This page is part of the CCDA: Consolidated CDA Release (v4.0.0-ballot: CCDA 4.0 Ballot 1) generated with FHIR (HL7® FHIR® Standard) v5.0.0. The current version which supersedes this version is 3.0.0. For a full list of available versions, see the Directory of published versions
Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/CareTeamMemberAct | Version: 4.0.0-ballot | |||
Draft as of 2024-12-20 | Computable Name: CareTeamMemberAct | |||
Other Identifiers: urn:ietf:rfc:3986#Uniform Resource Identifier (URI)#urn:hl7ii:2.16.840.1.113883.10.20.22.4.500.1:2024-05-01 |
This template is used to represent a member of the care team. Care team members can include healthcare and community services providers, caregivers, relatives, the patient themselves, etc. A care team member can be another care team or an organization. Care team member attributes include the following: Care team member status on the care team Care team member time (e.g. duration, point-in-time, etc.) on the care team Schedule of the care team member describing when the care team member usually participates on the care team Care team member function on the care team such as the care team member specialty, relationship to the patient, and also role on the care team Care team member name, address, telecom, organization, etc. Care team member information (narrative description about the care team member)
The performer/assignedEntity/id may be set equal to (a pointer to) an id on a performer elsewhere in the document (header or entries) or a new performer can be described here. If the id is pointing to a performer already described elsewhere in the document, assignedEntity/id is sufficient to identify this performer and none of the remaining details of assignedEntity are required to be set. Application Software must be responsible for resolving the identifier back to its original object and then rendering the information in the correct place in the containing section's narrative text.
This id must be a pointer to another Performer.
Usage:
Description of Template, Differentials, Snapshots and how the different presentations work.
This structure is derived from Act
Name | Flags | Card. | Type | Description & Constraints![]() |
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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 Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value |
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1..* | II | Slice: Unordered, Open by value:root, value:extension | |
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1..1 | II | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.500.1 | |
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1..1 | st | Required Pattern: 2024-05-01 | |
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1..1 | cs | Fixed Value: PCPR | |
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1..1 | cs | Fixed Value: EVN | |
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1..1 | CD | Care team information panel | |
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1..1 | cs | Required Pattern: 92707-9 | |
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1..1 | oid, uuid, ruid | LOINC Required Pattern: 2.16.840.1.113883.6.1 | |
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0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
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C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative |
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1..1 | CS | ||
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0..0 | |||
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1..1 | cs | Binding: ActStatus (required) | |
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1..1 | IVL_TS | ||
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1..1 | IVXB_TS | ||
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0..1 | IVXB_TS | ||
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1..1 | Performer2 | ||
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0..1 | CE | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Care Team Member Role - This sdtc:functionCode represents the function or role of the member on the care team. For example, the care team member roles on the care team can be a caregiver and a professional nurse or a primary care provider and the care coordinator. XML: functionCode (urn:hl7-org:sdtc) Binding: Care Team Member Function ![]() | |
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C | 1..1 | AssignedEntity | 4515-180: If the assignedEntity/id is not referencing a Performer elsewhere in the document with an assignedPerson populated, this assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:4515-180). should-addr: SHOULD contain addr should-telecom: SHOULD contain telecom should-assignedPerson: SHOULD contain assignedPerson |
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1..* | II | 𝗨𝗦𝗖𝗗𝗜: Care Team Member Identifier | |
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C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI |
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0..* | USRealmAddress | 𝗨𝗦𝗖𝗗𝗜: Care Team Member Location | |
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0..* | TEL | 𝗨𝗦𝗖𝗗𝗜: Care Team Member Telecom | |
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0..1 | Person | 𝗨𝗦𝗖𝗗𝗜: Care Team Member Name | |
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1..1 | USRealmPersonNamePNUSFIELDED | ||
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0..1 | Organization | ||
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1..* | TEL | ||
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1..* | USRealmAddress | ||
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0..* | Participant2 | Slice: Unordered, Open by value:typeCode | |
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0..* | Participant2 | This participant represents the location where the care team member provides the service. | |
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1..1 | cs | Fixed Value: LOC | |
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1..1 | ParticipantRole | ||
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0..* | Participant2 | This participant is used to express additional care team functions performed by this member of the team. Include additional participant to record additional roles (functionCode) this Care Team member plays. | |
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1..1 | cs | Fixed Value: IND | |
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1..1 | CE | sdtc:functionCode Binding: Care Team Member Function ![]() | |
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1..1 | ParticipantRole | ||
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1..1 | cs | Required Pattern: NA | |
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0..* | EntryRelationship | Slice: Unordered, Open by profile:observation, profile:act, exists:encounter, exists:observation, exists:act | |
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0..* | EntryRelationship | entryRelationship | |
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1..1 | cs | Fixed Value: REFR | |
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0..0 | |||
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C | 1..1 | Encounter | 4515-90: If the first id does not match an encounter/id from an encounter elsewhere within the same document and the id does not contain @nullFlavor="NA", then this entry SHALL conform to the Encounter Activity (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.49:2015-08-01) (CONF:4515-90). |
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1..1 | II | ||
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0..0 | |||
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0..* | EntryRelationship | This is the note activity to narratively describe information about the member on the care team. | |
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1..1 | cs | Fixed Value: REFR | |
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1..1 | NoteActivity | ||
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0..0 | |||
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0..0 | |||
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0..1 | EntryRelationship | This is the schedule of when or how frequently the care team member participates (or provides care to the patient) on the care team. | |
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1..1 | cs | Fixed Value: REFR | |
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0..0 | |||
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0..0 | |||
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1..1 | CareTeamMemberScheduleObservation | ||
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Path | Conformance | ValueSet | URI |
Act.statusCode.code | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
Act.performer.sdtcFunctionCode | preferred | CareTeamMemberFunction ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 | |
Act.participant:addl-functions.sdtcFunctionCode | required | CareTeamMemberFunction ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 |
Id | Grade | Path(s) | Details | Requirements |
4515-90 | error | Act.entryRelationship:encounter.encounter | If the first id does not match an encounter/id from an encounter elsewhere within the same document and the id does not contain @nullFlavor="NA", then this entry SHALL conform to the Encounter Activity (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.49:2015-08-01) (CONF:4515-90). : id.first().nullFlavor = 'NA' or (%resource.descendants().ofType(CDA.Encounter).where(hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/EncounterActivity') and id.exists($this.root = %context.id.first().root and $this.extension ~ %context.id.first().extension))) | |
4515-180 | error | Act.performer.assignedEntity | If the assignedEntity/id is not referencing a Performer elsewhere in the document with an assignedPerson populated, this assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:4515-180). : assignedPerson.exists() or (%resource.descendants().ofType(CDA.Performer2).where(assignedEntity.assignedPerson.exists() and assignedEntity.id.exists($this.root = %context.id.first().root and $this.extension ~ %context.id.first().extension))) | |
should-addr | warning | Act.performer.assignedEntity | SHOULD contain addr : addr.exists() | |
should-assignedPerson | warning | Act.performer.assignedEntity | SHOULD contain assignedPerson : assignedPerson.exists() | |
should-npi | warning | Act.performer.assignedEntity.id.root | SHOULD be NPI : $this = '2.16.840.1.113883.4.6' | |
should-telecom | warning | Act.performer.assignedEntity | SHOULD contain telecom : telecom.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('#') |
Name | Flags | Card. | Type | Description & Constraints![]() |
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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 Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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1..* | II | Slice: Unordered, Open by value:root, value:extension | |
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1..1 | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.500.1 | |
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1..1 | st | Required Pattern: 2024-05-01 | |
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1..1 | cs | Binding: XActClassDocumentEntryAct (2.0.0) (required) Fixed Value: PCPR | |
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1..1 | cs | Binding: XDocumentActMood (2.0.0) (required) Fixed Value: EVN | |
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0..1 | bl | ||
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0..* | II | ||
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1..1 | CD | Care team information panel Binding: v3 Code System ActCode (example) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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1..1 | cs | Required Pattern: 92707-9 | |
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1..1 | oid, uuid, ruid | LOINC Required Pattern: 2.16.840.1.113883.6.1 | |
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CR | ||
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0..* | CD | ||
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0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | cs | Binding: CDACompressionAlgorithm (required) | |
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0..1 | bin | ||
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0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required) | |
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0..1 | cs | ||
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0..1 | cs | Binding: MediaType (example) | |
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0..1 | cs | Binding: CDABinaryDataEncoding (required) | |
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0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |
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C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative |
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0..1 | ED | ||
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1..1 | CS | Binding: ActStatus (required) | |
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1..1 | cs | Binding: ActStatus (required) | |
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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1..1 | IVL_TS | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
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0..1 | cs | Binding: CDASetOperator (required) | |
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1..1 | IVXB_TS | ||
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0..1 | TS | ||
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0..1 | PQ | ||
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0..1 | IVXB_TS | ||
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0..1 | CE | Binding: ActPriority (example) | |
