Consolidated CDA
3.0.0-ballot - ballot United States of America flag

This page is part of the CCDA: Consolidated CDA Release (v3.0.0-ballot: CCDA 3.0 Ballot 1) based on FHIR (HL7® FHIR® Standard) v5.0.0. . For a full list of available versions, see the Directory of published versions

Logical Model: Risk Concern Act

Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/RiskConcernAct Version: 3.0.0-ballot
Draft as of 2023-12-21 Computable Name: RiskConcernAct
Other Identifiers: id: urn:hl7ii:2.16.840.1.113883.10.20.22.4.136:2015-08-01

This template represents a risk concern.

It is a wrapper for a single risk concern which may be derived from a variety of sources within an EHR (such as Problem List, Family History, Social History, Social Worker Note, etc.).

A Risk Concern Act represents a health concern that is a risk. A risk is a clinical or socioeconomic condition that the patient does not currently have, but the probability of developing that condition rises to the level of concern such that an intervention and/or monitoring is needed.

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from Act

NameFlagsCard.TypeDescription & Constraintsdoco
.. Act C1..1ActXML Namespace: urn:hl7-org:v3
Elements defined in Ancestors: @nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, code, text, statusCode, effectiveTime, priorityCode, languageCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, sdtcInFulfillmentOf1
Base for all types and resources
Instances of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
should-text-ref-value: SHOULD contain text/reference/@value
should-author: SHOULD contain author
... Slices for templateId 1..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:risk-concern-act 1..1II
..... @root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.136
..... @extension 1..1stRequired Pattern: 2015-08-01
... @classCode 1..1csFixed Value: ACT
... @moodCode 1..1csFixed Value: EVN
... code 1..1CD
.... @code 1..1csRequired Pattern: 281694009
.... @codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.6.96
... text 0..1EDSHOULD reference the portion of section narrative text corresponding to this entry
.... reference C0..1TELvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
... statusCode 1..1CS
.... @code 1..1csBinding: ProblemAct statusCode (required)
... effectiveTime 0..1IVL_TS
... author 0..*AuthorParticipationBase for all types and resources
... Slices for entryRelationship 0..*EntryRelationshipWhere a Health Concern needs to reference another entry already described in the CDA document instance, rather than repeating the full content of the entry, the Entry Reference template may be used to reference this entry.
Slice: Unordered, Open by profile:observation, profile:act, profile:organizer
.... entryRelationship:problemObservation1 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1ProblemObservationBase for all types and resources
.... entryRelationship:allergy-IntoleranceObservation 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1AllergyIntoleranceObservationBase for all types and resources
.... entryRelationship:entryReferenceRefr 0..*EntryRelationshipThe following entryRelationship represents the relationship between two Health Concern Acts where there is a general relationship between the source and the target (Health Concern RELATES TO Health Concern). The Entry Reference template is used here because the target Health Concern Act will be defined elsewhere in the Health Concerns Section and thus a reference to that template is all that is required.
..... @typeCode 1..1csFixed Value: REFR
..... act 1..1EntryReferenceBase for all types and resources
.... entryRelationship:entryReferenceComp 0..*EntryRelationshipThe following entryRelationship represents the relationship between two Health Concern Acts where the target is a component of the source (Health Concern HAS COMPONENT Health Concern). The Enry Reference template is used here because the target Health Concern Act will be defined elsewhere in the Health Concerns Section and thus a reference to that template is all that is required.
..... @typeCode 1..1csFixed Value: COMP
..... act 1..1EntryReferenceBase for all types and resources
.... entryRelationship:assessmentScaleObservation 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1AssessmentScaleObservationBase for all types and resources
.... entryRelationship:mentalStatusObservation1 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1MentalStatusObservationBase for all types and resources
.... entryRelationship:self-CareActivitiesADLandIADL 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1SelfCareActivitiesADLandIADLBase for all types and resources
.... entryRelationship:mentalStatusObservation2 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1MentalStatusObservationBase for all types and resources
.... entryRelationship:smokingStatus-MeaningfulUse 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1SmokingStatusMeaningfulUseBase for all types and resources
.... entryRelationship:encounterDiagnosis 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... act 1..1EncounterDiagnosisBase for all types and resources
.... entryRelationship:entryRelationship11 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... organizer 1..1FamilyHistoryOrganizerBase for all types and resources
.... entryRelationship:functionalStatusObservation 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1FunctionalStatusObservationBase for all types and resources
.... entryRelationship:hospitalAdmissionDiagnosis 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... act 1..1HospitalAdmissionDiagnosisBase for all types and resources
.... entryRelationship:nutritionAssessment 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1NutritionAssessmentBase for all types and resources
.... entryRelationship:postprocedureDiagnosis 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... act 1..1PostprocedureDiagnosisBase for all types and resources
.... entryRelationship:pregnancyObservation 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1PregnancyObservationBase for all types and resources
.... entryRelationship:preoperativeDiagnosis 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... act 1..1PreoperativeDiagnosisBase for all types and resources
.... entryRelationship:reactionObservation 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1ReactionObservationBase for all types and resources
.... entryRelationship:resultObservation 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1ResultObservationBase for all types and resources
.... entryRelationship:sensoryStatus 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1SensoryStatusBase for all types and resources
.... entryRelationship:socialHistoryObservation 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1SocialHistoryObservationBase for all types and resources
.... entryRelationship:substanceorDeviceAllergy-IntoleranceObservation 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1SubstanceOrDeviceAllergyIntoleranceObservationBase for all types and resources
.... entryRelationship:tobaccoUse 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1TobaccoUseBase for all types and resources
.... entryRelationship:vitalSignObservation 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1VitalSignObservationBase for all types and resources
.... entryRelationship:longitudinalCareWoundObservation 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1LongitudinalCareWoundObservationBase for all types and resources
.... entryRelationship:problemObservation2 0..*EntryRelationshipThe following entryRelationship represents the relationship Health Concern HAS SUPPORT Observation.
..... @typeCode 1..1csFixed Value: SPRT
..... observation 1..1ProblemObservationBase for all types and resources
.... entryRelationship:caregiverCharacteristics 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1CaregiverCharacteristicsBase for all types and resources
.... entryRelationship:culturalandReligiousObservation 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1CulturalandReligiousObservationBase for all types and resources
.... entryRelationship:characteristicsofHomeEnvironment 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1CharacteristicsofHomeEnvironmentBase for all types and resources
.... entryRelationship:nutritionalStatusObservation 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1NutritionalStatusObservationBase for all types and resources
.... entryRelationship:resultOrganizer 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... organizer 1..1ResultOrganizerBase for all types and resources
.... entryRelationship:priorityPreference1 0..*EntryRelationshipThe following entryRelationship represents the priority that the patient puts on the health concern.
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1PriorityPreferenceBase for all types and resources
.... entryRelationship:priorityPreference2 0..*EntryRelationshipThe following entryRelationship represents the priority that the provider puts on the health concern.
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1PriorityPreferenceBase for all types and resources
.... entryRelationship:problemConcernAct 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... act 1..1ProblemConcernActBase for all types and resources
.... entryRelationship:entryReference3 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... act 1..1EntryReferenceBase for all types and resources
... reference 0..*Reference
.... @typeCode 1..1csFixed Value: REFR
.... externalDocument 1..1ExternalDocumentReferenceBase for all types and resources

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Act.statusCode.coderequiredProblemActStatusCode

