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: PolicyActivity - Detailed Descriptions

Draft as of 2023-12-21

Definitions for the PolicyActivity 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())
should-effectiveTime: SHOULD contain effectiveTime (effectiveTime.exists())
4537-17139: When the Subscriber is the patient (COV participant code = 'SELF'), the participant element describing the subscriber **SHALL NOT** be present. This information will be recorded instead in the data elements used to record member information (CONF:4537-17139). (participant.where(typeCode='COV').participantRole.code.where(code = 'SELF') implies participant.where(typeCode='HLD').empty())
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:policy-activity
Slice Namepolicy-activity
Control1..1
6. Act.templateId:policy-activity.root
Control1..?
Pattern Value2.16.840.1.113883.10.20.22.4.61
8. Act.templateId:policy-activity.extension
Control1..?
Pattern Value2024-05-01
10. Act.classCode
Comments

SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:4537-8898).

Fixed ValueACT
12. Act.moodCode
Comments

SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:4537-8899).

Fixed ValueEVN
14. Act.id
Short(USCDI) **GROUP NUMBER**: This is the identifier used to uniquely refer to a specific health insurance plan.
Comments

SHALL contain at least one [1..*] id (CONF:4537-8901).

Control1..?
16. Act.code
18. Act.code.code
BindingThe codes SHOULD be taken from Payer Type
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:4537-8902).

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

This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:4537-19109).

Control1..?
Fixed Valuecompleted
28. Act.effectiveTime
ShortThis records the policy coverage period, or self-pay period.
30. Act.performer
Comments

SHOULD contain zero or more [0..*] performer (CONF:4537-8961) such that it

Control1..?
SlicingThis element introduces a set of slices on Act.performer. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ templateId.root
32. Act.performer:performer1
Slice Nameperformer1
ShortThis performer represents the Payer.
Comments

SHALL contain exactly one [1..1] performer (CONF:4537-8906) such that it

Control1..1
34. Act.performer:performer1.templateId
Comments

SHALL contain exactly one [1..1] templateId (CONF:4537-16808), SHALL not contain [0..0] extension..

Control1..1
36. Act.performer:performer1.templateId.root
Comments

This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.87" Payer Performer (CONF:4537-16809).

Control1..?
Pattern Value2.16.840.1.113883.10.20.22.4.87
38. Act.performer:performer1.templateId.extension
Control0..0
40. Act.performer:performer1.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="PRF" Performer (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:4537-8907).

Control1..?
42. Act.performer:performer1.assignedEntity
Comments

SHALL contain exactly one [1..1] assignedEntity (CONF:4537-8908).

Invariantsshould-code: SHOULD contain code (code.exists())
should-representedOrganization: SHOULD contain representedOrganization (representedOrganization.exists())
44. Act.performer:performer1.assignedEntity.id
Short(USCDI) **PAYER IDENTIFIER**: This is the Payer id. The root is a unique identifier to an openly available assigning authority, such as National Association of Insurance Commissioners (NAIC) (2.16.840.1.113883.6.300), and the extension identifiers the payer within that authority.
Comments

This assignedEntity SHALL contain at least one [1..*] id (CONF:4537-8909).

46. Act.performer:performer1.assignedEntity.code
Comments

This assignedEntity SHOULD contain zero or one [0..1] code (CONF:4537-8914).

48. Act.performer:performer1.assignedEntity.code.code
Comments

The code, if present, SHALL contain exactly one [1..1] @code, which SHOULD be selected from ValueSet Financially Responsible Party Type Value Set urn:oid:2.16.840.1.113883.1.11.10416 DYNAMIC (CONF:4537-15992).

Control1..?
BindingThe codes SHOULD be taken from Financially Responsible Party Type Value Set
50. Act.performer:performer1.assignedEntity.addr
Comments

This assignedEntity MAY contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-8910).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
52. Act.performer:performer1.assignedEntity.telecom
Comments

This assignedEntity MAY contain zero or more [0..*] telecom (CONF:4537-8911).

54. Act.performer:performer1.assignedEntity.representedOrganization
Comments

This assignedEntity SHOULD contain zero or one [0..1] representedOrganization (CONF:4537-8912).

Invariantsshould-name: SHOULD contain name (name.exists())
56. Act.performer:performer1.assignedEntity.representedOrganization.name
Comments

The representedOrganization, if present, SHOULD contain zero or one [0..1] name (CONF:4537-8913).

Control0..1
58. Act.performer:performer2
Slice Nameperformer2
ShortThis performer represents the Guarantor.
Control0..*
Invariantsshould-time: SHOULD contain time (time.exists())
60. Act.performer:performer2.templateId
Comments

SHALL contain exactly one [1..1] templateId (CONF:4537-16810), SHALL not contain [0..0] extension.

Control1..1
62. Act.performer:performer2.templateId.root
Comments

This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.88" Guarantor Performer (CONF:4537-16811).

Control1..?
Pattern Value2.16.840.1.113883.10.20.22.4.88
64. Act.performer:performer2.templateId.extension
Control0..0
66. Act.performer:performer2.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="PRF" Performer (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90) (CONF:4537-32971).

Control1..?
68. Act.performer:performer2.time
Comments

SHOULD contain zero or one [0..1] time (CONF:4537-8963).

70. Act.performer:performer2.assignedEntity
Comments

SHALL contain exactly one [1..1] assignedEntity (CONF:4537-8962).

Invariants4537-8967: **SHOULD** include assignedEntity/assignedPerson/name AND/OR assignedEntity/representedOrganization/name (CONF:4537-8967). (assignedPerson.name.exists() or representedOrganization.name.exists())
should-addr: SHOULD contain addr (addr.exists())
should-telecom: SHOULD contain telecom (telecom.exists())
72. Act.performer:performer2.assignedEntity.code
Comments

This assignedEntity SHALL contain exactly one [1..1] code (CONF:4537-8968).

Control1..?
74. Act.performer:performer2.assignedEntity.code.code
Comments

This code SHALL contain exactly one [1..1] @code="GUAR" Guarantor (CONF:4537-16096).

Control1..?
Pattern ValueGUAR
76. Act.performer:performer2.assignedEntity.code.codeSystem
Comments

This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.110" (CONF:4537-32165).

Control1..?
Pattern Value2.16.840.1.113883.5.110
78. Act.performer:performer2.assignedEntity.addr
Comments

This assignedEntity SHOULD contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-8964).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
80. Act.performer:performer2.assignedEntity.telecom
Comments

This assignedEntity SHOULD contain zero or more [0..*] telecom (CONF:4537-8965).

82. Act.participant
Comments

SHOULD contain zero or one [0..1] participant (CONF:4537-8934) such that it

Control1..?
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
84. Act.participant:coverage-target
Slice Namecoverage-target
Shortparticipant
Comments

SHALL contain exactly one [1..1] participant (CONF:4537-8916) such that it

Control1..1
Invariantsshould-time: SHOULD contain time (time.exists())
86. Act.participant:coverage-target.templateId
Comments

SHALL contain exactly one [1..1] templateId (CONF:4537-16812), SHALL not contain [0..0] extension.