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0..1 | CS | Binding: AllLanguages (required) | |
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0..1 | Subject | ||
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0..* | Specimen | ||
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1..1 | Performer2 | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ParticipationPhysicalPerformer (required) Fixed Value: PRF | |
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0..1 | CE | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Care Team Member Role - This sdtc:functionCode represents the function or role of the member on the care team. For example, the care team member roles on the care team can be a caregiver and a professional nurse or a primary care provider and the care coordinator. XML: functionCode (urn:hl7-org:sdtc) Binding: Care Team Member Function ![]() | |
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0..1 | IVL_TS | ||
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0..1 | CE | ||
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C | 1..1 | AssignedEntity | 4515-180: If the assignedEntity/id is not referencing a Performer elsewhere in the document with an assignedPerson populated, this assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:4515-180). should-addr: SHOULD contain addr should-telecom: SHOULD contain telecom should-assignedPerson: SHOULD contain assignedPerson |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | 𝗨𝗦𝗖𝗗𝗜: Care Team Member Identifier | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI |
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0..1 | st | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: CDARoleCode (example) | |
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0..* | USRealmAddress | 𝗨𝗦𝗖𝗗𝗜: Care Team Member Location | |
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0..* | TEL | 𝗨𝗦𝗖𝗗𝗜: Care Team Member Telecom | |
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0..1 | Person | 𝗨𝗦𝗖𝗗𝗜: Care Team Member Name | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..1 | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassOrganization (required) Fixed Value: ORG | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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0..* | II | ||
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0..* | ON | ||
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1..* | TEL | ||
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1..* | USRealmAddress | ||
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0..1 | CE | Binding: OrganizationIndustryClassNAICS (example) | |
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0..1 | OrganizationPartOf | ||
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0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |
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1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..* | Author | ||
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0..* | Informant | ||
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0..* | Participant2 | Slice: Unordered, Open by value:typeCode | |
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0..* | Participant2 | This participant represents the location where the care team member provides the service. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Binding: CDAParticipationType (required) Fixed Value: LOC | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: functionCode (urn:hl7-org:sdtc) | |
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0..1 | IVL_TS | ||
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0..1 | CE | ||
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1..1 | ParticipantRole | ||
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0..* | Participant2 | This participant is used to express additional care team functions performed by this member of the team. Include additional participant to record additional roles (functionCode) this Care Team member plays. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Binding: CDAParticipationType (required) Fixed Value: IND | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc sdtc:functionCode XML: functionCode (urn:hl7-org:sdtc) Binding: Care Team Member Function ![]() | |
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0..1 | IVL_TS | ||
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0..1 | CE | ||
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1..1 | ParticipantRole | ||
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1..1 | cs | Binding: CDANullFlavor (required) Required Pattern: NA | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDARoleClassRoot (required) | |
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0..* | II | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: CDARoleCode (example) | |
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0..* | AD | ||
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0..* | TEL | ||
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0..1 | Device | ||
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0..1 | PlayingEntity | ||
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0..1 | Entity | ||
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0..* | EntryRelationship | Slice: Unordered, Open by profile:observation, profile:act, exists:encounter, exists:observation, exists:act | |
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0..* | EntryRelationship | entryRelationship | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR | |
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0..1 | bl | ||
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0..1 | bl | ||
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0..1 | bl | ||
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0..1 | INT | ||
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0..1 | BL | ||
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C | 1..1 | Encounter | 4515-90: If the first id does not match an encounter/id from an encounter elsewhere within the same document and the id does not contain @nullFlavor="NA", then this entry SHALL conform to the Encounter Activity (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.49:2015-08-01) (CONF:4515-90). |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Binding: CDAActClass (required) Fixed Value: ENC | |
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1..1 | cs | Binding: XDocumentEncounterMood (2.0.0) (required) | |
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1..1 | II | ||
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0..1 | CD | Binding: ActEncounterCode (example) | |
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0..1 | ED | ||
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0..1 | CS | Binding: ActStatus (required) | |
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0..1 | IVL_TS | ||
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0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: dischargeDispositionCode (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: ActPriority (example) | |
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0..1 | Subject | ||
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0..* | Specimen | ||
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0..* | Performer2 | ||
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0..* | Author | ||
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0..* | Informant | ||
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0..* | Participant2 | ||
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0..* | EntryRelationship | ||
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0..* | Reference | ||
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0..* | Precondition | ||
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0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc) | |
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0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |
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0..1 | ObservationMedia | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | Organizer | ||
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0..1 | Procedure | ||
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0..1 | RegionOfInterest | ||
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0..1 | SubstanceAdministration | ||
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0..1 | Supply | ||
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0..* | EntryRelationship | This is the note activity to narratively describe information about the member on the care team. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR | |
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0..1 | bl | ||
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0..1 | bl | ||
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0..1 | bl | ||
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0..1 | INT | ||
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0..1 | BL | ||
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1..1 | NoteActivity | ||
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0..1 | ObservationMedia | ||
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0..1 | Organizer | ||
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0..1 | Procedure | ||
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0..1 | RegionOfInterest | ||
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0..1 | SubstanceAdministration | ||
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0..1 | Supply | ||
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0..1 | EntryRelationship | This is the schedule of when or how frequently the care team member participates (or provides care to the patient) on the care team. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR | |
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0..1 | bl | ||
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0..1 | bl | ||
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0..1 | bl | ||
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0..1 | INT | ||
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0..1 | BL | ||
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1..1 | CareTeamMemberScheduleObservation | ||
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0..1 | ObservationMedia | ||
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0..1 | Organizer | ||
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0..1 | Procedure | ||
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0..1 | RegionOfInterest | ||
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0..1 | SubstanceAdministration | ||
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0..1 | Supply | ||
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0..* | Reference | ||
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0..* | Precondition | ||
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0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc) | |
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0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |
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Path | Conformance | ValueSet / Code | URI |
Act.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.templateId:care-team-member-act.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.classCode | required | Fixed Value: PCPRhttp://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryAct|2.0.0 | |
Act.moodCode | required | Fixed Value: EVNhttp://terminology.hl7.org/ValueSet/v3-xDocumentActMood|2.0.0 | |
Act.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | |
Act.code.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.text.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.text.compression | required | CDACompressionAlgorithmhttp://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm | |
Act.text.integrityCheckAlgorithm | required | IntegrityCheckAlgorithmhttp://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0 | |
Act.text.mediaType | example | MediaTypehttp://terminology.hl7.org/ValueSet/v3-MediaType | |
Act.text.representation | required | BinaryDataEncodinghttp://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding | |
Act.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
Act.statusCode.code | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
Act.effectiveTime.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.effectiveTime.operator | required | CDASetOperatorhttp://hl7.org/cda/stds/core/ValueSet/CDASetOperator | |
Act.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
Act.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard | |
Act.performer.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.performer.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.performer.typeCode | required | Fixed Value: PRFhttp://terminology.hl7.org/ValueSet/v3-ParticipationPhysicalPerformer | |
Act.performer.sdtcFunctionCode | preferred | CareTeamMemberFunction ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 | |
Act.performer.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.performer.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.performer.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
Act.performer.assignedEntity.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.performer.assignedEntity.code | example | CDARoleCodehttp://hl7.org/cda/stds/core/ValueSet/CDARoleCode | |
Act.performer.assignedEntity.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.performer.assignedEntity.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.performer.assignedEntity.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
Act.performer.assignedEntity.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.performer.assignedEntity.representedOrganization.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.performer.assignedEntity.representedOrganization.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.performer.assignedEntity.representedOrganization.classCode | required | Fixed Value: ORGhttp://terminology.hl7.org/ValueSet/v3-EntityClassOrganization | |