Constraints

IdGradePath(s)DetailsRequirements
should-authorwarningActSHOULD contain author
: author.exists()
should-text-ref-valuewarningActSHOULD contain text/reference/@value
: text.reference.value.exists()
value-starts-octothorpeerrorAct.text.referenceIf reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
: value.exists() implies value.startsWith('#')
NameFlagsCard.TypeDescription & Constraintsdoco
.. Act C1..1ActXML Namespace: urn:hl7-org:v3
Elements defined in Ancestors: @nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, code, text, statusCode, effectiveTime, priorityCode, languageCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, sdtcInFulfillmentOf1
Base for all types and resources
Instances of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
should-text-ref-value: SHOULD contain text/reference/@value
should-author: SHOULD contain author
... Slices for templateId 1..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:risk-concern-act 1..1II
..... @root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.136
..... @extension 1..1stRequired Pattern: 2015-08-01
... @classCode 1..1csBinding: XActClassDocumentEntryAct (2.0.0) (required)
Fixed Value: ACT
... @moodCode 1..1csBinding: XDocumentActMood (2.0.0) (required)
Fixed Value: EVN
... code 1..1CDBinding: v3 Code System ActCode (example)
.... @code 1..1csRequired Pattern: 281694009
.... @codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.6.96
... text 0..1EDSHOULD reference the portion of section narrative text corresponding to this entry
.... reference C0..1TELvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
... statusCode 1..1CSBinding: ActStatus (required)
.... @code 1..1csBinding: ProblemAct statusCode (required)
... effectiveTime 0..1IVL_TS
... author 0..*AuthorParticipationBase for all types and resources
... Slices for entryRelationship 0..*EntryRelationshipWhere a Health Concern needs to reference another entry already described in the CDA document instance, rather than repeating the full content of the entry, the Entry Reference template may be used to reference this entry.
Slice: Unordered, Open by profile:observation, profile:act, profile:organizer
.... entryRelationship:problemObservation1 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1ProblemObservationBase for all types and resources
.... entryRelationship:allergy-IntoleranceObservation 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1AllergyIntoleranceObservationBase for all types and resources
.... entryRelationship:entryReferenceRefr 0..*EntryRelationshipThe following entryRelationship represents the relationship between two Health Concern Acts where there is a general relationship between the source and the target (Health Concern RELATES TO Health Concern). The Entry Reference template is used here because the target Health Concern Act will be defined elsewhere in the Health Concerns Section and thus a reference to that template is all that is required.
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... act C1..1EntryReferenceBase for all types and resources
.... entryRelationship:entryReferenceComp 0..*EntryRelationshipThe following entryRelationship represents the relationship between two Health Concern Acts where the target is a component of the source (Health Concern HAS COMPONENT Health Concern). The Enry Reference template is used here because the target Health Concern Act will be defined elsewhere in the Health Concerns Section and thus a reference to that template is all that is required.
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: COMP
..... act C1..1EntryReferenceBase for all types and resources
.... entryRelationship:assessmentScaleObservation 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1AssessmentScaleObservationBase for all types and resources
.... entryRelationship:mentalStatusObservation1 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1MentalStatusObservationBase for all types and resources
.... entryRelationship:self-CareActivitiesADLandIADL 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1SelfCareActivitiesADLandIADLBase for all types and resources
.... entryRelationship:mentalStatusObservation2 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1MentalStatusObservationBase for all types and resources
.... entryRelationship:smokingStatus-MeaningfulUse 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1SmokingStatusMeaningfulUseBase for all types and resources
.... entryRelationship:encounterDiagnosis 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... act C1..1EncounterDiagnosisBase for all types and resources
.... entryRelationship:entryRelationship11 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... organizer C1..1FamilyHistoryOrganizerBase for all types and resources
.... entryRelationship:functionalStatusObservation 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1FunctionalStatusObservationBase for all types and resources
.... entryRelationship:hospitalAdmissionDiagnosis 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... act C1..1HospitalAdmissionDiagnosisBase for all types and resources
.... entryRelationship:nutritionAssessment 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1NutritionAssessmentBase for all types and resources
.... entryRelationship:postprocedureDiagnosis 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... act C1..1PostprocedureDiagnosisBase for all types and resources
.... entryRelationship:pregnancyObservation 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1PregnancyObservationBase for all types and resources
.... entryRelationship:preoperativeDiagnosis 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... act C1..1PreoperativeDiagnosisBase for all types and resources
.... entryRelationship:reactionObservation 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1ReactionObservationBase for all types and resources
.... entryRelationship:resultObservation 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1ResultObservationBase for all types and resources
.... entryRelationship:sensoryStatus 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1SensoryStatusBase for all types and resources
.... entryRelationship:socialHistoryObservation 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1SocialHistoryObservationBase for all types and resources
.... entryRelationship:substanceorDeviceAllergy-IntoleranceObservation 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1SubstanceOrDeviceAllergyIntoleranceObservationBase for all types and resources
.... entryRelationship:tobaccoUse 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1TobaccoUseBase for all types and resources
.... entryRelationship:vitalSignObservation 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1VitalSignObservationBase for all types and resources
.... entryRelationship:longitudinalCareWoundObservation 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1LongitudinalCareWoundObservationBase for all types and resources
.... entryRelationship:problemObservation2 0..*EntryRelationshipThe following entryRelationship represents the relationship Health Concern HAS SUPPORT Observation.
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: SPRT
..... observation C1..1ProblemObservationBase for all types and resources
.... entryRelationship:caregiverCharacteristics 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1CaregiverCharacteristicsBase for all types and resources
.... entryRelationship:culturalandReligiousObservation 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1CulturalandReligiousObservationBase for all types and resources
.... entryRelationship:characteristicsofHomeEnvironment 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1CharacteristicsofHomeEnvironmentBase for all types and resources
.... entryRelationship:nutritionalStatusObservation 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1NutritionalStatusObservationBase for all types and resources
.... entryRelationship:resultOrganizer 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... organizer C1..1ResultOrganizerBase for all types and resources
.... entryRelationship:priorityPreference1 0..*EntryRelationshipThe following entryRelationship represents the priority that the patient puts on the health concern.
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1PriorityPreferenceBase for all types and resources
.... entryRelationship:priorityPreference2 0..*EntryRelationshipThe following entryRelationship represents the priority that the provider puts on the health concern.
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1PriorityPreferenceBase for all types and resources
.... entryRelationship:problemConcernAct 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... act C1..1ProblemConcernActBase for all types and resources
.... entryRelationship:entryReference3 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... act C1..1EntryReferenceBase for all types and resources
... reference 0..*Reference
.... @typeCode 1..1csBinding: x_ActRelationshipExternalReference (required)
Fixed Value: REFR
.... externalDocument C1..1ExternalDocumentReferenceBase for all types and resources

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Act.classCoderequiredFixed Value: ACT
Act.moodCoderequiredFixed Value: EVN
Act.codeexampleActCode
Act.statusCoderequiredActStatus
Act.statusCode.coderequiredProblemActStatusCode
Act.entryRelationship:problemObservation1.typeCoderequiredFixed Value: REFR
Act.entryRelationship:allergy-IntoleranceObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryReferenceRefr.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryReferenceComp.typeCoderequiredFixed Value: COMP
Act.entryRelationship:assessmentScaleObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:mentalStatusObservation1.typeCoderequiredFixed Value: REFR
Act.entryRelationship:self-CareActivitiesADLandIADL.typeCoderequiredFixed Value: REFR
Act.entryRelationship:mentalStatusObservation2.typeCoderequiredFixed Value: REFR
Act.entryRelationship:smokingStatus-MeaningfulUse.typeCoderequiredFixed Value: REFR
Act.entryRelationship:encounterDiagnosis.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryRelationship11.typeCoderequiredFixed Value: REFR
Act.entryRelationship:functionalStatusObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:hospitalAdmissionDiagnosis.typeCoderequiredFixed Value: REFR
Act.entryRelationship:nutritionAssessment.typeCoderequiredFixed Value: REFR
Act.entryRelationship:postprocedureDiagnosis.typeCoderequiredFixed Value: REFR
Act.entryRelationship:pregnancyObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:preoperativeDiagnosis.typeCoderequiredFixed Value: REFR
Act.entryRelationship:reactionObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:resultObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:sensoryStatus.typeCoderequiredFixed Value: REFR
Act.entryRelationship:socialHistoryObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:substanceorDeviceAllergy-IntoleranceObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:tobaccoUse.typeCoderequiredFixed Value: REFR
Act.entryRelationship:vitalSignObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:longitudinalCareWoundObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:problemObservation2.typeCoderequiredFixed Value: SPRT
Act.entryRelationship:caregiverCharacteristics.typeCoderequiredFixed Value: REFR
Act.entryRelationship:culturalandReligiousObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:characteristicsofHomeEnvironment.typeCoderequiredFixed Value: REFR
Act.entryRelationship:nutritionalStatusObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:resultOrganizer.typeCoderequiredFixed Value: REFR
Act.entryRelationship:priorityPreference1.typeCoderequiredFixed Value: REFR
Act.entryRelationship:priorityPreference2.typeCoderequiredFixed Value: REFR
Act.entryRelationship:problemConcernAct.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryReference3.typeCoderequiredFixed Value: REFR
Act.reference.typeCoderequiredFixed Value: REFR

Constraints

IdGradePath(s)DetailsRequirements
4515-8555errorAct.entryRelationship:socialHistoryObservation.observationIf Observation/value is a physical quantity (xsi:type="PQ"): This value SHALL contain exactly one [1..1] @unit, which SHOULD be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC. Note: Base CDA requires that all @unit values SHALL be drawn from UCUM.
:
should-authorwarningActSHOULD contain author
: author.exists()
should-authorwarningAct.entryRelationship:problemObservation1.observation, Act.entryRelationship:allergy-IntoleranceObservation.observation, Act.entryRelationship:mentalStatusObservation1.observation, Act.entryRelationship:self-CareActivitiesADLandIADL.observation, Act.entryRelationship:mentalStatusObservation2.observation, Act.entryRelationship:smokingStatus-MeaningfulUse.observation, Act.entryRelationship:functionalStatusObservation.observation, Act.entryRelationship:nutritionAssessment.observation, Act.entryRelationship:resultObservation.observation, Act.entryRelationship:sensoryStatus.observation, Act.entryRelationship:substanceorDeviceAllergy-IntoleranceObservation.observation, Act.entryRelationship:tobaccoUse.observation, Act.entryRelationship:vitalSignObservation.observation, Act.entryRelationship:longitudinalCareWoundObservation.observation, Act.entryRelationship:problemObservation2.observation, Act.entryRelationship:resultOrganizer.organizer, Act.entryRelationship:priorityPreference1.observation, Act.entryRelationship:priorityPreference2.observation, Act.entryRelationship:problemConcernAct.actSHOULD contain author
: author.exists()
should-codewarningAct.entryRelationship:vitalSignObservation.observationSHOULD contain code
: code.exists()
should-effectiveTimewarningAct.entryRelationship:pregnancyObservation.observation, Act.entryRelationship:reactionObservation.observation, Act.entryRelationship:priorityPreference1.observation, Act.entryRelationship:priorityPreference2.observationSHOULD contain effectiveTime
: effectiveTime.exists()
should-interpretationCodewarningAct.entryRelationship:resultObservation.observationSHOULD contain interpretationCode
: interpretationCode.exists()
should-referenceRangewarningAct.entryRelationship:resultObservation.observationSHOULD contain referenceRange
: referenceRange.exists()
should-sdtctext-ref-valuewarningAct.entryRelationship:entryRelationship11.organizer, Act.entryRelationship:resultOrganizer.organizerSHOULD contain text/reference/@value
: sdtcText.reference.value.exists()
should-setIdwarningAct.reference.externalDocumentSHOULD contain setId
: setId.exists()
should-sh-authorwarningAct.entryRelationship:socialHistoryObservation.observationSHOULD contain author
: author.exists()
should-text-ref-valuewarningActSHOULD contain text/reference/@value
: text.reference.value.exists()
should-text-ref-valuewarningAct.entryRelationship:problemObservation1.observation, Act.entryRelationship:allergy-IntoleranceObservation.observation, Act.entryRelationship:entryReferenceRefr.act, Act.entryRelationship:entryReferenceComp.act, Act.entryRelationship:assessmentScaleObservation.observation, Act.entryRelationship:mentalStatusObservation1.observation, Act.entryRelationship:self-CareActivitiesADLandIADL.observation, Act.entryRelationship:mentalStatusObservation2.observation, Act.entryRelationship:smokingStatus-MeaningfulUse.observation, Act.entryRelationship:encounterDiagnosis.act, Act.entryRelationship:functionalStatusObservation.observation, Act.entryRelationship:hospitalAdmissionDiagnosis.act, Act.entryRelationship:nutritionAssessment.observation, Act.entryRelationship:postprocedureDiagnosis.act, Act.entryRelationship:pregnancyObservation.observation, Act.entryRelationship:preoperativeDiagnosis.act, Act.entryRelationship:reactionObservation.observation, Act.entryRelationship:resultObservation.observation, Act.entryRelationship:sensoryStatus.observation, Act.entryRelationship:socialHistoryObservation.observation, Act.entryRelationship:substanceorDeviceAllergy-IntoleranceObservation.observation, Act.entryRelationship:tobaccoUse.observation, Act.entryRelationship:vitalSignObservation.observation, Act.entryRelationship:longitudinalCareWoundObservation.observation, Act.entryRelationship:problemObservation2.observation, Act.entryRelationship:caregiverCharacteristics.observation, Act.entryRelationship:culturalandReligiousObservation.observation, Act.entryRelationship:characteristicsofHomeEnvironment.observation, Act.entryRelationship:nutritionalStatusObservation.observation, Act.entryRelationship:priorityPreference1.observation, Act.entryRelationship:priorityPreference2.observation, Act.entryRelationship:problemConcernAct.act, Act.entryRelationship:entryReference3.actSHOULD contain text/reference/@value
: text.reference.value.exists()
should-valuewarningAct.entryRelationship:socialHistoryObservation.observationSHOULD contain value
: value.exists()
should-versionNumberwarningAct.reference.externalDocumentSHOULD contain versionNumber
: versionNumber.exists()
value-starts-octothorpeerrorAct.text.referenceIf reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
: value.exists() implies value.startsWith('#')
NameFlagsCard.TypeDescription & Constraintsdoco
.. Act C1..1ActXML Namespace: urn:hl7-org:v3
Elements defined in Ancestors: @nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, code, text, statusCode, effectiveTime, priorityCode, languageCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, sdtcInFulfillmentOf1
Base for all types and resources
Instances of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
should-text-ref-value: SHOULD contain text/reference/@value
should-author: SHOULD contain author
... @nullFlavor 0..1csBinding: CDANullFlavor (required)
... realmCode 0..*CS
... typeId 0..1II
.... @nullFlavor 0..1csBinding: CDANullFlavor (required)
.... @assigningAuthorityName 0..1st
.... @displayable 0..1bl
.... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
.... @extension 1..1st
.... templateId:risk-concern-act 1..1II
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1st
..... @displayable 0..1bl
..... @root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.136
..... @extension 1..1stRequired Pattern: 2015-08-01
... @classCode 1..1csBinding: XActClassDocumentEntryAct (2.0.0) (required)
Fixed Value: ACT
... @moodCode 1..1csBinding: XDocumentActMood (2.0.0) (required)
Fixed Value: EVN
... @negationInd 0..1bl
... id 1..*II
... code 1..1CDBinding: v3 Code System ActCode (example)
.... @nullFlavor 0..1csBinding: CDANullFlavor (required)
.... @code 1..1csRequired Pattern: 281694009
.... @codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.6.96
.... @codeSystemName 0..1st
.... @codeSystemVersion 0..1st
.... @displayName 0..1st
.... @sdtcValueSet 0..1oidXML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1stXML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText 0..1ED
.... qualifier 0..*CR
.... translation 0..*CD
... text 0..1EDSHOULD reference the portion of section narrative text corresponding to this entry
.... @nullFlavor 0..1csBinding: CDANullFlavor (required)
.... @compression 0..1csBinding: CompressionAlgorithm (required)
.... @integrityCheck 0..1bin
.... @integrityCheckAlgorithm 0..1csBinding: IntegrityCheckAlgorithm (2.0.0) (required)
.... @language 0..1cs
.... @mediaType 0..1csBinding: MediaType (example)
.... @representation 0..1csBinding: Binary Data Encoding Value Set (required)
.... xmlText 0..1stAllows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
.... reference C0..1TELvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
.... thumbnail 0..1ED
... statusCode 1..1CSBinding: ActStatus (required)
.... @nullFlavor 0..1csBinding: CDANullFlavor (required)
.... @code 1..1csBinding: ProblemAct statusCode (required)
.... @sdtcValueSet 0..1oidXML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1stXML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
... effectiveTime 0..1IVL_TS
... priorityCode 0..1CEBinding: ActPriority (example)
... languageCode 0..1CSBinding: AllLanguages (required)
... subject 0..1Subject
... specimen 0..*Specimen
... performer 0..*Performer2
... author 0..*AuthorParticipationBase for all types and resources
... informant 0..*Informant
... participant 0..*Participant2
... Slices for entryRelationship 0..*EntryRelationshipWhere a Health Concern needs to reference another entry already described in the CDA document instance, rather than repeating the full content of the entry, the Entry Reference template may be used to reference this entry.
Slice: Unordered, Open by profile:observation, profile:act, profile:organizer
.... entryRelationship:problemObservation1 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1ProblemObservationBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:allergy-IntoleranceObservation 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1AllergyIntoleranceObservationBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:entryReferenceRefr 0..*EntryRelationshipThe following entryRelationship represents the relationship between two Health Concern Acts where there is a general relationship between the source and the target (Health Concern RELATES TO Health Concern). The Entry Reference template is used here because the target Health Concern Act will be defined elsewhere in the Health Concerns Section and thus a reference to that template is all that is required.
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act C1..1EntryReferenceBase for all types and resources
..... encounter 0..1Encounter
..... observation 0..1Observation
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:entryReferenceComp 0..*EntryRelationshipThe following entryRelationship represents the relationship between two Health Concern Acts where the target is a component of the source (Health Concern HAS COMPONENT Health Concern). The Enry Reference template is used here because the target Health Concern Act will be defined elsewhere in the Health Concerns Section and thus a reference to that template is all that is required.
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: COMP
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act C1..1EntryReferenceBase for all types and resources
..... encounter 0..1Encounter
..... observation 0..1Observation
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:assessmentScaleObservation 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1AssessmentScaleObservationBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:mentalStatusObservation1 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1MentalStatusObservationBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:self-CareActivitiesADLandIADL 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1SelfCareActivitiesADLandIADLBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:mentalStatusObservation2 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1MentalStatusObservationBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:smokingStatus-MeaningfulUse 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1SmokingStatusMeaningfulUseBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:encounterDiagnosis 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act C1..1EncounterDiagnosisBase for all types and resources
..... encounter 0..1Encounter
..... observation 0..1Observation
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:entryRelationship11 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation 0..1Observation
..... observationMedia 0..1ObservationMedia
..... organizer C1..1FamilyHistoryOrganizerBase for all types and resources
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:functionalStatusObservation 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1FunctionalStatusObservationBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:hospitalAdmissionDiagnosis 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act C1..1HospitalAdmissionDiagnosisBase for all types and resources
..... encounter 0..1Encounter
..... observation 0..1Observation
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:nutritionAssessment 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1NutritionAssessmentBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:postprocedureDiagnosis 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act C1..1PostprocedureDiagnosisBase for all types and resources
..... encounter 0..1Encounter
..... observation 0..1Observation
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:pregnancyObservation 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1PregnancyObservationBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:preoperativeDiagnosis 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act C1..1PreoperativeDiagnosisBase for all types and resources
..... encounter 0..1Encounter
..... observation 0..1Observation
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:reactionObservation 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1ReactionObservationBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:resultObservation 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1ResultObservationBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:sensoryStatus 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1SensoryStatusBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:socialHistoryObservation 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1SocialHistoryObservationBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:substanceorDeviceAllergy-IntoleranceObservation 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1SubstanceOrDeviceAllergyIntoleranceObservationBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:tobaccoUse 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1TobaccoUseBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:vitalSignObservation 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1VitalSignObservationBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:longitudinalCareWoundObservation 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1LongitudinalCareWoundObservationBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:problemObservation2 0..*EntryRelationshipThe following entryRelationship represents the relationship Health Concern HAS SUPPORT Observation.
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: SPRT
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1ProblemObservationBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:caregiverCharacteristics 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1CaregiverCharacteristicsBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:culturalandReligiousObservation 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1CulturalandReligiousObservationBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:characteristicsofHomeEnvironment 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1CharacteristicsofHomeEnvironmentBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:nutritionalStatusObservation 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1NutritionalStatusObservationBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:resultOrganizer 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation 0..1Observation
..... observationMedia 0..1ObservationMedia
..... organizer C1..1ResultOrganizerBase for all types and resources
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:priorityPreference1 0..*EntryRelationshipThe following entryRelationship represents the priority that the patient puts on the health concern.
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1PriorityPreferenceBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:priorityPreference2 0..*EntryRelationshipThe following entryRelationship represents the priority that the provider puts on the health concern.
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1PriorityPreferenceBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:problemConcernAct 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act C1..1ProblemConcernActBase for all types and resources
..... encounter 0..1Encounter
..... observation 0..1Observation
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:entryReference3 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act C1..1EntryReferenceBase for all types and resources
..... encounter 0..1Encounter
..... observation 0..1Observation
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
... reference 0..*Reference
.... @nullFlavor 0..1csBinding: CDANullFlavor (required)
.... realmCode 0..*CS
.... typeId 0..1II
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1st
..... @displayable 0..1bl
..... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
..... @extension 1..1st
.... templateId 0..*II
.... @typeCode 1..1csBinding: x_ActRelationshipExternalReference (required)
Fixed Value: REFR
.... seperatableInd 0..1BL
.... externalAct 0..1ExternalAct
.... externalObservation 0..1ExternalObservation
.... externalProcedure 0..1ExternalProcedure
.... externalDocument C1..1ExternalDocumentReferenceBase for all types and resources
... precondition 0..*Precondition
... sdtcPrecondition2 0..*Precondition2XML Namespace: urn:hl7-org:sdtc
XML: precondition2 (urn:hl7-org:sdtc)
... sdtcInFulfillmentOf1 0..*InFulfillmentOf1XML Namespace: urn:hl7-org:sdtc
XML: inFulfillmentOf1 (urn:hl7-org:sdtc)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Act.nullFlavorrequiredCDANullFlavor
Act.typeId.nullFlavorrequiredCDANullFlavor
Act.templateId:risk-concern-act.nullFlavorrequiredCDANullFlavor
Act.classCoderequiredFixed Value: ACT
Act.moodCoderequiredFixed Value: EVN
Act.codeexampleActCode
Act.code.nullFlavorrequiredCDANullFlavor
Act.text.nullFlavorrequiredCDANullFlavor
Act.text.compressionrequiredCDACompressionAlgorithm
Act.text.integrityCheckAlgorithmrequiredIntegrityCheckAlgorithm
Act.text.mediaTypeexampleMediaType
Act.text.representationrequiredBinaryDataEncoding
Act.statusCoderequiredActStatus
Act.statusCode.nullFlavorrequiredCDANullFlavor
Act.statusCode.coderequiredProblemActStatusCode
Act.priorityCodeexampleActPriority
Act.languageCoderequiredAllLanguages
Act.entryRelationship:problemObservation1.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:problemObservation1.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:problemObservation1.typeCoderequiredFixed Value: REFR
Act.entryRelationship:allergy-IntoleranceObservation.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:allergy-IntoleranceObservation.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:allergy-IntoleranceObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryReferenceRefr.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:entryReferenceRefr.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:entryReferenceRefr.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryReferenceComp.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:entryReferenceComp.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:entryReferenceComp.typeCoderequiredFixed Value: COMP
Act.entryRelationship:assessmentScaleObservation.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:assessmentScaleObservation.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:assessmentScaleObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:mentalStatusObservation1.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:mentalStatusObservation1.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:mentalStatusObservation1.typeCoderequiredFixed Value: REFR
Act.entryRelationship:self-CareActivitiesADLandIADL.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:self-CareActivitiesADLandIADL.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:self-CareActivitiesADLandIADL.typeCoderequiredFixed Value: REFR
Act.entryRelationship:mentalStatusObservation2.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:mentalStatusObservation2.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:mentalStatusObservation2.typeCoderequiredFixed Value: REFR
Act.entryRelationship:smokingStatus-MeaningfulUse.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:smokingStatus-MeaningfulUse.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:smokingStatus-MeaningfulUse.typeCoderequiredFixed Value: REFR
Act.entryRelationship:encounterDiagnosis.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:encounterDiagnosis.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:encounterDiagnosis.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryRelationship11.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:entryRelationship11.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:entryRelationship11.typeCoderequiredFixed Value: REFR
Act.entryRelationship:functionalStatusObservation.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:functionalStatusObservation.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:functionalStatusObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:hospitalAdmissionDiagnosis.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:hospitalAdmissionDiagnosis.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:hospitalAdmissionDiagnosis.typeCoderequiredFixed Value: REFR
Act.entryRelationship:nutritionAssessment.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:nutritionAssessment.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:nutritionAssessment.typeCoderequiredFixed Value: REFR
Act.entryRelationship:postprocedureDiagnosis.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:postprocedureDiagnosis.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:postprocedureDiagnosis.typeCoderequiredFixed Value: REFR
Act.entryRelationship:pregnancyObservation.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:pregnancyObservation.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:pregnancyObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:preoperativeDiagnosis.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:preoperativeDiagnosis.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:preoperativeDiagnosis.typeCoderequiredFixed Value: REFR
Act.entryRelationship:reactionObservation.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:reactionObservation.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:reactionObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:resultObservation.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:resultObservation.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:resultObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:sensoryStatus.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:sensoryStatus.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:sensoryStatus.typeCoderequiredFixed Value: REFR
Act.entryRelationship:socialHistoryObservation.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:socialHistoryObservation.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:socialHistoryObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:substanceorDeviceAllergy-IntoleranceObservation.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:substanceorDeviceAllergy-IntoleranceObservation.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:substanceorDeviceAllergy-IntoleranceObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:tobaccoUse.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:tobaccoUse.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:tobaccoUse.typeCoderequiredFixed Value: REFR
Act.entryRelationship:vitalSignObservation.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:vitalSignObservation.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:vitalSignObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:longitudinalCareWoundObservation.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:longitudinalCareWoundObservation.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:longitudinalCareWoundObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:problemObservation2.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:problemObservation2.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:problemObservation2.typeCoderequiredFixed Value: SPRT
Act.entryRelationship:caregiverCharacteristics.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:caregiverCharacteristics.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:caregiverCharacteristics.typeCoderequiredFixed Value: REFR
Act.entryRelationship:culturalandReligiousObservation.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:culturalandReligiousObservation.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:culturalandReligiousObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:characteristicsofHomeEnvironment.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:characteristicsofHomeEnvironment.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:characteristicsofHomeEnvironment.typeCoderequiredFixed Value: REFR
Act.entryRelationship:nutritionalStatusObservation.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:nutritionalStatusObservation.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:nutritionalStatusObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:resultOrganizer.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:resultOrganizer.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:resultOrganizer.typeCoderequiredFixed Value: REFR
Act.entryRelationship:priorityPreference1.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:priorityPreference1.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:priorityPreference1.typeCoderequiredFixed Value: REFR
Act.entryRelationship:priorityPreference2.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:priorityPreference2.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:priorityPreference2.typeCoderequiredFixed Value: REFR
Act.entryRelationship:problemConcernAct.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:problemConcernAct.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:problemConcernAct.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryReference3.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:entryReference3.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:entryReference3.typeCoderequiredFixed Value: REFR
Act.reference.nullFlavorrequiredCDANullFlavor
Act.reference.typeId.nullFlavorrequiredCDANullFlavor
Act.reference.typeCoderequiredFixed Value: REFR

Constraints

IdGradePath(s)DetailsRequirements
4515-8555errorAct.entryRelationship:socialHistoryObservation.observationIf Observation/value is a physical quantity (xsi:type="PQ"): This value SHALL contain exactly one [1..1] @unit, which SHOULD be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC. Note: Base CDA requires that all @unit values SHALL be drawn from UCUM.
:
should-authorwarningActSHOULD contain author
: author.exists()
should-authorwarningAct.entryRelationship:problemObservation1.observation, Act.entryRelationship:allergy-IntoleranceObservation.observation, Act.entryRelationship:mentalStatusObservation1.observation, Act.entryRelationship:self-CareActivitiesADLandIADL.observation, Act.entryRelationship:mentalStatusObservation2.observation, Act.entryRelationship:smokingStatus-MeaningfulUse.observation, Act.entryRelationship:functionalStatusObservation.observation, Act.entryRelationship:nutritionAssessment.observation, Act.entryRelationship:resultObservation.observation, Act.entryRelationship:sensoryStatus.observation, Act.entryRelationship:substanceorDeviceAllergy-IntoleranceObservation.observation, Act.entryRelationship:tobaccoUse.observation, Act.entryRelationship:vitalSignObservation.observation, Act.entryRelationship:longitudinalCareWoundObservation.observation, Act.entryRelationship:problemObservation2.observation, Act.entryRelationship:resultOrganizer.organizer, Act.entryRelationship:priorityPreference1.observation, Act.entryRelationship:priorityPreference2.observation, Act.entryRelationship:problemConcernAct.actSHOULD contain author
: author.exists()
should-codewarningAct.entryRelationship:vitalSignObservation.observationSHOULD contain code
: code.exists()
should-effectiveTimewarningAct.entryRelationship:pregnancyObservation.observation, Act.entryRelationship:reactionObservation.observation, Act.entryRelationship:priorityPreference1.observation, Act.entryRelationship:priorityPreference2.observationSHOULD contain effectiveTime
: effectiveTime.exists()
should-interpretationCodewarningAct.entryRelationship:resultObservation.observationSHOULD contain interpretationCode
: interpretationCode.exists()
should-referenceRangewarningAct.entryRelationship:resultObservation.observationSHOULD contain referenceRange
: referenceRange.exists()
should-sdtctext-ref-valuewarningAct.entryRelationship:entryRelationship11.organizer, Act.entryRelationship:resultOrganizer.organizerSHOULD contain text/reference/@value
: sdtcText.reference.value.exists()
should-setIdwarningAct.reference.externalDocumentSHOULD contain setId
: setId.exists()
should-sh-authorwarningAct.entryRelationship:socialHistoryObservation.observationSHOULD contain author
: author.exists()
should-text-ref-valuewarningActSHOULD contain text/reference/@value
: text.reference.value.exists()
should-text-ref-valuewarningAct.entryRelationship:problemObservation1.observation, Act.entryRelationship:allergy-IntoleranceObservation.observation, Act.entryRelationship:entryReferenceRefr.act, Act.entryRelationship:entryReferenceComp.act, Act.entryRelationship:assessmentScaleObservation.observation, Act.entryRelationship:mentalStatusObservation1.observation, Act.entryRelationship:self-CareActivitiesADLandIADL.observation, Act.entryRelationship:mentalStatusObservation2.observation, Act.entryRelationship:smokingStatus-MeaningfulUse.observation, Act.entryRelationship:encounterDiagnosis.act, Act.entryRelationship:functionalStatusObservation.observation, Act.entryRelationship:hospitalAdmissionDiagnosis.act, Act.entryRelationship:nutritionAssessment.observation, Act.entryRelationship:postprocedureDiagnosis.act, Act.entryRelationship:pregnancyObservation.observation, Act.entryRelationship:preoperativeDiagnosis.act, Act.entryRelationship:reactionObservation.observation, Act.entryRelationship:resultObservation.observation, Act.entryRelationship:sensoryStatus.observation, Act.entryRelationship:socialHistoryObservation.observation, Act.entryRelationship:substanceorDeviceAllergy-IntoleranceObservation.observation, Act.entryRelationship:tobaccoUse.observation, Act.entryRelationship:vitalSignObservation.observation, Act.entryRelationship:longitudinalCareWoundObservation.observation, Act.entryRelationship:problemObservation2.observation, Act.entryRelationship:caregiverCharacteristics.observation, Act.entryRelationship:culturalandReligiousObservation.observation, Act.entryRelationship:characteristicsofHomeEnvironment.observation, Act.entryRelationship:nutritionalStatusObservation.observation, Act.entryRelationship:priorityPreference1.observation, Act.entryRelationship:priorityPreference2.observation, Act.entryRelationship:problemConcernAct.act, Act.entryRelationship:entryReference3.actSHOULD contain text/reference/@value
: text.reference.value.exists()
should-valuewarningAct.entryRelationship:socialHistoryObservation.observationSHOULD contain value
: value.exists()
should-versionNumberwarningAct.reference.externalDocumentSHOULD contain versionNumber
: versionNumber.exists()
value-starts-octothorpeerrorAct.text.referenceIf reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
: value.exists() implies value.startsWith('#')

This structure is derived from Act

Summary

Mandatory: 9 elements (36 nested mandatory elements)
Fixed Value: 38 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Act.templateId is sliced based on the values of value:root, value:extension
  • The element Act.entryRelationship is sliced based on the values of profile:observation, profile:act, profile:organizer

Differential View

This structure is derived from Act

NameFlagsCard.TypeDescription & Constraintsdoco
.. Act C1..1ActXML Namespace: urn:hl7-org:v3
Elements defined in Ancestors: @nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, code, text, statusCode, effectiveTime, priorityCode, languageCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, sdtcInFulfillmentOf1
Base for all types and resources
Instances of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
should-text-ref-value: SHOULD contain text/reference/@value
should-author: SHOULD contain author
... Slices for templateId 1..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:risk-concern-act 1..1II
..... @root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.136
..... @extension 1..1stRequired Pattern: 2015-08-01
... @classCode 1..1csFixed Value: ACT
... @moodCode 1..1csFixed Value: EVN
... code 1..1CD
.... @code 1..1csRequired Pattern: 281694009
.... @codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.6.96
... text 0..1EDSHOULD reference the portion of section narrative text corresponding to this entry
.... reference C0..1TELvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
... statusCode 1..1CS
.... @code 1..1csBinding: ProblemAct statusCode (required)
... effectiveTime 0..1IVL_TS
... author 0..*AuthorParticipationBase for all types and resources
... Slices for entryRelationship 0..*EntryRelationshipWhere a Health Concern needs to reference another entry already described in the CDA document instance, rather than repeating the full content of the entry, the Entry Reference template may be used to reference this entry.
Slice: Unordered, Open by profile:observation, profile:act, profile:organizer
.... entryRelationship:problemObservation1 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1ProblemObservationBase for all types and resources
.... entryRelationship:allergy-IntoleranceObservation 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1AllergyIntoleranceObservationBase for all types and resources
.... entryRelationship:entryReferenceRefr 0..*EntryRelationshipThe following entryRelationship represents the relationship between two Health Concern Acts where there is a general relationship between the source and the target (Health Concern RELATES TO Health Concern). The Entry Reference template is used here because the target Health Concern Act will be defined elsewhere in the Health Concerns Section and thus a reference to that template is all that is required.
..... @typeCode 1..1csFixed Value: REFR
..... act 1..1EntryReferenceBase for all types and resources
.... entryRelationship:entryReferenceComp 0..*EntryRelationshipThe following entryRelationship represents the relationship between two Health Concern Acts where the target is a component of the source (Health Concern HAS COMPONENT Health Concern). The Enry Reference template is used here because the target Health Concern Act will be defined elsewhere in the Health Concerns Section and thus a reference to that template is all that is required.
..... @typeCode 1..1csFixed Value: COMP
..... act 1..1EntryReferenceBase for all types and resources
.... entryRelationship:assessmentScaleObservation 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1AssessmentScaleObservationBase for all types and resources
.... entryRelationship:mentalStatusObservation1 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1MentalStatusObservationBase for all types and resources
.... entryRelationship:self-CareActivitiesADLandIADL 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1SelfCareActivitiesADLandIADLBase for all types and resources
.... entryRelationship:mentalStatusObservation2 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1MentalStatusObservationBase for all types and resources
.... entryRelationship:smokingStatus-MeaningfulUse 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1SmokingStatusMeaningfulUseBase for all types and resources
.... entryRelationship:encounterDiagnosis 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... act 1..1EncounterDiagnosisBase for all types and resources
.... entryRelationship:entryRelationship11 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... organizer 1..1FamilyHistoryOrganizerBase for all types and resources
.... entryRelationship:functionalStatusObservation 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1FunctionalStatusObservationBase for all types and resources
.... entryRelationship:hospitalAdmissionDiagnosis 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... act 1..1HospitalAdmissionDiagnosisBase for all types and resources
.... entryRelationship:nutritionAssessment 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1NutritionAssessmentBase for all types and resources
.... entryRelationship:postprocedureDiagnosis 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... act 1..1PostprocedureDiagnosisBase for all types and resources
.... entryRelationship:pregnancyObservation 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1PregnancyObservationBase for all types and resources
.... entryRelationship:preoperativeDiagnosis 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... act 1..1PreoperativeDiagnosisBase for all types and resources
.... entryRelationship:reactionObservation 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1ReactionObservationBase for all types and resources
.... entryRelationship:resultObservation 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1ResultObservationBase for all types and resources
.... entryRelationship:sensoryStatus 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1SensoryStatusBase for all types and resources
.... entryRelationship:socialHistoryObservation 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1SocialHistoryObservationBase for all types and resources
.... entryRelationship:substanceorDeviceAllergy-IntoleranceObservation 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1SubstanceOrDeviceAllergyIntoleranceObservationBase for all types and resources
.... entryRelationship:tobaccoUse 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1TobaccoUseBase for all types and resources
.... entryRelationship:vitalSignObservation 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1VitalSignObservationBase for all types and resources
.... entryRelationship:longitudinalCareWoundObservation 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1LongitudinalCareWoundObservationBase for all types and resources
.... entryRelationship:problemObservation2 0..*EntryRelationshipThe following entryRelationship represents the relationship Health Concern HAS SUPPORT Observation.
..... @typeCode 1..1csFixed Value: SPRT
..... observation 1..1ProblemObservationBase for all types and resources
.... entryRelationship:caregiverCharacteristics 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1CaregiverCharacteristicsBase for all types and resources
.... entryRelationship:culturalandReligiousObservation 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1CulturalandReligiousObservationBase for all types and resources
.... entryRelationship:characteristicsofHomeEnvironment 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1CharacteristicsofHomeEnvironmentBase for all types and resources
.... entryRelationship:nutritionalStatusObservation 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1NutritionalStatusObservationBase for all types and resources
.... entryRelationship:resultOrganizer 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... organizer 1..1ResultOrganizerBase for all types and resources
.... entryRelationship:priorityPreference1 0..*EntryRelationshipThe following entryRelationship represents the priority that the patient puts on the health concern.
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1PriorityPreferenceBase for all types and resources
.... entryRelationship:priorityPreference2 0..*EntryRelationshipThe following entryRelationship represents the priority that the provider puts on the health concern.
..... @typeCode 1..1csFixed Value: REFR
..... observation 1..1PriorityPreferenceBase for all types and resources
.... entryRelationship:problemConcernAct 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... act 1..1ProblemConcernActBase for all types and resources
.... entryRelationship:entryReference3 0..*EntryRelationship
..... @typeCode 1..1csFixed Value: REFR
..... act 1..1EntryReferenceBase for all types and resources
... reference 0..*Reference
.... @typeCode 1..1csFixed Value: REFR
.... externalDocument 1..1ExternalDocumentReferenceBase for all types and resources

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Act.statusCode.coderequiredProblemActStatusCode

Constraints

IdGradePath(s)DetailsRequirements
should-authorwarningActSHOULD contain author
: author.exists()
should-text-ref-valuewarningActSHOULD contain text/reference/@value
: text.reference.value.exists()
value-starts-octothorpeerrorAct.text.referenceIf reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
: value.exists() implies value.startsWith('#')

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Act C1..1ActXML Namespace: urn:hl7-org:v3
Elements defined in Ancestors: @nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, code, text, statusCode, effectiveTime, priorityCode, languageCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, sdtcInFulfillmentOf1
Base for all types and resources
Instances of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
should-text-ref-value: SHOULD contain text/reference/@value
should-author: SHOULD contain author
... Slices for templateId 1..*IISlice: Unordered, Open by value:root, value:extension
.... templateId:risk-concern-act 1..1II
..... @root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.136
..... @extension 1..1stRequired Pattern: 2015-08-01
... @classCode 1..1csBinding: XActClassDocumentEntryAct (2.0.0) (required)
Fixed Value: ACT
... @moodCode 1..1csBinding: XDocumentActMood (2.0.0) (required)
Fixed Value: EVN
... code 1..1CDBinding: v3 Code System ActCode (example)
.... @code 1..1csRequired Pattern: 281694009
.... @codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.6.96
... text 0..1EDSHOULD reference the portion of section narrative text corresponding to this entry
.... reference C0..1TELvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
... statusCode 1..1CSBinding: ActStatus (required)
.... @code 1..1csBinding: ProblemAct statusCode (required)
... effectiveTime 0..1IVL_TS
... author 0..*AuthorParticipationBase for all types and resources
... Slices for entryRelationship 0..*EntryRelationshipWhere a Health Concern needs to reference another entry already described in the CDA document instance, rather than repeating the full content of the entry, the Entry Reference template may be used to reference this entry.
Slice: Unordered, Open by profile:observation, profile:act, profile:organizer
.... entryRelationship:problemObservation1 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1ProblemObservationBase for all types and resources
.... entryRelationship:allergy-IntoleranceObservation 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1AllergyIntoleranceObservationBase for all types and resources
.... entryRelationship:entryReferenceRefr 0..*EntryRelationshipThe following entryRelationship represents the relationship between two Health Concern Acts where there is a general relationship between the source and the target (Health Concern RELATES TO Health Concern). The Entry Reference template is used here because the target Health Concern Act will be defined elsewhere in the Health Concerns Section and thus a reference to that template is all that is required.
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... act C1..1EntryReferenceBase for all types and resources
.... entryRelationship:entryReferenceComp 0..*EntryRelationshipThe following entryRelationship represents the relationship between two Health Concern Acts where the target is a component of the source (Health Concern HAS COMPONENT Health Concern). The Enry Reference template is used here because the target Health Concern Act will be defined elsewhere in the Health Concerns Section and thus a reference to that template is all that is required.
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: COMP
..... act C1..1EntryReferenceBase for all types and resources
.... entryRelationship:assessmentScaleObservation 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1AssessmentScaleObservationBase for all types and resources
.... entryRelationship:mentalStatusObservation1 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1MentalStatusObservationBase for all types and resources
.... entryRelationship:self-CareActivitiesADLandIADL 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1SelfCareActivitiesADLandIADLBase for all types and resources
.... entryRelationship:mentalStatusObservation2 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1MentalStatusObservationBase for all types and resources
.... entryRelationship:smokingStatus-MeaningfulUse 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1SmokingStatusMeaningfulUseBase for all types and resources
.... entryRelationship:encounterDiagnosis 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... act C1..1EncounterDiagnosisBase for all types and resources
.... entryRelationship:entryRelationship11 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... organizer C1..1FamilyHistoryOrganizerBase for all types and resources
.... entryRelationship:functionalStatusObservation 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1FunctionalStatusObservationBase for all types and resources
.... entryRelationship:hospitalAdmissionDiagnosis 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... act C1..1HospitalAdmissionDiagnosisBase for all types and resources
.... entryRelationship:nutritionAssessment 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1NutritionAssessmentBase for all types and resources
.... entryRelationship:postprocedureDiagnosis 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... act C1..1PostprocedureDiagnosisBase for all types and resources
.... entryRelationship:pregnancyObservation 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1PregnancyObservationBase for all types and resources
.... entryRelationship:preoperativeDiagnosis 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... act C1..1PreoperativeDiagnosisBase for all types and resources
.... entryRelationship:reactionObservation 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1ReactionObservationBase for all types and resources
.... entryRelationship:resultObservation 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1ResultObservationBase for all types and resources
.... entryRelationship:sensoryStatus 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1SensoryStatusBase for all types and resources
.... entryRelationship:socialHistoryObservation 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1SocialHistoryObservationBase for all types and resources
.... entryRelationship:substanceorDeviceAllergy-IntoleranceObservation 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1SubstanceOrDeviceAllergyIntoleranceObservationBase for all types and resources
.... entryRelationship:tobaccoUse 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1TobaccoUseBase for all types and resources
.... entryRelationship:vitalSignObservation 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1VitalSignObservationBase for all types and resources
.... entryRelationship:longitudinalCareWoundObservation 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1LongitudinalCareWoundObservationBase for all types and resources
.... entryRelationship:problemObservation2 0..*EntryRelationshipThe following entryRelationship represents the relationship Health Concern HAS SUPPORT Observation.
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: SPRT
..... observation C1..1ProblemObservationBase for all types and resources
.... entryRelationship:caregiverCharacteristics 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1CaregiverCharacteristicsBase for all types and resources
.... entryRelationship:culturalandReligiousObservation 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1CulturalandReligiousObservationBase for all types and resources
.... entryRelationship:characteristicsofHomeEnvironment 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1CharacteristicsofHomeEnvironmentBase for all types and resources
.... entryRelationship:nutritionalStatusObservation 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1NutritionalStatusObservationBase for all types and resources
.... entryRelationship:resultOrganizer 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... organizer C1..1ResultOrganizerBase for all types and resources
.... entryRelationship:priorityPreference1 0..*EntryRelationshipThe following entryRelationship represents the priority that the patient puts on the health concern.
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1PriorityPreferenceBase for all types and resources
.... entryRelationship:priorityPreference2 0..*EntryRelationshipThe following entryRelationship represents the priority that the provider puts on the health concern.
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... observation C1..1PriorityPreferenceBase for all types and resources
.... entryRelationship:problemConcernAct 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... act C1..1ProblemConcernActBase for all types and resources
.... entryRelationship:entryReference3 0..*EntryRelationship
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... act C1..1EntryReferenceBase for all types and resources
... reference 0..*Reference
.... @typeCode 1..1csBinding: x_ActRelationshipExternalReference (required)
Fixed Value: REFR
.... externalDocument C1..1ExternalDocumentReferenceBase for all types and resources

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Act.classCoderequiredFixed Value: ACT
Act.moodCoderequiredFixed Value: EVN
Act.codeexampleActCode
Act.statusCoderequiredActStatus
Act.statusCode.coderequiredProblemActStatusCode
Act.entryRelationship:problemObservation1.typeCoderequiredFixed Value: REFR
Act.entryRelationship:allergy-IntoleranceObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryReferenceRefr.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryReferenceComp.typeCoderequiredFixed Value: COMP
Act.entryRelationship:assessmentScaleObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:mentalStatusObservation1.typeCoderequiredFixed Value: REFR
Act.entryRelationship:self-CareActivitiesADLandIADL.typeCoderequiredFixed Value: REFR
Act.entryRelationship:mentalStatusObservation2.typeCoderequiredFixed Value: REFR
Act.entryRelationship:smokingStatus-MeaningfulUse.typeCoderequiredFixed Value: REFR
Act.entryRelationship:encounterDiagnosis.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryRelationship11.typeCoderequiredFixed Value: REFR
Act.entryRelationship:functionalStatusObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:hospitalAdmissionDiagnosis.typeCoderequiredFixed Value: REFR
Act.entryRelationship:nutritionAssessment.typeCoderequiredFixed Value: REFR
Act.entryRelationship:postprocedureDiagnosis.typeCoderequiredFixed Value: REFR
Act.entryRelationship:pregnancyObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:preoperativeDiagnosis.typeCoderequiredFixed Value: REFR
Act.entryRelationship:reactionObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:resultObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:sensoryStatus.typeCoderequiredFixed Value: REFR
Act.entryRelationship:socialHistoryObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:substanceorDeviceAllergy-IntoleranceObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:tobaccoUse.typeCoderequiredFixed Value: REFR
Act.entryRelationship:vitalSignObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:longitudinalCareWoundObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:problemObservation2.typeCoderequiredFixed Value: SPRT
Act.entryRelationship:caregiverCharacteristics.typeCoderequiredFixed Value: REFR
Act.entryRelationship:culturalandReligiousObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:characteristicsofHomeEnvironment.typeCoderequiredFixed Value: REFR
Act.entryRelationship:nutritionalStatusObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:resultOrganizer.typeCoderequiredFixed Value: REFR
Act.entryRelationship:priorityPreference1.typeCoderequiredFixed Value: REFR
Act.entryRelationship:priorityPreference2.typeCoderequiredFixed Value: REFR
Act.entryRelationship:problemConcernAct.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryReference3.typeCoderequiredFixed Value: REFR
Act.reference.typeCoderequiredFixed Value: REFR

Constraints

IdGradePath(s)DetailsRequirements
4515-8555errorAct.entryRelationship:socialHistoryObservation.observationIf Observation/value is a physical quantity (xsi:type="PQ"): This value SHALL contain exactly one [1..1] @unit, which SHOULD be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC. Note: Base CDA requires that all @unit values SHALL be drawn from UCUM.
:
should-authorwarningActSHOULD contain author
: author.exists()
should-authorwarningAct.entryRelationship:problemObservation1.observation, Act.entryRelationship:allergy-IntoleranceObservation.observation, Act.entryRelationship:mentalStatusObservation1.observation, Act.entryRelationship:self-CareActivitiesADLandIADL.observation, Act.entryRelationship:mentalStatusObservation2.observation, Act.entryRelationship:smokingStatus-MeaningfulUse.observation, Act.entryRelationship:functionalStatusObservation.observation, Act.entryRelationship:nutritionAssessment.observation, Act.entryRelationship:resultObservation.observation, Act.entryRelationship:sensoryStatus.observation, Act.entryRelationship:substanceorDeviceAllergy-IntoleranceObservation.observation, Act.entryRelationship:tobaccoUse.observation, Act.entryRelationship:vitalSignObservation.observation, Act.entryRelationship:longitudinalCareWoundObservation.observation, Act.entryRelationship:problemObservation2.observation, Act.entryRelationship:resultOrganizer.organizer, Act.entryRelationship:priorityPreference1.observation, Act.entryRelationship:priorityPreference2.observation, Act.entryRelationship:problemConcernAct.actSHOULD contain author
: author.exists()
should-codewarningAct.entryRelationship:vitalSignObservation.observationSHOULD contain code
: code.exists()
should-effectiveTimewarningAct.entryRelationship:pregnancyObservation.observation, Act.entryRelationship:reactionObservation.observation, Act.entryRelationship:priorityPreference1.observation, Act.entryRelationship:priorityPreference2.observationSHOULD contain effectiveTime
: effectiveTime.exists()
should-interpretationCodewarningAct.entryRelationship:resultObservation.observationSHOULD contain interpretationCode
: interpretationCode.exists()
should-referenceRangewarningAct.entryRelationship:resultObservation.observationSHOULD contain referenceRange
: referenceRange.exists()
should-sdtctext-ref-valuewarningAct.entryRelationship:entryRelationship11.organizer, Act.entryRelationship:resultOrganizer.organizerSHOULD contain text/reference/@value
: sdtcText.reference.value.exists()
should-setIdwarningAct.reference.externalDocumentSHOULD contain setId
: setId.exists()
should-sh-authorwarningAct.entryRelationship:socialHistoryObservation.observationSHOULD contain author
: author.exists()
should-text-ref-valuewarningActSHOULD contain text/reference/@value
: text.reference.value.exists()
should-text-ref-valuewarningAct.entryRelationship:problemObservation1.observation, Act.entryRelationship:allergy-IntoleranceObservation.observation, Act.entryRelationship:entryReferenceRefr.act, Act.entryRelationship:entryReferenceComp.act, Act.entryRelationship:assessmentScaleObservation.observation, Act.entryRelationship:mentalStatusObservation1.observation, Act.entryRelationship:self-CareActivitiesADLandIADL.observation, Act.entryRelationship:mentalStatusObservation2.observation, Act.entryRelationship:smokingStatus-MeaningfulUse.observation, Act.entryRelationship:encounterDiagnosis.act, Act.entryRelationship:functionalStatusObservation.observation, Act.entryRelationship:hospitalAdmissionDiagnosis.act, Act.entryRelationship:nutritionAssessment.observation, Act.entryRelationship:postprocedureDiagnosis.act, Act.entryRelationship:pregnancyObservation.observation, Act.entryRelationship:preoperativeDiagnosis.act, Act.entryRelationship:reactionObservation.observation, Act.entryRelationship:resultObservation.observation, Act.entryRelationship:sensoryStatus.observation, Act.entryRelationship:socialHistoryObservation.observation, Act.entryRelationship:substanceorDeviceAllergy-IntoleranceObservation.observation, Act.entryRelationship:tobaccoUse.observation, Act.entryRelationship:vitalSignObservation.observation, Act.entryRelationship:longitudinalCareWoundObservation.observation, Act.entryRelationship:problemObservation2.observation, Act.entryRelationship:caregiverCharacteristics.observation, Act.entryRelationship:culturalandReligiousObservation.observation, Act.entryRelationship:characteristicsofHomeEnvironment.observation, Act.entryRelationship:nutritionalStatusObservation.observation, Act.entryRelationship:priorityPreference1.observation, Act.entryRelationship:priorityPreference2.observation, Act.entryRelationship:problemConcernAct.act, Act.entryRelationship:entryReference3.actSHOULD contain text/reference/@value
: text.reference.value.exists()
should-valuewarningAct.entryRelationship:socialHistoryObservation.observationSHOULD contain value
: value.exists()
should-versionNumberwarningAct.reference.externalDocumentSHOULD contain versionNumber
: versionNumber.exists()
value-starts-octothorpeerrorAct.text.referenceIf reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
: value.exists() implies value.startsWith('#')

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Act C1..1ActXML Namespace: urn:hl7-org:v3
Elements defined in Ancestors: @nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, code, text, statusCode, effectiveTime, priorityCode, languageCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, sdtcInFulfillmentOf1
Base for all types and resources
Instances of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
should-text-ref-value: SHOULD contain text/reference/@value
should-author: SHOULD contain author
... @nullFlavor 0..1csBinding: CDANullFlavor (required)
... realmCode 0..*CS
... typeId 0..1II
.... @nullFlavor 0..1csBinding: CDANullFlavor (required)
.... @assigningAuthorityName 0..1st
.... @displayable 0..1bl
.... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
.... @extension 1..1st
.... templateId:risk-concern-act 1..1II
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1st
..... @displayable 0..1bl
..... @root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.136
..... @extension 1..1stRequired Pattern: 2015-08-01
... @classCode 1..1csBinding: XActClassDocumentEntryAct (2.0.0) (required)
Fixed Value: ACT
... @moodCode 1..1csBinding: XDocumentActMood (2.0.0) (required)
Fixed Value: EVN
... @negationInd 0..1bl
... id 1..*II
... code 1..1CDBinding: v3 Code System ActCode (example)
.... @nullFlavor 0..1csBinding: CDANullFlavor (required)
.... @code 1..1csRequired Pattern: 281694009
.... @codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.6.96
.... @codeSystemName 0..1st
.... @codeSystemVersion 0..1st
.... @displayName 0..1st
.... @sdtcValueSet 0..1oidXML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1stXML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText 0..1ED
.... qualifier 0..*CR
.... translation 0..*CD
... text 0..1EDSHOULD reference the portion of section narrative text corresponding to this entry
.... @nullFlavor 0..1csBinding: CDANullFlavor (required)
.... @compression 0..1csBinding: CompressionAlgorithm (required)
.... @integrityCheck 0..1bin
.... @integrityCheckAlgorithm 0..1csBinding: IntegrityCheckAlgorithm (2.0.0) (required)
.... @language 0..1cs
.... @mediaType 0..1csBinding: MediaType (example)
.... @representation 0..1csBinding: Binary Data Encoding Value Set (required)
.... xmlText 0..1stAllows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
.... reference C0..1TELvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
.... thumbnail 0..1ED
... statusCode 1..1CSBinding: ActStatus (required)
.... @nullFlavor 0..1csBinding: CDANullFlavor (required)
.... @code 1..1csBinding: ProblemAct statusCode (required)
.... @sdtcValueSet 0..1oidXML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1stXML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
... effectiveTime 0..1IVL_TS
... priorityCode 0..1CEBinding: ActPriority (example)
... languageCode 0..1CSBinding: AllLanguages (required)
... subject 0..1Subject
... specimen 0..*Specimen
... performer 0..*Performer2
... author 0..*AuthorParticipationBase for all types and resources
... informant 0..*Informant
... participant 0..*Participant2
... Slices for entryRelationship 0..*EntryRelationshipWhere a Health Concern needs to reference another entry already described in the CDA document instance, rather than repeating the full content of the entry, the Entry Reference template may be used to reference this entry.
Slice: Unordered, Open by profile:observation, profile:act, profile:organizer
.... entryRelationship:problemObservation1 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1ProblemObservationBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:allergy-IntoleranceObservation 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1AllergyIntoleranceObservationBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:entryReferenceRefr 0..*EntryRelationshipThe following entryRelationship represents the relationship between two Health Concern Acts where there is a general relationship between the source and the target (Health Concern RELATES TO Health Concern). The Entry Reference template is used here because the target Health Concern Act will be defined elsewhere in the Health Concerns Section and thus a reference to that template is all that is required.
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act C1..1EntryReferenceBase for all types and resources
..... encounter 0..1Encounter
..... observation 0..1Observation
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:entryReferenceComp 0..*EntryRelationshipThe following entryRelationship represents the relationship between two Health Concern Acts where the target is a component of the source (Health Concern HAS COMPONENT Health Concern). The Enry Reference template is used here because the target Health Concern Act will be defined elsewhere in the Health Concerns Section and thus a reference to that template is all that is required.
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: COMP
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act C1..1EntryReferenceBase for all types and resources
..... encounter 0..1Encounter
..... observation 0..1Observation
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:assessmentScaleObservation 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1AssessmentScaleObservationBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:mentalStatusObservation1 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1MentalStatusObservationBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:self-CareActivitiesADLandIADL 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1SelfCareActivitiesADLandIADLBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:mentalStatusObservation2 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1MentalStatusObservationBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:smokingStatus-MeaningfulUse 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1SmokingStatusMeaningfulUseBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:encounterDiagnosis 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act C1..1EncounterDiagnosisBase for all types and resources
..... encounter 0..1Encounter
..... observation 0..1Observation
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:entryRelationship11 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation 0..1Observation
..... observationMedia 0..1ObservationMedia
..... organizer C1..1FamilyHistoryOrganizerBase for all types and resources
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:functionalStatusObservation 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1FunctionalStatusObservationBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:hospitalAdmissionDiagnosis 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act C1..1HospitalAdmissionDiagnosisBase for all types and resources
..... encounter 0..1Encounter
..... observation 0..1Observation
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:nutritionAssessment 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1NutritionAssessmentBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:postprocedureDiagnosis 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act C1..1PostprocedureDiagnosisBase for all types and resources
..... encounter 0..1Encounter
..... observation 0..1Observation
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:pregnancyObservation 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1PregnancyObservationBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:preoperativeDiagnosis 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act C1..1PreoperativeDiagnosisBase for all types and resources
..... encounter 0..1Encounter
..... observation 0..1Observation
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:reactionObservation 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1ReactionObservationBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:resultObservation 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1ResultObservationBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:sensoryStatus 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1SensoryStatusBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:socialHistoryObservation 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1SocialHistoryObservationBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:substanceorDeviceAllergy-IntoleranceObservation 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1SubstanceOrDeviceAllergyIntoleranceObservationBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:tobaccoUse 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1TobaccoUseBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:vitalSignObservation 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1VitalSignObservationBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:longitudinalCareWoundObservation 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1LongitudinalCareWoundObservationBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:problemObservation2 0..*EntryRelationshipThe following entryRelationship represents the relationship Health Concern HAS SUPPORT Observation.
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: SPRT
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1ProblemObservationBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:caregiverCharacteristics 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1CaregiverCharacteristicsBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:culturalandReligiousObservation 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1CulturalandReligiousObservationBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:characteristicsofHomeEnvironment 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1CharacteristicsofHomeEnvironmentBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:nutritionalStatusObservation 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1NutritionalStatusObservationBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:resultOrganizer 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation 0..1Observation
..... observationMedia 0..1ObservationMedia
..... organizer C1..1ResultOrganizerBase for all types and resources
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:priorityPreference1 0..*EntryRelationshipThe following entryRelationship represents the priority that the patient puts on the health concern.
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1PriorityPreferenceBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:priorityPreference2 0..*EntryRelationshipThe following entryRelationship represents the priority that the provider puts on the health concern.
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation C1..1PriorityPreferenceBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:problemConcernAct 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act C1..1ProblemConcernActBase for all types and resources
..... encounter 0..1Encounter
..... observation 0..1Observation
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
.... entryRelationship:entryReference3 0..*EntryRelationship
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
...... @nullFlavor 0..1csBinding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1st
...... @displayable 0..1bl
...... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1st
..... templateId 0..*II
..... @typeCode 1..1csBinding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1bl
..... @contextConductionInd 0..1bl
..... @negationInd 0..1bl
..... sequenceNumber 0..1INT
..... seperatableInd 0..1BL
..... act C1..1EntryReferenceBase for all types and resources
..... encounter 0..1Encounter
..... observation 0..1Observation
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply
... reference 0..*Reference
.... @nullFlavor 0..1csBinding: CDANullFlavor (required)
.... realmCode 0..*CS
.... typeId 0..1II
..... @nullFlavor 0..1csBinding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1st
..... @displayable 0..1bl
..... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
..... @extension 1..1st
.... templateId 0..*II
.... @typeCode 1..1csBinding: x_ActRelationshipExternalReference (required)
Fixed Value: REFR
.... seperatableInd 0..1BL
.... externalAct 0..1ExternalAct
.... externalObservation 0..1ExternalObservation
.... externalProcedure 0..1ExternalProcedure
.... externalDocument C1..1ExternalDocumentReferenceBase for all types and resources
... precondition 0..*Precondition
... sdtcPrecondition2 0..*Precondition2XML Namespace: urn:hl7-org:sdtc
XML: precondition2 (urn:hl7-org:sdtc)
... sdtcInFulfillmentOf1 0..*InFulfillmentOf1XML Namespace: urn:hl7-org:sdtc
XML: inFulfillmentOf1 (urn:hl7-org:sdtc)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Act.nullFlavorrequiredCDANullFlavor
Act.typeId.nullFlavorrequiredCDANullFlavor
Act.templateId:risk-concern-act.nullFlavorrequiredCDANullFlavor
Act.classCoderequiredFixed Value: ACT
Act.moodCoderequiredFixed Value: EVN
Act.codeexampleActCode
Act.code.nullFlavorrequiredCDANullFlavor
Act.text.nullFlavorrequiredCDANullFlavor
Act.text.compressionrequiredCDACompressionAlgorithm
Act.text.integrityCheckAlgorithmrequiredIntegrityCheckAlgorithm
Act.text.mediaTypeexampleMediaType
Act.text.representationrequiredBinaryDataEncoding
Act.statusCoderequiredActStatus
Act.statusCode.nullFlavorrequiredCDANullFlavor
Act.statusCode.coderequiredProblemActStatusCode
Act.priorityCodeexampleActPriority
Act.languageCoderequiredAllLanguages
Act.entryRelationship:problemObservation1.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:problemObservation1.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:problemObservation1.typeCoderequiredFixed Value: REFR
Act.entryRelationship:allergy-IntoleranceObservation.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:allergy-IntoleranceObservation.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:allergy-IntoleranceObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryReferenceRefr.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:entryReferenceRefr.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:entryReferenceRefr.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryReferenceComp.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:entryReferenceComp.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:entryReferenceComp.typeCoderequiredFixed Value: COMP
Act.entryRelationship:assessmentScaleObservation.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:assessmentScaleObservation.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:assessmentScaleObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:mentalStatusObservation1.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:mentalStatusObservation1.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:mentalStatusObservation1.typeCoderequiredFixed Value: REFR
Act.entryRelationship:self-CareActivitiesADLandIADL.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:self-CareActivitiesADLandIADL.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:self-CareActivitiesADLandIADL.typeCoderequiredFixed Value: REFR
Act.entryRelationship:mentalStatusObservation2.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:mentalStatusObservation2.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:mentalStatusObservation2.typeCoderequiredFixed Value: REFR
Act.entryRelationship:smokingStatus-MeaningfulUse.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:smokingStatus-MeaningfulUse.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:smokingStatus-MeaningfulUse.typeCoderequiredFixed Value: REFR
Act.entryRelationship:encounterDiagnosis.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:encounterDiagnosis.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:encounterDiagnosis.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryRelationship11.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:entryRelationship11.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:entryRelationship11.typeCoderequiredFixed Value: REFR
Act.entryRelationship:functionalStatusObservation.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:functionalStatusObservation.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:functionalStatusObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:hospitalAdmissionDiagnosis.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:hospitalAdmissionDiagnosis.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:hospitalAdmissionDiagnosis.typeCoderequiredFixed Value: REFR
Act.entryRelationship:nutritionAssessment.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:nutritionAssessment.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:nutritionAssessment.typeCoderequiredFixed Value: REFR
Act.entryRelationship:postprocedureDiagnosis.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:postprocedureDiagnosis.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:postprocedureDiagnosis.typeCoderequiredFixed Value: REFR
Act.entryRelationship:pregnancyObservation.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:pregnancyObservation.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:pregnancyObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:preoperativeDiagnosis.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:preoperativeDiagnosis.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:preoperativeDiagnosis.typeCoderequiredFixed Value: REFR
Act.entryRelationship:reactionObservation.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:reactionObservation.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:reactionObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:resultObservation.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:resultObservation.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:resultObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:sensoryStatus.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:sensoryStatus.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:sensoryStatus.typeCoderequiredFixed Value: REFR
Act.entryRelationship:socialHistoryObservation.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:socialHistoryObservation.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:socialHistoryObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:substanceorDeviceAllergy-IntoleranceObservation.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:substanceorDeviceAllergy-IntoleranceObservation.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:substanceorDeviceAllergy-IntoleranceObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:tobaccoUse.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:tobaccoUse.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:tobaccoUse.typeCoderequiredFixed Value: REFR
Act.entryRelationship:vitalSignObservation.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:vitalSignObservation.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:vitalSignObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:longitudinalCareWoundObservation.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:longitudinalCareWoundObservation.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:longitudinalCareWoundObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:problemObservation2.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:problemObservation2.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:problemObservation2.typeCoderequiredFixed Value: SPRT
Act.entryRelationship:caregiverCharacteristics.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:caregiverCharacteristics.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:caregiverCharacteristics.typeCoderequiredFixed Value: REFR
Act.entryRelationship:culturalandReligiousObservation.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:culturalandReligiousObservation.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:culturalandReligiousObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:characteristicsofHomeEnvironment.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:characteristicsofHomeEnvironment.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:characteristicsofHomeEnvironment.typeCoderequiredFixed Value: REFR
Act.entryRelationship:nutritionalStatusObservation.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:nutritionalStatusObservation.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:nutritionalStatusObservation.typeCoderequiredFixed Value: REFR
Act.entryRelationship:resultOrganizer.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:resultOrganizer.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:resultOrganizer.typeCoderequiredFixed Value: REFR
Act.entryRelationship:priorityPreference1.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:priorityPreference1.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:priorityPreference1.typeCoderequiredFixed Value: REFR
Act.entryRelationship:priorityPreference2.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:priorityPreference2.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:priorityPreference2.typeCoderequiredFixed Value: REFR
Act.entryRelationship:problemConcernAct.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:problemConcernAct.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:problemConcernAct.typeCoderequiredFixed Value: REFR
Act.entryRelationship:entryReference3.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:entryReference3.typeId.nullFlavorrequiredCDANullFlavor
Act.entryRelationship:entryReference3.typeCoderequiredFixed Value: REFR
Act.reference.nullFlavorrequiredCDANullFlavor
Act.reference.typeId.nullFlavorrequiredCDANullFlavor
Act.reference.typeCoderequiredFixed Value: REFR

Constraints

IdGradePath(s)DetailsRequirements
4515-8555errorAct.entryRelationship:socialHistoryObservation.observationIf Observation/value is a physical quantity (xsi:type="PQ"): This value SHALL contain exactly one [1..1] @unit, which SHOULD be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC. Note: Base CDA requires that all @unit values SHALL be drawn from UCUM.
:
should-authorwarningActSHOULD contain author
: author.exists()
should-authorwarningAct.entryRelationship:problemObservation1.observation, Act.entryRelationship:allergy-IntoleranceObservation.observation, Act.entryRelationship:mentalStatusObservation1.observation, Act.entryRelationship:self-CareActivitiesADLandIADL.observation, Act.entryRelationship:mentalStatusObservation2.observation, Act.entryRelationship:smokingStatus-MeaningfulUse.observation, Act.entryRelationship:functionalStatusObservation.observation, Act.entryRelationship:nutritionAssessment.observation, Act.entryRelationship:resultObservation.observation, Act.entryRelationship:sensoryStatus.observation, Act.entryRelationship:substanceorDeviceAllergy-IntoleranceObservation.observation, Act.entryRelationship:tobaccoUse.observation, Act.entryRelationship:vitalSignObservation.observation, Act.entryRelationship:longitudinalCareWoundObservation.observation, Act.entryRelationship:problemObservation2.observation, Act.entryRelationship:resultOrganizer.organizer, Act.entryRelationship:priorityPreference1.observation, Act.entryRelationship:priorityPreference2.observation, Act.entryRelationship:problemConcernAct.actSHOULD contain author
: author.exists()
should-codewarningAct.entryRelationship:vitalSignObservation.observationSHOULD contain code
: code.exists()
should-effectiveTimewarningAct.entryRelationship:pregnancyObservation.observation, Act.entryRelationship:reactionObservation.observation, Act.entryRelationship:priorityPreference1.observation, Act.entryRelationship:priorityPreference2.observationSHOULD contain effectiveTime
: effectiveTime.exists()
should-interpretationCodewarningAct.entryRelationship:resultObservation.observationSHOULD contain interpretationCode
: interpretationCode.exists()
should-referenceRangewarningAct.entryRelationship:resultObservation.observationSHOULD contain referenceRange
: referenceRange.exists()
should-sdtctext-ref-valuewarningAct.entryRelationship:entryRelationship11.organizer, Act.entryRelationship:resultOrganizer.organizerSHOULD contain text/reference/@value
: sdtcText.reference.value.exists()
should-setIdwarningAct.reference.externalDocumentSHOULD contain setId
: setId.exists()
should-sh-authorwarningAct.entryRelationship:socialHistoryObservation.observationSHOULD contain author
: author.exists()
should-text-ref-valuewarningActSHOULD contain text/reference/@value
: text.reference.value.exists()
should-text-ref-valuewarningAct.entryRelationship:problemObservation1.observation, Act.entryRelationship:allergy-IntoleranceObservation.observation, Act.entryRelationship:entryReferenceRefr.act, Act.entryRelationship:entryReferenceComp.act, Act.entryRelationship:assessmentScaleObservation.observation, Act.entryRelationship:mentalStatusObservation1.observation, Act.entryRelationship:self-CareActivitiesADLandIADL.observation, Act.entryRelationship:mentalStatusObservation2.observation, Act.entryRelationship:smokingStatus-MeaningfulUse.observation, Act.entryRelationship:encounterDiagnosis.act, Act.entryRelationship:functionalStatusObservation.observation, Act.entryRelationship:hospitalAdmissionDiagnosis.act, Act.entryRelationship:nutritionAssessment.observation, Act.entryRelationship:postprocedureDiagnosis.act, Act.entryRelationship:pregnancyObservation.observation, Act.entryRelationship:preoperativeDiagnosis.act, Act.entryRelationship:reactionObservation.observation, Act.entryRelationship:resultObservation.observation, Act.entryRelationship:sensoryStatus.observation, Act.entryRelationship:socialHistoryObservation.observation, Act.entryRelationship:substanceorDeviceAllergy-IntoleranceObservation.observation, Act.entryRelationship:tobaccoUse.observation, Act.entryRelationship:vitalSignObservation.observation, Act.entryRelationship:longitudinalCareWoundObservation.observation, Act.entryRelationship:problemObservation2.observation, Act.entryRelationship:caregiverCharacteristics.observation, Act.entryRelationship:culturalandReligiousObservation.observation, Act.entryRelationship:characteristicsofHomeEnvironment.observation, Act.entryRelationship:nutritionalStatusObservation.observation, Act.entryRelationship:priorityPreference1.observation, Act.entryRelationship:priorityPreference2.observation, Act.entryRelationship:problemConcernAct.act, Act.entryRelationship:entryReference3.actSHOULD contain text/reference/@value
: text.reference.value.exists()
should-valuewarningAct.entryRelationship:socialHistoryObservation.observationSHOULD contain value
: value.exists()
should-versionNumberwarningAct.reference.externalDocumentSHOULD contain versionNumber
: versionNumber.exists()
value-starts-octothorpeerrorAct.text.referenceIf reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
: value.exists() implies value.startsWith('#')

This structure is derived from Act

Summary

Mandatory: 9 elements (36 nested mandatory elements)
Fixed Value: 38 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Act.templateId is sliced based on the values of value:root, value:extension
  • The element Act.entryRelationship is sliced based on the values of profile:observation, profile:act, profile:organizer

 

Other representations of profile: CSV, Excel