HL7.CDA.US.CCDA\Coverage Activity - 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: CoverageActivity - Detailed Descriptions

Active as of 2023-01-16

Definitions for the 2.16.840.1.113883.10.20.22.4.60 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" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-8872).
Pattern Value	ACT
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:1198-8873).
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 @ root value @ root,
5. Act.templateId:primary
SliceName	primary
Control	1..1
Requirements	SHALL contain exactly one [1..1] templateId (CONF:1198-8897) such that it
6. Act.templateId:primary.root
Control	1..1
Requirements	SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.60" (CONF:1198-10492).
Pattern Value	2.16.840.1.113883.10.20.22.4.60
7. Act.templateId:primary.extension
Control	1..1
Requirements	SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32596).
Pattern Value	2015-08-01
8. Act.id
Control	10..*
Requirements	SHALL contain at least one [1..*] id (CONF:1198-8874).
9. Act.code
Requirements	SHALL contain exactly one [1..1] code (CONF:1198-8876).
10. Act.code.code
Control	1..1
Requirements	This code SHALL contain exactly one [1..1] @code="48768-6" Payment sources (CONF:1198-19160).
Pattern Value	48768-6
11. 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:1198-32156).
Pattern Value	2.16.840.1.113883.6.1
12. Act.statusCode
Control	10..1
Requirements	SHALL contain exactly one [1..1] statusCode (CONF:1198-8875).
13. 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:1198-19094).
Pattern Value	completed
14. 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 @ act
15. Act.entryRelationship:policyActivity
SliceName	policyActivity
Control	1..*
Requirements	SHALL contain at least one [1..*] entryRelationship (CONF:1198-8878) such that it
16. Act.entryRelationship:policyActivity.typeCode
Control	1..1
Requirements	SHALL contain exactly one [1..1] @typeCode="COMP" has component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8879).
Pattern Value	COMP
17. Act.entryRelationship:policyActivity.sequenceNumber
Control	0..1
Requirements	MAY contain zero or one [0..1] sequenceNumber (CONF:1198-17174).
18. Act.entryRelationship:policyActivity.sequenceNumber.value
Control	1..1
Requirements	The sequenceNumber, if present, SHALL contain exactly one [1..1] @value (CONF:1198-17175).
19. Act.entryRelationship:policyActivity.act
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Act(PolicyActivity)
Requirements	SHALL contain exactly one [1..1] Policy Activity (V3) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.61:2015-08-01) (CONF:1198-15528).

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" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-8872).
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" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-8873).
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 @ root value @ root,
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:1198-8897) 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="2.16.840.1.113883.10.20.22.4.60" (CONF:1198-10492).
Pattern Value	2.16.840.1.113883.10.20.22.4.60
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="2015-08-01" (CONF:1198-32596).
Pattern Value	2015-08-01
8. Act.id
Control	1..*
Type	http://hl7.org/fhir/cda/StructureDefinition/II
Requirements	SHALL contain at least one [1..*] id (CONF:1198-8874).
9. 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:1198-8876).
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.
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="48768-6" Payment sources (CONF:1198-19160).
Pattern Value	48768-6
11. 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:1198-32156).
Pattern Value	2.16.840.1.113883.6.1
12. 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:1198-8875).
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.
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:1198-19094).
Pattern Value	completed
14. 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.
15. 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.
16. 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.
17. 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.
18. 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
19. 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
20. 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.
21. 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 @ act
22. Act.entryRelationship.typeCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
23. Act.entryRelationship.contextConductionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	true
24. Act.entryRelationship:policyActivity
SliceName	policyActivity
Control	1..*
Type	Element
Requirements	SHALL contain at least one [1..*] entryRelationship (CONF:1198-8878) 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()))
25. Act.entryRelationship:policyActivity.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="COMP" has component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8879).
Pattern Value	COMP
26. Act.entryRelationship:policyActivity.contextConductionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	true
27. Act.entryRelationship:policyActivity.sequenceNumber
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/INT
Requirements	MAY contain zero or one [0..1] sequenceNumber (CONF:1198-17174).
28. Act.entryRelationship:policyActivity.sequenceNumber.value
Control	1..1
Type	integer
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	The sequenceNumber, if present, SHALL contain exactly one [1..1] @value (CONF:1198-17175).
29. Act.entryRelationship:policyActivity.observation
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Observation
30. Act.entryRelationship:policyActivity.regionOfInterest
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
31. Act.entryRelationship:policyActivity.observationMedia
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
32. Act.entryRelationship:policyActivity.substanceAdministration
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
33. Act.entryRelationship:policyActivity.supply
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Supply
34. Act.entryRelationship:policyActivity.procedure
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Procedure
35. Act.entryRelationship:policyActivity.encounter
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Encounter
36. Act.entryRelationship:policyActivity.organizer
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Organizer
37. Act.entryRelationship:policyActivity.act
Definition	Base definition for all types defined in FHIR type system.
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Act(PolicyActivity)
Requirements	SHALL contain exactly one [1..1] Policy Activity (V3) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.61:2015-08-01) (CONF:1198-15528).
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))

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" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-8872).
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" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-8873).
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 @ root value @ root,
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:1198-8897) 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="2.16.840.1.113883.10.20.22.4.60" (CONF:1198-10492).
Pattern Value	2.16.840.1.113883.10.20.22.4.60
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="2015-08-01" (CONF:1198-32596).
Pattern Value	2015-08-01
13. Act.id
Control	1..*
Type	http://hl7.org/fhir/cda/StructureDefinition/II
Requirements	SHALL contain at least one [1..*] id (CONF:1198-8874).
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:1198-8876).
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="48768-6" Payment sources (CONF:1198-19160).
Pattern Value	48768-6
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:1198-32156).
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	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/CD
XML Representation	The type of this property is determined using the xsi:type attribute.
26. Act.negationInd
Control	0..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
27. Act.text
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ED
28. 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:1198-8875).
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.
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.
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.
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:1198-19094).
Pattern Value	completed
31. 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.
32. 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.
33. 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.
34. 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.
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.
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`.
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.
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`.
37. 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
38. 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
39. 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.
40. Act.effectiveTime
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/IVL-TS
41. 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
42. Act.languageCode
Control	0..1
Binding	The codes SHALL be taken from HumanLanguage
Type	http://hl7.org/fhir/cda/StructureDefinition/CS
43. 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()))
44. 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
45. 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
46. 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
47. 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
48. 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
49. Act.subject.relatedSubject
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/RelatedSubject
50. Act.specimen
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Specimen
51. Act.performer
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Performer2
52. Act.author
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Author
53. 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()))
54. 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
55. 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
56. 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
57. 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
58. Act.informant.assignedEntity
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity
59. Act.informant.relatedEntity
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/RelatedEntity
60. Act.participant
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Participant2
61. 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 @ act
62. 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
63. 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
64. Act.entryRelationship.typeCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
65. Act.entryRelationship.inversionInd
Control	0..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
66. Act.entryRelationship.contextConductionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	true
67. Act.entryRelationship.sequenceNumber
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/INT
68. Act.entryRelationship.negationInd
Control	0..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
69. Act.entryRelationship.seperatableInd
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/BL
70. Act.entryRelationship.observation
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Observation
71. Act.entryRelationship.regionOfInterest
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
72. Act.entryRelationship.observationMedia
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
73. Act.entryRelationship.substanceAdministration
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
74. Act.entryRelationship.supply
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Supply
75. Act.entryRelationship.procedure
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Procedure
76. Act.entryRelationship.encounter
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Encounter
77. Act.entryRelationship.organizer
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Organizer
78. Act.entryRelationship.act
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Act
79. Act.entryRelationship:policyActivity
SliceName	policyActivity
Control	1..*
Type	Element
Requirements	SHALL contain at least one [1..*] entryRelationship (CONF:1198-8878) 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()))
80. Act.entryRelationship:policyActivity.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
81. Act.entryRelationship:policyActivity.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
82. Act.entryRelationship:policyActivity.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="COMP" has component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8879).
Pattern Value	COMP
83. Act.entryRelationship:policyActivity.inversionInd
Control	0..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
84. Act.entryRelationship:policyActivity.contextConductionInd
Control	1..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
Default Value	true
85. Act.entryRelationship:policyActivity.sequenceNumber
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/INT
Requirements	MAY contain zero or one [0..1] sequenceNumber (CONF:1198-17174).
86. Act.entryRelationship:policyActivity.sequenceNumber.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.
87. Act.entryRelationship:policyActivity.sequenceNumber.value
Control	1..1
Type	integer
XML Representation	In the XML format, this property is represented as an attribute.
Requirements	The sequenceNumber, if present, SHALL contain exactly one [1..1] @value (CONF:1198-17175).
88. Act.entryRelationship:policyActivity.negationInd
Control	0..1
Type	boolean
XML Representation	In the XML format, this property is represented as an attribute.
89. Act.entryRelationship:policyActivity.seperatableInd
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/BL
90. Act.entryRelationship:policyActivity.observation
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Observation
91. Act.entryRelationship:policyActivity.regionOfInterest
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
92. Act.entryRelationship:policyActivity.observationMedia
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
93. Act.entryRelationship:policyActivity.substanceAdministration
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
94. Act.entryRelationship:policyActivity.supply
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Supply
95. Act.entryRelationship:policyActivity.procedure
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Procedure
96. Act.entryRelationship:policyActivity.encounter
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Encounter
97. Act.entryRelationship:policyActivity.organizer
Control	0..0
Type	http://hl7.org/fhir/cda/StructureDefinition/Organizer
98. Act.entryRelationship:policyActivity.act
Definition	Base definition for all types defined in FHIR type system.
Control	1..1
Type	http://hl7.org/fhir/cda/StructureDefinition/Act(PolicyActivity)
Requirements	SHALL contain exactly one [1..1] Policy Activity (V3) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.61:2015-08-01) (CONF:1198-15528).
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
99. 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()))
100. 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
101. 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
102. Act.reference.typeCode
Control	1..1
Type	code
XML Representation	In the XML format, this property is represented as an attribute.
103. Act.reference.seperatableInd
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/BL
104. Act.reference.externalAct
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ExternalAct
105. Act.reference.externalObservation
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ExternalObservation
106. Act.reference.externalProcedure
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure
107. Act.reference.externalDocument
Control	0..1
Type	http://hl7.org/fhir/cda/StructureDefinition/ExternalDocument
108. Act.precondition
Control	0..*
Type	http://hl7.org/fhir/cda/StructureDefinition/Precondition