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

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

Logical Model: CareTeamMemberAct - Detailed Descriptions

Draft as of 2023-12-21

Definitions for the CareTeamMemberAct logical model.

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

0. Act
Logical ContainerClinicalDocument (CDA Class)
ValidationInstances of this type are validated by templateId
XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
2. Act.templateId
Control1..?
SlicingThis element introduces a set of slices on Act.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ root
  • value @ extension
4. Act.templateId:care-team-member-act
Slice Namecare-team-member-act
Control1..1
6. Act.templateId:care-team-member-act.root
Control1..?
Pattern Value2.16.840.1.113883.10.20.22.4.500.1
8. Act.templateId:care-team-member-act.extension
Control1..?
Pattern Value2022-06-01
10. Act.classCode
Comments

SHALL contain exactly one [1..1] @classCode="PCPR" Provision of Care (CONF:4515-53).

Fixed ValuePCPR
12. Act.moodCode
Comments

SHALL contain exactly one [1..1] @moodCode="EVN" Event (CONF:4515-54).

Fixed ValueEVN
14. Act.code
Comments

SHALL contain exactly one [1..1] code (CONF:4515-27).

16. Act.code.code
Comments

This code SHALL contain exactly one [1..1] @code="85847-2" Patient Care team information (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:4515-48).

Control1..?
Pattern Value85847-2
18. Act.code.codeSystem
Comments

This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" LOINC (CONF:4515-49).

Control1..?
Pattern Value2.16.840.1.113883.6.1
20. Act.text
ShortSHOULD reference the portion of section narrative text corresponding to this entry
22. Act.text.reference
Invariantsvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (value.exists() implies value.startsWith('#'))
24. Act.statusCode
Comments

SHALL contain exactly one [1..1] statusCode (CONF:4515-62).

Control1..?
26. Act.statusCode.code
Comments

This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ActStatus urn:oid:2.16.840.1.113883.1.11.15933 STATIC 2019-05-27 (CONF:4515-68).

Control1..?
BindingThe codes SHALL be taken from ActStatus
28. Act.effectiveTime
Comments

SHALL contain exactly one [1..1] effectiveTime (CONF:4515-33).

Control1..?
30. Act.effectiveTime.low
Comments

This effectiveTime SHALL contain exactly one [1..1] low (CONF:4515-167).

Control1..?
32. Act.effectiveTime.high
Comments

This effectiveTime MAY contain zero or one [0..1] high (CONF:4515-168).

34. Act.performer
Comments

SHALL contain exactly one [1..1] performer (CONF:4515-160)

Control1..1
36. Act.performer.sdtcFunctionCode
Short(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.
Comments

MAY contain zero or one [0..1] sdtc:functionCode, which SHOULD be selected from ValueSet Care Team Member Function urn:oid:2.16.840.1.113762.1.4.1099.30 DYNAMIC (CONF:4515-161).

BindingThe codes SHOULD be taken from Care Team Member Function
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namefunctionCode.
38. Act.performer.assignedEntity
Comments

SHALL contain exactly one [1..1] assignedEntity (CONF:4515-175).

Invariants4515-180: 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). (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: SHOULD contain addr (addr.exists())
should-telecom: SHOULD contain telecom (telecom.exists())
should-assignedPerson: SHOULD contain assignedPerson (assignedPerson.exists())
40. Act.performer.assignedEntity.id
Short(USCDI) Care Team Member Identifier
Comments

This assignedEntity SHALL contain at least one [1..*] id (CONF:4515-176).

42. Act.performer.assignedEntity.id.root
Comments

Such ids SHOULD contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4515-177).

Invariantsshould-npi: SHOULD be NPI ($this = '2.16.840.1.113883.4.6')
44. Act.performer.assignedEntity.addr
Short(USCDI) Care Team Member Location
Comments

This assignedEntity SHOULD contain zero or more [0..*] addr (CONF:4515-182).

Typehttp://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
46. Act.performer.assignedEntity.telecom
Short(USCDI) Care Team Member Telecom
Comments

This assignedEntity SHOULD contain zero or more [0..*] telecom (CONF:4515-183).

48. Act.performer.assignedEntity.assignedPerson
Short(USCDI) Care Team Member Name
Comments

This assignedEntity SHOULD contain zero or one [0..1] assignedPerson (CONF:4515-178).

50. Act.performer.assignedEntity.assignedPerson.name
Comments

The assignedPerson, if present, SHALL contain exactly one [1..1] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4515-179).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PN(US Realm Person Name (PN.US.FIELDED))
52. Act.performer.assignedEntity.representedOrganization
Comments

This assignedEntity MAY contain zero or one [0..1] representedOrganization (CONF:4515-181).

54. Act.performer.assignedEntity.representedOrganization.telecom
Control1..?
56. Act.performer.assignedEntity.representedOrganization.addr
Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
58. Act.participant
Comments

MAY contain zero or more [0..*] participant (CONF:4515-171) such that it

SlicingThis element introduces a set of slices on Act.participant. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ typeCode
60. Act.participant:location
Slice Namelocation
ShortparticThis participant represents the location where the care team member provides the serviceipant
Control0..*
62. Act.participant:location.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="LOC" Location (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90) (CONF:4515-174).

Fixed ValueLOC
64. Act.participant:location.participantRole
Comments

SHALL contain exactly one [1..1] participantRole (CONF:4515-173).

66. Act.participant:addl-functions
Slice Nameaddl-functions
ShortThis 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.
Comments

MAY contain zero or more [0..*] participant (CONF:4515-76) such that it

Control0..*
68. Act.participant:addl-functions.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="IND" Indirect Target (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90) (CONF:4515-78).

Fixed ValueIND
70. Act.participant:addl-functions.sdtcFunctionCode
Shortsdtc:functionCode
Comments

SHALL contain exactly one [1..1] sdtc:functionCode, which SHALL be selected from ValueSet Care Team Member Function urn:oid:2.16.840.1.113762.1.4.1099.30 DYNAMIC (CONF:4515-169).

Control1..?
BindingThe codes SHALL be taken from Care Team Member Function
72. Act.participant:addl-functions.participantRole
Comments

required element with fixed nullFlavor

74. Act.participant:addl-functions.participantRole.nullFlavor
Comments

This participantRole SHALL contain exactly one [1..1] @nullFlavor="NI" No Information. (CONF:4515-172).

Control1..?
Pattern ValueNA
76. Act.entryRelationship
Comments

MAY contain zero or one [0..1] entryRelationship (CONF:4515-94) such that it

SlicingThis element introduces a set of slices on Act.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • profile @ observation
  • profile @ act
  • exists @ encounter
  • exists @ observation
  • exists @ act
78. Act.entryRelationship:entryRelationship1
Slice NameentryRelationship1
ShortentryRelationship
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:4515-86) such that it

Control0..*
80. Act.entryRelationship:entryRelationship1.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-87).

Fixed ValueREFR
82. Act.entryRelationship:entryRelationship1.act
Control0..0
84. Act.entryRelationship:entryRelationship1.encounter
Comments

SHALL contain exactly one [1..1] encounter (CONF:4515-88).

Control1..?
Invariants4515-90: 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). (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))))
86. Act.entryRelationship:entryRelationship1.encounter.id
Comments

This encounter SHALL contain exactly one [1..1] id (CONF:4515-89).

Control1..1
88. Act.entryRelationship:entryRelationship1.observation
Control0..0
90. Act.entryRelationship:entryRelationship2
Slice NameentryRelationship2
ShortThis is the note activity to naratively describe information about the member on the care team.
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:4515-91) such that it

Control0..*
92. Act.entryRelationship:entryRelationship2.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-92).

Fixed ValueREFR
94. Act.entryRelationship:entryRelationship2.act
Comments

SHALL contain exactly one [1..1] Note Activity (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.202:2016-11-01) (CONF:4515-93).

Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Note Activity)
96. Act.entryRelationship:entryRelationship2.encounter
Control0..0
98. Act.entryRelationship:entryRelationship2.observation
Control0..0
100. Act.entryRelationship:entryRelationship3
Slice NameentryRelationship3
ShortThis is the schedule of when or how frequently the care team member participates (or provides care to the patient) on the care team.
Control0..1
102. Act.entryRelationship:entryRelationship3.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-96).

Fixed ValueREFR
104. Act.entryRelationship:entryRelationship3.act
Control0..0
106. Act.entryRelationship:entryRelationship3.encounter
Control0..0
108. Act.entryRelationship:entryRelationship3.observation
Comments

SHALL contain exactly one [1..1] Care Team Member Schedule Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.500.3:2022-06-01) (CONF:4515-95).

Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Care Team Member Schedule Observation)

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

0. Act
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.


Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Control10..1*
Is Modifierfalse
Logical ContainerClinicalDocument (CDA Class)
ValidationInstances of this type are validated by templateId
XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
2. Act.templateId
Definition

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

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
SlicingThis element introduces a set of slices on Act.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ root
  • value @ extension
4. Act.templateId:care-team-member-act
Slice Namecare-team-member-act
Definition

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

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
6. Act.templateId:care-team-member-act.root
Definition

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

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Pattern Value2.16.840.1.113883.10.20.22.4.500.1
8. Act.templateId:care-team-member-act.extension
Definition

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

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
Pattern Value2022-06-01
10. Act.classCode
Comments

SHALL contain exactly one [1..1] @classCode="PCPR" Provision of Care (CONF:4515-53).

Control1..1
BindingThe codes SHALL be taken from XActClassDocumentEntryAct (2.0.0)
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValuePCPR
12. Act.moodCode
Comments

SHALL contain exactly one [1..1] @moodCode="EVN" Event (CONF:4515-54).

Control1..1
BindingThe codes SHALL be taken from XDocumentActMood (2.0.0)
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueEVN
14. Act.code
Comments

SHALL contain exactly one [1..1] code (CONF:4515-27).

Control1..1
BindingFor example codes, see v3 Code System ActCode
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
16. Act.code.code
Definition

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

Comments

This code SHALL contain exactly one [1..1] @code="85847-2" Patient Care team information (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:4515-48).

Control1..1
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode
Pattern Value85847-2
18. Act.code.codeSystem
Definition

Specifies the code system that defines the code.

Comments

This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" LOINC (CONF:4515-49).

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System
Pattern Value2.16.840.1.113883.6.1
20. Act.text
ShortSHOULD reference the portion of section narrative text corresponding to this entry
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
22. Act.text.reference
Definition

A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
LabelReference
Invariantsvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (value.exists() implies value.startsWith('#'))
24. Act.statusCode
Comments

SHALL contain exactly one [1..1] statusCode (CONF:4515-62).

Control1..1
BindingThe codes SHALL be taken from ActStatus
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
26. Act.statusCode.code
Definition

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

Comments

This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ActStatus urn:oid:2.16.840.1.113883.1.11.15933 STATIC 2019-05-27 (CONF:4515-68).

Control1..1
BindingThe codes SHALL be taken from ActStatus
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode
28. Act.statusCode.codeSystem
Definition

Specifies the code system that defines the code.

Control0..0
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System
30. Act.statusCode.codeSystemName
Definition

The common name of the coding system.

Control0..0
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Name
32. Act.statusCode.codeSystemVersion
Definition

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

Control0..0
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Version
34. Act.statusCode.displayName
Definition

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

Control0..0
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplay Name
36. Act.statusCode.originalText
Definition

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

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
LabelOriginal Text
38. Act.statusCode.qualifier
Definition

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

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

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

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
XML FormatThe type of this property is determined using the xsi:typeattribute.
LabelTranslation
42. Act.effectiveTime
Comments

SHALL contain exactly one [1..1] effectiveTime (CONF:4515-33).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
44. Act.effectiveTime.low
Definition

This is the low limit of the interval.

Comments

This effectiveTime SHALL contain exactly one [1..1] low (CONF:4515-167).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
LabelLow Boundary
46. Act.effectiveTime.high
Definition

This is the high limit of the interval.

Comments

This effectiveTime MAY contain zero or one [0..1] high (CONF:4515-168).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
LabelHigh Boundary
48. Act.performer
Comments

SHALL contain exactly one [1..1] performer (CONF:4515-160)

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
50. Act.performer.sdtcFunctionCode
Short(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.
Comments

MAY contain zero or one [0..1] sdtc:functionCode, which SHOULD be selected from ValueSet Care Team Member Function urn:oid:2.16.840.1.113762.1.4.1099.30 DYNAMIC (CONF:4515-161).

Control0..1
BindingThe codes SHOULD be taken from Care Team Member Function
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namefunctionCode.
52. Act.performer.assignedEntity
Comments

SHALL contain exactly one [1..1] assignedEntity (CONF:4515-175).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity
Invariants4515-180: 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). (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: SHOULD contain addr (addr.exists())
should-telecom: SHOULD contain telecom (telecom.exists())
should-assignedPerson: SHOULD contain assignedPerson (assignedPerson.exists())
54. Act.performer.assignedEntity.id
Short(USCDI) Care Team Member Identifier
Comments

This assignedEntity SHALL contain at least one [1..*] id (CONF:4515-176).

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
56. Act.performer.assignedEntity.id.root
Definition

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

Comments

Such ids SHOULD contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4515-177).

Control0..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Invariantsshould-npi: SHOULD be NPI ($this = '2.16.840.1.113883.4.6')
58. Act.performer.assignedEntity.addr
Definition

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

Short(USCDI) Care Team Member Location
Comments

This assignedEntity SHOULD contain zero or more [0..*] addr (CONF:4515-182).

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
Is Modifierfalse
Invariantsshall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). (nullFlavor.exists() or item.city.count() = 1)
shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). (nullFlavor.exists() or (item.streetAddressLine.count() >= 1 and item.streetAddressLine.count() <= 4))
should-use: SHOULD contain @use (nullFlavor.exists() or use.exists())
should-country: SHOULD contain country (nullFlavor.exists() or item.country.exists())
81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) (item.xmlText.empty())
81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). (nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state')))
81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). (nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?')))
shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country ((item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1))
60. Act.performer.assignedEntity.telecom
Short(USCDI) Care Team Member Telecom
Comments

This assignedEntity SHOULD contain zero or more [0..*] telecom (CONF:4515-183).

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
62. Act.performer.assignedEntity.assignedPerson
Short(USCDI) Care Team Member Name
Comments

This assignedEntity SHOULD contain zero or one [0..1] assignedPerson (CONF:4515-178).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Person
64. Act.performer.assignedEntity.assignedPerson.name
Definition

A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are "Jim Bob Walton, Jr.", "Adam Everyman", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, "Jim", "Bob", "Walton", and "Jr.". PN differs from EN because the qualifier type cannot include LS (Legal Status).


A name associated with the person.

ShortBase for all types and resourcesA name associated with the person
Comments

The assignedPerson, if present, SHALL contain exactly one [1..1] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4515-179).


Person may have multiple names with different uses or applicable periods.

Control10..1*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PNHumanName(US Realm Person Name (PN.US.FIELDED))
Is Modifierfalse
Requirements

Need to be able to track the person by multiple names. Examples are your official name and a partner name.

Invariantspn-no-ls: No PN name part may have a qualifier of LS. ((item.delimiter | item.family | item.given | item.prefix | item.suffix).where(qualifier.where($this = 'LS').exists()).empty())
81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). (conformsTo('http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPatientNamePTNUSFIELDED') or item.xmlText.exists())
81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). (item.xmlText.exists() implies (item.delimiter | item.family | item.given | item.prefix | item.suffix).empty())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
66. Act.performer.assignedEntity.representedOrganization
Comments

This assignedEntity MAY contain zero or one [0..1] representedOrganization (CONF:4515-181).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organization
68. Act.performer.assignedEntity.representedOrganization.telecom
Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
70. Act.performer.assignedEntity.representedOrganization.addr
Definition

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

ShortBase for all types and resources
Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
Is Modifierfalse
Invariantsshall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). (nullFlavor.exists() or item.city.count() = 1)
shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). (nullFlavor.exists() or (item.streetAddressLine.count() >= 1 and item.streetAddressLine.count() <= 4))
should-use: SHOULD contain @use (nullFlavor.exists() or use.exists())
should-country: SHOULD contain country (nullFlavor.exists() or item.country.exists())
81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) (item.xmlText.empty())
81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). (nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state')))
81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). (nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?')))
shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country ((item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1))
72. Act.participant
Comments

MAY contain zero or more [0..*] participant (CONF:4515-171) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
SlicingThis element introduces a set of slices on Act.participant. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ typeCode
74. Act.participant:location
Slice Namelocation
ShortparticThis participant represents the location where the care team member provides the serviceipant
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
76. Act.participant:location.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="LOC" Location (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90) (CONF:4515-174).

Control1..1
BindingThe codes SHALL be taken from ParticipationType
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueLOC
78. Act.participant:location.participantRole
Comments

SHALL contain exactly one [1..1] participantRole (CONF:4515-173).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole
80. Act.participant:addl-functions
Slice Nameaddl-functions
ShortThis 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.
Comments

MAY contain zero or more [0..*] participant (CONF:4515-76) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
82. Act.participant:addl-functions.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="IND" Indirect Target (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90) (CONF:4515-78).

Control1..1
BindingThe codes SHALL be taken from ParticipationType
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueIND
84. Act.participant:addl-functions.sdtcFunctionCode
Shortsdtc:functionCode
Comments

SHALL contain exactly one [1..1] sdtc:functionCode, which SHALL be selected from ValueSet Care Team Member Function urn:oid:2.16.840.1.113762.1.4.1099.30 DYNAMIC (CONF:4515-169).

Control1..1
BindingThe codes SHALL be taken from Care Team Member Function
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namefunctionCode.
86. Act.participant:addl-functions.participantRole
Comments

required element with fixed nullFlavor

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole
88. Act.participant:addl-functions.participantRole.nullFlavor
Definition

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

Comments

This participantRole SHALL contain exactly one [1..1] @nullFlavor="NI" No Information. (CONF:4515-172).

Control1..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
Pattern ValueNA
90. Act.participant:addl-functions.participantRole.classCode
Control1..1
BindingThe codes SHALL be taken from RoleClassRoot
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default ValueROL
92. Act.entryRelationship
Comments

MAY contain zero or one [0..1] entryRelationship (CONF:4515-94) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
SlicingThis element introduces a set of slices on Act.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • profile @ observation
  • profile @ act
  • exists @ encounter
  • exists @ observation
  • exists @ act
94. Act.entryRelationship:entryRelationship1
Slice NameentryRelationship1
ShortentryRelationship
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:4515-86) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
96. Act.entryRelationship:entryRelationship1.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-87).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueREFR
98. Act.entryRelationship:entryRelationship1.act
Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
100. Act.entryRelationship:entryRelationship1.encounter
Comments

SHALL contain exactly one [1..1] encounter (CONF:4515-88).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
Invariants4515-90: 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). (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))))
102. Act.entryRelationship:entryRelationship1.encounter.classCode
Control1..1
BindingThe codes SHALL be taken from ActClass (2.0.0)
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueENC
104. Act.entryRelationship:entryRelationship1.encounter.moodCode
Control1..1
BindingThe codes SHALL be taken from XDocumentEncounterMood (2.0.0)
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
106. Act.entryRelationship:entryRelationship1.encounter.id
Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

ShortLogical id of this artifact
Comments

This encounter SHALL contain exactly one [1..1] id (CONF:4515-89).


Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.

Control10..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IIid
Is Modifierfalse
108. Act.entryRelationship:entryRelationship1.observation
Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
110. Act.entryRelationship:entryRelationship2
Slice NameentryRelationship2
ShortThis is the note activity to naratively describe information about the member on the care team.
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:4515-91) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
112. Act.entryRelationship:entryRelationship2.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-92).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueREFR
114. Act.entryRelationship:entryRelationship2.act
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Note Activity (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.202:2016-11-01) (CONF:4515-93).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Note Activity)
Is Modifierfalse
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
116. Act.entryRelationship:entryRelationship2.encounter
Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
118. Act.entryRelationship:entryRelationship2.observation
Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
120. Act.entryRelationship:entryRelationship3
Slice NameentryRelationship3
ShortThis is the schedule of when or how frequently the care team member participates (or provides care to the patient) on the care team.
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
122. Act.entryRelationship:entryRelationship3.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-96).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueREFR
124. Act.entryRelationship:entryRelationship3.act
Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
126. Act.entryRelationship:entryRelationship3.encounter
Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
128. Act.entryRelationship:entryRelationship3.observation
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Care Team Member Schedule Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.500.3:2022-06-01) (CONF:4515-95).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Care Team Member Schedule Observation)
Is Modifierfalse
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())

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

0. Act
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Control1..1
Is Modifierfalse
Logical ContainerClinicalDocument (CDA Class)
ValidationInstances of this type are validated by templateId
XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
2. Act.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
4. Act.realmCode
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
6. Act.typeId
Definition

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
8. Act.typeId.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
10. Act.typeId.assigningAuthorityName
Definition

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

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
12. Act.typeId.displayable
Definition

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

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
14. Act.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
16. Act.typeId.extension
Definition

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

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
18. Act.templateId
Definition

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

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
SlicingThis element introduces a set of slices on Act.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ root
  • value @ extension
20. Act.templateId:care-team-member-act
Slice Namecare-team-member-act
Definition

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

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
22. Act.templateId:care-team-member-act.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
24. Act.templateId:care-team-member-act.assigningAuthorityName
Definition

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

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
26. Act.templateId:care-team-member-act.displayable
Definition

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

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
28. Act.templateId:care-team-member-act.root
Definition

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

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Pattern Value2.16.840.1.113883.10.20.22.4.500.1
30. Act.templateId:care-team-member-act.extension
Definition

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

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
Pattern Value2022-06-01
32. Act.classCode
Comments

SHALL contain exactly one [1..1] @classCode="PCPR" Provision of Care (CONF:4515-53).

Control1..1
BindingThe codes SHALL be taken from XActClassDocumentEntryAct (2.0.0)
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValuePCPR
34. Act.moodCode
Comments

SHALL contain exactly one [1..1] @moodCode="EVN" Event (CONF:4515-54).

Control1..1
BindingThe codes SHALL be taken from XDocumentActMood (2.0.0)
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueEVN
36. Act.negationInd
Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
38. Act.id
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
40. Act.code
Comments

SHALL contain exactly one [1..1] code (CONF:4515-27).

Control1..1
BindingFor example codes, see v3 Code System ActCode
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
42. Act.code.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
44. Act.code.code
Definition

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

Comments

This code SHALL contain exactly one [1..1] @code="85847-2" Patient Care team information (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:4515-48).

Control1..1
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode
Pattern Value85847-2
46. Act.code.codeSystem
Definition

Specifies the code system that defines the code.

Comments

This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" LOINC (CONF:4515-49).

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System
Pattern Value2.16.840.1.113883.6.1
48. Act.code.codeSystemName
Definition

The common name of the coding system.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Name
50. Act.code.codeSystemVersion
Definition

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

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Version
52. Act.code.displayName
Definition

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

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplay Name
54. Act.code.sdtcValueSet
Definition

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

Control0..1
Typestring(oid: ISO Object Identifier)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSet.
56. Act.code.sdtcValueSetVersion
Definition

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

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSetVersion.
58. Act.code.originalText
Definition

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
LabelOriginal Text
60. Act.code.qualifier
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
LabelQualifier
62. Act.code.translation
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
XML FormatThe type of this property is determined using the xsi:typeattribute.
LabelTranslation
64. Act.text
ShortSHOULD reference the portion of section narrative text corresponding to this entry
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
66. Act.text.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
68. Act.text.compression
Definition

Indicates whether the raw byte data is compressed, and what compression algorithm was used.

Control0..1
BindingThe codes SHALL be taken from CompressionAlgorithm
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCompression
70. Act.text.integrityCheck
Definition

The integrity check is a short binary value representing a cryptographically strong checksum that is calculated over the binary data. The purpose of this property, when communicated with a reference is for anyone to validate later whether the reference still resolved to the same data that the reference resolved to when the encapsulated data value with reference was created.

Control0..1
Typebase64Binary(bin: Binary Data)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelIntegrity Check
72. Act.text.integrityCheckAlgorithm
Definition

Specifies the algorithm used to compute the integrityCheck value. The cryptographically strong checksum algorithm Secure Hash Algorithm-1 (SHA-1) is currently the industry standard. It has superseded the MD5 algorithm only a couple of years ago, when certain flaws in the security of MD5 were discovered. Currently the SHA-1 hash algorithm is the default choice for the integrity check algorithm. Note that SHA-256 is also entering widespread usage.

Control0..1
BindingThe codes SHALL be taken from IntegrityCheckAlgorithm (2.0.0)
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelIntegrity Check Algorithm
74. Act.text.language
Definition

For character based information the language property specifies the human language of the text.

Control0..1
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelLanguage
76. Act.text.mediaType
Definition

Identifies the type of the encapsulated data and identifies a method to interpret or render the data.

Control0..1
BindingFor example codes, see MediaType
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelMedia Type
78. Act.text.representation
Control0..1
BindingThe codes SHALL be taken from Binary Data Encoding Value Set
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
80. Act.text.xmlText
Definition

Data that is primarily intended for human interpretation or for further machine processing is outside the scope of HL7. This includes unformatted or formatted written language, multimedia data, or structured information as defined by a different standard (e.g., XML-signatures.)

ShortAllows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
Comments

This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as unadorned text.
82. Act.text.reference
Definition

A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
LabelReference
Invariantsvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (value.exists() implies value.startsWith('#'))
84. Act.text.thumbnail
Definition

An abbreviated rendition of the full data. A thumbnail requires significantly fewer resources than the full data, while still maintaining some distinctive similarity with the full data. A thumbnail is typically used with by-reference encapsulated data. It allows a user to select data more efficiently before actually downloading through the reference.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
LabelThumbnail
86. Act.statusCode
Comments

SHALL contain exactly one [1..1] statusCode (CONF:4515-62).

Control1..1
BindingThe codes SHALL be taken from ActStatus
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
88. Act.statusCode.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
90. Act.statusCode.code
Definition

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

Comments

This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ActStatus urn:oid:2.16.840.1.113883.1.11.15933 STATIC 2019-05-27 (CONF:4515-68).

Control1..1
BindingThe codes SHALL be taken from ActStatus
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode
92. Act.statusCode.codeSystem
Definition

Specifies the code system that defines the code.

Control0..0
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System
94. Act.statusCode.codeSystemName
Definition

The common name of the coding system.

Control0..0
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Name
96. Act.statusCode.codeSystemVersion
Definition

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

Control0..0
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Version
98. Act.statusCode.displayName
Definition

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

Control0..0
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplay Name
100. Act.statusCode.sdtcValueSet
Definition

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

Control0..1
Typestring(oid: ISO Object Identifier)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSet.
102. Act.statusCode.sdtcValueSetVersion
Definition

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

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSetVersion.
104. Act.statusCode.originalText
Definition

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

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
LabelOriginal Text
106. Act.statusCode.qualifier
Definition

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

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
LabelQualifier
108. Act.statusCode.translation
Definition

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

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
XML FormatThe type of this property is determined using the xsi:typeattribute.
LabelTranslation
110. Act.effectiveTime
Comments

SHALL contain exactly one [1..1] effectiveTime (CONF:4515-33).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
112. Act.effectiveTime.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
114. Act.effectiveTime.value
Definition

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

Control0..1
TypedateTime(ts: Point in Time)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Date FormatYYYYMMDDHHMMSS.UUUU[+|-ZZzz]
XML FormatIn the XML format, this property is represented as an attribute.
116. Act.effectiveTime.operator
Definition

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

Control0..1
BindingThe codes SHALL be taken from SetOperator
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default ValueI
118. Act.effectiveTime.low
Definition

This is the low limit of the interval.

Comments

This effectiveTime SHALL contain exactly one [1..1] low (CONF:4515-167).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
LabelLow Boundary
120. Act.effectiveTime.center
Definition

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TS
LabelCentral Value
122. Act.effectiveTime.width
Definition

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PQ
LabelWidth
124. Act.effectiveTime.high
Definition

This is the high limit of the interval.

Comments

This effectiveTime MAY contain zero or one [0..1] high (CONF:4515-168).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
LabelHigh Boundary
126. Act.priorityCode
Control0..1
BindingFor example codes, see ActPriority
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
128. Act.languageCode
Control0..1
BindingThe codes SHALL be taken from AllLanguages
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
130. Act.subject
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Subject
132. Act.specimen
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Specimen
134. Act.performer
Comments

SHALL contain exactly one [1..1] performer (CONF:4515-160)

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
136. Act.performer.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
138. Act.performer.realmCode
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
140. Act.performer.typeId
Definition

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
142. Act.performer.typeId.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
144. Act.performer.typeId.assigningAuthorityName
Definition

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

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
146. Act.performer.typeId.displayable
Definition

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

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
148. Act.performer.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
150. Act.performer.typeId.extension
Definition

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

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
152. Act.performer.templateId
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
154. Act.performer.typeCode
Control0..1
BindingThe codes SHALL be taken from ParticipationPhysicalPerformer
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValuePRF
156. Act.performer.sdtcFunctionCode
Short(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.
Comments

MAY contain zero or one [0..1] sdtc:functionCode, which SHOULD be selected from ValueSet Care Team Member Function urn:oid:2.16.840.1.113762.1.4.1099.30 DYNAMIC (CONF:4515-161).

Control0..1
BindingThe codes SHOULD be taken from Care Team Member Function
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namefunctionCode.
158. Act.performer.time
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
160. Act.performer.modeCode
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
162. Act.performer.assignedEntity
Comments

SHALL contain exactly one [1..1] assignedEntity (CONF:4515-175).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity
Invariants4515-180: 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). (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: SHOULD contain addr (addr.exists())
should-telecom: SHOULD contain telecom (telecom.exists())
should-assignedPerson: SHOULD contain assignedPerson (assignedPerson.exists())
164. Act.performer.assignedEntity.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
166. Act.performer.assignedEntity.realmCode
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
168. Act.performer.assignedEntity.typeId
Definition

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
170. Act.performer.assignedEntity.typeId.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
172. Act.performer.assignedEntity.typeId.assigningAuthorityName
Definition

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

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
174. Act.performer.assignedEntity.typeId.displayable
Definition

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

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
176. Act.performer.assignedEntity.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
178. Act.performer.assignedEntity.typeId.extension
Definition

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

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
180. Act.performer.assignedEntity.templateId
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
182. Act.performer.assignedEntity.classCode
Control0..1
BindingThe codes SHALL be taken from RoleClassAssignedEntity
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueASSIGNED
184. Act.performer.assignedEntity.id
Short(USCDI) Care Team Member Identifier
Comments

This assignedEntity SHALL contain at least one [1..*] id (CONF:4515-176).

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
186. Act.performer.assignedEntity.id.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
188. Act.performer.assignedEntity.id.assigningAuthorityName
Definition

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

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
190. Act.performer.assignedEntity.id.displayable
Definition

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

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
192. Act.performer.assignedEntity.id.root
Definition

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

Comments

Such ids SHOULD contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:4515-177).

Control0..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Invariantsshould-npi: SHOULD be NPI ($this = '2.16.840.1.113883.4.6')
194. Act.performer.assignedEntity.id.extension
Definition

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

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
196. Act.performer.assignedEntity.sdtcIdentifiedBy
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameidentifiedBy.
198. Act.performer.assignedEntity.code
Control0..1
BindingFor example codes, see v3 Code System RoleCode
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
200. Act.performer.assignedEntity.addr
Definition

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

Short(USCDI) Care Team Member Location
Comments

This assignedEntity SHOULD contain zero or more [0..*] addr (CONF:4515-182).

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
Is Modifierfalse
Invariantsshall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). (nullFlavor.exists() or item.city.count() = 1)
shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). (nullFlavor.exists() or (item.streetAddressLine.count() >= 1 and item.streetAddressLine.count() <= 4))
should-use: SHOULD contain @use (nullFlavor.exists() or use.exists())
should-country: SHOULD contain country (nullFlavor.exists() or item.country.exists())
81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) (item.xmlText.empty())
81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). (nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state')))
81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). (nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?')))
shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country ((item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1))
202. Act.performer.assignedEntity.telecom
Short(USCDI) Care Team Member Telecom
Comments

This assignedEntity SHOULD contain zero or more [0..*] telecom (CONF:4515-183).

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
204. Act.performer.assignedEntity.assignedPerson
Short(USCDI) Care Team Member Name
Comments

This assignedEntity SHOULD contain zero or one [0..1] assignedPerson (CONF:4515-178).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Person
206. Act.performer.assignedEntity.assignedPerson.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
208. Act.performer.assignedEntity.assignedPerson.realmCode
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
210. Act.performer.assignedEntity.assignedPerson.typeId
Definition

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
212. Act.performer.assignedEntity.assignedPerson.typeId.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
214. Act.performer.assignedEntity.assignedPerson.typeId.assigningAuthorityName
Definition

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

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
216. Act.performer.assignedEntity.assignedPerson.typeId.displayable
Definition

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

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
218. Act.performer.assignedEntity.assignedPerson.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
220. Act.performer.assignedEntity.assignedPerson.typeId.extension
Definition

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

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
222. Act.performer.assignedEntity.assignedPerson.templateId
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
224. Act.performer.assignedEntity.assignedPerson.classCode
Control0..1
BindingThe codes SHALL be taken from EntityClassLivingSubject
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValuePSN
226. Act.performer.assignedEntity.assignedPerson.determinerCode
Control0..1
BindingThe codes SHALL be taken from EntityDeterminer
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueINSTANCE
228. Act.performer.assignedEntity.assignedPerson.name
Definition

A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are "Jim Bob Walton, Jr.", "Adam Everyman", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, "Jim", "Bob", "Walton", and "Jr.". PN differs from EN because the qualifier type cannot include LS (Legal Status).

ShortBase for all types and resources
Comments

The assignedPerson, if present, SHALL contain exactly one [1..1] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:4515-179).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PN(US Realm Person Name (PN.US.FIELDED))
Is Modifierfalse
Invariantspn-no-ls: No PN name part may have a qualifier of LS. ((item.delimiter | item.family | item.given | item.prefix | item.suffix).where(qualifier.where($this = 'LS').exists()).empty())
81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). (conformsTo('http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPatientNamePTNUSFIELDED') or item.xmlText.exists())
81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). (item.xmlText.exists() implies (item.delimiter | item.family | item.given | item.prefix | item.suffix).empty())
230. Act.performer.assignedEntity.assignedPerson.sdtcDesc
Definition

The desc extension allows multimedia depictions of patients, healthcare providers, or other individuals to be included in a CDA document.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namedesc.
232. Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship
Definition

Each participant role other than an informant/relatedEntity may have zero or more relationship roles with the patient. Each of these roles can be expressed with an asPatientRelationship element which further describes the type of role using a code element.

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameasPatientRelationship.
234. Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
236. Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.realmCode
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
238. Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId
Definition

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
240. Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
242. Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.assigningAuthorityName
Definition

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

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
244. Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.displayable
Definition

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

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
246. Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
248. Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.extension
Definition

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

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
250. Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.templateId
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
252. Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.classCode
Control1..1
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValuePRS
254. Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.determinerCode
Control0..1
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueINSTANCE
256. Act.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.code
Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.
258. Act.performer.assignedEntity.representedOrganization
Comments

This assignedEntity MAY contain zero or one [0..1] representedOrganization (CONF:4515-181).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organization
260. Act.performer.assignedEntity.representedOrganization.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
262. Act.performer.assignedEntity.representedOrganization.realmCode
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
264. Act.performer.assignedEntity.representedOrganization.typeId
Definition

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
266. Act.performer.assignedEntity.representedOrganization.typeId.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
268. Act.performer.assignedEntity.representedOrganization.typeId.assigningAuthorityName
Definition

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

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
270. Act.performer.assignedEntity.representedOrganization.typeId.displayable
Definition

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

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
272. Act.performer.assignedEntity.representedOrganization.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
274. Act.performer.assignedEntity.representedOrganization.typeId.extension
Definition

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

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
276. Act.performer.assignedEntity.representedOrganization.templateId
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
278. Act.performer.assignedEntity.representedOrganization.classCode
Control0..1
BindingThe codes SHALL be taken from EntityClassOrganization
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueORG
280. Act.performer.assignedEntity.representedOrganization.determinerCode
Control0..1
BindingThe codes SHALL be taken from EntityDeterminer
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueINSTANCE
282. Act.performer.assignedEntity.representedOrganization.id
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
284. Act.performer.assignedEntity.representedOrganization.name
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ON
286. Act.performer.assignedEntity.representedOrganization.telecom
Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
288. Act.performer.assignedEntity.representedOrganization.addr
Definition

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

ShortBase for all types and resources
Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
Is Modifierfalse
Invariantsshall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). (nullFlavor.exists() or item.city.count() = 1)
shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). (nullFlavor.exists() or (item.streetAddressLine.count() >= 1 and item.streetAddressLine.count() <= 4))
should-use: SHOULD contain @use (nullFlavor.exists() or use.exists())
should-country: SHOULD contain country (nullFlavor.exists() or item.country.exists())
81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) (item.xmlText.empty())
81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). (nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state')))
81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). (nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?')))
shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country ((item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1))
290. Act.performer.assignedEntity.representedOrganization.standardIndustryClassCode
Control0..1
BindingFor example codes, see OrganizationIndustryClassNAICS
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
292. Act.performer.assignedEntity.representedOrganization.asOrganizationPartOf
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/OrganizationPartOf
294. Act.performer.assignedEntity.sdtcPatient
Control0..1
Typehttp://hl7.org/fhir/StructureDefinition/Base
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namepatient.
296. Act.performer.assignedEntity.sdtcPatient.id
Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.
298. Act.author
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author
300. Act.informant
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Informant
302. Act.participant
Comments

MAY contain zero or more [0..*] participant (CONF:4515-171) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
SlicingThis element introduces a set of slices on Act.participant. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ typeCode
304. Act.participant:location
Slice Namelocation
ShortparticThis participant represents the location where the care team member provides the serviceipant
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
306. Act.participant:location.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
308. Act.participant:location.realmCode
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
310. Act.participant:location.typeId
Definition

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
312. Act.participant:location.typeId.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
314. Act.participant:location.typeId.assigningAuthorityName
Definition

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

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
316. Act.participant:location.typeId.displayable
Definition

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

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
318. Act.participant:location.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
320. Act.participant:location.typeId.extension
Definition

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

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
322. Act.participant:location.templateId
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
324. Act.participant:location.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="LOC" Location (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90) (CONF:4515-174).

Control1..1
BindingThe codes SHALL be taken from ParticipationType
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueLOC
326. Act.participant:location.contextControlCode
Control0..1
BindingThe codes SHALL be taken from ContextControl
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueOP
328. Act.participant:location.sdtcFunctionCode
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namefunctionCode.
330. Act.participant:location.time
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
332. Act.participant:location.awarenessCode
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
334. Act.participant:location.participantRole
Comments

SHALL contain exactly one [1..1] participantRole (CONF:4515-173).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole
336. Act.participant:addl-functions
Slice Nameaddl-functions
ShortThis 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.
Comments

MAY contain zero or more [0..*] participant (CONF:4515-76) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
338. Act.participant:addl-functions.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
340. Act.participant:addl-functions.realmCode
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
342. Act.participant:addl-functions.typeId
Definition

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
344. Act.participant:addl-functions.typeId.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
346. Act.participant:addl-functions.typeId.assigningAuthorityName
Definition

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

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
348. Act.participant:addl-functions.typeId.displayable
Definition

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

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
350. Act.participant:addl-functions.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
352. Act.participant:addl-functions.typeId.extension
Definition

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

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
354. Act.participant:addl-functions.templateId
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
356. Act.participant:addl-functions.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="IND" Indirect Target (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90) (CONF:4515-78).

Control1..1
BindingThe codes SHALL be taken from ParticipationType
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueIND
358. Act.participant:addl-functions.contextControlCode
Control0..1
BindingThe codes SHALL be taken from ContextControl
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueOP
360. Act.participant:addl-functions.sdtcFunctionCode
Shortsdtc:functionCode
Comments

SHALL contain exactly one [1..1] sdtc:functionCode, which SHALL be selected from ValueSet Care Team Member Function urn:oid:2.16.840.1.113762.1.4.1099.30 DYNAMIC (CONF:4515-169).

Control1..1
BindingThe codes SHALL be taken from Care Team Member Function
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namefunctionCode.
362. Act.participant:addl-functions.time
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
364. Act.participant:addl-functions.awarenessCode
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
366. Act.participant:addl-functions.participantRole
Comments

required element with fixed nullFlavor

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole
368. Act.participant:addl-functions.participantRole.nullFlavor
Definition

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

Comments

This participantRole SHALL contain exactly one [1..1] @nullFlavor="NI" No Information. (CONF:4515-172).

Control1..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
Pattern ValueNA
370. Act.participant:addl-functions.participantRole.realmCode
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
372. Act.participant:addl-functions.participantRole.typeId
Definition

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
374. Act.participant:addl-functions.participantRole.typeId.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
376. Act.participant:addl-functions.participantRole.typeId.assigningAuthorityName
Definition

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

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
378. Act.participant:addl-functions.participantRole.typeId.displayable
Definition

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

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
380. Act.participant:addl-functions.participantRole.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
382. Act.participant:addl-functions.participantRole.typeId.extension
Definition

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

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
384. Act.participant:addl-functions.participantRole.templateId
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
386. Act.participant:addl-functions.participantRole.classCode
Control1..1
BindingThe codes SHALL be taken from RoleClassRoot
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default ValueROL
388. Act.participant:addl-functions.participantRole.id
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
390. Act.participant:addl-functions.participantRole.sdtcIdentifiedBy
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameidentifiedBy.
392. Act.participant:addl-functions.participantRole.code
Control0..1
BindingFor example codes, see v3 Code System RoleCode
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
394. Act.participant:addl-functions.participantRole.addr
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/AD
396. Act.participant:addl-functions.participantRole.telecom
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
398. Act.participant:addl-functions.participantRole.playingDevice
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Device
400. Act.participant:addl-functions.participantRole.playingEntity
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PlayingEntity
402. Act.participant:addl-functions.participantRole.scopingEntity
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Entity
404. Act.entryRelationship
Comments

MAY contain zero or one [0..1] entryRelationship (CONF:4515-94) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
SlicingThis element introduces a set of slices on Act.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • profile @ observation
  • profile @ act
  • exists @ encounter
  • exists @ observation
  • exists @ act
406. Act.entryRelationship:entryRelationship1
Slice NameentryRelationship1
ShortentryRelationship
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:4515-86) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
408. Act.entryRelationship:entryRelationship1.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
410. Act.entryRelationship:entryRelationship1.realmCode
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
412. Act.entryRelationship:entryRelationship1.typeId
Definition

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
414. Act.entryRelationship:entryRelationship1.typeId.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
416. Act.entryRelationship:entryRelationship1.typeId.assigningAuthorityName
Definition

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

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
418. Act.entryRelationship:entryRelationship1.typeId.displayable
Definition

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

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
420. Act.entryRelationship:entryRelationship1.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
422. Act.entryRelationship:entryRelationship1.typeId.extension
Definition

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

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
424. Act.entryRelationship:entryRelationship1.templateId
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
426. Act.entryRelationship:entryRelationship1.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-87).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueREFR
428. Act.entryRelationship:entryRelationship1.inversionInd
Definition

The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
430. Act.entryRelationship:entryRelationship1.contextConductionInd
Definition

The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default Valuetrue
432. Act.entryRelationship:entryRelationship1.negationInd
Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
434. Act.entryRelationship:entryRelationship1.sequenceNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
436. Act.entryRelationship:entryRelationship1.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
438. Act.entryRelationship:entryRelationship1.act
Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
440. Act.entryRelationship:entryRelationship1.encounter
Comments

SHALL contain exactly one [1..1] encounter (CONF:4515-88).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
Invariants4515-90: 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). (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))))
442. Act.entryRelationship:entryRelationship1.encounter.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
444. Act.entryRelationship:entryRelationship1.encounter.realmCode
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
446. Act.entryRelationship:entryRelationship1.encounter.typeId
Definition

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
448. Act.entryRelationship:entryRelationship1.encounter.typeId.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
450. Act.entryRelationship:entryRelationship1.encounter.typeId.assigningAuthorityName
Definition

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

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
452. Act.entryRelationship:entryRelationship1.encounter.typeId.displayable
Definition

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

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
454. Act.entryRelationship:entryRelationship1.encounter.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
456. Act.entryRelationship:entryRelationship1.encounter.typeId.extension
Definition

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

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
458. Act.entryRelationship:entryRelationship1.encounter.templateId
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
460. Act.entryRelationship:entryRelationship1.encounter.classCode
Control1..1
BindingThe codes SHALL be taken from ActClass (2.0.0)
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueENC
462. Act.entryRelationship:entryRelationship1.encounter.moodCode
Control1..1
BindingThe codes SHALL be taken from XDocumentEncounterMood (2.0.0)
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
464. Act.entryRelationship:entryRelationship1.encounter.id
Comments

This encounter SHALL contain exactly one [1..1] id (CONF:4515-89).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
466. Act.entryRelationship:entryRelationship1.encounter.code
Control0..1
BindingFor example codes, see ActEncounterCode
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
468. Act.entryRelationship:entryRelationship1.encounter.text
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
470. Act.entryRelationship:entryRelationship1.encounter.statusCode
Control0..1
BindingThe codes SHALL be taken from ActStatus
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
472. Act.entryRelationship:entryRelationship1.encounter.effectiveTime
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
474. Act.entryRelationship:entryRelationship1.encounter.sdtcDischargeDispositionCode
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namedischargeDispositionCode.
476. Act.entryRelationship:entryRelationship1.encounter.priorityCode
Control0..1
BindingFor example codes, see ActPriority
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
478. Act.entryRelationship:entryRelationship1.encounter.subject
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Subject
480. Act.entryRelationship:entryRelationship1.encounter.specimen
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Specimen
482. Act.entryRelationship:entryRelationship1.encounter.performer
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
484. Act.entryRelationship:entryRelationship1.encounter.author
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author
486. Act.entryRelationship:entryRelationship1.encounter.informant
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Informant
488. Act.entryRelationship:entryRelationship1.encounter.participant
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
490. Act.entryRelationship:entryRelationship1.encounter.entryRelationship
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
492. Act.entryRelationship:entryRelationship1.encounter.reference
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Reference
494. Act.entryRelationship:entryRelationship1.encounter.precondition
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition
496. Act.entryRelationship:entryRelationship1.encounter.sdtcPrecondition2
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition2
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameprecondition2.
498. Act.entryRelationship:entryRelationship1.encounter.sdtcInFulfillmentOf1
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameinFulfillmentOf1.
500. Act.entryRelationship:entryRelationship1.observation
Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
502. Act.entryRelationship:entryRelationship1.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
504. Act.entryRelationship:entryRelationship1.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
506. Act.entryRelationship:entryRelationship1.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
508. Act.entryRelationship:entryRelationship1.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
510. Act.entryRelationship:entryRelationship1.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
512. Act.entryRelationship:entryRelationship1.supply
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
514. Act.entryRelationship:entryRelationship2
Slice NameentryRelationship2
ShortThis is the note activity to naratively describe information about the member on the care team.
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:4515-91) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
516. Act.entryRelationship:entryRelationship2.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
518. Act.entryRelationship:entryRelationship2.realmCode
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
520. Act.entryRelationship:entryRelationship2.typeId
Definition

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
522. Act.entryRelationship:entryRelationship2.typeId.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
524. Act.entryRelationship:entryRelationship2.typeId.assigningAuthorityName
Definition

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

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
526. Act.entryRelationship:entryRelationship2.typeId.displayable
Definition

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

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
528. Act.entryRelationship:entryRelationship2.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
530. Act.entryRelationship:entryRelationship2.typeId.extension
Definition

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

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
532. Act.entryRelationship:entryRelationship2.templateId
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
534. Act.entryRelationship:entryRelationship2.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-92).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueREFR
536. Act.entryRelationship:entryRelationship2.inversionInd
Definition

The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
538. Act.entryRelationship:entryRelationship2.contextConductionInd
Definition

The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default Valuetrue
540. Act.entryRelationship:entryRelationship2.negationInd
Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
542. Act.entryRelationship:entryRelationship2.sequenceNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
544. Act.entryRelationship:entryRelationship2.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
546. Act.entryRelationship:entryRelationship2.act
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Note Activity (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.202:2016-11-01) (CONF:4515-93).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Note Activity)
Is Modifierfalse
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
548. Act.entryRelationship:entryRelationship2.encounter
Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
550. Act.entryRelationship:entryRelationship2.observation
Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
552. Act.entryRelationship:entryRelationship2.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
554. Act.entryRelationship:entryRelationship2.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
556. Act.entryRelationship:entryRelationship2.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
558. Act.entryRelationship:entryRelationship2.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
560. Act.entryRelationship:entryRelationship2.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
562. Act.entryRelationship:entryRelationship2.supply
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
564. Act.entryRelationship:entryRelationship3
Slice NameentryRelationship3
ShortThis is the schedule of when or how frequently the care team member participates (or provides care to the patient) on the care team.
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
566. Act.entryRelationship:entryRelationship3.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
568. Act.entryRelationship:entryRelationship3.realmCode
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
570. Act.entryRelationship:entryRelationship3.typeId
Definition

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
572. Act.entryRelationship:entryRelationship3.typeId.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
574. Act.entryRelationship:entryRelationship3.typeId.assigningAuthorityName
Definition

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

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
576. Act.entryRelationship:entryRelationship3.typeId.displayable
Definition

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

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
578. Act.entryRelationship:entryRelationship3.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
580. Act.entryRelationship:entryRelationship3.typeId.extension
Definition

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

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
582. Act.entryRelationship:entryRelationship3.templateId
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
584. Act.entryRelationship:entryRelationship3.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-96).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueREFR
586. Act.entryRelationship:entryRelationship3.inversionInd
Definition

The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
588. Act.entryRelationship:entryRelationship3.contextConductionInd
Definition

The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default Valuetrue
590. Act.entryRelationship:entryRelationship3.negationInd
Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
592. Act.entryRelationship:entryRelationship3.sequenceNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
594. Act.entryRelationship:entryRelationship3.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
596. Act.entryRelationship:entryRelationship3.act
Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
598. Act.entryRelationship:entryRelationship3.encounter
Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
600. Act.entryRelationship:entryRelationship3.observation
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Care Team Member Schedule Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.500.3:2022-06-01) (CONF:4515-95).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Care Team Member Schedule Observation)
Is Modifierfalse
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
602. Act.entryRelationship:entryRelationship3.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
604. Act.entryRelationship:entryRelationship3.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
606. Act.entryRelationship:entryRelationship3.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
608. Act.entryRelationship:entryRelationship3.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
610. Act.entryRelationship:entryRelationship3.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
612. Act.entryRelationship:entryRelationship3.supply
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
614. Act.reference
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Reference
616. Act.precondition
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition
618. Act.sdtcPrecondition2
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition2
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameprecondition2.
620. Act.sdtcInFulfillmentOf1
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameinFulfillmentOf1.