Control1..1
88. Act.participant:coverage-target.templateId.root
Comments

This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.89" Covered Party Participant (CONF:4537-16814).

Control1..?
Pattern Value2.16.840.1.113883.10.20.22.4.89
90. Act.participant:coverage-target.templateId.extension
Control0..0
92. Act.participant:coverage-target.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="COV" Coverage target (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:4537-8917).

Fixed ValueCOV
94. Act.participant:coverage-target.time
Comments

SHOULD contain zero or one [0..1] time (CONF:4537-8918).

Invariantsshould-low: SHOULD contain low (low.exists())
should-high: SHOULD contain high (high.exists())
96. Act.participant:coverage-target.time.low
Comments

The time, if present, SHOULD contain zero or one [0..1] low (CONF:4537-8919).

98. Act.participant:coverage-target.time.high
Comments

The time, if present, SHOULD contain zero or one [0..1] high (CONF:4537-8920).

100. Act.participant:coverage-target.participantRole
Comments

SHALL contain exactly one [1..1] participantRole (CONF:4537-8921).

Invariantsshould-addr: SHOULD contain addr (addr.exists())
should-playingEntity: SHOULD contain playingEntity (playingEntity.exists())
102. Act.participant:coverage-target.participantRole.id
Short(USCDI) **MEMBER IDENTIFIER**: This id is a unique identifier for the covered party member. Implementers **SHOULD** use the same GUID for each instance of a member identifier from the same health plan (CONF:4537-8984).
Comments

This participantRole SHALL contain at least one [1..*] id (CONF:4537-8922).

Control1..?
104. Act.participant:coverage-target.participantRole.code
Short(USCDI) **RELATIONSHIP TO SUBSCRIBER**: Records the relationship of a patient to the primary insured person.
Comments

This participantRole SHALL contain exactly one [1..1] code (CONF:4537-8923).

Control1..?
Invariantsshould-code-attr: SHOULD contain @code (code.exists())
106. Act.participant:coverage-target.participantRole.code.code
Comments

This code SHOULD contain zero or one [0..1] @code, which SHOULD be selected from ValueSet Coverage Role Type Value Set urn:oid:2.16.840.1.113883.1.11.18877 DYNAMIC (CONF:4537-16078).

BindingThe codes SHOULD be taken from Coverage Role Type Value Set
108. Act.participant:coverage-target.participantRole.addr
Comments

This participantRole SHOULD contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-8956).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
110. Act.participant:coverage-target.participantRole.playingEntity
ShortThis playingEntity records the covered party name and birthTime as represented by the health plan. This could match the information in recordTarget, or be different due to marriage or other reasons.
Comments

This participantRole SHOULD contain zero or one [0..1] playingEntity (CONF:4537-8932).

112. Act.participant:coverage-target.participantRole.playingEntity.name
Comments

The playingEntity, if present, SHALL contain exactly one [1..1] name (CONF:4537-8930).

Control1..1
114. Act.participant:coverage-target.participantRole.playingEntity.sdtcBirthTime
Shortsdtc:birthTime
Comments

The playingEntity, if present, SHALL contain exactly one [1..1] sdtc:birthTime (CONF:4537-31344).

Control1..?
116. Act.participant:subscriber
Slice Namesubscriber
ShortWhen the Subscriber is the patient, the participant element describing the subscriber *SHALL NOT* be present. This information will be recorded instead in the data elements used to record member information.
Control0..1
118. Act.participant:subscriber.templateId
Comments

SHALL contain exactly one [1..1] templateId (CONF:4537-16813), SHALL not contain [0..0] extension.

Control1..1
120. Act.participant:subscriber.templateId.root
Comments

This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.90" Policy Holder Participant (CONF:4537-16815).

Control1..?
Pattern Value2.16.840.1.113883.10.20.22.4.90
122. Act.participant:subscriber.templateId.extension
Control0..0
124. Act.participant:subscriber.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="HLD" Holder (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:4537-8935).

Fixed ValueHLD
126. Act.participant:subscriber.time
Comments

MAY contain zero or one [0..1] time (CONF:4537-8938).

128. Act.participant:subscriber.participantRole
Comments

SHALL contain exactly one [1..1] participantRole (CONF:4537-8936).

Invariantsshould-addr: SHOULD contain addr (addr.exists())
130. Act.participant:subscriber.participantRole.id
Short(USCDI) **SUBSCRIBER ID**: This id is a unique identifier for the subscriber of the coverage (CONF:4537-10120).
Comments

This participantRole SHALL contain at least one [1..*] id (CONF:4537-8937).

Control1..?
132. Act.participant:subscriber.participantRole.addr
Comments

This participantRole SHOULD contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-8925).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
134. Act.entryRelationship
SlicingThis element introduces a set of slices on Act.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ act.moodCode
136. Act.entryRelationship:authorization
Slice Nameauthorization
ShortentryRelationship
Comments

MAY contain one [0..*] entryRelationship (CONF:4537-8939) such that it

Control0..*
138. Act.entryRelationship:authorization.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:4537-8940).

Fixed ValueREFR
140. Act.entryRelationship:authorization.act
Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Authorization Activity)
142. Act.entryRelationship:plan
Slice Nameplan
ShortRepresents the Coverage Plan
Control0..*
144. Act.entryRelationship:plan.typeCode
Fixed ValueREFR
146. Act.entryRelationship:plan.act
Comments

A description of the coverage plan SHALL contain one or more act/id, to represent the plan identifier, and an act/text with the name of the plan (CONF:4537-8943).

Control1..?
148. Act.entryRelationship:plan.act.classCode
Fixed ValueACT
150. Act.entryRelationship:plan.act.moodCode
Fixed ValueDEF
152. Act.entryRelationship:plan.act.id
ShortPlan identifier
Control1..?
154. Act.entryRelationship:plan.act.text
ShortName of the plan
Control1..?

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())
should-effectiveTime: SHOULD contain effectiveTime (effectiveTime.exists())
4537-17139: When the Subscriber is the patient (COV participant code = 'SELF'), the participant element describing the subscriber **SHALL NOT** be present. This information will be recorded instead in the data elements used to record member information (CONF:4537-17139). (participant.where(typeCode='COV').participantRole.code.where(code = 'SELF') implies participant.where(typeCode='HLD').empty())
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:policy-activity
Slice Namepolicy-activity
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:policy-activity.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 Value2.16.840.1.113883.10.20.22.4.61
8. Act.templateId:policy-activity.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 Value2024-05-01
10. Act.classCode
Comments

SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:4537-8898).

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 ValueACT
12. Act.moodCode
Comments

SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:4537-8899).

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.id
Short(USCDI) **GROUP NUMBER**: This is the identifier used to uniquely refer to a specific health insurance plan.
Comments

SHALL contain at least one [1..*] id (CONF:4537-8901).

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

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

Control0..1
BindingThe codes SHOULD be taken from Payer Type
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
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:4537-8902).

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="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:4537-19109).

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
Fixed Valuecompleted
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
ShortThis records the policy coverage period, or self-pay period.
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
44. Act.performer
Comments

SHOULD contain zero or more [0..*] performer (CONF:4537-8961) such that it

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
SlicingThis element introduces a set of slices on Act.performer. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ templateId.root
46. Act.performer:performer1
Slice Nameperformer1
ShortThis performer represents the Payer.
Comments

SHALL contain exactly one [1..1] performer (CONF:4537-8906) such that it

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
48. Act.performer:performer1.templateId
Definition

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

Comments

SHALL contain exactly one [1..1] templateId (CONF:4537-16808), SHALL not contain [0..0] extension..

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
50. Act.performer:performer1.templateId.root
Definition

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

Comments

This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.87" Payer Performer (CONF:4537-16809).

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 Value2.16.840.1.113883.10.20.22.4.87
52. Act.performer:performer1.templateId.extension
Definition

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

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.
LabelExtension
54. Act.performer:performer1.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="PRF" Performer (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:4537-8907).

Control1..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
56. Act.performer:performer1.assignedEntity
Comments

SHALL contain exactly one [1..1] assignedEntity (CONF:4537-8908).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity
Invariantsshould-code: SHOULD contain code (code.exists())
should-representedOrganization: SHOULD contain representedOrganization (representedOrganization.exists())
58. Act.performer:performer1.assignedEntity.id
Short(USCDI) **PAYER IDENTIFIER**: This is the Payer id. The root is a unique identifier to an openly available assigning authority, such as National Association of Insurance Commissioners (NAIC) (2.16.840.1.113883.6.300), and the extension identifiers the payer within that authority.
Comments

This assignedEntity SHALL contain at least one [1..*] id (CONF:4537-8909).

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
60. Act.performer:performer1.assignedEntity.code
Comments

This assignedEntity SHOULD contain zero or one [0..1] code (CONF:4537-8914).

Control0..1
BindingFor example codes, see v3 Code System RoleCode
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
62. Act.performer:performer1.assignedEntity.code.code
Definition

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

Comments

The code, if present, SHALL contain exactly one [1..1] @code, which SHOULD be selected from ValueSet Financially Responsible Party Type Value Set urn:oid:2.16.840.1.113883.1.11.10416 DYNAMIC (CONF:4537-15992).

Control1..1
BindingThe codes SHOULD be taken from Financially Responsible Party Type 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.
LabelCode
64. Act.performer:performer1.assignedEntity.code.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
66. Act.performer:performer1.assignedEntity.addr
Definition

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

ShortBase for all types and resources
Comments

This assignedEntity MAY contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-8910).

Control0..1
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))
68. Act.performer:performer1.assignedEntity.telecom
Comments

This assignedEntity MAY contain zero or more [0..*] telecom (CONF:4537-8911).

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
70. Act.performer:performer1.assignedEntity.representedOrganization
Comments

This assignedEntity SHOULD contain zero or one [0..1] representedOrganization (CONF:4537-8912).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organization
Invariantsshould-name: SHOULD contain name (name.exists())
72. Act.performer:performer1.assignedEntity.representedOrganization.name
Definition

A name associated with the organization.

ShortName used for the organization
Comments

The representedOrganization, if present, SHOULD contain zero or one [0..1] name (CONF:4537-8913).


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

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

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

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
74. Act.performer:performer2
Slice Nameperformer2
ShortThis performer represents the Guarantor.
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
Invariantsshould-time: SHOULD contain time (time.exists())
76. Act.performer:performer2.templateId
Definition

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

Comments

SHALL contain exactly one [1..1] templateId (CONF:4537-16810), SHALL not contain [0..0] extension.

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
78. Act.performer:performer2.templateId.root
Definition

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

Comments

This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.88" Guarantor Performer (CONF:4537-16811).

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 Value2.16.840.1.113883.10.20.22.4.88
80. Act.performer:performer2.templateId.extension
Definition

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

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.
LabelExtension
82. Act.performer:performer2.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="PRF" Performer (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90) (CONF:4537-32971).

Control1..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
84. Act.performer:performer2.time
Comments

SHOULD contain zero or one [0..1] time (CONF:4537-8963).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
86. Act.performer:performer2.assignedEntity
Comments

SHALL contain exactly one [1..1] assignedEntity (CONF:4537-8962).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity
Invariants4537-8967: **SHOULD** include assignedEntity/assignedPerson/name AND/OR assignedEntity/representedOrganization/name (CONF:4537-8967). (assignedPerson.name.exists() or representedOrganization.name.exists())
should-addr: SHOULD contain addr (addr.exists())
should-telecom: SHOULD contain telecom (telecom.exists())
88. Act.performer:performer2.assignedEntity.id
Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
90. Act.performer:performer2.assignedEntity.code
Comments

This assignedEntity SHALL contain exactly one [1..1] code (CONF:4537-8968).

Control1..1
BindingFor example codes, see v3 Code System RoleCode
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
92. Act.performer:performer2.assignedEntity.code.code
Definition

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

Comments

This code SHALL contain exactly one [1..1] @code="GUAR" Guarantor (CONF:4537-16096).

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 ValueGUAR
94. Act.performer:performer2.assignedEntity.code.codeSystem
Definition

Specifies the code system that defines the code.

Comments

This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.110" (CONF:4537-32165).

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 Value2.16.840.1.113883.5.110
96. Act.performer:performer2.assignedEntity.code.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
98. Act.performer:performer2.assignedEntity.addr
Definition

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

ShortBase for all types and resources
Comments

This assignedEntity SHOULD contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-8964).

Control0..1
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))
100. Act.performer:performer2.assignedEntity.telecom
Comments

This assignedEntity SHOULD contain zero or more [0..*] telecom (CONF:4537-8965).

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
102. Act.participant
Comments

SHOULD contain zero or one [0..1] participant (CONF:4537-8934) such that it

Control1..*
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
104. Act.participant:coverage-target
Slice Namecoverage-target
Shortparticipant
Comments

SHALL contain exactly one [1..1] participant (CONF:4537-8916) such that it

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
Invariantsshould-time: SHOULD contain time (time.exists())
106. Act.participant:coverage-target.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

Comments

SHALL contain exactly one [1..1] templateId (CONF:4537-16812), SHALL not contain [0..0] extension.

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
108. Act.participant:coverage-target.templateId.root
Definition

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

Comments

This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.89" Covered Party Participant (CONF:4537-16814).

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 Value2.16.840.1.113883.10.20.22.4.89
110. Act.participant:coverage-target.templateId.extension
Definition

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

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.
LabelExtension
112. Act.participant:coverage-target.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="COV" Coverage target (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:4537-8917).

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 ValueCOV
114. Act.participant:coverage-target.time
Comments

SHOULD contain zero or one [0..1] time (CONF:4537-8918).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
Invariantsshould-low: SHOULD contain low (low.exists())
should-high: SHOULD contain high (high.exists())
116. Act.participant:coverage-target.time.low
Definition

This is the low limit of the interval.

Comments

The time, if present, SHOULD contain zero or one [0..1] low (CONF:4537-8919).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
LabelLow Boundary
118. Act.participant:coverage-target.time.high
Definition

This is the high limit of the interval.

Comments

The time, if present, SHOULD contain zero or one [0..1] high (CONF:4537-8920).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
LabelHigh Boundary
120. Act.participant:coverage-target.participantRole
Comments

SHALL contain exactly one [1..1] participantRole (CONF:4537-8921).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole
Invariantsshould-addr: SHOULD contain addr (addr.exists())
should-playingEntity: SHOULD contain playingEntity (playingEntity.exists())
122. Act.participant:coverage-target.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
124. Act.participant:coverage-target.participantRole.id
Short(USCDI) **MEMBER IDENTIFIER**: This id is a unique identifier for the covered party member. Implementers **SHOULD** use the same GUID for each instance of a member identifier from the same health plan (CONF:4537-8984).
Comments

This participantRole SHALL contain at least one [1..*] id (CONF:4537-8922).

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
126. Act.participant:coverage-target.participantRole.code
Short(USCDI) **RELATIONSHIP TO SUBSCRIBER**: Records the relationship of a patient to the primary insured person.
Comments

This participantRole SHALL contain exactly one [1..1] code (CONF:4537-8923).

Control1..1
BindingFor example codes, see v3 Code System RoleCode
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
Invariantsshould-code-attr: SHOULD contain @code (code.exists())
128. Act.participant:coverage-target.participantRole.code.code
Definition

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

Comments

This code SHOULD contain zero or one [0..1] @code, which SHOULD be selected from ValueSet Coverage Role Type Value Set urn:oid:2.16.840.1.113883.1.11.18877 DYNAMIC (CONF:4537-16078).

Control0..1
BindingThe codes SHOULD be taken from Coverage Role Type 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.
LabelCode
130. Act.participant:coverage-target.participantRole.code.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
132. Act.participant:coverage-target.participantRole.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
Comments

This participantRole SHOULD contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-8956).

Control0..1
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))
134. Act.participant:coverage-target.participantRole.playingEntity
ShortThis playingEntity records the covered party name and birthTime as represented by the health plan. This could match the information in recordTarget, or be different due to marriage or other reasons.
Comments

This participantRole SHOULD contain zero or one [0..1] playingEntity (CONF:4537-8932).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PlayingEntity
136. Act.participant:coverage-target.participantRole.playingEntity.classCode
Control1..1
BindingThe codes SHALL be taken from EntityClassRoot
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 ValueENT
138. Act.participant:coverage-target.participantRole.playingEntity.name
Comments

The playingEntity, if present, SHALL contain exactly one [1..1] name (CONF:4537-8930).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PN
140. Act.participant:coverage-target.participantRole.playingEntity.sdtcBirthTime
Definition

The purpose of this extension is to allow the recording of the subscriber or member of a health plan in cases where the health plan eligibility system has different information on file than the provider does for the patient.

Shortsdtc:birthTime
Comments

The playingEntity, if present, SHALL contain exactly one [1..1] sdtc:birthTime (CONF:4537-31344).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TS
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namebirthTime.
142. Act.participant:subscriber
Slice Namesubscriber
ShortWhen the Subscriber is the patient, the participant element describing the subscriber *SHALL NOT* be present. This information will be recorded instead in the data elements used to record member information.
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
144. Act.participant:subscriber.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

Comments

SHALL contain exactly one [1..1] templateId (CONF:4537-16813), SHALL not contain [0..0] extension.

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
146. Act.participant:subscriber.templateId.root
Definition

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

Comments

This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.90" Policy Holder Participant (CONF:4537-16815).

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 Value2.16.840.1.113883.10.20.22.4.90
148. Act.participant:subscriber.templateId.extension
Definition

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

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.
LabelExtension
150. Act.participant:subscriber.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="HLD" Holder (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:4537-8935).

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 ValueHLD
152. Act.participant:subscriber.time
Comments

MAY contain zero or one [0..1] time (CONF:4537-8938).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
154. Act.participant:subscriber.participantRole
Comments

SHALL contain exactly one [1..1] participantRole (CONF:4537-8936).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole
Invariantsshould-addr: SHOULD contain addr (addr.exists())
156. Act.participant:subscriber.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
158. Act.participant:subscriber.participantRole.id
Short(USCDI) **SUBSCRIBER ID**: This id is a unique identifier for the subscriber of the coverage (CONF:4537-10120).
Comments

This participantRole SHALL contain at least one [1..*] id (CONF:4537-8937).

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
160. Act.participant:subscriber.participantRole.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
Comments

This participantRole SHOULD contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-8925).

Control0..1
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))
162. Act.entryRelationship
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:
  • value @ act.moodCode
164. Act.entryRelationship:authorization
Slice Nameauthorization
ShortentryRelationship
Comments

MAY contain one [0..*] entryRelationship (CONF:4537-8939) such that it

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

SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:4537-8940).

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
168. Act.entryRelationship:authorization.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
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Authorization Activity)
Is Modifierfalse
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
170. Act.entryRelationship:plan
Slice Nameplan
ShortRepresents the Coverage Plan
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
172. Act.entryRelationship:plan.typeCode
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
174. Act.entryRelationship:plan.act
Comments

A description of the coverage plan SHALL contain one or more act/id, to represent the plan identifier, and an act/text with the name of the plan (CONF:4537-8943).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
176. Act.entryRelationship:plan.act.classCode
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 ValueACT
178. Act.entryRelationship:plan.act.moodCode
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 ValueDEF
180. Act.entryRelationship:plan.act.id
ShortPlan identifier
Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
182. Act.entryRelationship:plan.act.code
Control1..1
BindingFor example codes, see v3 Code System ActCode
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
184. Act.entryRelationship:plan.act.text
ShortName of the plan
Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED

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())
should-effectiveTime: SHOULD contain effectiveTime (effectiveTime.exists())
4537-17139: When the Subscriber is the patient (COV participant code = 'SELF'), the participant element describing the subscriber **SHALL NOT** be present. This information will be recorded instead in the data elements used to record member information (CONF:4537-17139). (participant.where(typeCode='COV').participantRole.code.where(code = 'SELF') implies participant.where(typeCode='HLD').empty())
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:policy-activity
Slice Namepolicy-activity
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:policy-activity.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:policy-activity.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:policy-activity.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:policy-activity.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 Value2.16.840.1.113883.10.20.22.4.61
30. Act.templateId:policy-activity.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 Value2024-05-01
32. Act.classCode
Comments

SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:4537-8898).

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 ValueACT
34. Act.moodCode
Comments

SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:4537-8899).

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
Short(USCDI) **GROUP NUMBER**: This is the identifier used to uniquely refer to a specific health insurance plan.
Comments

SHALL contain at least one [1..*] id (CONF:4537-8901).

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
40. Act.code
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.

Control0..1
BindingThe codes SHOULD be taken from Payer Type
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
46. Act.code.codeSystem
Definition

Specifies the code system that defines the code.

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.
LabelCode System
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:4537-8902).

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="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:4537-19109).

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
Fixed Valuecompleted
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
ShortThis records the policy coverage period, or self-pay period.
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
112. Act.priorityCode
Control0..1
BindingFor example codes, see ActPriority
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
114. Act.languageCode
Control0..1
BindingThe codes SHALL be taken from AllLanguages
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
116. Act.subject
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Subject
118. Act.specimen
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Specimen
120. Act.performer
Comments

SHOULD contain zero or more [0..*] performer (CONF:4537-8961) such that it

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
SlicingThis element introduces a set of slices on Act.performer. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ templateId.root
122. Act.performer:performer1
Slice Nameperformer1
ShortThis performer represents the Payer.
Comments

SHALL contain exactly one [1..1] performer (CONF:4537-8906) such that it

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
124. Act.performer:performer1.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from 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
126. Act.performer:performer1.realmCode
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
128. Act.performer:performer1.typeId
Definition

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
130. Act.performer:performer1.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
132. Act.performer:performer1.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
134. Act.performer:performer1.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
136. Act.performer:performer1.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
138. Act.performer:performer1.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
140. Act.performer:performer1.templateId
Definition

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

Comments

SHALL contain exactly one [1..1] templateId (CONF:4537-16808), SHALL not contain [0..0] extension..

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
142. Act.performer:performer1.templateId.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from 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:performer1.templateId.assigningAuthorityName
Definition

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

Control0..1
Typestring(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:performer1.templateId.displayable
Definition

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

Control0..1
Typeboolean(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:performer1.templateId.root
Definition

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

Comments

This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.87" Payer Performer (CONF:4537-16809).

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 Value2.16.840.1.113883.10.20.22.4.87
150. Act.performer:performer1.templateId.extension
Definition

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

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.
LabelExtension
152. Act.performer:performer1.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="PRF" Performer (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:4537-8907).

Control1..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
154. Act.performer:performer1.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.
156. Act.performer:performer1.time
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
158. Act.performer:performer1.modeCode
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
160. Act.performer:performer1.assignedEntity
Comments

SHALL contain exactly one [1..1] assignedEntity (CONF:4537-8908).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity
Invariantsshould-code: SHOULD contain code (code.exists())
should-representedOrganization: SHOULD contain representedOrganization (representedOrganization.exists())
162. Act.performer:performer1.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
164. Act.performer:performer1.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
166. Act.performer:performer1.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
168. Act.performer:performer1.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
170. Act.performer:performer1.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
172. Act.performer:performer1.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
174. Act.performer:performer1.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
176. Act.performer:performer1.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
178. Act.performer:performer1.assignedEntity.templateId
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
180. Act.performer:performer1.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
182. Act.performer:performer1.assignedEntity.id
Short(USCDI) **PAYER IDENTIFIER**: This is the Payer id. The root is a unique identifier to an openly available assigning authority, such as National Association of Insurance Commissioners (NAIC) (2.16.840.1.113883.6.300), and the extension identifiers the payer within that authority.
Comments

This assignedEntity SHALL contain at least one [1..*] id (CONF:4537-8909).

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
184. Act.performer:performer1.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.
186. Act.performer:performer1.assignedEntity.code
Comments

This assignedEntity SHOULD contain zero or one [0..1] code (CONF:4537-8914).

Control0..1
BindingFor example codes, see v3 Code System RoleCode
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
188. Act.performer:performer1.assignedEntity.code.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from 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
190. Act.performer:performer1.assignedEntity.code.code
Definition

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

Comments

The code, if present, SHALL contain exactly one [1..1] @code, which SHOULD be selected from ValueSet Financially Responsible Party Type Value Set urn:oid:2.16.840.1.113883.1.11.10416 DYNAMIC (CONF:4537-15992).

Control1..1
BindingThe codes SHOULD be taken from Financially Responsible Party Type 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.
LabelCode
192. Act.performer:performer1.assignedEntity.code.codeSystem
Definition

Specifies the code system that defines the code.

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.
LabelCode System
194. Act.performer:performer1.assignedEntity.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
196. Act.performer:performer1.assignedEntity.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
198. Act.performer:performer1.assignedEntity.code.displayName
Definition

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

Control0..1
Typestring(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
200. Act.performer:performer1.assignedEntity.code.sdtcValueSet
Definition

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

Control0..1
Typestring(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.
202. Act.performer:performer1.assignedEntity.code.sdtcValueSetVersion
Definition

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

Control0..1
Typestring(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.
204. Act.performer:performer1.assignedEntity.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
206. Act.performer:performer1.assignedEntity.code.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
208. Act.performer:performer1.assignedEntity.code.translation
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
XML FormatThe type of this property is determined using the xsi:typeattribute.
LabelTranslation
210. Act.performer:performer1.assignedEntity.addr
Definition

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

ShortBase for all types and resources
Comments

This assignedEntity MAY contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-8910).

Control0..1
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))
212. Act.performer:performer1.assignedEntity.telecom
Comments

This assignedEntity MAY contain zero or more [0..*] telecom (CONF:4537-8911).

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
214. Act.performer:performer1.assignedEntity.assignedPerson
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Person
216. Act.performer:performer1.assignedEntity.representedOrganization
Comments

This assignedEntity SHOULD contain zero or one [0..1] representedOrganization (CONF:4537-8912).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organization
Invariantsshould-name: SHOULD contain name (name.exists())
218. Act.performer:performer1.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
220. Act.performer:performer1.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
222. Act.performer:performer1.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
224. Act.performer:performer1.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
226. Act.performer:performer1.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
228. Act.performer:performer1.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
230. Act.performer:performer1.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
232. Act.performer:performer1.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
234. Act.performer:performer1.assignedEntity.representedOrganization.templateId
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
236. Act.performer:performer1.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
238. Act.performer:performer1.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
240. Act.performer:performer1.assignedEntity.representedOrganization.id
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
242. Act.performer:performer1.assignedEntity.representedOrganization.name
Comments

The representedOrganization, if present, SHOULD contain zero or one [0..1] name (CONF:4537-8913).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ON
244. Act.performer:performer1.assignedEntity.representedOrganization.telecom
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
246. Act.performer:performer1.assignedEntity.representedOrganization.addr
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/AD
248. Act.performer:performer1.assignedEntity.representedOrganization.standardIndustryClassCode
Control0..1
BindingFor example codes, see OrganizationIndustryClassNAICS
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
250. Act.performer:performer1.assignedEntity.representedOrganization.asOrganizationPartOf
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/OrganizationPartOf
252. Act.performer:performer1.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.
254. Act.performer:performer1.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.
256. Act.performer:performer2
Slice Nameperformer2
ShortThis performer represents the Guarantor.
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
Invariantsshould-time: SHOULD contain time (time.exists())
258. Act.performer:performer2.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from 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
260. Act.performer:performer2.realmCode
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
262. Act.performer:performer2.typeId
Definition

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
264. Act.performer:performer2.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
266. Act.performer:performer2.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
268. Act.performer:performer2.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
270. Act.performer:performer2.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
272. Act.performer:performer2.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
274. Act.performer:performer2.templateId
Definition

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

Comments

SHALL contain exactly one [1..1] templateId (CONF:4537-16810), SHALL not contain [0..0] extension.

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
276. Act.performer:performer2.templateId.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from 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
278. Act.performer:performer2.templateId.assigningAuthorityName
Definition

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

Control0..1
Typestring(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
280. Act.performer:performer2.templateId.displayable
Definition

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

Control0..1
Typeboolean(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
282. Act.performer:performer2.templateId.root
Definition

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

Comments

This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.88" Guarantor Performer (CONF:4537-16811).

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 Value2.16.840.1.113883.10.20.22.4.88
284. Act.performer:performer2.templateId.extension
Definition

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

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.
LabelExtension
286. Act.performer:performer2.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="PRF" Performer (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90) (CONF:4537-32971).

Control1..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
288. Act.performer:performer2.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.
290. Act.performer:performer2.time
Comments

SHOULD contain zero or one [0..1] time (CONF:4537-8963).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
292. Act.performer:performer2.modeCode
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
294. Act.performer:performer2.assignedEntity
Comments

SHALL contain exactly one [1..1] assignedEntity (CONF:4537-8962).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity
Invariants4537-8967: **SHOULD** include assignedEntity/assignedPerson/name AND/OR assignedEntity/representedOrganization/name (CONF:4537-8967). (assignedPerson.name.exists() or representedOrganization.name.exists())
should-addr: SHOULD contain addr (addr.exists())
should-telecom: SHOULD contain telecom (telecom.exists())
296. Act.performer:performer2.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
298. Act.performer:performer2.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
300. Act.performer:performer2.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
302. Act.performer:performer2.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
304. Act.performer:performer2.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
306. Act.performer:performer2.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
308. Act.performer:performer2.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
310. Act.performer:performer2.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
312. Act.performer:performer2.assignedEntity.templateId
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
314. Act.performer:performer2.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
316. Act.performer:performer2.assignedEntity.id
Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
318. Act.performer:performer2.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.
320. Act.performer:performer2.assignedEntity.code
Comments

This assignedEntity SHALL contain exactly one [1..1] code (CONF:4537-8968).

Control1..1
BindingFor example codes, see v3 Code System RoleCode
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
322. Act.performer:performer2.assignedEntity.code.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from 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
324. Act.performer:performer2.assignedEntity.code.code
Definition

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

Comments

This code SHALL contain exactly one [1..1] @code="GUAR" Guarantor (CONF:4537-16096).

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 ValueGUAR
326. Act.performer:performer2.assignedEntity.code.codeSystem
Definition

Specifies the code system that defines the code.

Comments

This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.110" (CONF:4537-32165).

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 Value2.16.840.1.113883.5.110
328. Act.performer:performer2.assignedEntity.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
330. Act.performer:performer2.assignedEntity.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
332. Act.performer:performer2.assignedEntity.code.displayName
Definition

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

Control0..1
Typestring(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
334. Act.performer:performer2.assignedEntity.code.sdtcValueSet
Definition

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

Control0..1
Typestring(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.
336. Act.performer:performer2.assignedEntity.code.sdtcValueSetVersion
Definition

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

Control0..1
Typestring(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.
338. Act.performer:performer2.assignedEntity.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
340. Act.performer:performer2.assignedEntity.code.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
342. Act.performer:performer2.assignedEntity.code.translation
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
XML FormatThe type of this property is determined using the xsi:typeattribute.
LabelTranslation
344. Act.performer:performer2.assignedEntity.addr
Definition

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

ShortBase for all types and resources
Comments

This assignedEntity SHOULD contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-8964).

Control0..1
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))
346. Act.performer:performer2.assignedEntity.telecom
Comments

This assignedEntity SHOULD contain zero or more [0..*] telecom (CONF:4537-8965).

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
348. Act.performer:performer2.assignedEntity.assignedPerson
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Person
350. Act.performer:performer2.assignedEntity.representedOrganization
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organization
352. Act.performer:performer2.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.
354. Act.performer:performer2.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.
356. Act.author
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author
358. Act.informant
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Informant
360. Act.participant
Comments

SHOULD contain zero or one [0..1] participant (CONF:4537-8934) such that it

Control1..*
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
362. Act.participant:coverage-target
Slice Namecoverage-target
Shortparticipant
Comments

SHALL contain exactly one [1..1] participant (CONF:4537-8916) such that it

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
Invariantsshould-time: SHOULD contain time (time.exists())
364. Act.participant:coverage-target.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
366. Act.participant:coverage-target.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
368. Act.participant:coverage-target.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
370. Act.participant:coverage-target.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
372. Act.participant:coverage-target.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
374. Act.participant:coverage-target.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
376. Act.participant:coverage-target.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
378. Act.participant:coverage-target.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
380. Act.participant:coverage-target.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

Comments

SHALL contain exactly one [1..1] templateId (CONF:4537-16812), SHALL not contain [0..0] extension.

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
382. Act.participant:coverage-target.templateId.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from 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
384. Act.participant:coverage-target.templateId.assigningAuthorityName
Definition

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

Control0..1
Typestring(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
386. Act.participant:coverage-target.templateId.displayable
Definition

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

Control0..1
Typeboolean(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
388. Act.participant:coverage-target.templateId.root
Definition

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

Comments

This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.89" Covered Party Participant (CONF:4537-16814).

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 Value2.16.840.1.113883.10.20.22.4.89
390. Act.participant:coverage-target.templateId.extension
Definition

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

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.
LabelExtension
392. Act.participant:coverage-target.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="COV" Coverage target (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:4537-8917).

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 ValueCOV
394. Act.participant:coverage-target.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
396. Act.participant:coverage-target.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.
398. Act.participant:coverage-target.time
Comments

SHOULD contain zero or one [0..1] time (CONF:4537-8918).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
Invariantsshould-low: SHOULD contain low (low.exists())
should-high: SHOULD contain high (high.exists())
400. Act.participant:coverage-target.time.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from 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
402. Act.participant:coverage-target.time.value
Definition

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

Control0..1
TypedateTime(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.
404. Act.participant:coverage-target.time.operator
Definition

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

Control0..1
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
406. Act.participant:coverage-target.time.low
Definition

This is the low limit of the interval.

Comments

The time, if present, SHOULD contain zero or one [0..1] low (CONF:4537-8919).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
LabelLow Boundary
408. Act.participant:coverage-target.time.center
Definition

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TS
LabelCentral Value
410. Act.participant:coverage-target.time.width
Definition

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PQ
LabelWidth
412. Act.participant:coverage-target.time.high
Definition

This is the high limit of the interval.

Comments

The time, if present, SHOULD contain zero or one [0..1] high (CONF:4537-8920).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
LabelHigh Boundary
414. Act.participant:coverage-target.awarenessCode
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
416. Act.participant:coverage-target.participantRole
Comments

SHALL contain exactly one [1..1] participantRole (CONF:4537-8921).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole
Invariantsshould-addr: SHOULD contain addr (addr.exists())
should-playingEntity: SHOULD contain playingEntity (playingEntity.exists())
418. Act.participant:coverage-target.participantRole.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
420. Act.participant:coverage-target.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
422. Act.participant:coverage-target.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
424. Act.participant:coverage-target.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
426. Act.participant:coverage-target.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
428. Act.participant:coverage-target.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
430. Act.participant:coverage-target.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
432. Act.participant:coverage-target.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
434. Act.participant:coverage-target.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
436. Act.participant:coverage-target.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
438. Act.participant:coverage-target.participantRole.id
Short(USCDI) **MEMBER IDENTIFIER**: This id is a unique identifier for the covered party member. Implementers **SHOULD** use the same GUID for each instance of a member identifier from the same health plan (CONF:4537-8984).
Comments

This participantRole SHALL contain at least one [1..*] id (CONF:4537-8922).

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
440. Act.participant:coverage-target.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.
442. Act.participant:coverage-target.participantRole.code
Short(USCDI) **RELATIONSHIP TO SUBSCRIBER**: Records the relationship of a patient to the primary insured person.
Comments

This participantRole SHALL contain exactly one [1..1] code (CONF:4537-8923).

Control1..1
BindingFor example codes, see v3 Code System RoleCode
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
Invariantsshould-code-attr: SHOULD contain @code (code.exists())
444. Act.participant:coverage-target.participantRole.code.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from 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
446. Act.participant:coverage-target.participantRole.code.code
Definition

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

Comments

This code SHOULD contain zero or one [0..1] @code, which SHOULD be selected from ValueSet Coverage Role Type Value Set urn:oid:2.16.840.1.113883.1.11.18877 DYNAMIC (CONF:4537-16078).

Control0..1
BindingThe codes SHOULD be taken from Coverage Role Type 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.
LabelCode
448. Act.participant:coverage-target.participantRole.code.codeSystem
Definition

Specifies the code system that defines the code.

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.
LabelCode System
450. Act.participant:coverage-target.participantRole.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
452. Act.participant:coverage-target.participantRole.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
454. Act.participant:coverage-target.participantRole.code.displayName
Definition

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

Control0..1
Typestring(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
456. Act.participant:coverage-target.participantRole.code.sdtcValueSet
Definition

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

Control0..1
Typestring(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.
458. Act.participant:coverage-target.participantRole.code.sdtcValueSetVersion
Definition

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

Control0..1
Typestring(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.
460. Act.participant:coverage-target.participantRole.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
462. Act.participant:coverage-target.participantRole.code.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
464. Act.participant:coverage-target.participantRole.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
466. Act.participant:coverage-target.participantRole.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
Comments

This participantRole SHOULD contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-8956).

Control0..1
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))
468. Act.participant:coverage-target.participantRole.telecom
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
470. Act.participant:coverage-target.participantRole.playingDevice
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Device
472. Act.participant:coverage-target.participantRole.playingEntity
ShortThis playingEntity records the covered party name and birthTime as represented by the health plan. This could match the information in recordTarget, or be different due to marriage or other reasons.
Comments

This participantRole SHOULD contain zero or one [0..1] playingEntity (CONF:4537-8932).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PlayingEntity
474. Act.participant:coverage-target.participantRole.playingEntity.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
476. Act.participant:coverage-target.participantRole.playingEntity.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
478. Act.participant:coverage-target.participantRole.playingEntity.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
480. Act.participant:coverage-target.participantRole.playingEntity.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
482. Act.participant:coverage-target.participantRole.playingEntity.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
484. Act.participant:coverage-target.participantRole.playingEntity.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
486. Act.participant:coverage-target.participantRole.playingEntity.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
488. Act.participant:coverage-target.participantRole.playingEntity.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
490. Act.participant:coverage-target.participantRole.playingEntity.templateId
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
492. Act.participant:coverage-target.participantRole.playingEntity.classCode
Control1..1
BindingThe codes SHALL be taken from EntityClassRoot
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 ValueENT
494. Act.participant:coverage-target.participantRole.playingEntity.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
496. Act.participant:coverage-target.participantRole.playingEntity.code
Control0..1
BindingFor example codes, see EntityCode
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
498. Act.participant:coverage-target.participantRole.playingEntity.quantity
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PQ
500. Act.participant:coverage-target.participantRole.playingEntity.name
Comments

The playingEntity, if present, SHALL contain exactly one [1..1] name (CONF:4537-8930).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PN
502. Act.participant:coverage-target.participantRole.playingEntity.sdtcBirthTime
Definition

The purpose of this extension is to allow the recording of the subscriber or member of a health plan in cases where the health plan eligibility system has different information on file than the provider does for the patient.

Shortsdtc:birthTime
Comments

The playingEntity, if present, SHALL contain exactly one [1..1] sdtc:birthTime (CONF:4537-31344).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TS
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namebirthTime.
504. Act.participant:coverage-target.participantRole.playingEntity.desc
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
506. Act.participant:coverage-target.participantRole.scopingEntity
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Entity
508. Act.participant:subscriber
Slice Namesubscriber
ShortWhen the Subscriber is the patient, the participant element describing the subscriber *SHALL NOT* be present. This information will be recorded instead in the data elements used to record member information.
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
510. Act.participant:subscriber.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
512. Act.participant:subscriber.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
514. Act.participant:subscriber.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
516. Act.participant:subscriber.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
518. Act.participant:subscriber.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
520. Act.participant:subscriber.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
522. Act.participant:subscriber.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
524. Act.participant:subscriber.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
526. Act.participant:subscriber.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

Comments

SHALL contain exactly one [1..1] templateId (CONF:4537-16813), SHALL not contain [0..0] extension.

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
528. Act.participant:subscriber.templateId.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from 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
530. Act.participant:subscriber.templateId.assigningAuthorityName
Definition

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

Control0..1
Typestring(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
532. Act.participant:subscriber.templateId.displayable
Definition

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

Control0..1
Typeboolean(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
534. Act.participant:subscriber.templateId.root
Definition

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

Comments

This templateId SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.90" Policy Holder Participant (CONF:4537-16815).

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 Value2.16.840.1.113883.10.20.22.4.90
536. Act.participant:subscriber.templateId.extension
Definition

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

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.
LabelExtension
538. Act.participant:subscriber.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="HLD" Holder (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:4537-8935).

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 ValueHLD
540. Act.participant:subscriber.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
542. Act.participant:subscriber.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.
544. Act.participant:subscriber.time
Comments

MAY contain zero or one [0..1] time (CONF:4537-8938).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
546. Act.participant:subscriber.awarenessCode
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
548. Act.participant:subscriber.participantRole
Comments

SHALL contain exactly one [1..1] participantRole (CONF:4537-8936).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole
Invariantsshould-addr: SHOULD contain addr (addr.exists())
550. Act.participant:subscriber.participantRole.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
552. Act.participant:subscriber.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
554. Act.participant:subscriber.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
556. Act.participant:subscriber.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
558. Act.participant:subscriber.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
560. Act.participant:subscriber.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
562. Act.participant:subscriber.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
564. Act.participant:subscriber.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
566. Act.participant:subscriber.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
568. Act.participant:subscriber.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
570. Act.participant:subscriber.participantRole.id
Short(USCDI) **SUBSCRIBER ID**: This id is a unique identifier for the subscriber of the coverage (CONF:4537-10120).
Comments

This participantRole SHALL contain at least one [1..*] id (CONF:4537-8937).

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
572. Act.participant:subscriber.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.
574. Act.participant:subscriber.participantRole.code
Control0..1
BindingFor example codes, see v3 Code System RoleCode
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
576. Act.participant:subscriber.participantRole.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
Comments

This participantRole SHOULD contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:4537-8925).

Control0..1
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))
578. Act.participant:subscriber.participantRole.telecom
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
580. Act.participant:subscriber.participantRole.playingDevice
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Device
582. Act.participant:subscriber.participantRole.playingEntity
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PlayingEntity
584. Act.participant:subscriber.participantRole.scopingEntity
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Entity
586. Act.entryRelationship
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:
  • value @ act.moodCode
588. Act.entryRelationship:authorization
Slice Nameauthorization
ShortentryRelationship
Comments

MAY contain one [0..*] entryRelationship (CONF:4537-8939) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
590. Act.entryRelationship:authorization.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
592. Act.entryRelationship:authorization.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
594. Act.entryRelationship:authorization.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
596. Act.entryRelationship:authorization.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
598. Act.entryRelationship:authorization.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
600. Act.entryRelationship:authorization.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
602. Act.entryRelationship:authorization.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
604. Act.entryRelationship:authorization.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
606. Act.entryRelationship:authorization.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
608. Act.entryRelationship:authorization.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:4537-8940).

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
610. Act.entryRelationship:authorization.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.
612. Act.entryRelationship:authorization.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
614. Act.entryRelationship:authorization.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.
616. Act.entryRelationship:authorization.sequenceNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
618. Act.entryRelationship:authorization.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
620. Act.entryRelationship:authorization.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
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Authorization Activity)
Is Modifierfalse
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
622. Act.entryRelationship:authorization.encounter
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
624. Act.entryRelationship:authorization.observation
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
626. Act.entryRelationship:authorization.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
628. Act.entryRelationship:authorization.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
630. Act.entryRelationship:authorization.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
632. Act.entryRelationship:authorization.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
634. Act.entryRelationship:authorization.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
636. Act.entryRelationship:authorization.supply
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
638. Act.entryRelationship:plan
Slice Nameplan
ShortRepresents the Coverage Plan
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
640. Act.entryRelationship:plan.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
642. Act.entryRelationship:plan.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
644. Act.entryRelationship:plan.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
646. Act.entryRelationship:plan.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
648. Act.entryRelationship:plan.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
650. Act.entryRelationship:plan.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
652. Act.entryRelationship:plan.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
654. Act.entryRelationship:plan.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
656. Act.entryRelationship:plan.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
658. Act.entryRelationship:plan.typeCode
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
660. Act.entryRelationship:plan.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.
662. Act.entryRelationship:plan.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
664. Act.entryRelationship:plan.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.
666. Act.entryRelationship:plan.sequenceNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
668. Act.entryRelationship:plan.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
670. Act.entryRelationship:plan.act
Comments

A description of the coverage plan SHALL contain one or more act/id, to represent the plan identifier, and an act/text with the name of the plan (CONF:4537-8943).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
672. Act.entryRelationship:plan.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
674. Act.entryRelationship:plan.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
676. Act.entryRelationship:plan.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
678. Act.entryRelationship:plan.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
680. Act.entryRelationship:plan.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
682. Act.entryRelationship:plan.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
684. Act.entryRelationship:plan.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
686. Act.entryRelationship:plan.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
688. Act.entryRelationship:plan.act.templateId
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
690. Act.entryRelationship:plan.act.classCode
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 ValueACT
692. Act.entryRelationship:plan.act.moodCode
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 ValueDEF
694. Act.entryRelationship:plan.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.
696. Act.entryRelationship:plan.act.id
ShortPlan identifier
Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
698. Act.entryRelationship:plan.act.code
Control1..1
BindingFor example codes, see v3 Code System ActCode
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
700. Act.entryRelationship:plan.act.text
ShortName of the plan
Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
702. Act.entryRelationship:plan.act.statusCode
Control0..1
BindingThe codes SHALL be taken from ActStatus
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
704. Act.entryRelationship:plan.act.effectiveTime
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
706. Act.entryRelationship:plan.act.priorityCode
Control0..1
BindingFor example codes, see ActPriority
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
708. Act.entryRelationship:plan.act.languageCode
Control0..1
BindingThe codes SHALL be taken from AllLanguages
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
710. Act.entryRelationship:plan.act.subject
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Subject
712. Act.entryRelationship:plan.act.specimen
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Specimen
714. Act.entryRelationship:plan.act.performer
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
716. Act.entryRelationship:plan.act.author
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author
718. Act.entryRelationship:plan.act.informant
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Informant
720. Act.entryRelationship:plan.act.participant
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
722. Act.entryRelationship:plan.act.entryRelationship
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
724. Act.entryRelationship:plan.act.reference
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Reference
726. Act.entryRelationship:plan.act.precondition
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition
728. Act.entryRelationship:plan.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.
730. Act.entryRelationship:plan.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.
732. Act.entryRelationship:plan.encounter
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
734. Act.entryRelationship:plan.observation
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
736. Act.entryRelationship:plan.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
738. Act.entryRelationship:plan.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
740. Act.entryRelationship:plan.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
742. Act.entryRelationship:plan.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
744. Act.entryRelationship:plan.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
746. Act.entryRelationship:plan.supply
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
748. Act.reference
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Reference
750. Act.precondition
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition
752. 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.
754. 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.