Consolidated CDA Release 2.1 StructureDefinition Prototype Publication
2.1.0-draft1 - CI Build United States of America

This page is part of the CCDA: Consolidated CDA Release (v2.1.0-draft1: CCDA 2.1 Draft) based on FHIR v5.0.0. . For a full list of available versions, see the Directory of published versions

Resource Profile: PolicyActivity - Detailed Descriptions

Active as of 2023-01-16

Definitions for the 2.16.840.1.113883.10.20.22.4.61 resource profile.

Guidance on how to interpret the contents of this table can be found here.

1. Act
2. Act.classCode
Requirements

SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-8898).

Pattern ValueACT
3. Act.moodCode
Requirements

SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-8899).

Pattern ValueEVN
4. Act.templateId
SlicingThis element introduces a set of slices on Act.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ root
  • value @ root,
5. Act.templateId:primary
SliceNameprimary
Control1..1
Requirements

SHALL contain exactly one [1..1] templateId (CONF:1198-8900) such that it

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

SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.61" (CONF:1198-10516).

Pattern Value2.16.840.1.113883.10.20.22.4.61
7. Act.templateId:primary.extension
Control1..1
Requirements

SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32595).

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

SHALL contain at least one [1..*] id (CONF:1198-8901).

9. Act.code
BindingThe codes SHOULD be taken from VSAC 2.16.840.1.113883.3.88.12.3221.5.2The codes SHALL be taken from v3 Code System ActCode; other codes may be used where these codes are not suitable
Requirements

SHALL contain exactly one [1..1] code, which SHOULD be selected from ValueSet Health Insurance Type urn:oid:2.16.840.1.113883.3.88.12.3221.5.2 DYNAMIC (CONF:1198-8903).

10. Act.code.translation
Control0..?
SlicingThis element introduces a set of slices on Act.code.translation. The slices are unordered and Open, and defines no discriminators to differentiate the slices
11. Act.code.translation:translation1
SliceNametranslation1
Control1..*
BindingThe codes SHOULD be taken from Payer
Requirements

This code SHALL contain at least one [1..*] translation, which SHOULD be selected from ValueSet Payer urn:oid:2.16.840.1.114222.4.11.3591 (CONF:1198-32852).

12. Act.statusCode
Control10..1
Requirements

SHALL contain exactly one [1..1] statusCode (CONF:1198-8902).

13. Act.statusCode.code
Control1..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:1198-19109).

Pattern Valuecompleted
14. Act.performer
SlicingThis element introduces a set of slices on Act.performer. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ templateId
  • value @ templateId,
15. Act.performer:performer1
SliceNameperformer1
Control1..1
Requirements

SHALL contain exactly one [1..1] performer (CONF:1198-8906) such that it

16. Act.performer:performer1.typeCode
Control1..1
Requirements

SHALL contain exactly one [1..1] @typeCode="PRF" Performer (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8907).

Pattern ValuePRF
17. Act.performer:performer1.templateId
Control1..1
Requirements

SHALL contain exactly one [1..1] templateId (CONF:1198-16808).

18. Act.performer:performer1.templateId.root
Control1..1
Requirements

This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.87" Payer Performer (CONF:1198-16809).

Pattern Value2.16.840.1.113883.10.20.22.4.87
19. Act.performer:performer1.assignedEntity
Control1..1
Requirements

SHALL contain exactly one [1..1] assignedEntity (CONF:1198-8908).

20. Act.performer:performer1.assignedEntity.id
Control1..*
Requirements

This assignedEntity SHALL contain at least one [1..*] id (CONF:1198-8909).

21. Act.performer:performer1.assignedEntity.code
Control0..1
Requirements

This assignedEntity SHOULD contain zero or one [0..1] code (CONF:1198-8914).

22. Act.performer:performer1.assignedEntity.code.code
Control1..1
BindingThe codes SHOULD be taken from Financially Responsible Party Type Value Set
Requirements

The code, if present, SHALL contain exactly one [1..1] @code, which SHOULD be selected from ValueSet Financially Responsible Party Type Value Set urn:oid:2.16.840.1.113883.1.11.10416 DYNAMIC (CONF:1198-15992).

23. Act.performer:performer1.assignedEntity.addr
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AD(USRealmAddressADUSFIELDED)
Requirements

This assignedEntity MAY contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:1198-8910).

24. Act.performer:performer1.assignedEntity.telecom
Control0..*
Requirements

This assignedEntity MAY contain zero or more [0..*] telecom (CONF:1198-8911).

25. Act.performer:performer1.assignedEntity.representedOrganization
Control0..1
Requirements

This assignedEntity SHOULD contain zero or one [0..1] representedOrganization (CONF:1198-8912).

26. Act.performer:performer1.assignedEntity.representedOrganization.name
Control0..1
Requirements

The representedOrganization, if present, SHOULD contain zero or one [0..1] name (CONF:1198-8913).

27. Act.performer:performer2
SliceNameperformer2
Control0..*
Requirements

SHOULD contain zero or more [0..*] performer="PRF" Performer (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8961) such that it

Pattern ValuePRF
28. Act.performer:performer2.templateId
Control1..1
Requirements

SHALL contain exactly one [1..1] templateId (CONF:1198-16810).

29. Act.performer:performer2.templateId.root
Control1..1
Requirements

This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.88" Guarantor Performer (CONF:1198-16811).

Pattern Value2.16.840.1.113883.10.20.22.4.88
30. Act.performer:performer2.time
Control0..1
Requirements

SHOULD contain zero or one [0..1] time (CONF:1198-8963).

31. Act.performer:performer2.assignedEntity
Control1..1
Requirements

SHALL contain exactly one [1..1] assignedEntity (CONF:1198-8962).

InvariantsDefined on this element
1198-8967: **SHOULD** include assignedEntity/assignedPerson/name AND/OR assignedEntity/representedOrganization/name (CONF:1198-8967). (: null)
32. Act.performer:performer2.assignedEntity.code
Control1..1
Requirements

This assignedEntity SHALL contain exactly one [1..1] code (CONF:1198-8968).

33. Act.performer:performer2.assignedEntity.code.code
Control1..1
Requirements

This code SHALL contain exactly one [1..1] @code="GUAR" Guarantor (CONF:1198-16096).

Pattern ValueGUAR
34. Act.performer:performer2.assignedEntity.code.codeSystem
Control1..1
Requirements

This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.110" (CONF:1198-32165).

Pattern Value2.16.840.1.113883.5.110
35. Act.performer:performer2.assignedEntity.addr
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AD(USRealmAddressADUSFIELDED)
Requirements

This assignedEntity SHOULD contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:1198-8964).

36. Act.performer:performer2.assignedEntity.telecom
Control0..*
Requirements

This assignedEntity SHOULD contain zero or more [0..*] telecom (CONF:1198-8965).

37. Act.participant
SlicingThis element introduces a set of slices on Act.participant. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ templateId
  • value @ templateId,
  • value @ templateId,
38. Act.participant:participant1
SliceNameparticipant1
Control1..1
Requirements

SHALL contain exactly one [1..1] participant (CONF:1198-8916) such that it

39. Act.participant:participant1.typeCode
Control1..1
Requirements

SHALL contain exactly one [1..1] @typeCode="COV" Coverage target (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8917).

Pattern ValueCOV
40. Act.participant:participant1.templateId
Control1..1
Requirements

SHALL contain exactly one [1..1] templateId (CONF:1198-16812).

41. Act.participant:participant1.templateId.root
Control1..1
Requirements

This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.89" Covered Party Participant (CONF:1198-16814).

Pattern Value2.16.840.1.113883.10.20.22.4.89
42. Act.participant:participant1.time
Control0..1
Requirements

SHOULD contain zero or one [0..1] time (CONF:1198-8918).

43. Act.participant:participant1.time.low
Control0..1
Requirements

The time, if present, SHOULD contain zero or one [0..1] low (CONF:1198-8919).

44. Act.participant:participant1.time.high
Control0..1
Requirements

The time, if present, SHOULD contain zero or one [0..1] high (CONF:1198-8920).

45. Act.participant:participant1.participantRole
Control1..1
Requirements

SHALL contain exactly one [1..1] participantRole (CONF:1198-8921).

46. Act.participant:participant1.participantRole.id
Control1..*
Requirements

This participantRole SHALL contain at least one [1..*] id (CONF:1198-8922).

InvariantsDefined on this element
1198-8984: This id is a unique identifier for the covered party member. Implementers **SHOULD** use the same GUID for each instance of a member identifier from the same health plan (CONF:1198-8984). (: null)
47. Act.participant:participant1.participantRole.code
Control1..1
Requirements

This participantRole SHALL contain exactly one [1..1] code (CONF:1198-8923).

48. Act.participant:participant1.participantRole.code.code
Control0..1
BindingThe codes SHOULD be taken from Coverage Role Type Value Set
Requirements

This code SHOULD contain zero or one [0..1] @code, which SHOULD be selected from ValueSet Coverage Role Type Value Set urn:oid:2.16.840.1.113883.1.11.18877 DYNAMIC (CONF:1198-16078).

49. Act.participant:participant1.participantRole.addr
Control0..1
Requirements

This participantRole SHOULD contain zero or one [0..1] addr (CONF:1198-8956).

InvariantsDefined on this element
1198-10484: The content of addr **SHALL** be a conformant US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2) (CONF:1198-10484). (: null)
50. Act.participant:participant1.participantRole.playingEntity
Control0..1
Requirements

This participantRole SHOULD contain zero or one [0..1] playingEntity (CONF:1198-8932).

51. Act.participant:participant1.participantRole.playingEntity.birthTime
Control1..1
Requirements

The playingEntity, if present, SHALL contain exactly one [1..1] sdtc:birthTime (CONF:1198-31344).

InvariantsDefined on this element
1198-31345: The prefix sdtc: **SHALL** be bound to the namespace “urn:hl7-org:sdtc”. The use of the namespace provides a necessary extension to CDA R2 for the use of the birthTime element (CONF:1198-31345). (: null)
52. Act.participant:participant1.participantRole.playingEntity.name
Control1..*
Requirements

The playingEntity, if present, SHALL contain at least one [1..*] name (CONF:1198-8930).

53. Act.participant:participant2
SliceNameparticipant2
Control0..1
Requirements

SHOULD contain zero or one [0..1] participant (CONF:1198-8934) such that it

InvariantsDefined on this element
1198-17139: When the Subscriber is the patient, the participant element describing the subscriber **SHALL NOT** be present. This information will be recorded instead in the data elements used to record member information (CONF:1198-17139). (: null)
54. Act.participant:participant2.typeCode
Control1..1
Requirements

SHALL contain exactly one [1..1] @typeCode="HLD" Holder (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8935).

Pattern ValueHLD
55. Act.participant:participant2.templateId
Control1..1
Requirements

SHALL contain exactly one [1..1] templateId (CONF:1198-16813).

56. Act.participant:participant2.templateId.root
Control1..1
Requirements

This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.90" Policy Holder Participant (CONF:1198-16815).

Pattern Value2.16.840.1.113883.10.20.22.4.90
57. Act.participant:participant2.time
Control0..1
Requirements

MAY contain zero or one [0..1] time (CONF:1198-8938).

58. Act.participant:participant2.participantRole
Control1..1
Requirements

SHALL contain exactly one [1..1] participantRole (CONF:1198-8936).

59. Act.participant:participant2.participantRole.id
Control1..*
Requirements

This participantRole SHALL contain at least one [1..*] id (CONF:1198-8937).

InvariantsDefined on this element
1198-10120: This id is a unique identifier for the subscriber of the coverage (CONF:1198-10120). (: null)
60. Act.participant:participant2.participantRole.addr
Control0..1
Requirements

This participantRole SHOULD contain zero or one [0..1] addr (CONF:1198-8925).

InvariantsDefined on this element
1198-10483: The content of addr **SHALL** be a conformant US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2) (CONF:1198-10483). (: null)
61. Act.entryRelationship
SlicingThis element introduces a set of slices on Act.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ typeCode
62. Act.entryRelationship:entryRelationship1
SliceNameentryRelationship1
Control1..*
Requirements

SHALL contain at least one [1..*] entryRelationship (CONF:1198-8939) such that it

InvariantsDefined on this element
1198-8942: The target of a policy activity with act/entryRelationship/@typeCode="REFR" **SHALL** be an authorization activity (templateId 2.16.840.1.113883.10.20.1.19) *OR* an act, with act[@classCode="ACT"] and act[@moodCode="DEF"], representing a description of the coverage plan (CONF:1198-8942). (: null)
1198-8943: A description of the coverage plan **SHALL** contain one or more act/id, to represent the plan identifier, and an act/text with the name of the plan (CONF:1198-8943). (: null)
63. Act.entryRelationship:entryRelationship1.typeCode
Control1..1
Requirements

SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8940).

Pattern ValueREFR

Guidance on how to interpret the contents of this table can be found here.

1. Act
Definition

Base definition for all types defined in FHIR type system.

Control10..1*
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
2. Act.classCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-8898).

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

SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-8899).

Pattern ValueEVN
4. Act.templateId
Definition

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
SlicingThis element introduces a set of slices on Act.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ root
  • value @ root,
5. Act.templateId:primary
SliceNameprimary
Definition

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

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

SHALL contain exactly one [1..1] templateId (CONF:1198-8900) such that it

6. Act.templateId:primary.root
Definition

A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

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

SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.61" (CONF:1198-10516).

Pattern Value2.16.840.1.113883.10.20.22.4.61
7. Act.templateId:primary.extension
Definition

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

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

SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32595).

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

SHALL contain at least one [1..*] id (CONF:1198-8901).

9. Act.code
Control1..1
BindingThe codes SHOULD be taken from VSAC 2.16.840.1.113883.3.88.12.3221.5.2
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
Requirements

SHALL contain exactly one [1..1] code, which SHOULD be selected from ValueSet Health Insurance Type urn:oid:2.16.840.1.113883.3.88.12.3221.5.2 DYNAMIC (CONF:1198-8903).

