1 | string | XML: valueSet (urn:hl7-org:sdtc) | |
| sdtcValueSetVersion | 0..1 | string | XML: valueSetVersion (urn:hl7-org:sdtc) | |
| effectiveTime | C | 1..1 | IVL_TS | 1198-10085: If statusCode/@code="completed" Completed, then effectiveTime **SHALL** contain [1..1] high (CONF:1198-10085). 1198-7504: If statusCode/@code="active" Active, then effectiveTime **SHALL** contain [1..1] low (CONF:1198-7504). |
| 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 | ||
| Slices for entryRelationship | C | 0..* | Element | 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:allergyObs | C | 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 | 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 | AllergyIntoleranceObservation | 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.templateId:primary.nullFlavor | required | NullFlavor |
| Act.code | extensible | ActCode |
| Act.code.nullFlavor | required | NullFlavor |
| Act.statusCode | required | ActStatus |
| Act.statusCode.nullFlavor | required | NullFlavor |
| Act.statusCode.code | required | ProblemAct statusCode |
| 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 |
| Id | Grade | Path(s) | Details | Requirements |
| 1198-7504 | error | Act.effectiveTime | If statusCode/@code="active" Active, then effectiveTime **SHALL** contain [1..1] low (CONF:1198-7504). : | |
| 1198-10085 | error | Act.effectiveTime | If statusCode/@code="completed" Completed, then effectiveTime **SHALL** contain [1..1] high (CONF:1198-10085). : | |
| act-er-1 | error | Act.entryRelationship, Act.entryRelationship:allergyObs | 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() |
This structure is derived from CDAR2.Act
Summary
Mandatory: 15 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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