Act.performer.assignedEntity.representedOrganization.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
Act.performer.assignedEntity.representedOrganization.standardIndustryClassCode | example | OrganizationIndustryClassNAICShttp://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS | |
Act.participant:location.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.participant:location.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.participant:location.typeCode | required | Fixed Value: LOChttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
Act.participant:location.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
Act.participant:addl-functions.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.participant:addl-functions.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.participant:addl-functions.typeCode | required | Fixed Value: INDhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
Act.participant:addl-functions.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
Act.participant:addl-functions.sdtcFunctionCode | required | CareTeamMemberFunction ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 | |
Act.participant:addl-functions.participantRole.nullFlavor | required | Pattern: NAhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.participant:addl-functions.participantRole.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.participant:addl-functions.participantRole.classCode | required | CDARoleClassRoothttp://hl7.org/cda/stds/core/ValueSet/CDARoleClassRoot | |
Act.participant:addl-functions.participantRole.code | example | CDARoleCodehttp://hl7.org/cda/stds/core/ValueSet/CDARoleCode | |
Act.entryRelationship:encounter.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.entryRelationship:encounter.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.entryRelationship:encounter.typeCode | required | Fixed Value: REFRhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Act.entryRelationship:encounter.encounter.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.entryRelationship:encounter.encounter.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.entryRelationship:encounter.encounter.classCode | required | Fixed Value: ENChttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
Act.entryRelationship:encounter.encounter.moodCode | required | XDocumentEncounterMoodhttp://terminology.hl7.org/ValueSet/v3-xDocumentEncounterMood|2.0.0 | |
Act.entryRelationship:encounter.encounter.code | example | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | |
Act.entryRelationship:encounter.encounter.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
Act.entryRelationship:encounter.encounter.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
Act.entryRelationship:note.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.entryRelationship:note.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.entryRelationship:note.typeCode | required | Fixed Value: REFRhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Act.entryRelationship:schedule.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.entryRelationship:schedule.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.entryRelationship:schedule.typeCode | required | Fixed Value: REFRhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship |
Id | Grade | Path(s) | Details | Requirements |
4515-90 | error | Act.entryRelationship:encounter.encounter | If the first id does not match an encounter/id from an encounter elsewhere within the same document and the id does not contain @nullFlavor="NA", then this entry SHALL conform to the Encounter Activity (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.49:2015-08-01) (CONF:4515-90). : id.first().nullFlavor = 'NA' or (%resource.descendants().ofType(CDA.Encounter).where(hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/EncounterActivity') and id.exists($this.root = %context.id.first().root and $this.extension ~ %context.id.first().extension))) | |
4515-180 | error | Act.performer.assignedEntity | If the assignedEntity/id is not referencing a Performer elsewhere in the document with an assignedPerson populated, this assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:4515-180). : assignedPerson.exists() or (%resource.descendants().ofType(CDA.Performer2).where(assignedEntity.assignedPerson.exists() and assignedEntity.id.exists($this.root = %context.id.first().root and $this.extension ~ %context.id.first().extension))) | |
II-1 | error | Act.typeId, Act.performer.typeId, Act.performer.assignedEntity.typeId, Act.performer.assignedEntity.assignedPerson.typeId, Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, Act.performer.assignedEntity.representedOrganization.typeId, Act.participant:location.typeId, Act.participant:addl-functions.typeId, Act.participant:addl-functions.participantRole.typeId, Act.entryRelationship:encounter.typeId, Act.entryRelationship:encounter.encounter.typeId, Act.entryRelationship:note.typeId, Act.entryRelationship:schedule.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists() | |
should-addr | warning | Act.performer.assignedEntity | SHOULD contain addr : addr.exists() | |
should-assignedPerson | warning | Act.performer.assignedEntity | SHOULD contain assignedPerson : assignedPerson.exists() | |
should-npi | warning | Act.performer.assignedEntity.id.root | SHOULD be NPI : $this = '2.16.840.1.113883.4.6' | |
should-telecom | warning | Act.performer.assignedEntity | SHOULD contain telecom : telecom.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('#') |
Name | Flags | Card. | Type | Description & Constraints![]() |
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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 Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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1..* | II | Slice: Unordered, Open by value:root, value:extension | |
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1..1 | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.500.1 | |
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1..1 | st | Required Pattern: 2024-05-01 | |
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1..1 | cs | Binding: XActClassDocumentEntryAct (2.0.0) (required) Fixed Value: PCPR | |
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1..1 | cs | Binding: XDocumentActMood (2.0.0) (required) Fixed Value: EVN | |
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0..1 | bl | ||
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0..* | II | ||
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1..1 | CD | Care team information panel Binding: v3 Code System ActCode (example) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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1..1 | cs | Required Pattern: 92707-9 | |
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1..1 | oid, uuid, ruid | LOINC Required Pattern: 2.16.840.1.113883.6.1 | |
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CR | ||
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0..* | CD | ||
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0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | cs | Binding: CDACompressionAlgorithm (required) | |
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0..1 | bin | ||
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0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required) | |
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0..1 | cs | ||
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0..1 | cs | Binding: MediaType (example) | |
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0..1 | cs | Binding: CDABinaryDataEncoding (required) | |
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0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |
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C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative |
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0..1 | ED | ||
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1..1 | CS | Binding: ActStatus (required) | |
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1..1 | cs | Binding: ActStatus (required) | |
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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1..1 | IVL_TS | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
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0..1 | cs | Binding: CDASetOperator (required) | |
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1..1 | IVXB_TS | ||
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0..1 | TS | ||
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0..1 | PQ | ||
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0..1 | IVXB_TS | ||
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0..1 | CE | Binding: ActPriority (example) | |
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0..1 | CS | Binding: AllLanguages (required) | |
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0..1 | Subject | ||
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0..* | Specimen | ||
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1..1 | Performer2 | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ParticipationPhysicalPerformer (required) Fixed Value: PRF | |
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0..1 | CE | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Care Team Member Role - This sdtc:functionCode represents the function or role of the member on the care team. For example, the care team member roles on the care team can be a caregiver and a professional nurse or a primary care provider and the care coordinator. XML: functionCode (urn:hl7-org:sdtc) Binding: Care Team Member Function ![]() | |
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0..1 | IVL_TS | ||
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0..1 | CE | ||
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C | 1..1 | AssignedEntity | 4515-180: If the assignedEntity/id is not referencing a Performer elsewhere in the document with an assignedPerson populated, this assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:4515-180). should-addr: SHOULD contain addr should-telecom: SHOULD contain telecom should-assignedPerson: SHOULD contain assignedPerson |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | 𝗨𝗦𝗖𝗗𝗜: Care Team Member Identifier | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI |
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0..1 | st | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: CDARoleCode (example) | |
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0..* | USRealmAddress | 𝗨𝗦𝗖𝗗𝗜: Care Team Member Location | |
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0..* | TEL | 𝗨𝗦𝗖𝗗𝗜: Care Team Member Telecom | |
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0..1 | Person | 𝗨𝗦𝗖𝗗𝗜: Care Team Member Name | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..1 | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassOrganization (required) Fixed Value: ORG | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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0..* | II | ||
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0..* | ON | ||
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1..* | TEL | ||
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1..* | USRealmAddress | ||
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0..1 | CE | Binding: OrganizationIndustryClassNAICS (example) | |
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0..1 | OrganizationPartOf | ||
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0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |
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1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..* | Author | ||
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0..* | Informant | ||
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0..* | Participant2 | Slice: Unordered, Open by value:typeCode | |
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0..* | Participant2 | This participant represents the location where the care team member provides the service. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Binding: CDAParticipationType (required) Fixed Value: LOC | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: functionCode (urn:hl7-org:sdtc) | |
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0..1 | IVL_TS | ||
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0..1 | CE | ||
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1..1 | ParticipantRole | ||
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0..* | Participant2 | This participant is used to express additional care team functions performed by this member of the team. Include additional participant to record additional roles (functionCode) this Care Team member plays. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Binding: CDAParticipationType (required) Fixed Value: IND | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc sdtc:functionCode XML: functionCode (urn:hl7-org:sdtc) Binding: Care Team Member Function ![]() | |
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0..1 | IVL_TS | ||
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0..1 | CE | ||
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1..1 | ParticipantRole | ||
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1..1 | cs | Binding: CDANullFlavor (required) Required Pattern: NA | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDARoleClassRoot (required) | |
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0..* | II | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: CDARoleCode (example) | |
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0..* | AD | ||
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0..* | TEL | ||
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0..1 | Device | ||
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0..1 | PlayingEntity | ||
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0..1 | Entity | ||
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0..* | EntryRelationship | Slice: Unordered, Open by profile:observation, profile:act, exists:encounter, exists:observation, exists:act | |
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0..* | EntryRelationship | entryRelationship | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR | |
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0..1 | bl | ||
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0..1 | bl | ||
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0..1 | bl | ||
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0..1 | INT | ||
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0..1 | BL | ||
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C | 1..1 | Encounter | 4515-90: If the first id does not match an encounter/id from an encounter elsewhere within the same document and the id does not contain @nullFlavor="NA", then this entry SHALL conform to the Encounter Activity (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.49:2015-08-01) (CONF:4515-90). |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Binding: CDAActClass (required) Fixed Value: ENC | |
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1..1 | cs | Binding: XDocumentEncounterMood (2.0.0) (required) | |
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1..1 | II | ||
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0..1 | CD | Binding: ActEncounterCode (example) | |
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0..1 | ED | ||
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0..1 | CS | Binding: ActStatus (required) | |
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0..1 | IVL_TS | ||
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0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: dischargeDispositionCode (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: ActPriority (example) | |
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0..1 | Subject | ||
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0..* | Specimen | ||
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0..* | Performer2 | ||
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0..* | Author | ||
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0..* | Informant | ||
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0..* | Participant2 | ||
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0..* | EntryRelationship | ||
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0..* | Reference | ||
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0..* | Precondition | ||
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0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc) | |
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0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |
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0..1 | ObservationMedia | ||
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0..1 | Organizer | ||
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0..1 | Procedure | ||
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0..1 | RegionOfInterest | ||
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0..1 | SubstanceAdministration | ||
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0..1 | Supply | ||
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0..* | EntryRelationship | This is the note activity to narratively describe information about the member on the care team. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR | |
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0..1 | bl | ||
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0..1 | bl | ||
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0..1 | bl | ||
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0..1 | INT | ||
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0..1 | BL | ||
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1..1 | NoteActivity | ||
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0..1 | ObservationMedia | ||
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0..1 | Organizer | ||
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0..1 | Procedure | ||
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0..1 | RegionOfInterest | ||
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0..1 | SubstanceAdministration | ||
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0..1 | Supply | ||
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0..1 | EntryRelationship | This is the schedule of when or how frequently the care team member participates (or provides care to the patient) on the care team. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR | |
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0..1 | bl | ||
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0..1 | bl | ||
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0..1 | bl | ||
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0..1 | INT | ||
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0..1 | BL | ||
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1..1 | CareTeamMemberScheduleObservation | ||
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0..1 | ObservationMedia | ||
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0..1 | Organizer | ||
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0..1 | Procedure | ||
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0..1 | RegionOfInterest | ||
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0..1 | SubstanceAdministration | ||
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0..1 | Supply | ||
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0..* | Reference | ||
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0..* | Precondition | ||
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0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc) | |
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0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |
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Path | Conformance | ValueSet / Code | URI |
Act.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.templateId:care-team-member-act.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.classCode | required | Fixed Value: PCPRhttp://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryAct|2.0.0 | |
Act.moodCode | required | Fixed Value: EVNhttp://terminology.hl7.org/ValueSet/v3-xDocumentActMood|2.0.0 | |
Act.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | |
Act.code.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.text.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.text.compression | required | CDACompressionAlgorithmhttp://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm | |
Act.text.integrityCheckAlgorithm | required | IntegrityCheckAlgorithmhttp://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0 | |
Act.text.mediaType | example | MediaTypehttp://terminology.hl7.org/ValueSet/v3-MediaType | |
Act.text.representation | required | BinaryDataEncodinghttp://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding | |
Act.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
Act.statusCode.code | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
Act.effectiveTime.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.effectiveTime.operator | required | CDASetOperatorhttp://hl7.org/cda/stds/core/ValueSet/CDASetOperator | |
Act.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
Act.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard | |
Act.performer.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.performer.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.performer.typeCode | required | Fixed Value: PRFhttp://terminology.hl7.org/ValueSet/v3-ParticipationPhysicalPerformer | |
Act.performer.sdtcFunctionCode | preferred | CareTeamMemberFunction ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 | |
Act.performer.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.performer.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.performer.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
Act.performer.assignedEntity.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.performer.assignedEntity.code | example | CDARoleCodehttp://hl7.org/cda/stds/core/ValueSet/CDARoleCode | |
Act.performer.assignedEntity.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.performer.assignedEntity.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.performer.assignedEntity.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
Act.performer.assignedEntity.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.performer.assignedEntity.representedOrganization.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.performer.assignedEntity.representedOrganization.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.performer.assignedEntity.representedOrganization.classCode | required | Fixed Value: ORGhttp://terminology.hl7.org/ValueSet/v3-EntityClassOrganization | |
Act.performer.assignedEntity.representedOrganization.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
Act.performer.assignedEntity.representedOrganization.standardIndustryClassCode | example | OrganizationIndustryClassNAICShttp://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS | |
Act.participant:location.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.participant:location.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.participant:location.typeCode | required | Fixed Value: LOChttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
Act.participant:location.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
Act.participant:addl-functions.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.participant:addl-functions.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.participant:addl-functions.typeCode | required | Fixed Value: INDhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
Act.participant:addl-functions.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
Act.participant:addl-functions.sdtcFunctionCode | required | CareTeamMemberFunction ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 | |
Act.participant:addl-functions.participantRole.nullFlavor | required | Pattern: NAhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.participant:addl-functions.participantRole.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.participant:addl-functions.participantRole.classCode | required | CDARoleClassRoothttp://hl7.org/cda/stds/core/ValueSet/CDARoleClassRoot | |
Act.participant:addl-functions.participantRole.code | example | CDARoleCodehttp://hl7.org/cda/stds/core/ValueSet/CDARoleCode | |
Act.entryRelationship:encounter.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.entryRelationship:encounter.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.entryRelationship:encounter.typeCode | required | Fixed Value: REFRhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Act.entryRelationship:encounter.encounter.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.entryRelationship:encounter.encounter.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.entryRelationship:encounter.encounter.classCode | required | Fixed Value: ENChttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
Act.entryRelationship:encounter.encounter.moodCode | required | XDocumentEncounterMoodhttp://terminology.hl7.org/ValueSet/v3-xDocumentEncounterMood|2.0.0 | |
Act.entryRelationship:encounter.encounter.code | example | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | |
Act.entryRelationship:encounter.encounter.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
Act.entryRelationship:encounter.encounter.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
Act.entryRelationship:note.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.entryRelationship:note.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.entryRelationship:note.typeCode | required | Fixed Value: REFRhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Act.entryRelationship:schedule.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.entryRelationship:schedule.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.entryRelationship:schedule.typeCode | required | Fixed Value: REFRhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship |
Id | Grade | Path(s) | Details | Requirements |
4515-90 | error | Act.entryRelationship:encounter.encounter | If the first id does not match an encounter/id from an encounter elsewhere within the same document and the id does not contain @nullFlavor="NA", then this entry SHALL conform to the Encounter Activity (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.49:2015-08-01) (CONF:4515-90). : id.first().nullFlavor = 'NA' or (%resource.descendants().ofType(CDA.Encounter).where(hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/EncounterActivity') and id.exists($this.root = %context.id.first().root and $this.extension ~ %context.id.first().extension))) | |
4515-180 | error | Act.performer.assignedEntity | If the assignedEntity/id is not referencing a Performer elsewhere in the document with an assignedPerson populated, this assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:4515-180). : assignedPerson.exists() or (%resource.descendants().ofType(CDA.Performer2).where(assignedEntity.assignedPerson.exists() and assignedEntity.id.exists($this.root = %context.id.first().root and $this.extension ~ %context.id.first().extension))) | |
II-1 | error | Act.typeId, Act.performer.typeId, Act.performer.assignedEntity.typeId, Act.performer.assignedEntity.assignedPerson.typeId, Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, Act.performer.assignedEntity.representedOrganization.typeId, Act.participant:location.typeId, Act.participant:addl-functions.typeId, Act.participant:addl-functions.participantRole.typeId, Act.entryRelationship:encounter.typeId, Act.entryRelationship:encounter.encounter.typeId, Act.entryRelationship:note.typeId, Act.entryRelationship:schedule.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists() | |
should-addr | warning | Act.performer.assignedEntity | SHOULD contain addr : addr.exists() | |
should-assignedPerson | warning | Act.performer.assignedEntity | SHOULD contain assignedPerson : assignedPerson.exists() | |
should-npi | warning | Act.performer.assignedEntity.id.root | SHOULD be NPI : $this = '2.16.840.1.113883.4.6' | |
should-telecom | warning | Act.performer.assignedEntity | SHOULD contain telecom : telecom.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('#') |
This structure is derived from Act
Summary
Mandatory: 11 elements(9 nested mandatory elements)
Fixed: 7 elements
Prohibited: 7 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![]() |
---|---|---|---|---|
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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 Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value |
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1..* | II | Slice: Unordered, Open by value:root, value:extension | |
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1..1 | II | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.500.1 | |
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1..1 | st | Required Pattern: 2024-05-01 | |
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1..1 | cs | Fixed Value: PCPR | |
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1..1 | cs | Fixed Value: EVN | |
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1..1 | CD | Care team information panel | |
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1..1 | cs | Required Pattern: 92707-9 | |
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1..1 | oid, uuid, ruid | LOINC Required Pattern: 2.16.840.1.113883.6.1 | |
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0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
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C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative |
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1..1 | CS | ||
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0..0 | |||
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1..1 | cs | Binding: ActStatus (required) | |
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1..1 | IVL_TS | ||
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1..1 | IVXB_TS | ||
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0..1 | IVXB_TS | ||
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1..1 | Performer2 | ||
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0..1 | CE | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Care Team Member Role - This sdtc:functionCode represents the function or role of the member on the care team. For example, the care team member roles on the care team can be a caregiver and a professional nurse or a primary care provider and the care coordinator. XML: functionCode (urn:hl7-org:sdtc) Binding: Care Team Member Function ![]() | |
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C | 1..1 | AssignedEntity | 4515-180: If the assignedEntity/id is not referencing a Performer elsewhere in the document with an assignedPerson populated, this assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:4515-180). should-addr: SHOULD contain addr should-telecom: SHOULD contain telecom should-assignedPerson: SHOULD contain assignedPerson |
![]() ![]() ![]() ![]() ![]() |
1..* | II | 𝗨𝗦𝗖𝗗𝗜: Care Team Member Identifier | |
![]() ![]() ![]() ![]() ![]() ![]() |
C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI |
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0..* | USRealmAddress | 𝗨𝗦𝗖𝗗𝗜: Care Team Member Location | |
![]() ![]() ![]() ![]() ![]() |
0..* | TEL | 𝗨𝗦𝗖𝗗𝗜: Care Team Member Telecom | |
![]() ![]() ![]() ![]() ![]() |
0..1 | Person | 𝗨𝗦𝗖𝗗𝗜: Care Team Member Name | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | USRealmPersonNamePNUSFIELDED | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | Organization | ||
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1..* | TEL | ||
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1..* | USRealmAddress | ||
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0..* | Participant2 | Slice: Unordered, Open by value:typeCode | |
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0..* | Participant2 | This participant represents the location where the care team member provides the service. | |
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1..1 | cs | Fixed Value: LOC | |
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1..1 | ParticipantRole | ||
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0..* | Participant2 | This participant is used to express additional care team functions performed by this member of the team. Include additional participant to record additional roles (functionCode) this Care Team member plays. | |
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1..1 | cs | Fixed Value: IND | |
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1..1 | CE | sdtc:functionCode Binding: Care Team Member Function ![]() | |
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1..1 | ParticipantRole | ||
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1..1 | cs | Required Pattern: NA | |
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0..* | EntryRelationship | Slice: Unordered, Open by profile:observation, profile:act, exists:encounter, exists:observation, exists:act | |
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0..* | EntryRelationship | entryRelationship | |
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1..1 | cs | Fixed Value: REFR | |
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0..0 | |||
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C | 1..1 | Encounter | 4515-90: If the first id does not match an encounter/id from an encounter elsewhere within the same document and the id does not contain @nullFlavor="NA", then this entry SHALL conform to the Encounter Activity (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.49:2015-08-01) (CONF:4515-90). |
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1..1 | II | ||
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0..0 | |||
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0..* | EntryRelationship | This is the note activity to narratively describe information about the member on the care team. | |
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1..1 | cs | Fixed Value: REFR | |
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1..1 | NoteActivity | ||
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0..0 | |||
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0..0 | |||
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0..1 | EntryRelationship | This is the schedule of when or how frequently the care team member participates (or provides care to the patient) on the care team. | |
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1..1 | cs | Fixed Value: REFR | |
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0..0 | |||
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0..0 | |||
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1..1 | CareTeamMemberScheduleObservation | ||
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Path | Conformance | ValueSet | URI |
Act.statusCode.code | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
Act.performer.sdtcFunctionCode | preferred | CareTeamMemberFunction ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 | |
Act.participant:addl-functions.sdtcFunctionCode | required | CareTeamMemberFunction ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 |
Id | Grade | Path(s) | Details | Requirements |
4515-90 | error | Act.entryRelationship:encounter.encounter | If the first id does not match an encounter/id from an encounter elsewhere within the same document and the id does not contain @nullFlavor="NA", then this entry SHALL conform to the Encounter Activity (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.49:2015-08-01) (CONF:4515-90). : id.first().nullFlavor = 'NA' or (%resource.descendants().ofType(CDA.Encounter).where(hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/EncounterActivity') and id.exists($this.root = %context.id.first().root and $this.extension ~ %context.id.first().extension))) | |
4515-180 | error | Act.performer.assignedEntity | If the assignedEntity/id is not referencing a Performer elsewhere in the document with an assignedPerson populated, this assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:4515-180). : assignedPerson.exists() or (%resource.descendants().ofType(CDA.Performer2).where(assignedEntity.assignedPerson.exists() and assignedEntity.id.exists($this.root = %context.id.first().root and $this.extension ~ %context.id.first().extension))) | |
should-addr | warning | Act.performer.assignedEntity | SHOULD contain addr : addr.exists() | |
should-assignedPerson | warning | Act.performer.assignedEntity | SHOULD contain assignedPerson : assignedPerson.exists() | |
should-npi | warning | Act.performer.assignedEntity.id.root | SHOULD be NPI : $this = '2.16.840.1.113883.4.6' | |
should-telecom | warning | Act.performer.assignedEntity | SHOULD contain telecom : telecom.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
Name | Flags | Card. | Type | Description & Constraints![]() |
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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 Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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1..* | II | Slice: Unordered, Open by value:root, value:extension | |
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1..1 | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.500.1 | |
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1..1 | st | Required Pattern: 2024-05-01 | |
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1..1 | cs | Binding: XActClassDocumentEntryAct (2.0.0) (required) Fixed Value: PCPR | |
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1..1 | cs | Binding: XDocumentActMood (2.0.0) (required) Fixed Value: EVN | |
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0..1 | bl | ||
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0..* | II | ||
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1..1 | CD | Care team information panel Binding: v3 Code System ActCode (example) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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1..1 | cs | Required Pattern: 92707-9 | |
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1..1 | oid, uuid, ruid | LOINC Required Pattern: 2.16.840.1.113883.6.1 | |
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CR | ||
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0..* | CD | ||
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0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | cs | Binding: CDACompressionAlgorithm (required) | |
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0..1 | bin | ||
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0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required) | |
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0..1 | cs | ||
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0..1 | cs | Binding: MediaType (example) | |
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0..1 | cs | Binding: CDABinaryDataEncoding (required) | |
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0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |
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C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative |
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0..1 | ED | ||
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1..1 | CS | Binding: ActStatus (required) | |
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1..1 | cs | Binding: ActStatus (required) | |
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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1..1 | IVL_TS | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
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0..1 | cs | Binding: CDASetOperator (required) | |
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1..1 | IVXB_TS | ||
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0..1 | TS | ||
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0..1 | PQ | ||
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0..1 | IVXB_TS | ||
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0..1 | CE | Binding: ActPriority (example) | |
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0..1 | CS | Binding: AllLanguages (required) | |
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0..1 | Subject | ||
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0..* | Specimen | ||
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1..1 | Performer2 | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ParticipationPhysicalPerformer (required) Fixed Value: PRF | |
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0..1 | CE | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Care Team Member Role - This sdtc:functionCode represents the function or role of the member on the care team. For example, the care team member roles on the care team can be a caregiver and a professional nurse or a primary care provider and the care coordinator. XML: functionCode (urn:hl7-org:sdtc) Binding: Care Team Member Function ![]() | |
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0..1 | IVL_TS | ||
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0..1 | CE | ||
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C | 1..1 | AssignedEntity | 4515-180: If the assignedEntity/id is not referencing a Performer elsewhere in the document with an assignedPerson populated, this assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:4515-180). should-addr: SHOULD contain addr should-telecom: SHOULD contain telecom should-assignedPerson: SHOULD contain assignedPerson |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | 𝗨𝗦𝗖𝗗𝗜: Care Team Member Identifier | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI |
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0..1 | st | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: CDARoleCode (example) | |
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0..* | USRealmAddress | 𝗨𝗦𝗖𝗗𝗜: Care Team Member Location | |
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0..* | TEL | 𝗨𝗦𝗖𝗗𝗜: Care Team Member Telecom | |
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0..1 | Person | 𝗨𝗦𝗖𝗗𝗜: Care Team Member Name | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..1 | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassOrganization (required) Fixed Value: ORG | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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0..* | II | ||
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0..* | ON | ||
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1..* | TEL | ||
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1..* | USRealmAddress | ||
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0..1 | CE | Binding: OrganizationIndustryClassNAICS (example) | |
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0..1 | OrganizationPartOf | ||
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0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |
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1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..* | Author | ||
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0..* | Informant | ||
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0..* | Participant2 | Slice: Unordered, Open by value:typeCode | |
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0..* | Participant2 | This participant represents the location where the care team member provides the service. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Binding: CDAParticipationType (required) Fixed Value: LOC | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: functionCode (urn:hl7-org:sdtc) | |
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0..1 | IVL_TS | ||
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0..1 | CE | ||
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1..1 | ParticipantRole | ||
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0..* | Participant2 | This participant is used to express additional care team functions performed by this member of the team. Include additional participant to record additional roles (functionCode) this Care Team member plays. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Binding: CDAParticipationType (required) Fixed Value: IND | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc sdtc:functionCode XML: functionCode (urn:hl7-org:sdtc) Binding: Care Team Member Function ![]() | |
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0..1 | IVL_TS | ||
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0..1 | CE | ||
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1..1 | ParticipantRole | ||
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1..1 | cs | Binding: CDANullFlavor (required) Required Pattern: NA | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDARoleClassRoot (required) | |
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0..* | II | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: CDARoleCode (example) | |
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0..* | AD | ||
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0..* | TEL | ||
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0..1 | Device | ||
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0..1 | PlayingEntity | ||
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0..1 | Entity | ||
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0..* | EntryRelationship | Slice: Unordered, Open by profile:observation, profile:act, exists:encounter, exists:observation, exists:act | |
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0..* | EntryRelationship | entryRelationship | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR | |
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0..1 | bl | ||
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0..1 | bl | ||
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0..1 | bl | ||
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0..1 | INT | ||
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0..1 | BL | ||
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C | 1..1 | Encounter | 4515-90: If the first id does not match an encounter/id from an encounter elsewhere within the same document and the id does not contain @nullFlavor="NA", then this entry SHALL conform to the Encounter Activity (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.49:2015-08-01) (CONF:4515-90). |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Binding: CDAActClass (required) Fixed Value: ENC | |
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1..1 | cs | Binding: XDocumentEncounterMood (2.0.0) (required) | |
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1..1 | II | ||
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0..1 | CD | Binding: ActEncounterCode (example) | |
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0..1 | ED | ||
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0..1 | CS | Binding: ActStatus (required) | |
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0..1 | IVL_TS | ||
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0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: dischargeDispositionCode (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: ActPriority (example) | |
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0..1 | Subject | ||
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0..* | Specimen | ||
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0..* | Performer2 | ||
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0..* | Author | ||
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0..* | Informant | ||
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0..* | Participant2 | ||
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0..* | EntryRelationship | ||
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0..* | Reference | ||
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0..* | Precondition | ||
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0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc) | |
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0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |
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0..1 | ObservationMedia | ||
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0..1 | Organizer | ||
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0..1 | Procedure | ||
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0..1 | RegionOfInterest | ||
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0..1 | SubstanceAdministration | ||
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0..1 | Supply | ||
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0..* | EntryRelationship | This is the note activity to narratively describe information about the member on the care team. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR | |
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0..1 | bl | ||
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0..1 | bl | ||
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0..1 | bl | ||
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0..1 | INT | ||
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0..1 | BL | ||
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1..1 | NoteActivity | ||
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0..1 | ObservationMedia | ||
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0..1 | Organizer | ||
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0..1 | Procedure | ||
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0..1 | RegionOfInterest | ||
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0..1 | SubstanceAdministration | ||
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0..1 | Supply | ||
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0..1 | EntryRelationship | This is the schedule of when or how frequently the care team member participates (or provides care to the patient) on the care team. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR | |
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0..1 | bl | ||
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0..1 | bl | ||
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0..1 | bl | ||
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0..1 | INT | ||
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0..1 | BL | ||
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1..1 | CareTeamMemberScheduleObservation | ||
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0..1 | ObservationMedia | ||
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0..1 | Organizer | ||
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0..1 | Procedure | ||
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0..1 | RegionOfInterest | ||
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0..1 | SubstanceAdministration | ||
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0..1 | Supply | ||
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0..* | Reference | ||
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0..* | Precondition | ||
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0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc) | |
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0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |
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Path | Conformance | ValueSet / Code | URI |
Act.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.templateId:care-team-member-act.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.classCode | required | Fixed Value: PCPRhttp://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryAct|2.0.0 | |
Act.moodCode | required | Fixed Value: EVNhttp://terminology.hl7.org/ValueSet/v3-xDocumentActMood|2.0.0 | |
Act.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | |
Act.code.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.text.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.text.compression | required | CDACompressionAlgorithmhttp://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm | |
Act.text.integrityCheckAlgorithm | required | IntegrityCheckAlgorithmhttp://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0 | |
Act.text.mediaType | example | MediaTypehttp://terminology.hl7.org/ValueSet/v3-MediaType | |
Act.text.representation | required | BinaryDataEncodinghttp://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding | |
Act.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
Act.statusCode.code | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
Act.effectiveTime.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.effectiveTime.operator | required | CDASetOperatorhttp://hl7.org/cda/stds/core/ValueSet/CDASetOperator | |
Act.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
Act.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard | |
Act.performer.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.performer.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.performer.typeCode | required | Fixed Value: PRFhttp://terminology.hl7.org/ValueSet/v3-ParticipationPhysicalPerformer | |
Act.performer.sdtcFunctionCode | preferred | CareTeamMemberFunction ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 | |
Act.performer.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.performer.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.performer.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
Act.performer.assignedEntity.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.performer.assignedEntity.code | example | CDARoleCodehttp://hl7.org/cda/stds/core/ValueSet/CDARoleCode | |
Act.performer.assignedEntity.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.performer.assignedEntity.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.performer.assignedEntity.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
Act.performer.assignedEntity.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.performer.assignedEntity.representedOrganization.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.performer.assignedEntity.representedOrganization.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.performer.assignedEntity.representedOrganization.classCode | required | Fixed Value: ORGhttp://terminology.hl7.org/ValueSet/v3-EntityClassOrganization | |
Act.performer.assignedEntity.representedOrganization.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
Act.performer.assignedEntity.representedOrganization.standardIndustryClassCode | example | OrganizationIndustryClassNAICShttp://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS | |
Act.participant:location.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.participant:location.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.participant:location.typeCode | required | Fixed Value: LOChttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
Act.participant:location.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
Act.participant:addl-functions.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.participant:addl-functions.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.participant:addl-functions.typeCode | required | Fixed Value: INDhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
Act.participant:addl-functions.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
Act.participant:addl-functions.sdtcFunctionCode | required | CareTeamMemberFunction ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 | |
Act.participant:addl-functions.participantRole.nullFlavor | required | Pattern: NAhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.participant:addl-functions.participantRole.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.participant:addl-functions.participantRole.classCode | required | CDARoleClassRoothttp://hl7.org/cda/stds/core/ValueSet/CDARoleClassRoot | |
Act.participant:addl-functions.participantRole.code | example | CDARoleCodehttp://hl7.org/cda/stds/core/ValueSet/CDARoleCode | |
Act.entryRelationship:encounter.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.entryRelationship:encounter.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.entryRelationship:encounter.typeCode | required | Fixed Value: REFRhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Act.entryRelationship:encounter.encounter.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.entryRelationship:encounter.encounter.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.entryRelationship:encounter.encounter.classCode | required | Fixed Value: ENChttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
Act.entryRelationship:encounter.encounter.moodCode | required | XDocumentEncounterMoodhttp://terminology.hl7.org/ValueSet/v3-xDocumentEncounterMood|2.0.0 | |
Act.entryRelationship:encounter.encounter.code | example | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | |
Act.entryRelationship:encounter.encounter.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
Act.entryRelationship:encounter.encounter.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
Act.entryRelationship:note.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.entryRelationship:note.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.entryRelationship:note.typeCode | required | Fixed Value: REFRhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Act.entryRelationship:schedule.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.entryRelationship:schedule.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.entryRelationship:schedule.typeCode | required | Fixed Value: REFRhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship |
Id | Grade | Path(s) | Details | Requirements |
4515-90 | error | Act.entryRelationship:encounter.encounter | If the first id does not match an encounter/id from an encounter elsewhere within the same document and the id does not contain @nullFlavor="NA", then this entry SHALL conform to the Encounter Activity (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.49:2015-08-01) (CONF:4515-90). : id.first().nullFlavor = 'NA' or (%resource.descendants().ofType(CDA.Encounter).where(hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/EncounterActivity') and id.exists($this.root = %context.id.first().root and $this.extension ~ %context.id.first().extension))) | |
4515-180 | error | Act.performer.assignedEntity | If the assignedEntity/id is not referencing a Performer elsewhere in the document with an assignedPerson populated, this assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:4515-180). : assignedPerson.exists() or (%resource.descendants().ofType(CDA.Performer2).where(assignedEntity.assignedPerson.exists() and assignedEntity.id.exists($this.root = %context.id.first().root and $this.extension ~ %context.id.first().extension))) | |
II-1 | error | Act.typeId, Act.performer.typeId, Act.performer.assignedEntity.typeId, Act.performer.assignedEntity.assignedPerson.typeId, Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, Act.performer.assignedEntity.representedOrganization.typeId, Act.participant:location.typeId, Act.participant:addl-functions.typeId, Act.participant:addl-functions.participantRole.typeId, Act.entryRelationship:encounter.typeId, Act.entryRelationship:encounter.encounter.typeId, Act.entryRelationship:note.typeId, Act.entryRelationship:schedule.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists() | |
should-addr | warning | Act.performer.assignedEntity | SHOULD contain addr : addr.exists() | |
should-assignedPerson | warning | Act.performer.assignedEntity | SHOULD contain assignedPerson : assignedPerson.exists() | |
should-npi | warning | Act.performer.assignedEntity.id.root | SHOULD be NPI : $this = '2.16.840.1.113883.4.6' | |
should-telecom | warning | Act.performer.assignedEntity | SHOULD contain telecom : telecom.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('#') |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
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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 Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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1..* | II | Slice: Unordered, Open by value:root, value:extension | |
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1..1 | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.500.1 | |
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1..1 | st | Required Pattern: 2024-05-01 | |
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1..1 | cs | Binding: XActClassDocumentEntryAct (2.0.0) (required) Fixed Value: PCPR | |
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1..1 | cs | Binding: XDocumentActMood (2.0.0) (required) Fixed Value: EVN | |
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0..1 | bl | ||
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0..* | II | ||
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1..1 | CD | Care team information panel Binding: v3 Code System ActCode (example) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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1..1 | cs | Required Pattern: 92707-9 | |
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1..1 | oid, uuid, ruid | LOINC Required Pattern: 2.16.840.1.113883.6.1 | |
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CR | ||
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0..* | CD | ||
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0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | cs | Binding: CDACompressionAlgorithm (required) | |
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0..1 | bin | ||
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0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required) | |
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0..1 | cs | ||
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0..1 | cs | Binding: MediaType (example) | |
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0..1 | cs | Binding: CDABinaryDataEncoding (required) | |
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0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |
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C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative |
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0..1 | ED | ||
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1..1 | CS | Binding: ActStatus (required) | |
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1..1 | cs | Binding: ActStatus (required) | |
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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1..1 | IVL_TS | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
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0..1 | cs | Binding: CDASetOperator (required) | |
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1..1 | IVXB_TS | ||
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0..1 | TS | ||
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0..1 | PQ | ||
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0..1 | IVXB_TS | ||
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0..1 | CE | Binding: ActPriority (example) | |
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0..1 | CS | Binding: AllLanguages (required) | |
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0..1 | Subject | ||
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0..* | Specimen | ||
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1..1 | Performer2 | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: ParticipationPhysicalPerformer (required) Fixed Value: PRF | |
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0..1 | CE | XML Namespace: urn:hl7-org:sdtc 𝗨𝗦𝗖𝗗𝗜: Care Team Member Role - This sdtc:functionCode represents the function or role of the member on the care team. For example, the care team member roles on the care team can be a caregiver and a professional nurse or a primary care provider and the care coordinator. XML: functionCode (urn:hl7-org:sdtc) Binding: Care Team Member Function ![]() | |
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0..1 | IVL_TS | ||
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0..1 | CE | ||
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C | 1..1 | AssignedEntity | 4515-180: If the assignedEntity/id is not referencing a Performer elsewhere in the document with an assignedPerson populated, this assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:4515-180). should-addr: SHOULD contain addr should-telecom: SHOULD contain telecom should-assignedPerson: SHOULD contain assignedPerson |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
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1..* | II | 𝗨𝗦𝗖𝗗𝗜: Care Team Member Identifier | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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C | 0..1 | oid, uuid, ruid | should-npi: SHOULD be NPI |
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0..1 | st | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: CDARoleCode (example) | |
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0..* | USRealmAddress | 𝗨𝗦𝗖𝗗𝗜: Care Team Member Location | |
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0..* | TEL | 𝗨𝗦𝗖𝗗𝗜: Care Team Member Telecom | |
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0..1 | Person | 𝗨𝗦𝗖𝗗𝗜: Care Team Member Name | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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1..1 | USRealmPersonNamePNUSFIELDED | ||
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0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |
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0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Fixed Value: PRS | |
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0..1 | cs | Fixed Value: INSTANCE | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..1 | Organization | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: EntityClassOrganization (required) Fixed Value: ORG | |
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0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
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0..* | II | ||
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0..* | ON | ||
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1..* | TEL | ||
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1..* | USRealmAddress | ||
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0..1 | CE | Binding: OrganizationIndustryClassNAICS (example) | |
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0..1 | OrganizationPartOf | ||
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0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |
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1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |
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0..* | Author | ||
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0..* | Informant | ||
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0..* | Participant2 | Slice: Unordered, Open by value:typeCode | |
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0..* | Participant2 | This participant represents the location where the care team member provides the service. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Binding: CDAParticipationType (required) Fixed Value: LOC | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: functionCode (urn:hl7-org:sdtc) | |
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0..1 | IVL_TS | ||
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0..1 | CE | ||
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1..1 | ParticipantRole | ||
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0..* | Participant2 | This participant is used to express additional care team functions performed by this member of the team. Include additional participant to record additional roles (functionCode) this Care Team member plays. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Binding: CDAParticipationType (required) Fixed Value: IND | |
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0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |
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1..1 | CE | XML Namespace: urn:hl7-org:sdtc sdtc:functionCode XML: functionCode (urn:hl7-org:sdtc) Binding: Care Team Member Function ![]() | |
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0..1 | IVL_TS | ||
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0..1 | CE | ||
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1..1 | ParticipantRole | ||
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1..1 | cs | Binding: CDANullFlavor (required) Required Pattern: NA | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: CDARoleClassRoot (required) | |
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0..* | II | ||
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0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: CDARoleCode (example) | |
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0..* | AD | ||
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0..* | TEL | ||
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0..1 | Device | ||
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0..1 | PlayingEntity | ||
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0..1 | Entity | ||
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0..* | EntryRelationship | Slice: Unordered, Open by profile:observation, profile:act, exists:encounter, exists:observation, exists:act | |
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0..* | EntryRelationship | entryRelationship | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR | |
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0..1 | bl | ||
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0..1 | bl | ||
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0..1 | bl | ||
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0..1 | INT | ||
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0..1 | BL | ||
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C | 1..1 | Encounter | 4515-90: If the first id does not match an encounter/id from an encounter elsewhere within the same document and the id does not contain @nullFlavor="NA", then this entry SHALL conform to the Encounter Activity (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.49:2015-08-01) (CONF:4515-90). |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Binding: CDAActClass (required) Fixed Value: ENC | |
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1..1 | cs | Binding: XDocumentEncounterMood (2.0.0) (required) | |
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1..1 | II | ||
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0..1 | CD | Binding: ActEncounterCode (example) | |
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0..1 | ED | ||
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0..1 | CS | Binding: ActStatus (required) | |
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0..1 | IVL_TS | ||
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0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: dischargeDispositionCode (urn:hl7-org:sdtc) | |
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0..1 | CE | Binding: ActPriority (example) | |
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0..1 | Subject | ||
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0..* | Specimen | ||
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0..* | Performer2 | ||
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0..* | Author | ||
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0..* | Informant | ||
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0..* | Participant2 | ||
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0..* | EntryRelationship | ||
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0..* | Reference | ||
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0..* | Precondition | ||
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0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc) | |
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0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |
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0..1 | ObservationMedia | ||
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0..1 | Organizer | ||
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0..1 | Procedure | ||
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0..1 | RegionOfInterest | ||
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0..1 | SubstanceAdministration | ||
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0..1 | Supply | ||
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0..* | EntryRelationship | This is the note activity to narratively describe information about the member on the care team. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR | |
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0..1 | bl | ||
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0..1 | bl | ||
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0..1 | bl | ||
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0..1 | INT | ||
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0..1 | BL | ||
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1..1 | NoteActivity | ||
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0..1 | ObservationMedia | ||
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0..1 | Organizer | ||
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0..1 | Procedure | ||
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0..1 | RegionOfInterest | ||
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0..1 | SubstanceAdministration | ||
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0..1 | Supply | ||
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0..1 | EntryRelationship | This is the schedule of when or how frequently the care team member participates (or provides care to the patient) on the care team. | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR | |
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0..1 | bl | ||
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0..1 | bl | ||
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0..1 | bl | ||
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0..1 | INT | ||
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0..1 | BL | ||
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1..1 | CareTeamMemberScheduleObservation | ||
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0..1 | ObservationMedia | ||
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0..1 | Organizer | ||
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0..1 | Procedure | ||
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0..1 | RegionOfInterest | ||
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0..1 | SubstanceAdministration | ||
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0..1 | Supply | ||
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0..* | Reference | ||
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0..* | Precondition | ||
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0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc) | |
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0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |
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Path | Conformance | ValueSet / Code | URI |
Act.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.templateId:care-team-member-act.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.classCode | required | Fixed Value: PCPRhttp://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryAct|2.0.0 | |
Act.moodCode | required | Fixed Value: EVNhttp://terminology.hl7.org/ValueSet/v3-xDocumentActMood|2.0.0 | |
Act.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | |
Act.code.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.text.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.text.compression | required | CDACompressionAlgorithmhttp://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm | |
Act.text.integrityCheckAlgorithm | required | IntegrityCheckAlgorithmhttp://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0 | |
Act.text.mediaType | example | MediaTypehttp://terminology.hl7.org/ValueSet/v3-MediaType | |
Act.text.representation | required | BinaryDataEncodinghttp://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding | |
Act.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
Act.statusCode.code | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
Act.effectiveTime.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.effectiveTime.operator | required | CDASetOperatorhttp://hl7.org/cda/stds/core/ValueSet/CDASetOperator | |
Act.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
Act.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard | |
Act.performer.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.performer.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.performer.typeCode | required | Fixed Value: PRFhttp://terminology.hl7.org/ValueSet/v3-ParticipationPhysicalPerformer | |
Act.performer.sdtcFunctionCode | preferred | CareTeamMemberFunction ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 | |
Act.performer.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.performer.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.performer.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
Act.performer.assignedEntity.id.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.performer.assignedEntity.code | example | CDARoleCodehttp://hl7.org/cda/stds/core/ValueSet/CDARoleCode | |
Act.performer.assignedEntity.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.performer.assignedEntity.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.performer.assignedEntity.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
Act.performer.assignedEntity.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.performer.assignedEntity.representedOrganization.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.performer.assignedEntity.representedOrganization.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.performer.assignedEntity.representedOrganization.classCode | required | Fixed Value: ORGhttp://terminology.hl7.org/ValueSet/v3-EntityClassOrganization | |
Act.performer.assignedEntity.representedOrganization.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
Act.performer.assignedEntity.representedOrganization.standardIndustryClassCode | example | OrganizationIndustryClassNAICShttp://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS | |
Act.participant:location.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.participant:location.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.participant:location.typeCode | required | Fixed Value: LOChttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
Act.participant:location.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
Act.participant:addl-functions.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.participant:addl-functions.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.participant:addl-functions.typeCode | required | Fixed Value: INDhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
Act.participant:addl-functions.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
Act.participant:addl-functions.sdtcFunctionCode | required | CareTeamMemberFunction ![]() http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 | |
Act.participant:addl-functions.participantRole.nullFlavor | required | Pattern: NAhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.participant:addl-functions.participantRole.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.participant:addl-functions.participantRole.classCode | required | CDARoleClassRoothttp://hl7.org/cda/stds/core/ValueSet/CDARoleClassRoot | |
Act.participant:addl-functions.participantRole.code | example | CDARoleCodehttp://hl7.org/cda/stds/core/ValueSet/CDARoleCode | |
Act.entryRelationship:encounter.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.entryRelationship:encounter.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.entryRelationship:encounter.typeCode | required | Fixed Value: REFRhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Act.entryRelationship:encounter.encounter.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.entryRelationship:encounter.encounter.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.entryRelationship:encounter.encounter.classCode | required | Fixed Value: ENChttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
Act.entryRelationship:encounter.encounter.moodCode | required | XDocumentEncounterMoodhttp://terminology.hl7.org/ValueSet/v3-xDocumentEncounterMood|2.0.0 | |
Act.entryRelationship:encounter.encounter.code | example | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | |
Act.entryRelationship:encounter.encounter.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
Act.entryRelationship:encounter.encounter.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
Act.entryRelationship:note.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.entryRelationship:note.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.entryRelationship:note.typeCode | required | Fixed Value: REFRhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Act.entryRelationship:schedule.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.entryRelationship:schedule.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Act.entryRelationship:schedule.typeCode | required | Fixed Value: REFRhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship |
Id | Grade | Path(s) | Details | Requirements |
4515-90 | error | Act.entryRelationship:encounter.encounter | If the first id does not match an encounter/id from an encounter elsewhere within the same document and the id does not contain @nullFlavor="NA", then this entry SHALL conform to the Encounter Activity (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.49:2015-08-01) (CONF:4515-90). : id.first().nullFlavor = 'NA' or (%resource.descendants().ofType(CDA.Encounter).where(hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/EncounterActivity') and id.exists($this.root = %context.id.first().root and $this.extension ~ %context.id.first().extension))) | |
4515-180 | error | Act.performer.assignedEntity | If the assignedEntity/id is not referencing a Performer elsewhere in the document with an assignedPerson populated, this assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:4515-180). : assignedPerson.exists() or (%resource.descendants().ofType(CDA.Performer2).where(assignedEntity.assignedPerson.exists() and assignedEntity.id.exists($this.root = %context.id.first().root and $this.extension ~ %context.id.first().extension))) | |
II-1 | error | Act.typeId, Act.performer.typeId, Act.performer.assignedEntity.typeId, Act.performer.assignedEntity.assignedPerson.typeId, Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, Act.performer.assignedEntity.representedOrganization.typeId, Act.participant:location.typeId, Act.participant:addl-functions.typeId, Act.participant:addl-functions.participantRole.typeId, Act.entryRelationship:encounter.typeId, Act.entryRelationship:encounter.encounter.typeId, Act.entryRelationship:note.typeId, Act.entryRelationship:schedule.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists() | |
should-addr | warning | Act.performer.assignedEntity | SHOULD contain addr : addr.exists() | |
should-assignedPerson | warning | Act.performer.assignedEntity | SHOULD contain assignedPerson : assignedPerson.exists() | |
should-npi | warning | Act.performer.assignedEntity.id.root | SHOULD be NPI : $this = '2.16.840.1.113883.4.6' | |
should-telecom | warning | Act.performer.assignedEntity | SHOULD contain telecom : telecom.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('#') |
This structure is derived from Act
Summary
Mandatory: 11 elements(9 nested mandatory elements)
Fixed: 7 elements
Prohibited: 7 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices: