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
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:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Act
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Act | C | 1..1 | Act | XML 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..* | II | Slice: Unordered, Open by value:root, value:extension | |
templateId:risk-concern-act | 1..1 | II | ||
@root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.136 | |
@extension | 1..1 | st | Required Pattern: 2015-08-01 | |
@classCode | 1..1 | cs | Fixed Value: ACT | |
@moodCode | 1..1 | cs | Fixed Value: EVN | |
id | 1..* | II | ||
code | 1..1 | CD | ||
@code | 1..1 | cs | Required Pattern: 281694009 | |
@codeSystem | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.96 | |
text | 0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
reference | C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative |
statusCode | 1..1 | CS | ||
@code | 1..1 | cs | Binding: ProblemAct statusCode (required) | |
effectiveTime | 0..1 | IVL_TS | ||
author | 0..* | AuthorParticipation | Base for all types and resources | |
Slices for entryRelationship | 0..* | EntryRelationship | Where 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..1 | cs | Fixed Value: REFR | |
observation | 1..1 | ProblemObservation | Base for all types and resources | |
entryRelationship:allergy-IntoleranceObservation | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | AllergyIntoleranceObservation | Base for all types and resources | |
entryRelationship:entryReferenceRefr | 0..* | EntryRelationship | The 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..1 | cs | Fixed Value: REFR | |
act | 1..1 | EntryReference | Base for all types and resources | |
entryRelationship:entryReferenceComp | 0..* | EntryRelationship | The 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..1 | cs | Fixed Value: COMP | |
act | 1..1 | EntryReference | Base for all types and resources | |
entryRelationship:assessmentScaleObservation | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | AssessmentScaleObservation | Base for all types and resources | |
entryRelationship:mentalStatusObservation1 | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | MentalStatusObservation | Base for all types and resources | |
entryRelationship:self-CareActivitiesADLandIADL | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | SelfCareActivitiesADLandIADL | Base for all types and resources | |
entryRelationship:mentalStatusObservation2 | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | MentalStatusObservation | Base for all types and resources | |
entryRelationship:smokingStatus-MeaningfulUse | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | SmokingStatusMeaningfulUse | Base for all types and resources | |
entryRelationship:encounterDiagnosis | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
act | 1..1 | EncounterDiagnosis | Base for all types and resources | |
entryRelationship:entryRelationship11 | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
organizer | 1..1 | FamilyHistoryOrganizer | Base for all types and resources | |
entryRelationship:functionalStatusObservation | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | FunctionalStatusObservation | Base for all types and resources | |
entryRelationship:hospitalAdmissionDiagnosis | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
act | 1..1 | HospitalAdmissionDiagnosis | Base for all types and resources | |
entryRelationship:nutritionAssessment | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | NutritionAssessment | Base for all types and resources | |
entryRelationship:postprocedureDiagnosis | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
act | 1..1 | PostprocedureDiagnosis | Base for all types and resources | |
entryRelationship:pregnancyObservation | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | PregnancyObservation | Base for all types and resources | |
entryRelationship:preoperativeDiagnosis | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
act | 1..1 | PreoperativeDiagnosis | Base for all types and resources | |
entryRelationship:reactionObservation | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | ReactionObservation | Base for all types and resources | |
entryRelationship:resultObservation | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | ResultObservation | Base for all types and resources | |
entryRelationship:sensoryStatus | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | SensoryStatus | Base for all types and resources | |
entryRelationship:socialHistoryObservation | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | SocialHistoryObservation | Base for all types and resources | |
entryRelationship:substanceorDeviceAllergy-IntoleranceObservation | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | SubstanceOrDeviceAllergyIntoleranceObservation | Base for all types and resources | |
entryRelationship:tobaccoUse | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | TobaccoUse | Base for all types and resources | |
entryRelationship:vitalSignObservation | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | VitalSignObservation | Base for all types and resources | |
entryRelationship:longitudinalCareWoundObservation | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | LongitudinalCareWoundObservation | Base for all types and resources | |
entryRelationship:problemObservation2 | 0..* | EntryRelationship | The following entryRelationship represents the relationship Health Concern HAS SUPPORT Observation. | |
@typeCode | 1..1 | cs | Fixed Value: SPRT | |
observation | 1..1 | ProblemObservation | Base for all types and resources | |
entryRelationship:caregiverCharacteristics | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | CaregiverCharacteristics | Base for all types and resources | |
entryRelationship:culturalandReligiousObservation | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | CulturalandReligiousObservation | Base for all types and resources | |
entryRelationship:characteristicsofHomeEnvironment | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | CharacteristicsofHomeEnvironment | Base for all types and resources | |
entryRelationship:nutritionalStatusObservation | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | NutritionalStatusObservation | Base for all types and resources | |
entryRelationship:resultOrganizer | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
organizer | 1..1 | ResultOrganizer | Base for all types and resources | |
entryRelationship:priorityPreference1 | 0..* | EntryRelationship | The following entryRelationship represents the priority that the patient puts on the health concern. | |
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | PriorityPreference | Base for all types and resources | |
entryRelationship:priorityPreference2 | 0..* | EntryRelationship | The following entryRelationship represents the priority that the provider puts on the health concern. | |
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | PriorityPreference | Base for all types and resources | |
entryRelationship:problemConcernAct | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
act | 1..1 | ProblemConcernAct | Base for all types and resources | |
entryRelationship:entryReference3 | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
act | 1..1 | EntryReference | Base for all types and resources | |
reference | 0..* | Reference | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
externalDocument | 1..1 | ExternalDocumentReference | Base for all types and resources | |
Documentation for this format |
Path | Conformance | ValueSet |
Act.statusCode.code | required | ProblemActStatusCode |
Id | Grade | Path(s) | Details | Requirements |
should-author | warning | Act | SHOULD contain author : author.exists() | |
should-text-ref-value | warning | Act | SHOULD contain text/reference/@value : text.reference.value.exists() | |
value-starts-octothorpe | error | Act.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#') |
Path | Conformance | ValueSet / Code |
Act.classCode | required | Fixed Value: ACT |
Act.moodCode | required | Fixed Value: EVN |
Act.code | example | ActCode |
Act.statusCode | required | ActStatus |
Act.statusCode.code | required | ProblemActStatusCode |
Act.entryRelationship:problemObservation1.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:allergy-IntoleranceObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:entryReferenceRefr.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:entryReferenceComp.typeCode | required | Fixed Value: COMP |
Act.entryRelationship:assessmentScaleObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:mentalStatusObservation1.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:self-CareActivitiesADLandIADL.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:mentalStatusObservation2.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:smokingStatus-MeaningfulUse.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:encounterDiagnosis.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:entryRelationship11.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:functionalStatusObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:hospitalAdmissionDiagnosis.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:nutritionAssessment.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:postprocedureDiagnosis.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:pregnancyObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:preoperativeDiagnosis.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:reactionObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:resultObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:sensoryStatus.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:socialHistoryObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:substanceorDeviceAllergy-IntoleranceObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:tobaccoUse.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:vitalSignObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:longitudinalCareWoundObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:problemObservation2.typeCode | required | Fixed Value: SPRT |
Act.entryRelationship:caregiverCharacteristics.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:culturalandReligiousObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:characteristicsofHomeEnvironment.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:nutritionalStatusObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:resultOrganizer.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:priorityPreference1.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:priorityPreference2.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:problemConcernAct.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:entryReference3.typeCode | required | Fixed Value: REFR |
Act.reference.typeCode | required | Fixed Value: REFR |
Id | Grade | Path(s) | Details | Requirements |
4515-8555 | error | Act.entryRelationship:socialHistoryObservation.observation | If 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-author | warning | Act | SHOULD contain author : author.exists() | |
should-author | warning | Act.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.act | SHOULD contain author : author.exists() | |
should-code | warning | Act.entryRelationship:vitalSignObservation.observation | SHOULD contain code : code.exists() | |
should-effectiveTime | warning | Act.entryRelationship:pregnancyObservation.observation, Act.entryRelationship:reactionObservation.observation, Act.entryRelationship:priorityPreference1.observation, Act.entryRelationship:priorityPreference2.observation | SHOULD contain effectiveTime : effectiveTime.exists() | |
should-interpretationCode | warning | Act.entryRelationship:resultObservation.observation | SHOULD contain interpretationCode : interpretationCode.exists() | |
should-referenceRange | warning | Act.entryRelationship:resultObservation.observation | SHOULD contain referenceRange : referenceRange.exists() | |
should-sdtctext-ref-value | warning | Act.entryRelationship:entryRelationship11.organizer, Act.entryRelationship:resultOrganizer.organizer | SHOULD contain text/reference/@value : sdtcText.reference.value.exists() | |
should-setId | warning | Act.reference.externalDocument | SHOULD contain setId : setId.exists() | |
should-sh-author | warning | Act.entryRelationship:socialHistoryObservation.observation | SHOULD contain author : author.exists() | |
should-text-ref-value | warning | Act | SHOULD contain text/reference/@value : text.reference.value.exists() | |
should-text-ref-value | warning | Act.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.act | SHOULD contain text/reference/@value : text.reference.value.exists() | |
should-value | warning | Act.entryRelationship:socialHistoryObservation.observation | SHOULD contain value : value.exists() | |
should-versionNumber | warning | Act.reference.externalDocument | SHOULD contain versionNumber : versionNumber.exists() | |
value-starts-octothorpe | error | Act.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#') |
Path | Conformance | ValueSet / Code |
Act.nullFlavor | required | CDANullFlavor |
Act.typeId.nullFlavor | required | CDANullFlavor |
Act.templateId:risk-concern-act.nullFlavor | required | CDANullFlavor |
Act.classCode | required | Fixed Value: ACT |
Act.moodCode | required | Fixed Value: EVN |
Act.code | example | ActCode |
Act.code.nullFlavor | required | CDANullFlavor |
Act.text.nullFlavor | required | CDANullFlavor |
Act.text.compression | required | CDACompressionAlgorithm |
Act.text.integrityCheckAlgorithm | required | IntegrityCheckAlgorithm |
Act.text.mediaType | example | MediaType |
Act.text.representation | required | BinaryDataEncoding |
Act.statusCode | required | ActStatus |
Act.statusCode.nullFlavor | required | CDANullFlavor |
Act.statusCode.code | required | ProblemActStatusCode |
Act.priorityCode | example | ActPriority |
Act.languageCode | required | AllLanguages |
Act.entryRelationship:problemObservation1.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:problemObservation1.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:problemObservation1.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:allergy-IntoleranceObservation.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:allergy-IntoleranceObservation.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:allergy-IntoleranceObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:entryReferenceRefr.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:entryReferenceRefr.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:entryReferenceRefr.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:entryReferenceComp.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:entryReferenceComp.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:entryReferenceComp.typeCode | required | Fixed Value: COMP |
Act.entryRelationship:assessmentScaleObservation.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:assessmentScaleObservation.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:assessmentScaleObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:mentalStatusObservation1.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:mentalStatusObservation1.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:mentalStatusObservation1.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:self-CareActivitiesADLandIADL.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:self-CareActivitiesADLandIADL.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:self-CareActivitiesADLandIADL.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:mentalStatusObservation2.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:mentalStatusObservation2.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:mentalStatusObservation2.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:smokingStatus-MeaningfulUse.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:smokingStatus-MeaningfulUse.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:smokingStatus-MeaningfulUse.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:encounterDiagnosis.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:encounterDiagnosis.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:encounterDiagnosis.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:entryRelationship11.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:entryRelationship11.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:entryRelationship11.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:functionalStatusObservation.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:functionalStatusObservation.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:functionalStatusObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:hospitalAdmissionDiagnosis.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:hospitalAdmissionDiagnosis.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:hospitalAdmissionDiagnosis.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:nutritionAssessment.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:nutritionAssessment.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:nutritionAssessment.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:postprocedureDiagnosis.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:postprocedureDiagnosis.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:postprocedureDiagnosis.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:pregnancyObservation.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:pregnancyObservation.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:pregnancyObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:preoperativeDiagnosis.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:preoperativeDiagnosis.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:preoperativeDiagnosis.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:reactionObservation.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:reactionObservation.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:reactionObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:resultObservation.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:resultObservation.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:resultObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:sensoryStatus.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:sensoryStatus.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:sensoryStatus.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:socialHistoryObservation.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:socialHistoryObservation.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:socialHistoryObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:substanceorDeviceAllergy-IntoleranceObservation.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:substanceorDeviceAllergy-IntoleranceObservation.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:substanceorDeviceAllergy-IntoleranceObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:tobaccoUse.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:tobaccoUse.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:tobaccoUse.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:vitalSignObservation.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:vitalSignObservation.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:vitalSignObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:longitudinalCareWoundObservation.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:longitudinalCareWoundObservation.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:longitudinalCareWoundObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:problemObservation2.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:problemObservation2.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:problemObservation2.typeCode | required | Fixed Value: SPRT |
Act.entryRelationship:caregiverCharacteristics.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:caregiverCharacteristics.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:caregiverCharacteristics.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:culturalandReligiousObservation.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:culturalandReligiousObservation.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:culturalandReligiousObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:characteristicsofHomeEnvironment.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:characteristicsofHomeEnvironment.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:characteristicsofHomeEnvironment.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:nutritionalStatusObservation.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:nutritionalStatusObservation.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:nutritionalStatusObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:resultOrganizer.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:resultOrganizer.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:resultOrganizer.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:priorityPreference1.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:priorityPreference1.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:priorityPreference1.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:priorityPreference2.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:priorityPreference2.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:priorityPreference2.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:problemConcernAct.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:problemConcernAct.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:problemConcernAct.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:entryReference3.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:entryReference3.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:entryReference3.typeCode | required | Fixed Value: REFR |
Act.reference.nullFlavor | required | CDANullFlavor |
Act.reference.typeId.nullFlavor | required | CDANullFlavor |
Act.reference.typeCode | required | Fixed Value: REFR |
Id | Grade | Path(s) | Details | Requirements |
4515-8555 | error | Act.entryRelationship:socialHistoryObservation.observation | If 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-author | warning | Act | SHOULD contain author : author.exists() | |
should-author | warning | Act.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.act | SHOULD contain author : author.exists() | |
should-code | warning | Act.entryRelationship:vitalSignObservation.observation | SHOULD contain code : code.exists() | |
should-effectiveTime | warning | Act.entryRelationship:pregnancyObservation.observation, Act.entryRelationship:reactionObservation.observation, Act.entryRelationship:priorityPreference1.observation, Act.entryRelationship:priorityPreference2.observation | SHOULD contain effectiveTime : effectiveTime.exists() | |
should-interpretationCode | warning | Act.entryRelationship:resultObservation.observation | SHOULD contain interpretationCode : interpretationCode.exists() | |
should-referenceRange | warning | Act.entryRelationship:resultObservation.observation | SHOULD contain referenceRange : referenceRange.exists() | |
should-sdtctext-ref-value | warning | Act.entryRelationship:entryRelationship11.organizer, Act.entryRelationship:resultOrganizer.organizer | SHOULD contain text/reference/@value : sdtcText.reference.value.exists() | |
should-setId | warning | Act.reference.externalDocument | SHOULD contain setId : setId.exists() | |
should-sh-author | warning | Act.entryRelationship:socialHistoryObservation.observation | SHOULD contain author : author.exists() | |
should-text-ref-value | warning | Act | SHOULD contain text/reference/@value : text.reference.value.exists() | |
should-text-ref-value | warning | Act.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.act | SHOULD contain text/reference/@value : text.reference.value.exists() | |
should-value | warning | Act.entryRelationship:socialHistoryObservation.observation | SHOULD contain value : value.exists() | |
should-versionNumber | warning | Act.reference.externalDocument | SHOULD contain versionNumber : versionNumber.exists() | |
value-starts-octothorpe | error | Act.text.reference | If 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:
Differential View
This structure is derived from Act
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Act | C | 1..1 | Act | XML 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..* | II | Slice: Unordered, Open by value:root, value:extension | |
templateId:risk-concern-act | 1..1 | II | ||
@root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.136 | |
@extension | 1..1 | st | Required Pattern: 2015-08-01 | |
@classCode | 1..1 | cs | Fixed Value: ACT | |
@moodCode | 1..1 | cs | Fixed Value: EVN | |
id | 1..* | II | ||
code | 1..1 | CD | ||
@code | 1..1 | cs | Required Pattern: 281694009 | |
@codeSystem | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.96 | |
text | 0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
reference | C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative |
statusCode | 1..1 | CS | ||
@code | 1..1 | cs | Binding: ProblemAct statusCode (required) | |
effectiveTime | 0..1 | IVL_TS | ||
author | 0..* | AuthorParticipation | Base for all types and resources | |
Slices for entryRelationship | 0..* | EntryRelationship | Where 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..1 | cs | Fixed Value: REFR | |
observation | 1..1 | ProblemObservation | Base for all types and resources | |
entryRelationship:allergy-IntoleranceObservation | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | AllergyIntoleranceObservation | Base for all types and resources | |
entryRelationship:entryReferenceRefr | 0..* | EntryRelationship | The 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..1 | cs | Fixed Value: REFR | |
act | 1..1 | EntryReference | Base for all types and resources | |
entryRelationship:entryReferenceComp | 0..* | EntryRelationship | The 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..1 | cs | Fixed Value: COMP | |
act | 1..1 | EntryReference | Base for all types and resources | |
entryRelationship:assessmentScaleObservation | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | AssessmentScaleObservation | Base for all types and resources | |
entryRelationship:mentalStatusObservation1 | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | MentalStatusObservation | Base for all types and resources | |
entryRelationship:self-CareActivitiesADLandIADL | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | SelfCareActivitiesADLandIADL | Base for all types and resources | |
entryRelationship:mentalStatusObservation2 | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | MentalStatusObservation | Base for all types and resources | |
entryRelationship:smokingStatus-MeaningfulUse | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | SmokingStatusMeaningfulUse | Base for all types and resources | |
entryRelationship:encounterDiagnosis | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
act | 1..1 | EncounterDiagnosis | Base for all types and resources | |
entryRelationship:entryRelationship11 | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
organizer | 1..1 | FamilyHistoryOrganizer | Base for all types and resources | |
entryRelationship:functionalStatusObservation | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | FunctionalStatusObservation | Base for all types and resources | |
entryRelationship:hospitalAdmissionDiagnosis | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
act | 1..1 | HospitalAdmissionDiagnosis | Base for all types and resources | |
entryRelationship:nutritionAssessment | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | NutritionAssessment | Base for all types and resources | |
entryRelationship:postprocedureDiagnosis | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
act | 1..1 | PostprocedureDiagnosis | Base for all types and resources | |
entryRelationship:pregnancyObservation | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | PregnancyObservation | Base for all types and resources | |
entryRelationship:preoperativeDiagnosis | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
act | 1..1 | PreoperativeDiagnosis | Base for all types and resources | |
entryRelationship:reactionObservation | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | ReactionObservation | Base for all types and resources | |
entryRelationship:resultObservation | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | ResultObservation | Base for all types and resources | |
entryRelationship:sensoryStatus | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | SensoryStatus | Base for all types and resources | |
entryRelationship:socialHistoryObservation | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | SocialHistoryObservation | Base for all types and resources | |
entryRelationship:substanceorDeviceAllergy-IntoleranceObservation | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | SubstanceOrDeviceAllergyIntoleranceObservation | Base for all types and resources | |
entryRelationship:tobaccoUse | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | TobaccoUse | Base for all types and resources | |
entryRelationship:vitalSignObservation | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | VitalSignObservation | Base for all types and resources | |
entryRelationship:longitudinalCareWoundObservation | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | LongitudinalCareWoundObservation | Base for all types and resources | |
entryRelationship:problemObservation2 | 0..* | EntryRelationship | The following entryRelationship represents the relationship Health Concern HAS SUPPORT Observation. | |
@typeCode | 1..1 | cs | Fixed Value: SPRT | |
observation | 1..1 | ProblemObservation | Base for all types and resources | |
entryRelationship:caregiverCharacteristics | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | CaregiverCharacteristics | Base for all types and resources | |
entryRelationship:culturalandReligiousObservation | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | CulturalandReligiousObservation | Base for all types and resources | |
entryRelationship:characteristicsofHomeEnvironment | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | CharacteristicsofHomeEnvironment | Base for all types and resources | |
entryRelationship:nutritionalStatusObservation | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | NutritionalStatusObservation | Base for all types and resources | |
entryRelationship:resultOrganizer | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
organizer | 1..1 | ResultOrganizer | Base for all types and resources | |
entryRelationship:priorityPreference1 | 0..* | EntryRelationship | The following entryRelationship represents the priority that the patient puts on the health concern. | |
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | PriorityPreference | Base for all types and resources | |
entryRelationship:priorityPreference2 | 0..* | EntryRelationship | The following entryRelationship represents the priority that the provider puts on the health concern. | |
@typeCode | 1..1 | cs | Fixed Value: REFR | |
observation | 1..1 | PriorityPreference | Base for all types and resources | |
entryRelationship:problemConcernAct | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
act | 1..1 | ProblemConcernAct | Base for all types and resources | |
entryRelationship:entryReference3 | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
act | 1..1 | EntryReference | Base for all types and resources | |
reference | 0..* | Reference | ||
@typeCode | 1..1 | cs | Fixed Value: REFR | |
externalDocument | 1..1 | ExternalDocumentReference | Base for all types and resources | |
Documentation for this format |
Path | Conformance | ValueSet |
Act.statusCode.code | required | ProblemActStatusCode |
Id | Grade | Path(s) | Details | Requirements |
should-author | warning | Act | SHOULD contain author : author.exists() | |
should-text-ref-value | warning | Act | SHOULD contain text/reference/@value : text.reference.value.exists() | |
value-starts-octothorpe | error | Act.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#') |
Key Elements View
Path | Conformance | ValueSet / Code |
Act.classCode | required | Fixed Value: ACT |
Act.moodCode | required | Fixed Value: EVN |
Act.code | example | ActCode |
Act.statusCode | required | ActStatus |
Act.statusCode.code | required | ProblemActStatusCode |
Act.entryRelationship:problemObservation1.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:allergy-IntoleranceObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:entryReferenceRefr.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:entryReferenceComp.typeCode | required | Fixed Value: COMP |
Act.entryRelationship:assessmentScaleObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:mentalStatusObservation1.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:self-CareActivitiesADLandIADL.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:mentalStatusObservation2.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:smokingStatus-MeaningfulUse.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:encounterDiagnosis.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:entryRelationship11.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:functionalStatusObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:hospitalAdmissionDiagnosis.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:nutritionAssessment.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:postprocedureDiagnosis.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:pregnancyObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:preoperativeDiagnosis.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:reactionObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:resultObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:sensoryStatus.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:socialHistoryObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:substanceorDeviceAllergy-IntoleranceObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:tobaccoUse.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:vitalSignObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:longitudinalCareWoundObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:problemObservation2.typeCode | required | Fixed Value: SPRT |
Act.entryRelationship:caregiverCharacteristics.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:culturalandReligiousObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:characteristicsofHomeEnvironment.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:nutritionalStatusObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:resultOrganizer.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:priorityPreference1.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:priorityPreference2.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:problemConcernAct.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:entryReference3.typeCode | required | Fixed Value: REFR |
Act.reference.typeCode | required | Fixed Value: REFR |
Id | Grade | Path(s) | Details | Requirements |
4515-8555 | error | Act.entryRelationship:socialHistoryObservation.observation | If 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-author | warning | Act | SHOULD contain author : author.exists() | |
should-author | warning | Act.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.act | SHOULD contain author : author.exists() | |
should-code | warning | Act.entryRelationship:vitalSignObservation.observation | SHOULD contain code : code.exists() | |
should-effectiveTime | warning | Act.entryRelationship:pregnancyObservation.observation, Act.entryRelationship:reactionObservation.observation, Act.entryRelationship:priorityPreference1.observation, Act.entryRelationship:priorityPreference2.observation | SHOULD contain effectiveTime : effectiveTime.exists() | |
should-interpretationCode | warning | Act.entryRelationship:resultObservation.observation | SHOULD contain interpretationCode : interpretationCode.exists() | |
should-referenceRange | warning | Act.entryRelationship:resultObservation.observation | SHOULD contain referenceRange : referenceRange.exists() | |
should-sdtctext-ref-value | warning | Act.entryRelationship:entryRelationship11.organizer, Act.entryRelationship:resultOrganizer.organizer | SHOULD contain text/reference/@value : sdtcText.reference.value.exists() | |
should-setId | warning | Act.reference.externalDocument | SHOULD contain setId : setId.exists() | |
should-sh-author | warning | Act.entryRelationship:socialHistoryObservation.observation | SHOULD contain author : author.exists() | |
should-text-ref-value | warning | Act | SHOULD contain text/reference/@value : text.reference.value.exists() | |
should-text-ref-value | warning | Act.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.act | SHOULD contain text/reference/@value : text.reference.value.exists() | |
should-value | warning | Act.entryRelationship:socialHistoryObservation.observation | SHOULD contain value : value.exists() | |
should-versionNumber | warning | Act.reference.externalDocument | SHOULD contain versionNumber : versionNumber.exists() | |
value-starts-octothorpe | error | Act.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#') |
Snapshot View
Path | Conformance | ValueSet / Code |
Act.nullFlavor | required | CDANullFlavor |
Act.typeId.nullFlavor | required | CDANullFlavor |
Act.templateId:risk-concern-act.nullFlavor | required | CDANullFlavor |
Act.classCode | required | Fixed Value: ACT |
Act.moodCode | required | Fixed Value: EVN |
Act.code | example | ActCode |
Act.code.nullFlavor | required | CDANullFlavor |
Act.text.nullFlavor | required | CDANullFlavor |
Act.text.compression | required | CDACompressionAlgorithm |
Act.text.integrityCheckAlgorithm | required | IntegrityCheckAlgorithm |
Act.text.mediaType | example | MediaType |
Act.text.representation | required | BinaryDataEncoding |
Act.statusCode | required | ActStatus |
Act.statusCode.nullFlavor | required | CDANullFlavor |
Act.statusCode.code | required | ProblemActStatusCode |
Act.priorityCode | example | ActPriority |
Act.languageCode | required | AllLanguages |
Act.entryRelationship:problemObservation1.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:problemObservation1.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:problemObservation1.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:allergy-IntoleranceObservation.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:allergy-IntoleranceObservation.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:allergy-IntoleranceObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:entryReferenceRefr.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:entryReferenceRefr.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:entryReferenceRefr.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:entryReferenceComp.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:entryReferenceComp.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:entryReferenceComp.typeCode | required | Fixed Value: COMP |
Act.entryRelationship:assessmentScaleObservation.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:assessmentScaleObservation.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:assessmentScaleObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:mentalStatusObservation1.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:mentalStatusObservation1.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:mentalStatusObservation1.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:self-CareActivitiesADLandIADL.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:self-CareActivitiesADLandIADL.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:self-CareActivitiesADLandIADL.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:mentalStatusObservation2.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:mentalStatusObservation2.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:mentalStatusObservation2.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:smokingStatus-MeaningfulUse.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:smokingStatus-MeaningfulUse.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:smokingStatus-MeaningfulUse.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:encounterDiagnosis.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:encounterDiagnosis.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:encounterDiagnosis.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:entryRelationship11.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:entryRelationship11.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:entryRelationship11.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:functionalStatusObservation.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:functionalStatusObservation.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:functionalStatusObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:hospitalAdmissionDiagnosis.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:hospitalAdmissionDiagnosis.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:hospitalAdmissionDiagnosis.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:nutritionAssessment.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:nutritionAssessment.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:nutritionAssessment.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:postprocedureDiagnosis.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:postprocedureDiagnosis.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:postprocedureDiagnosis.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:pregnancyObservation.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:pregnancyObservation.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:pregnancyObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:preoperativeDiagnosis.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:preoperativeDiagnosis.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:preoperativeDiagnosis.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:reactionObservation.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:reactionObservation.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:reactionObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:resultObservation.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:resultObservation.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:resultObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:sensoryStatus.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:sensoryStatus.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:sensoryStatus.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:socialHistoryObservation.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:socialHistoryObservation.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:socialHistoryObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:substanceorDeviceAllergy-IntoleranceObservation.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:substanceorDeviceAllergy-IntoleranceObservation.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:substanceorDeviceAllergy-IntoleranceObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:tobaccoUse.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:tobaccoUse.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:tobaccoUse.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:vitalSignObservation.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:vitalSignObservation.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:vitalSignObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:longitudinalCareWoundObservation.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:longitudinalCareWoundObservation.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:longitudinalCareWoundObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:problemObservation2.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:problemObservation2.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:problemObservation2.typeCode | required | Fixed Value: SPRT |
Act.entryRelationship:caregiverCharacteristics.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:caregiverCharacteristics.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:caregiverCharacteristics.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:culturalandReligiousObservation.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:culturalandReligiousObservation.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:culturalandReligiousObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:characteristicsofHomeEnvironment.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:characteristicsofHomeEnvironment.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:characteristicsofHomeEnvironment.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:nutritionalStatusObservation.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:nutritionalStatusObservation.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:nutritionalStatusObservation.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:resultOrganizer.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:resultOrganizer.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:resultOrganizer.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:priorityPreference1.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:priorityPreference1.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:priorityPreference1.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:priorityPreference2.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:priorityPreference2.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:priorityPreference2.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:problemConcernAct.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:problemConcernAct.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:problemConcernAct.typeCode | required | Fixed Value: REFR |
Act.entryRelationship:entryReference3.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:entryReference3.typeId.nullFlavor | required | CDANullFlavor |
Act.entryRelationship:entryReference3.typeCode | required | Fixed Value: REFR |
Act.reference.nullFlavor | required | CDANullFlavor |
Act.reference.typeId.nullFlavor | required | CDANullFlavor |
Act.reference.typeCode | required | Fixed Value: REFR |
Id | Grade | Path(s) | Details | Requirements |
4515-8555 | error | Act.entryRelationship:socialHistoryObservation.observation | If 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-author | warning | Act | SHOULD contain author : author.exists() | |
should-author | warning | Act.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.act | SHOULD contain author : author.exists() | |
should-code | warning | Act.entryRelationship:vitalSignObservation.observation | SHOULD contain code : code.exists() | |
should-effectiveTime | warning | Act.entryRelationship:pregnancyObservation.observation, Act.entryRelationship:reactionObservation.observation, Act.entryRelationship:priorityPreference1.observation, Act.entryRelationship:priorityPreference2.observation | SHOULD contain effectiveTime : effectiveTime.exists() | |
should-interpretationCode | warning | Act.entryRelationship:resultObservation.observation | SHOULD contain interpretationCode : interpretationCode.exists() | |
should-referenceRange | warning | Act.entryRelationship:resultObservation.observation | SHOULD contain referenceRange : referenceRange.exists() | |
should-sdtctext-ref-value | warning | Act.entryRelationship:entryRelationship11.organizer, Act.entryRelationship:resultOrganizer.organizer | SHOULD contain text/reference/@value : sdtcText.reference.value.exists() | |
should-setId | warning | Act.reference.externalDocument | SHOULD contain setId : setId.exists() | |
should-sh-author | warning | Act.entryRelationship:socialHistoryObservation.observation | SHOULD contain author : author.exists() | |
should-text-ref-value | warning | Act | SHOULD contain text/reference/@value : text.reference.value.exists() | |
should-text-ref-value | warning | Act.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.act | SHOULD contain text/reference/@value : text.reference.value.exists() | |
should-value | warning | Act.entryRelationship:socialHistoryObservation.observation | SHOULD contain value : value.exists() | |
should-versionNumber | warning | Act.reference.externalDocument | SHOULD contain versionNumber : versionNumber.exists() | |
value-starts-octothorpe | error | Act.text.reference | If 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: