HL7.CDA.US.CCDA\Discharge Medication (V3) - Definitions

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: DischargeMedication - Detailed Descriptions

Active as of 2023-01-16

Definitions for the 2.16.840.1.113883.10.20.22.4.35 resource profile.

Differential Elements Table
Key Elements Table
Snapshot Elements Table

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" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-7689).
Pattern Value	ACT
3. Act.moodCode
Requirements	SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-7690).
Pattern Value	EVN
4. Act.templateId
Slicing	This 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
SliceName	primary
Control	1..1
Requirements	SHALL contain exactly one [1..1] templateId (CONF:1198-16760) such that it
6. Act.templateId:primary.root
Control	1..1
Requirements	SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.35" (CONF:1198-16761).
Pattern Value	2.16.840.1.113883.10.20.22.4.35
7. Act.templateId:primary.extension
Control	1..1
Requirements	SHALL contain exactly one [1..1] @extension="2016-03-01" (CONF:1198-32513).
Pattern Value	2016-03-01
8. Act.code
Requirements	SHALL contain exactly one [1..1] code (CONF:1198-7691).
9. Act.code.code
Control	1..1
Requirements	This code SHALL contain exactly one [1..1] @code="10183-2" Hospital discharge medication (CONF:1198-19161).
Pattern Value	10183-2
10. Act.code.codeSystem
Control	1..1
Requirements	This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:1198-32159).
Pattern Value	2.16.840.1.113883.6.1
11. Act.code.translation
Control	1..1
Requirements	This code SHALL contain exactly one [1..1] translation (CONF:1198-32952).
12. Act.code.translation.code
Control	1..1
Requirements	This translation SHALL contain exactly one [1..1] @code="75311-1" Discharge Medication (CONF:1198-32953).
Pattern Value	75311-1
13. Act.code.translation.codeSystem
Control	1..1
Requirements	This translation SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:1198-32954).
Pattern Value	2.16.840.1.113883.6.1
14. Act.statusCode
Control	10..1
Requirements	SHALL contain exactly one [1..1] statusCode (CONF:1198-32779).
15. Act.statusCode.code
Control	1..1
Requirements	This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1198-32780).
Pattern Value	completed
16. Act.entryRelationship
Slicing	This element introduces a set of slices on Act.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators: profile @ substanceAdministration
17. Act.entryRelationship:medicationActivity
SliceName	medicationActivity
Control	1..*
Requirements	SHALL contain at least one [1..*] entryRelationship (CONF:1198-7692) such that it
18. Act.entryRelationship:medicationActivity.typeCode
Control	1..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:1198-7693).
Pattern Value	SUBJ
19. Act.entryRelationship:medicationActivity.substanceAdministration
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration(MedicationActivity)
Requirements	SHALL contain exactly one [1..1] Medication Activity (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.16:2014-06-09) (CONF:1198-15525).

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.
Control	10..1*
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
2. Act.classCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @classCode="ACT" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-7689).
Pattern Value	ACT
3. Act.moodCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-7690).
Pattern Value	EVN
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
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/II
Slicing	This 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
SliceName	primary
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
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/II
Requirements	SHALL contain exactly one [1..1] templateId (CONF:1198-16760) 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.
Control	1..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.35" (CONF:1198-16761).
Pattern Value	2.16.840.1.113883.10.20.22.4.35
7. Act.templateId:primary.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @extension="2016-03-01" (CONF:1198-32513).
Pattern Value	2016-03-01
8. Act.code
Control	1..1
Binding	The codes SHALL be taken from v3 Code System ActCode; other codes may be used where these codes are not suitable
Type	http://hl7.org/fhir/cda/StructureDefinition/CD
Requirements	SHALL contain exactly one [1..1] code (CONF:1198-7691).
9. 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.
Control	1..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	This code SHALL contain exactly one [1..1] @code="10183-2" Hospital discharge medication (CONF:1198-19161).
Pattern Value	10183-2
10. Act.code.codeSystem
Definition	Specifies the code system that defines the code.
Control	1..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:1198-32159).
Pattern Value	2.16.840.1.113883.6.1
11. Act.code.translation
Definition	A set of other concept descriptors that translate this concept descriptor into other code systems.
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/CD
XML Representation	The type of this property is determined using the xsi:type attribute.
Requirements	This code SHALL contain exactly one [1..1] translation (CONF:1198-32952).
12. Act.code.translation.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.
Control	1..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	This translation SHALL contain exactly one [1..1] @code="75311-1" Discharge Medication (CONF:1198-32953).
Pattern Value	75311-1
13. Act.code.translation.codeSystem
Definition	Specifies the code system that defines the code.
Control	1..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	This translation SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:1198-32954).
Pattern Value	2.16.840.1.113883.6.1
14. Act.statusCode
Control	1..1
Binding	The codes SHALL be taken from ActStatus
Type	http://hl7.org/fhir/cda/StructureDefinition/CS
Requirements	SHALL contain exactly one [1..1] statusCode (CONF:1198-32779).
15. 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.
Control	1..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1198-32780).
Pattern Value	completed
16. Act.statusCode.codeSystem
Definition	Specifies the code system that defines the code.
Control	0..0
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
17. Act.statusCode.codeSystemName
Definition	The common name of the coding system.
Control	0..0
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
18. Act.statusCode.codeSystemVersion
Definition	If applicable, a version descriptor defined specifically for the given code system.
Control	0..0
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
19. Act.statusCode.displayName
Definition	A name or title for the code, under which the sending system shows the code value to its users.
Control	0..0
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
20. Act.statusCode.originalText
Definition	The text or phrase used as the basis for the coding.
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/ED
21. Act.statusCode.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/CR
22. Act.statusCode.translation
Definition	A set of other concept descriptors that translate this concept descriptor into other code systems.
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/CD
XML Representation	The type of this property is determined using the xsi:type attribute.
23. Act.entryRelationship
Control	0..*
Type	Element
Invariants	Defined 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()))
Slicing	This element introduces a set of slices on Act.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators: profile @ substanceAdministration
24. Act.entryRelationship.typeCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
25. Act.entryRelationship.contextConductionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	true
26. Act.entryRelationship:medicationActivity
SliceName	medicationActivity
Control	1..*
Type	Element
Requirements	SHALL contain at least one [1..*] entryRelationship (CONF:1198-7692) such that it
Invariants	Defined 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()))
27. Act.entryRelationship:medicationActivity.typeCode
Control	1..1
Type	code
XML Representation	In 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:1198-7693).
Pattern Value	SUBJ
28. Act.entryRelationship:medicationActivity.contextConductionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	true
29. Act.entryRelationship:medicationActivity.observation
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Observation
30. Act.entryRelationship:medicationActivity.regionOfInterest
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
31. Act.entryRelationship:medicationActivity.observationMedia
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
32. Act.entryRelationship:medicationActivity.substanceAdministration
Definition	Base definition for all types defined in FHIR type system.
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration(MedicationActivity)
Requirements	SHALL contain exactly one [1..1] Medication Activity (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.16:2014-06-09) (CONF:1198-15525).
Invariants	Defined on this element 1098-30800: Medication Activity SHOULD include doseQuantity OR rateQuantity (CONF:1098-30800). (: null) ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
33. Act.entryRelationship:medicationActivity.supply
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Supply
34. Act.entryRelationship:medicationActivity.procedure
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Procedure
35. Act.entryRelationship:medicationActivity.encounter
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Encounter
36. Act.entryRelationship:medicationActivity.organizer
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Organizer
37. Act.entryRelationship:medicationActivity.act
Control	0..0
Type	http://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.
Control	1..1
2. Act.classCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @classCode="ACT" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-7689).
Pattern Value	ACT
3. Act.moodCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-7690).
Pattern Value	EVN
4. Act.realmCode
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/CS
5. Act.typeId
Control	0..1
Type	http://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
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/II
Slicing	This 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
SliceName	primary
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
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/II
Requirements	SHALL contain exactly one [1..1] templateId (CONF:1198-16760) 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.
Control	0..1
Binding	The codes SHALL be taken from NullFlavor
Type	code
XML Representation	In 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.
Control	0..1
Type	string
XML Representation	In 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).
Control	0..1
Type	boolean
XML Representation	In 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.
Control	1..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.35" (CONF:1198-16761).
Pattern Value	2.16.840.1.113883.10.20.22.4.35
12. Act.templateId:primary.extension
Definition	A character string as a unique identifier within the scope of the identifier root.
Control	1..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	SHALL contain exactly one [1..1] @extension="2016-03-01" (CONF:1198-32513).
Pattern Value	2016-03-01
13. Act.id
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/II
14. Act.code
Control	1..1
Binding	The codes SHALL be taken from v3 Code System ActCode; other codes may be used where these codes are not suitable
Type	http://hl7.org/fhir/cda/StructureDefinition/CD
Requirements	SHALL contain exactly one [1..1] code (CONF:1198-7691).
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.
Control	0..1
Binding	The codes SHALL be taken from NullFlavor
Type	code
XML Representation	In 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.
Control	1..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	This code SHALL contain exactly one [1..1] @code="10183-2" Hospital discharge medication (CONF:1198-19161).
Pattern Value	10183-2
17. Act.code.codeSystem
Definition	Specifies the code system that defines the code.
Control	1..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:1198-32159).
Pattern Value	2.16.840.1.113883.6.1
18. Act.code.codeSystemName
Definition	The common name of the coding system.
Control	0..1
Type	string
XML Representation	In 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.
Control	0..1
Type	string
XML Representation	In 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.
Control	0..1
Type	string
XML Representation	In 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.
Control	0..1
Type	string
XML Representation	In 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.
Control	0..1
Type	string
XML Representation	In 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.
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ED
24. Act.code.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..*
Type	http://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.
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/CD
XML Representation	The type of this property is determined using the xsi:type attribute.
Requirements	This code SHALL contain exactly one [1..1] translation (CONF:1198-32952).
26. Act.code.translation.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from NullFlavor
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
27. Act.code.translation.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.
Control	1..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	This translation SHALL contain exactly one [1..1] @code="75311-1" Discharge Medication (CONF:1198-32953).
Pattern Value	75311-1
28. Act.code.translation.codeSystem
Definition	Specifies the code system that defines the code.
Control	1..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	This translation SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:1198-32954).
Pattern Value	2.16.840.1.113883.6.1
29. Act.code.translation.codeSystemName
Definition	The common name of the coding system.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
30. Act.code.translation.codeSystemVersion
Definition	If applicable, a version descriptor defined specifically for the given code system.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
31. Act.code.translation.displayName
Definition	A name or title for the code, under which the sending system shows the code value to its users.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
32. Act.code.translation.sdtcValueSet
Definition	The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.
Control	0..1
Type	string
XML Representation	In 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`.
33. Act.code.translation.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.
Control	0..1
Type	string
XML Representation	In 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`.
34. Act.code.translation.originalText
Definition	The text or phrase used as the basis for the coding.
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ED
35. Act.code.translation.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/CR
36. Act.code.translation.translation
Definition	A set of other concept descriptors that translate this concept descriptor into other code systems.
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/CD
XML Representation	The type of this property is determined using the xsi:type attribute.
37. Act.negationInd
Control	0..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
38. Act.text
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ED
39. Act.statusCode
Control	1..1
Binding	The codes SHALL be taken from ActStatus
Type	http://hl7.org/fhir/cda/StructureDefinition/CS
Requirements	SHALL contain exactly one [1..1] statusCode (CONF:1198-32779).
40. Act.statusCode.nullFlavor
Definition	If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.
Control	0..1
Binding	The codes SHALL be taken from NullFlavor
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
41. 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.
Control	1..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1198-32780).
Pattern Value	completed
42. Act.statusCode.codeSystem
Definition	Specifies the code system that defines the code.
Control	0..0
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
43. Act.statusCode.codeSystemName
Definition	The common name of the coding system.
Control	0..0
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
44. Act.statusCode.codeSystemVersion
Definition	If applicable, a version descriptor defined specifically for the given code system.
Control	0..0
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
45. Act.statusCode.displayName
Definition	A name or title for the code, under which the sending system shows the code value to its users.
Control	0..0
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
46. 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.
Control	0..1
Type	string
XML Representation	In 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`.
47. 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.
Control	0..1
Type	string
XML Representation	In 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`.
48. Act.statusCode.originalText
Definition	The text or phrase used as the basis for the coding.
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/ED
49. Act.statusCode.qualifier
Definition	Specifies additional codes that increase the specificity of the the primary code.
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/CR
50. Act.statusCode.translation
Definition	A set of other concept descriptors that translate this concept descriptor into other code systems.
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/CD
XML Representation	The type of this property is determined using the xsi:type attribute.
51. Act.effectiveTime
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/IVL-TS
52. Act.priorityCode
Control	0..1
Binding	The codes SHALL be taken from ActPriority; other codes may be used where these codes are not suitable
Type	http://hl7.org/fhir/cda/StructureDefinition/CE
53. Act.languageCode
Control	0..1
Binding	The codes SHALL be taken from HumanLanguage
Type	http://hl7.org/fhir/cda/StructureDefinition/CS
54. Act.subject
Control	0..1
Type	Element
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
55. 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.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Summary	false
56. 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.
Control	0..*
Type	Extension
Summary	false
Alternate Names	extensions, 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.
Invariants	Defined 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())
Slicing	This 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
57. Act.subject.typeCode
Control	1..1
Binding	The codes SHALL be taken from ParticipationTargetSubject
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	SBJ
Fixed Value	SBJ
58. Act.subject.contextControlCode
Control	1..1
Binding	The codes SHALL be taken from ContextControl
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	OP
Fixed Value	OP
59. Act.subject.awarenessCode
Control	0..1
Binding	The codes SHALL be taken from TargetAwareness; other codes may be used where these codes are not suitable
Type	http://hl7.org/fhir/cda/StructureDefinition/CE
60. Act.subject.relatedSubject
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/RelatedSubject
61. Act.specimen
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Specimen
62. Act.performer
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Performer2
63. Act.author
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Author
64. Act.informant
Control	0..*
Type	Element
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
65. 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.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Summary	false
66. 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.
Control	0..*
Type	Extension
Summary	false
Alternate Names	extensions, 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.
Invariants	Defined 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())
Slicing	This 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
67. Act.informant.typeCode
Control	1..1
Binding	The codes SHALL be taken from ParticipationInformationGenerator
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	INF
Fixed Value	INF
68. Act.informant.contextControlCode
Control	1..1
Binding	The codes SHALL be taken from ContextControl
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	OP
Fixed Value	OP
69. Act.informant.assignedEntity
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity
70. Act.informant.relatedEntity
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/RelatedEntity
71. Act.participant
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Participant2
72. Act.entryRelationship
Control	0..*
Type	Element
Invariants	Defined 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()))
Slicing	This element introduces a set of slices on Act.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators: profile @ substanceAdministration
73. 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.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Summary	false
74. 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.
Control	0..*
Type	Extension
Summary	false
Alternate Names	extensions, 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.
Invariants	Defined 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())
Slicing	This 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
75. Act.entryRelationship.typeCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
76. Act.entryRelationship.inversionInd
Control	0..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
77. Act.entryRelationship.contextConductionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	true
78. Act.entryRelationship.sequenceNumber
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/INT
79. Act.entryRelationship.negationInd
Control	0..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
80. Act.entryRelationship.seperatableInd
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/BL
81. Act.entryRelationship.observation
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Observation
82. Act.entryRelationship.regionOfInterest
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
83. Act.entryRelationship.observationMedia
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
84. Act.entryRelationship.substanceAdministration
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
85. Act.entryRelationship.supply
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Supply
86. Act.entryRelationship.procedure
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Procedure
87. Act.entryRelationship.encounter
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Encounter
88. Act.entryRelationship.organizer
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Organizer
89. Act.entryRelationship.act
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Act
90. Act.entryRelationship:medicationActivity
SliceName	medicationActivity
Control	1..*
Type	Element
Requirements	SHALL contain at least one [1..*] entryRelationship (CONF:1198-7692) such that it
Invariants	Defined 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()))
91. Act.entryRelationship:medicationActivity.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Summary	false
92. Act.entryRelationship:medicationActivity.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.
Control	0..*
Type	Extension
Summary	false
Alternate Names	extensions, 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.
Invariants	Defined 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())
Slicing	This 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
93. Act.entryRelationship:medicationActivity.typeCode
Control	1..1
Type	code
XML Representation	In 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:1198-7693).
Pattern Value	SUBJ
94. Act.entryRelationship:medicationActivity.inversionInd
Control	0..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
95. Act.entryRelationship:medicationActivity.contextConductionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	true
96. Act.entryRelationship:medicationActivity.sequenceNumber
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/INT
97. Act.entryRelationship:medicationActivity.negationInd
Control	0..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
98. Act.entryRelationship:medicationActivity.seperatableInd
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/BL
99. Act.entryRelationship:medicationActivity.observation
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Observation
100. Act.entryRelationship:medicationActivity.regionOfInterest
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
101. Act.entryRelationship:medicationActivity.observationMedia
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
102. Act.entryRelationship:medicationActivity.substanceAdministration
Definition	Base definition for all types defined in FHIR type system.
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration(MedicationActivity)
Requirements	SHALL contain exactly one [1..1] Medication Activity (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.16:2014-06-09) (CONF:1198-15525).
Invariants	Defined on this element 1098-30800: Medication Activity SHOULD include doseQuantity OR rateQuantity (CONF:1098-30800). (: ) ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
103. Act.entryRelationship:medicationActivity.supply
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Supply
104. Act.entryRelationship:medicationActivity.procedure
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Procedure
105. Act.entryRelationship:medicationActivity.encounter
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Encounter
106. Act.entryRelationship:medicationActivity.organizer
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Organizer
107. Act.entryRelationship:medicationActivity.act
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Act
108. Act.reference
Control	0..*
Type	Element
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
109. 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.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Summary	false
110. 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.
Control	0..*
Type	Extension
Summary	false
Alternate Names	extensions, 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.
Invariants	Defined 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())
Slicing	This 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
111. Act.reference.typeCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
112. Act.reference.seperatableInd
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/BL
113. Act.reference.externalAct
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ExternalAct
114. Act.reference.externalObservation
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ExternalObservation
115. Act.reference.externalProcedure
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure
116. Act.reference.externalDocument
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ExternalDocument
117. Act.precondition
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Precondition