10. Act.code.translation
Definition

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

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
XML RepresentationThe type of this property is determined using the xsi:type attribute.
SlicingThis element introduces a set of slices on Act.code.translation. The slices are unordered and Open, and defines no discriminators to differentiate the slices
11. Act.code.translation:translation1
SliceNametranslation1
Definition

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

Control1..*
BindingThe codes SHOULD be taken from Payer
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
XML RepresentationThe type of this property is determined using the xsi:type attribute.
Requirements

This code SHALL contain at least one [1..*] translation, which SHOULD be selected from ValueSet Payer urn:oid:2.16.840.1.114222.4.11.3591 (CONF:1198-32852).

12. Act.statusCode
Control1..1
BindingThe codes SHALL be taken from ActStatus
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
Requirements

SHALL contain exactly one [1..1] statusCode (CONF:1198-8902).

13. Act.statusCode.code
Definition

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

Control1..1
Typestring
XML RepresentationIn 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:1198-19109).

Pattern Valuecompleted
14. Act.statusCode.codeSystem
Definition

Specifies the code system that defines the code.

Control0..0
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
15. Act.statusCode.codeSystemName
Definition

The common name of the coding system.

Control0..0
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
16. Act.statusCode.codeSystemVersion
Definition

If applicable, a version descriptor defined specifically for the given code system.

Control0..0
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
17. Act.statusCode.displayName
Definition

A name or title for the code, under which the sending system shows the code value to its users.

Control0..0
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
18. Act.statusCode.originalText
Definition

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

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
19. Act.statusCode.qualifier
Definition

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

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CR
20. Act.statusCode.translation
Definition

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

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
XML RepresentationThe type of this property is determined using the xsi:type attribute.
21. Act.performer
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Performer2
SlicingThis element introduces a set of slices on Act.performer. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ templateId
  • value @ templateId,
22. Act.performer:performer1
SliceNameperformer1
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Performer2
Requirements

SHALL contain exactly one [1..1] performer (CONF:1198-8906) such that it

23. Act.performer:performer1.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationPhysicalPerformer
Typecode(cs)
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="PRF" Performer (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8907).

Fixed ValuePRF
Pattern ValuePRF
24. Act.performer:performer1.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

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

SHALL contain exactly one [1..1] templateId (CONF:1198-16808).

25. Act.performer:performer1.templateId.root
Definition

A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

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

This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.87" Payer Performer (CONF:1198-16809).

Pattern Value2.16.840.1.113883.10.20.22.4.87
26. Act.performer:performer1.assignedEntity
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AssignedEntity
Requirements

SHALL contain exactly one [1..1] assignedEntity (CONF:1198-8908).

27. Act.performer:performer1.assignedEntity.classCode
Control1..1
BindingThe codes SHALL be taken from RoleClassAssignedEntity
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueASSIGNED
Fixed ValueASSIGNED
28. Act.performer:performer1.assignedEntity.id
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

This assignedEntity SHALL contain at least one [1..*] id (CONF:1198-8909).

29. Act.performer:performer1.assignedEntity.code
Control0..1
BindingThe codes SHALL be taken from v3 Code System RoleCode; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
Requirements

This assignedEntity SHOULD contain zero or one [0..1] code (CONF:1198-8914).

30. Act.performer:performer1.assignedEntity.code.code
Definition

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

Control1..1
BindingThe codes SHOULD be taken from Financially Responsible Party Type Value Set
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

The code, if present, SHALL contain exactly one [1..1] @code, which SHOULD be selected from ValueSet Financially Responsible Party Type Value Set urn:oid:2.16.840.1.113883.1.11.10416 DYNAMIC (CONF:1198-15992).

31. Act.performer:performer1.assignedEntity.code.qualifier
Definition

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

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CR
32. Act.performer:performer1.assignedEntity.addr
Definition

Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AD(USRealmAddressADUSFIELDED)
Requirements

This assignedEntity MAY contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:1198-8910).

InvariantsDefined on this element
81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296). (: null)
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
33. Act.performer:performer1.assignedEntity.telecom
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/TEL
Requirements

This assignedEntity MAY contain zero or more [0..*] telecom (CONF:1198-8911).

34. Act.performer:performer1.assignedEntity.representedOrganization
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organization
Requirements

This assignedEntity SHOULD contain zero or one [0..1] representedOrganization (CONF:1198-8912).

35. Act.performer:performer1.assignedEntity.representedOrganization.classCode
Control1..1
BindingThe codes SHALL be taken from EntityClassOrganization
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueORG
Fixed ValueORG
36. Act.performer:performer1.assignedEntity.representedOrganization.determinerCode
Control1..1
BindingThe codes SHALL be taken from EntityDeterminer
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueINSTANCE
Fixed ValueINSTANCE
37. Act.performer:performer1.assignedEntity.representedOrganization.name
Definition

A name associated with the organization.

Control0..1 This element is affected by the following invariants: org-1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ONstring
Requirements

The representedOrganization, if present, SHOULD contain zero or one [0..1] name (CONF:1198-8913).

Need to use the name as the label of the organization.

Comments

If the name of an organization changes, consider putting the old name in the alias column so that it can still be located through searches.

38. Act.performer:performer2
SliceNameperformer2
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Performer2
Requirements

SHOULD contain zero or more [0..*] performer="PRF" Performer (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8961) such that it

Pattern ValuePRF
39. Act.performer:performer2.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

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

SHALL contain exactly one [1..1] templateId (CONF:1198-16810).

40. Act.performer:performer2.templateId.root
Definition

A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

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

This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.88" Guarantor Performer (CONF:1198-16811).

Pattern Value2.16.840.1.113883.10.20.22.4.88
41. Act.performer:performer2.time
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
Requirements

SHOULD contain zero or one [0..1] time (CONF:1198-8963).

42. Act.performer:performer2.assignedEntity
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AssignedEntity
Requirements

SHALL contain exactly one [1..1] assignedEntity (CONF:1198-8962).

InvariantsDefined on this element
1198-8967: **SHOULD** include assignedEntity/assignedPerson/name AND/OR assignedEntity/representedOrganization/name (CONF:1198-8967). (: null)
43. Act.performer:performer2.assignedEntity.classCode
Control1..1
BindingThe codes SHALL be taken from RoleClassAssignedEntity
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueASSIGNED
Fixed ValueASSIGNED
44. Act.performer:performer2.assignedEntity.id
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
45. Act.performer:performer2.assignedEntity.code
Control1..1
BindingThe codes SHALL be taken from v3 Code System RoleCode; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
Requirements

This assignedEntity SHALL contain exactly one [1..1] code (CONF:1198-8968).

46. Act.performer:performer2.assignedEntity.code.code
Definition

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

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

This code SHALL contain exactly one [1..1] @code="GUAR" Guarantor (CONF:1198-16096).

Pattern ValueGUAR
47. Act.performer:performer2.assignedEntity.code.codeSystem
Definition

Specifies the code system that defines the code.

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

This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.110" (CONF:1198-32165).

Pattern Value2.16.840.1.113883.5.110
48. Act.performer:performer2.assignedEntity.code.qualifier
Definition

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

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CR
49. Act.performer:performer2.assignedEntity.addr
Definition

Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AD(USRealmAddressADUSFIELDED)
Requirements

This assignedEntity SHOULD contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:1198-8964).

InvariantsDefined on this element
81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296). (: null)
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
50. Act.performer:performer2.assignedEntity.telecom
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/TEL
Requirements

This assignedEntity SHOULD contain zero or more [0..*] telecom (CONF:1198-8965).

51. Act.participant
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Participant2
SlicingThis element introduces a set of slices on Act.participant. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ templateId
  • value @ templateId,
  • value @ templateId,
52. Act.participant:participant1
SliceNameparticipant1
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Participant2
Requirements

SHALL contain exactly one [1..1] participant (CONF:1198-8916) such that it

53. Act.participant:participant1.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationType
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="COV" Coverage target (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8917).

Pattern ValueCOV
54. Act.participant:participant1.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

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

SHALL contain exactly one [1..1] templateId (CONF:1198-16812).

55. Act.participant:participant1.templateId.root
Definition

A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

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

This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.89" Covered Party Participant (CONF:1198-16814).

Pattern Value2.16.840.1.113883.10.20.22.4.89
56. Act.participant:participant1.time
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
Requirements

SHOULD contain zero or one [0..1] time (CONF:1198-8918).

57. Act.participant:participant1.time.low
Definition

This is the low limit of the interval.

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

The time, if present, SHOULD contain zero or one [0..1] low (CONF:1198-8919).

58. Act.participant:participant1.time.high
Definition

This is the high limit of the interval.

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

The time, if present, SHOULD contain zero or one [0..1] high (CONF:1198-8920).

59. Act.participant:participant1.participantRole
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ParticipantRole
Requirements

SHALL contain exactly one [1..1] participantRole (CONF:1198-8921).

60. Act.participant:participant1.participantRole.classCode
Control1..1
BindingThe codes SHALL be taken from RoleClassRoot
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueROL
61. Act.participant:participant1.participantRole.id
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

This participantRole SHALL contain at least one [1..*] id (CONF:1198-8922).

InvariantsDefined on this element
1198-8984: This id is a unique identifier for the covered party member. Implementers **SHOULD** use the same GUID for each instance of a member identifier from the same health plan (CONF:1198-8984). (: null)
62. Act.participant:participant1.participantRole.code
Control1..1
BindingThe codes SHALL be taken from v3 Code System RoleCode; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
Requirements

This participantRole SHALL contain exactly one [1..1] code (CONF:1198-8923).

63. Act.participant:participant1.participantRole.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.

Control0..1
BindingThe codes SHOULD be taken from Coverage Role Type Value Set
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

This code SHOULD contain zero or one [0..1] @code, which SHOULD be selected from ValueSet Coverage Role Type Value Set urn:oid:2.16.840.1.113883.1.11.18877 DYNAMIC (CONF:1198-16078).

64. Act.participant:participant1.participantRole.code.qualifier
Definition

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

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CR
65. Act.participant:participant1.participantRole.addr
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AD
Requirements

This participantRole SHOULD contain zero or one [0..1] addr (CONF:1198-8956).

InvariantsDefined on this element
1198-10484: The content of addr **SHALL** be a conformant US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2) (CONF:1198-10484). (: null)
66. Act.participant:participant1.participantRole.playingEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/PlayingEntity
Requirements

This participantRole SHOULD contain zero or one [0..1] playingEntity (CONF:1198-8932).

67. Act.participant:participant1.participantRole.playingEntity.classCode
Control1..1
BindingThe codes SHALL be taken from EntityClassRoot
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueENT
68. Act.participant:participant1.participantRole.playingEntity.determinerCode
Control1..1
BindingThe codes SHALL be taken from EntityDeterminer
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueINSTANCE
Fixed ValueINSTANCE
69. Act.participant:participant1.participantRole.playingEntity.name
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/EN
Requirements

The playingEntity, if present, SHALL contain at least one [1..*] name (CONF:1198-8930).

70. Act.participant:participant2
SliceNameparticipant2
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Participant2
Requirements

SHOULD contain zero or one [0..1] participant (CONF:1198-8934) such that it

InvariantsDefined on this element
1198-17139: When the Subscriber is the patient, the participant element describing the subscriber **SHALL NOT** be present. This information will be recorded instead in the data elements used to record member information (CONF:1198-17139). (: null)
71. Act.participant:participant2.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationType
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="HLD" Holder (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8935).

Pattern ValueHLD
72. Act.participant:participant2.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

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

SHALL contain exactly one [1..1] templateId (CONF:1198-16813).

73. Act.participant:participant2.templateId.root
Definition

A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

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

This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.90" Policy Holder Participant (CONF:1198-16815).

Pattern Value2.16.840.1.113883.10.20.22.4.90
74. Act.participant:participant2.time
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
Requirements

MAY contain zero or one [0..1] time (CONF:1198-8938).

75. Act.participant:participant2.participantRole
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ParticipantRole
Requirements

SHALL contain exactly one [1..1] participantRole (CONF:1198-8936).

76. Act.participant:participant2.participantRole.classCode
Control1..1
BindingThe codes SHALL be taken from RoleClassRoot
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueROL
77. Act.participant:participant2.participantRole.id
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

This participantRole SHALL contain at least one [1..*] id (CONF:1198-8937).

InvariantsDefined on this element
1198-10120: This id is a unique identifier for the subscriber of the coverage (CONF:1198-10120). (: null)
78. Act.participant:participant2.participantRole.addr
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AD
Requirements

This participantRole SHOULD contain zero or one [0..1] addr (CONF:1198-8925).

InvariantsDefined on this element
1198-10483: The content of addr **SHALL** be a conformant US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2) (CONF:1198-10483). (: null)
79. Act.entryRelationship
Control0..*
TypeElement
InvariantsDefined on this element
act-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on Act.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ typeCode
80. Act.entryRelationship.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
81. Act.entryRelationship.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
82. Act.entryRelationship:entryRelationship1
SliceNameentryRelationship1
Control1..*
TypeElement
Requirements

SHALL contain at least one [1..*] entryRelationship (CONF:1198-8939) such that it

InvariantsDefined on this element
1198-8942: The target of a policy activity with act/entryRelationship/@typeCode="REFR" **SHALL** be an authorization activity (templateId 2.16.840.1.113883.10.20.1.19) *OR* an act, with act[@classCode="ACT"] and act[@moodCode="DEF"], representing a description of the coverage plan (CONF:1198-8942). (: null)
1198-8943: A description of the coverage plan **SHALL** contain one or more act/id, to represent the plan identifier, and an act/text with the name of the plan (CONF:1198-8943). (: null)
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()))
83. Act.entryRelationship:entryRelationship1.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8940).

Pattern ValueREFR
84. Act.entryRelationship:entryRelationship1.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue

Guidance on how to interpret the contents of this table can be found here.

1. Act
Definition

Base definition for all types defined in FHIR type system.

Control1..1
2. Act.classCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-8898).

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

SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-8899).

Pattern ValueEVN
4. Act.realmCode
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
5. Act.typeId
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
6. Act.templateId
Definition

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
SlicingThis element introduces a set of slices on Act.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ root
  • value @ root,
7. Act.templateId:primary
SliceNameprimary
Definition

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

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

SHALL contain exactly one [1..1] templateId (CONF:1198-8900) such that it

8. Act.templateId:primary.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
9. Act.templateId:primary.assigningAuthorityName
Definition

A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
10. Act.templateId:primary.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
11. Act.templateId:primary.root
Definition

A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

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

SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.61" (CONF:1198-10516).

Pattern Value2.16.840.1.113883.10.20.22.4.61
12. Act.templateId:primary.extension
Definition

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

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

SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32595).

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

SHALL contain at least one [1..*] id (CONF:1198-8901).

14. Act.code
Control1..1
BindingThe codes SHOULD be taken from VSAC 2.16.840.1.113883.3.88.12.3221.5.2
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
Requirements

SHALL contain exactly one [1..1] code, which SHOULD be selected from ValueSet Health Insurance Type urn:oid:2.16.840.1.113883.3.88.12.3221.5.2 DYNAMIC (CONF:1198-8903).

15. Act.code.nullFlavor
Definition

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

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

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

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
17. Act.code.codeSystem
Definition

Specifies the code system that defines the code.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
18. Act.code.codeSystemName
Definition

The common name of the coding system.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
19. Act.code.codeSystemVersion
Definition

If applicable, a version descriptor defined specifically for the given code system.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
20. Act.code.displayName
Definition

A name or title for the code, under which the sending system shows the code value to its users.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
21. Act.code.sdtcValueSet
Definition

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

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual name valueSet.
22. Act.code.sdtcValueSetVersion
Definition

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

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual name valueSetVersion.
23. Act.code.originalText
Definition

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

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

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

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

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

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
XML RepresentationThe type of this property is determined using the xsi:type attribute.
SlicingThis element introduces a set of slices on Act.code.translation. The slices are unordered and Open, and defines no discriminators to differentiate the slices
26. Act.code.translation:translation1
SliceNametranslation1
Definition

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

Control1..*
BindingThe codes SHOULD be taken from Payer
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
XML RepresentationThe type of this property is determined using the xsi:type attribute.
Requirements

This code SHALL contain at least one [1..*] translation, which SHOULD be selected from ValueSet Payer urn:oid:2.16.840.1.114222.4.11.3591 (CONF:1198-32852).

27. Act.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
28. Act.text
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
29. Act.statusCode
Control1..1
BindingThe codes SHALL be taken from ActStatus
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
Requirements

SHALL contain exactly one [1..1] statusCode (CONF:1198-8902).

30. Act.statusCode.nullFlavor
Definition

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

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

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

Control1..1
Typestring
XML RepresentationIn 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:1198-19109).

Pattern Valuecompleted
32. Act.statusCode.codeSystem
Definition

Specifies the code system that defines the code.

Control0..0
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
33. Act.statusCode.codeSystemName
Definition

The common name of the coding system.

Control0..0
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
34. Act.statusCode.codeSystemVersion
Definition

If applicable, a version descriptor defined specifically for the given code system.

Control0..0
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
35. Act.statusCode.displayName
Definition

A name or title for the code, under which the sending system shows the code value to its users.

Control0..0
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
36. Act.statusCode.sdtcValueSet
Definition

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

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual name valueSet.
37. Act.statusCode.sdtcValueSetVersion
Definition

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

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual name valueSetVersion.
38. Act.statusCode.originalText
Definition

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

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
39. Act.statusCode.qualifier
Definition

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

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CR
40. Act.statusCode.translation
Definition

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

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
XML RepresentationThe type of this property is determined using the xsi:type attribute.
41. Act.effectiveTime
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
42. Act.priorityCode
Control0..1
BindingThe codes SHALL be taken from ActPriority; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
43. Act.languageCode
Control0..1
BindingThe codes SHALL be taken from HumanLanguage
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
44. Act.subject
Control0..1
TypeElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
45. Act.subject.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
46. Act.subject.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Act.subject.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
47. Act.subject.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationTargetSubject
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueSBJ
Fixed ValueSBJ
48. Act.subject.contextControlCode
Control1..1
BindingThe codes SHALL be taken from ContextControl
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueOP
Fixed ValueOP
49. Act.subject.awarenessCode
Control0..1
BindingThe codes SHALL be taken from TargetAwareness; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
50. Act.subject.relatedSubject
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RelatedSubject
51. Act.specimen
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Specimen
52. Act.performer
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Performer2
SlicingThis element introduces a set of slices on Act.performer. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ templateId
  • value @ templateId,
53. Act.performer:performer1
SliceNameperformer1
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Performer2
Requirements

SHALL contain exactly one [1..1] performer (CONF:1198-8906) such that it

54. Act.performer:performer1.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
55. Act.performer:performer1.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationPhysicalPerformer
Typecode(cs)
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="PRF" Performer (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8907).

Fixed ValuePRF
Pattern ValuePRF
56. Act.performer:performer1.realmCode
Definition

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
57. Act.performer:performer1.typeId
Definition

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
58. Act.performer:performer1.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

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

SHALL contain exactly one [1..1] templateId (CONF:1198-16808).

59. Act.performer:performer1.templateId.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
60. Act.performer:performer1.templateId.assigningAuthorityName
Definition

A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
61. Act.performer:performer1.templateId.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
62. Act.performer:performer1.templateId.root
Definition

A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

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

This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.87" Payer Performer (CONF:1198-16809).

Pattern Value2.16.840.1.113883.10.20.22.4.87
63. Act.performer:performer1.templateId.extension
Definition

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

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
64. Act.performer:performer1.functionCode
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
XML RepresentationIn the XML format, this property has the namespace urn:hl7-org:sdtc.
65. Act.performer:performer1.time
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
66. Act.performer:performer1.modeCode
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
67. Act.performer:performer1.assignedEntity
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AssignedEntity
Requirements

SHALL contain exactly one [1..1] assignedEntity (CONF:1198-8908).

68. Act.performer:performer1.assignedEntity.classCode
Control1..1
BindingThe codes SHALL be taken from RoleClassAssignedEntity
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueASSIGNED
Fixed ValueASSIGNED
69. Act.performer:performer1.assignedEntity.templateId
Definition

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
70. Act.performer:performer1.assignedEntity.id
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

This assignedEntity SHALL contain at least one [1..*] id (CONF:1198-8909).

71. Act.performer:performer1.assignedEntity.sdtcIdentifiedBy
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/IdentifiedBy
XML RepresentationIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual name identifiedBy.
72. Act.performer:performer1.assignedEntity.code
Control0..1
BindingThe codes SHALL be taken from v3 Code System RoleCode; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
Requirements

This assignedEntity SHOULD contain zero or one [0..1] code (CONF:1198-8914).

73. Act.performer:performer1.assignedEntity.code.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
74. Act.performer:performer1.assignedEntity.code.code
Definition

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

Control1..1
BindingThe codes SHOULD be taken from Financially Responsible Party Type Value Set
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

The code, if present, SHALL contain exactly one [1..1] @code, which SHOULD be selected from ValueSet Financially Responsible Party Type Value Set urn:oid:2.16.840.1.113883.1.11.10416 DYNAMIC (CONF:1198-15992).

75. Act.performer:performer1.assignedEntity.code.codeSystem
Definition

Specifies the code system that defines the code.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
76. Act.performer:performer1.assignedEntity.code.codeSystemName
Definition

The common name of the coding system.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
77. Act.performer:performer1.assignedEntity.code.codeSystemVersion
Definition

If applicable, a version descriptor defined specifically for the given code system.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
78. Act.performer:performer1.assignedEntity.code.displayName
Definition

A name or title for the code, under which the sending system shows the code value to its users.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
79. Act.performer:performer1.assignedEntity.code.sdtcValueSet
Definition

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

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual name valueSet.
80. Act.performer:performer1.assignedEntity.code.sdtcValueSetVersion
Definition

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

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual name valueSetVersion.
81. Act.performer:performer1.assignedEntity.code.originalText
Definition

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

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
82. Act.performer:performer1.assignedEntity.code.qualifier
Definition

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

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CR
83. Act.performer:performer1.assignedEntity.code.translation
Definition

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

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
XML RepresentationThe type of this property is determined using the xsi:type attribute.
84. Act.performer:performer1.assignedEntity.addr
Definition

Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AD(USRealmAddressADUSFIELDED)
Requirements

This assignedEntity MAY contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:1198-8910).

InvariantsDefined on this element
81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296). (: )
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
85. Act.performer:performer1.assignedEntity.telecom
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/TEL
Requirements

This assignedEntity MAY contain zero or more [0..*] telecom (CONF:1198-8911).

86. Act.performer:performer1.assignedEntity.assignedPerson
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Person
87. Act.performer:performer1.assignedEntity.representedOrganization
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organization
Requirements

This assignedEntity SHOULD contain zero or one [0..1] representedOrganization (CONF:1198-8912).

88. Act.performer:performer1.assignedEntity.representedOrganization.classCode
Control1..1
BindingThe codes SHALL be taken from EntityClassOrganization
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueORG
Fixed ValueORG
89. Act.performer:performer1.assignedEntity.representedOrganization.determinerCode
Control1..1
BindingThe codes SHALL be taken from EntityDeterminer
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueINSTANCE
Fixed ValueINSTANCE
90. Act.performer:performer1.assignedEntity.representedOrganization.templateId
Definition

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
91. Act.performer:performer1.assignedEntity.representedOrganization.id
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
92. Act.performer:performer1.assignedEntity.representedOrganization.name
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ON
Requirements

The representedOrganization, if present, SHOULD contain zero or one [0..1] name (CONF:1198-8913).

93. Act.performer:performer1.assignedEntity.representedOrganization.telecom
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/TEL
94. Act.performer:performer1.assignedEntity.representedOrganization.addr
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/AD
95. Act.performer:performer1.assignedEntity.representedOrganization.standardIndustryClassCode
Control0..1
BindingThe codes SHALL be taken from OrganizationIndustryClassNAICS; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
96. Act.performer:performer1.assignedEntity.representedOrganization.asOrganizationPartOf
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/OrganizationPartOf
97. Act.performer:performer2
SliceNameperformer2
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Performer2
Requirements

SHOULD contain zero or more [0..*] performer="PRF" Performer (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8961) such that it

Pattern ValuePRF
98. Act.performer:performer2.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
99. Act.performer:performer2.typeCode
Control0..1
BindingThe codes SHALL be taken from ParticipationPhysicalPerformer
Typecode(cs)
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed ValuePRF
100. Act.performer:performer2.realmCode
Definition

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
101. Act.performer:performer2.typeId
Definition

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
102. Act.performer:performer2.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

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

SHALL contain exactly one [1..1] templateId (CONF:1198-16810).

103. Act.performer:performer2.templateId.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
104. Act.performer:performer2.templateId.assigningAuthorityName
Definition

A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
105. Act.performer:performer2.templateId.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
106. Act.performer:performer2.templateId.root
Definition

A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

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

This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.88" Guarantor Performer (CONF:1198-16811).

Pattern Value2.16.840.1.113883.10.20.22.4.88
107. Act.performer:performer2.templateId.extension
Definition

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

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
108. Act.performer:performer2.functionCode
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
XML RepresentationIn the XML format, this property has the namespace urn:hl7-org:sdtc.
109. Act.performer:performer2.time
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
Requirements

SHOULD contain zero or one [0..1] time (CONF:1198-8963).

110. Act.performer:performer2.modeCode
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
111. Act.performer:performer2.assignedEntity
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AssignedEntity
Requirements

SHALL contain exactly one [1..1] assignedEntity (CONF:1198-8962).

InvariantsDefined on this element
1198-8967: **SHOULD** include assignedEntity/assignedPerson/name AND/OR assignedEntity/representedOrganization/name (CONF:1198-8967). (: )
112. Act.performer:performer2.assignedEntity.classCode
Control1..1
BindingThe codes SHALL be taken from RoleClassAssignedEntity
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueASSIGNED
Fixed ValueASSIGNED
113. Act.performer:performer2.assignedEntity.templateId
Definition

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
114. Act.performer:performer2.assignedEntity.id
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
115. Act.performer:performer2.assignedEntity.sdtcIdentifiedBy
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/IdentifiedBy
XML RepresentationIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual name identifiedBy.
116. Act.performer:performer2.assignedEntity.code
Control1..1
BindingThe codes SHALL be taken from v3 Code System RoleCode; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
Requirements

This assignedEntity SHALL contain exactly one [1..1] code (CONF:1198-8968).

117. Act.performer:performer2.assignedEntity.code.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
118. Act.performer:performer2.assignedEntity.code.code
Definition

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

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

This code SHALL contain exactly one [1..1] @code="GUAR" Guarantor (CONF:1198-16096).

Pattern ValueGUAR
119. Act.performer:performer2.assignedEntity.code.codeSystem
Definition

Specifies the code system that defines the code.

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

This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.110" (CONF:1198-32165).

Pattern Value2.16.840.1.113883.5.110
120. Act.performer:performer2.assignedEntity.code.codeSystemName
Definition

The common name of the coding system.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
121. Act.performer:performer2.assignedEntity.code.codeSystemVersion
Definition

If applicable, a version descriptor defined specifically for the given code system.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
122. Act.performer:performer2.assignedEntity.code.displayName
Definition

A name or title for the code, under which the sending system shows the code value to its users.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
123. Act.performer:performer2.assignedEntity.code.sdtcValueSet
Definition

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

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual name valueSet.
124. Act.performer:performer2.assignedEntity.code.sdtcValueSetVersion
Definition

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

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual name valueSetVersion.
125. Act.performer:performer2.assignedEntity.code.originalText
Definition

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

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
126. Act.performer:performer2.assignedEntity.code.qualifier
Definition

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

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CR
127. Act.performer:performer2.assignedEntity.code.translation
Definition

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

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
XML RepresentationThe type of this property is determined using the xsi:type attribute.
128. Act.performer:performer2.assignedEntity.addr
Definition

Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AD(USRealmAddressADUSFIELDED)
Requirements

This assignedEntity SHOULD contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:1198-8964).

InvariantsDefined on this element
81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296). (: )
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
129. Act.performer:performer2.assignedEntity.telecom
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/TEL
Requirements

This assignedEntity SHOULD contain zero or more [0..*] telecom (CONF:1198-8965).

130. Act.performer:performer2.assignedEntity.assignedPerson
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Person
131. Act.performer:performer2.assignedEntity.representedOrganization
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organization
132. Act.author
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Author
133. Act.informant
Control0..*
TypeElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
134. Act.informant.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
135. Act.informant.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Act.informant.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
136. Act.informant.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationInformationGenerator
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueINF
Fixed ValueINF
137. Act.informant.contextControlCode
Control1..1
BindingThe codes SHALL be taken from ContextControl
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueOP
Fixed ValueOP
138. Act.informant.assignedEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AssignedEntity
139. Act.informant.relatedEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RelatedEntity
140. Act.participant
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Participant2
SlicingThis element introduces a set of slices on Act.participant. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ templateId
  • value @ templateId,
  • value @ templateId,
141. Act.participant:participant1
SliceNameparticipant1
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Participant2
Requirements

SHALL contain exactly one [1..1] participant (CONF:1198-8916) such that it

142. Act.participant:participant1.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
143. Act.participant:participant1.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationType
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="COV" Coverage target (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8917).

Pattern ValueCOV
144. Act.participant:participant1.contextControlCode
Control0..1
BindingThe codes SHALL be taken from ContextControl
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed ValueOP
145. Act.participant:participant1.realmCode
Definition

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
146. Act.participant:participant1.typeId
Definition

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
147. Act.participant:participant1.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

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

SHALL contain exactly one [1..1] templateId (CONF:1198-16812).

148. Act.participant:participant1.templateId.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
149. Act.participant:participant1.templateId.assigningAuthorityName
Definition

A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
150. Act.participant:participant1.templateId.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
151. Act.participant:participant1.templateId.root
Definition

A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

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

This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.89" Covered Party Participant (CONF:1198-16814).

Pattern Value2.16.840.1.113883.10.20.22.4.89
152. Act.participant:participant1.templateId.extension
Definition

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

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
153. Act.participant:participant1.sdtcFunctionCode
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
XML RepresentationIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual name functionCode.
154. Act.participant:participant1.time
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
Requirements

SHOULD contain zero or one [0..1] time (CONF:1198-8918).

155. Act.participant:participant1.time.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
156. Act.participant:participant1.time.value
Definition

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

Control0..1
TypedateTime
XML RepresentationIn the XML format, this property is represented as an attribute.
157. Act.participant:participant1.time.inclusive
Definition

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

Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
158. Act.participant:participant1.time.operator
Definition

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

Control0..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
159. Act.participant:participant1.time.low
Definition

This is the low limit of the interval.

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

The time, if present, SHOULD contain zero or one [0..1] low (CONF:1198-8919).

160. Act.participant:participant1.time.high
Definition

This is the high limit of the interval.

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

The time, if present, SHOULD contain zero or one [0..1] high (CONF:1198-8920).

161. Act.participant:participant1.time.width
Definition

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

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/PQ
162. Act.participant:participant1.time.center
Definition

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

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/TS
163. Act.participant:participant1.awarenessCode
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
164. Act.participant:participant1.participantRole
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ParticipantRole
Requirements

SHALL contain exactly one [1..1] participantRole (CONF:1198-8921).

165. Act.participant:participant1.participantRole.classCode
Control1..1
BindingThe codes SHALL be taken from RoleClassRoot
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueROL
166. Act.participant:participant1.participantRole.templateId
Definition

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
167. Act.participant:participant1.participantRole.id
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

This participantRole SHALL contain at least one [1..*] id (CONF:1198-8922).

InvariantsDefined on this element
1198-8984: This id is a unique identifier for the covered party member. Implementers **SHOULD** use the same GUID for each instance of a member identifier from the same health plan (CONF:1198-8984). (: )
168. Act.participant:participant1.participantRole.sdtcIdentifiedBy
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/IdentifiedBy
XML RepresentationIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual name identifiedBy.
169. Act.participant:participant1.participantRole.code
Control1..1
BindingThe codes SHALL be taken from v3 Code System RoleCode; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
Requirements

This participantRole SHALL contain exactly one [1..1] code (CONF:1198-8923).

170. Act.participant:participant1.participantRole.code.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
171. Act.participant:participant1.participantRole.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.

Control0..1
BindingThe codes SHOULD be taken from Coverage Role Type Value Set
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

This code SHOULD contain zero or one [0..1] @code, which SHOULD be selected from ValueSet Coverage Role Type Value Set urn:oid:2.16.840.1.113883.1.11.18877 DYNAMIC (CONF:1198-16078).

172. Act.participant:participant1.participantRole.code.codeSystem
Definition

Specifies the code system that defines the code.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
173. Act.participant:participant1.participantRole.code.codeSystemName
Definition

The common name of the coding system.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
174. Act.participant:participant1.participantRole.code.codeSystemVersion
Definition

If applicable, a version descriptor defined specifically for the given code system.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
175. Act.participant:participant1.participantRole.code.displayName
Definition

A name or title for the code, under which the sending system shows the code value to its users.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
176. Act.participant:participant1.participantRole.code.sdtcValueSet
Definition

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

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual name valueSet.
177. Act.participant:participant1.participantRole.code.sdtcValueSetVersion
Definition

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

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual name valueSetVersion.
178. Act.participant:participant1.participantRole.code.originalText
Definition

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

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
179. Act.participant:participant1.participantRole.code.qualifier
Definition

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

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CR
180. Act.participant:participant1.participantRole.code.translation
Definition

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

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
XML RepresentationThe type of this property is determined using the xsi:type attribute.
181. Act.participant:participant1.participantRole.addr
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AD
Requirements

This participantRole SHOULD contain zero or one [0..1] addr (CONF:1198-8956).

InvariantsDefined on this element
1198-10484: The content of addr **SHALL** be a conformant US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2) (CONF:1198-10484). (: )
182. Act.participant:participant1.participantRole.telecom
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/TEL
183. Act.participant:participant1.participantRole.playingDevice
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Device
184. Act.participant:participant1.participantRole.playingEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/PlayingEntity
Requirements

This participantRole SHOULD contain zero or one [0..1] playingEntity (CONF:1198-8932).

185. Act.participant:participant1.participantRole.playingEntity.classCode
Control1..1
BindingThe codes SHALL be taken from EntityClassRoot
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueENT
186. Act.participant:participant1.participantRole.playingEntity.determinerCode
Control1..1
BindingThe codes SHALL be taken from EntityDeterminer
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueINSTANCE
Fixed ValueINSTANCE
187. Act.participant:participant1.participantRole.playingEntity.templateId
Definition

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
188. Act.participant:participant1.participantRole.playingEntity.code
Control0..1
BindingThe codes SHALL be taken from EntityCode; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
189. Act.participant:participant1.participantRole.playingEntity.quantity
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/PQ
190. Act.participant:participant1.participantRole.playingEntity.name
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/EN
Requirements

The playingEntity, if present, SHALL contain at least one [1..*] name (CONF:1198-8930).

191. Act.participant:participant1.participantRole.playingEntity.desc
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
192. Act.participant:participant1.participantRole.scopingEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Entity
193. Act.participant:participant2
SliceNameparticipant2
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Participant2
Requirements

SHOULD contain zero or one [0..1] participant (CONF:1198-8934) such that it

InvariantsDefined on this element
1198-17139: When the Subscriber is the patient, the participant element describing the subscriber **SHALL NOT** be present. This information will be recorded instead in the data elements used to record member information (CONF:1198-17139). (: )
194. Act.participant:participant2.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
195. Act.participant:participant2.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationType
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="HLD" Holder (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8935).

Pattern ValueHLD
196. Act.participant:participant2.contextControlCode
Control0..1
BindingThe codes SHALL be taken from ContextControl
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Fixed ValueOP
197. Act.participant:participant2.realmCode
Definition

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
198. Act.participant:participant2.typeId
Definition

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
199. Act.participant:participant2.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

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

SHALL contain exactly one [1..1] templateId (CONF:1198-16813).

200. Act.participant:participant2.templateId.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
201. Act.participant:participant2.templateId.assigningAuthorityName
Definition

A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
202. Act.participant:participant2.templateId.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
203. Act.participant:participant2.templateId.root
Definition

A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

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

This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.90" Policy Holder Participant (CONF:1198-16815).

Pattern Value2.16.840.1.113883.10.20.22.4.90
204. Act.participant:participant2.templateId.extension
Definition

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

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
205. Act.participant:participant2.sdtcFunctionCode
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
XML RepresentationIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual name functionCode.
206. Act.participant:participant2.time
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
Requirements

MAY contain zero or one [0..1] time (CONF:1198-8938).

207. Act.participant:participant2.awarenessCode
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
208. Act.participant:participant2.participantRole
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ParticipantRole
Requirements

SHALL contain exactly one [1..1] participantRole (CONF:1198-8936).

209. Act.participant:participant2.participantRole.classCode
Control1..1
BindingThe codes SHALL be taken from RoleClassRoot
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueROL
210. Act.participant:participant2.participantRole.templateId
Definition

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
211. Act.participant:participant2.participantRole.id
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

This participantRole SHALL contain at least one [1..*] id (CONF:1198-8937).

InvariantsDefined on this element
1198-10120: This id is a unique identifier for the subscriber of the coverage (CONF:1198-10120). (: )
212. Act.participant:participant2.participantRole.sdtcIdentifiedBy
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/IdentifiedBy
XML RepresentationIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual name identifiedBy.
213. Act.participant:participant2.participantRole.code
Control0..1
BindingThe codes SHALL be taken from v3 Code System RoleCode; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
214. Act.participant:participant2.participantRole.addr
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AD
Requirements

This participantRole SHOULD contain zero or one [0..1] addr (CONF:1198-8925).

InvariantsDefined on this element
1198-10483: The content of addr **SHALL** be a conformant US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2) (CONF:1198-10483). (: )
215. Act.participant:participant2.participantRole.telecom
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/TEL
216. Act.participant:participant2.participantRole.playingDevice
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Device
217. Act.participant:participant2.participantRole.playingEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/PlayingEntity
218. Act.participant:participant2.participantRole.scopingEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Entity
219. Act.entryRelationship
Control0..*
TypeElement
InvariantsDefined on this element
act-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on Act.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ typeCode
220. Act.entryRelationship.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
221. Act.entryRelationship.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Act.entryRelationship.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
222. Act.entryRelationship.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
223. Act.entryRelationship.inversionInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
224. Act.entryRelationship.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
225. Act.entryRelationship.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
226. Act.entryRelationship.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
227. Act.entryRelationship.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
228. Act.entryRelationship.observation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
229. Act.entryRelationship.regionOfInterest
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
230. Act.entryRelationship.observationMedia
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
231. Act.entryRelationship.substanceAdministration
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
232. Act.entryRelationship.supply
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
233. Act.entryRelationship.procedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
234. Act.entryRelationship.encounter
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
235. Act.entryRelationship.organizer
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
236. Act.entryRelationship.act
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
237. Act.entryRelationship:entryRelationship1
SliceNameentryRelationship1
Control1..*
TypeElement
Requirements

SHALL contain at least one [1..*] entryRelationship (CONF:1198-8939) such that it

InvariantsDefined on this element
1198-8942: The target of a policy activity with act/entryRelationship/@typeCode="REFR" **SHALL** be an authorization activity (templateId 2.16.840.1.113883.10.20.1.19) *OR* an act, with act[@classCode="ACT"] and act[@moodCode="DEF"], representing a description of the coverage plan (CONF:1198-8942). (: )
1198-8943: A description of the coverage plan **SHALL** contain one or more act/id, to represent the plan identifier, and an act/text with the name of the plan (CONF:1198-8943). (: )
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()))
238. Act.entryRelationship:entryRelationship1.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
239. Act.entryRelationship:entryRelationship1.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Act.entryRelationship.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
240. Act.entryRelationship:entryRelationship1.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Requirements

SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8940).

Pattern ValueREFR
241. Act.entryRelationship:entryRelationship1.inversionInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
242. Act.entryRelationship:entryRelationship1.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
243. Act.entryRelationship:entryRelationship1.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
244. Act.entryRelationship:entryRelationship1.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
245. Act.entryRelationship:entryRelationship1.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
246. Act.entryRelationship:entryRelationship1.observation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
247. Act.entryRelationship:entryRelationship1.regionOfInterest
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
248. Act.entryRelationship:entryRelationship1.observationMedia
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
249. Act.entryRelationship:entryRelationship1.substanceAdministration
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
250. Act.entryRelationship:entryRelationship1.supply
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
251. Act.entryRelationship:entryRelationship1.procedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
252. Act.entryRelationship:entryRelationship1.encounter
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
253. Act.entryRelationship:entryRelationship1.organizer
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
254. Act.entryRelationship:entryRelationship1.act
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
255. Act.reference
Control0..*
TypeElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
256. Act.reference.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
257. Act.reference.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Act.reference.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
258. Act.reference.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
259. Act.reference.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
260. Act.reference.externalAct
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalAct
261. Act.reference.externalObservation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalObservation
262. Act.reference.externalProcedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure
263. Act.reference.externalDocument
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalDocument
264. Act.precondition
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Precondition