Left: | Policy Activity (http://hl7.org/cda/us/ccda/StructureDefinition/PolicyActivity) |
Right: | Policy Activity (http://hl7.org/cda/us/ccda/StructureDefinition/PolicyActivity) |
Information | Act.typeId | StructureDefinition PolicyActivity has added constraint that is not found in PolicyActivity and it is uncertain whether they are compatible (root.exists() or nullFlavor.exists()) |
Information | StructureDefinition.short | Values for short differ: '(USCDI) **GROUP NUMBER**: This is the identifier used to uniquely refer to a specific health insurance plan.' vs '𝗨𝗦𝗖𝗗𝗜: Group Identifier: This is the identifier (sent in the @extension attribute) used to uniquely refer to a specific health insurance plan.' |
Information | StructureDefinition.comment | Values for comment differ: 'SHALL contain at least one [1..*] id (CONF:4537-8901).' vs 'If the root OID of Payer that assigned the group identifier is unknown, a local OID can be assigned or a nullFlavor of UNK' |
Information | Act.code | Example/preferred bindings differ at Act.code using binding from PolicyActivity |
Name | Value | Comments | |
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![]() | false | ||
![]() | http://hl7.org/cda/stds/core/StructureDefinition/Act | ||
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![]() | A policy activity represents the policy or program providing the coverage. The person for whom payment is being provided (i.e., the patient) is the covered party. The subscriber of the policy or program is represented as a participant that is the holder of the coverage. The payer is represented as the performer of the policy activity. Note that the absence of a Policy Activity Act is not confirmation the patient does not have coverage. A Patient's coverage may not have been documented yet or not known to the healthcare provider. * Absence of a Policy Activity Act may mean that the patient has no coverage or the healthcare provider may not know it. * A self pay payer type MAY be used to imply that the patient has no coverage or that an individual or organization other than an insurer is taking responsibility for payment for a portion of the health care costs. | A policy activity represents the policy or program providing the coverage. The person for whom payment is being provided (i.e., the patient) is the covered party. The subscriber of the policy or program is represented as a participant that is the holder of the coverage. The payer is represented as the performer of the policy activity. Note that the absence of a Policy Activity Act is not confirmation the patient does not have coverage. A Patient's coverage may not have been documented yet or not known to the healthcare provider. * Absence of a Policy Activity Act may mean that the patient has no coverage or the healthcare provider may not know it. * A self pay payer type MAY be used to imply that the patient has no coverage or that an individual or organization other than an insurer is taking responsibility for payment for a portion of the health care costs. #### Templates Used Although open templates may contain any valid CDA content, the following templates are specifically called out by this template: **Optional EntryRelationships**: [AuthorizationActivity](StructureDefinition-AuthorizationActivity.html) |
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![]() | 5.0.0 | ||
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![]() ![]() | urn:iso:std:iso:3166#US | ||
![]() | logical | ||
![]() | PolicyActivity | ||
![]() | Health Level Seven | ||
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![]() | draft | ||
![]() | Policy Activity | ||
![]() | http://hl7.org/cda/stds/core/StructureDefinition/Act | ||
![]() | http://hl7.org/cda/us/ccda/StructureDefinition/PolicyActivity |
Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments![]() |
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![]() ![]() | C | 1..1 | Act | Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: should-text-ref-value, 4537-17139 | C | 1..1 | Act | Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: should-text-ref-value, 4537-17139 | |
![]() ![]() ![]() | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
![]() ![]() ![]() | 0..* | CS | 0..* | CS | |||||
![]() ![]() ![]() | 0..1 | II | C | 0..1 | II |
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![]() ![]() ![]() ![]() | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
![]() ![]() ![]() ![]() | 0..1 | ?? | 0..1 | ?? | |||||
![]() ![]() ![]() ![]() | 0..1 | ?? | 0..1 | ?? | |||||
![]() ![]() ![]() ![]() | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | |||
![]() ![]() ![]() ![]() | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | |||
![]() ![]() ![]() | 1..* | II | Slice: Unordered, Open by value:root, value:extension | 1..* | II | Slice: Unordered, Open by value:root, value:extension | |||
![]() ![]() ![]() | 1..1 | ?? | Binding: ?? (required) Fixed Value: ACT | 1..1 | ?? | Binding: ?? (required) Fixed Value: ACT | |||
![]() ![]() ![]() | 1..1 | ?? | Binding: ?? (required) Fixed Value: EVN | 1..1 | ?? | Binding: ?? (required) Fixed Value: EVN | |||
![]() ![]() ![]() | 0..1 | ?? | 0..1 | ?? | |||||
![]() ![]() ![]() | 1..* | II | (USCDI) **GROUP NUMBER**: This is the identifier used to uniquely refer to a specific health insurance plan. | 1..* | II | 𝗨𝗦𝗖𝗗𝗜: Group Identifier: This is the identifier (sent in the @extension attribute) used to uniquely refer to a specific health insurance plan. | |||
![]() ![]() ![]() | 1..1 | CD | Binding: ?? (example) | 1..1 | CD | 𝗨𝗦𝗖𝗗𝗜: Coverage Type: Records the category of health care payers, insurance products, or benefits. Binding: ?? (preferred) |
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![]() ![]() ![]() ![]() | 0..1 | ?? | Binding: ?? (required) |
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![]() ![]() ![]() ![]() | 0..1 | ?? | Binding: ?? (preferred) |
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![]() ![]() ![]() ![]() | 0..1 | ??, ??, ?? |
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![]() ![]() ![]() ![]() | 0..1 | ?? |
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![]() ![]() ![]() ![]() | 0..1 | ?? |
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![]() ![]() ![]() ![]() | 0..1 | ?? |
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![]() ![]() ![]() ![]() | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) |
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![]() ![]() ![]() ![]() | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) |
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![]() ![]() ![]() ![]() | 0..1 | ED |
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![]() ![]() ![]() ![]() | 0..* | CR |
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![]() ![]() ![]() ![]() | 0..* | CD |
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![]() ![]() ![]() | 0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | 0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |||
![]() ![]() ![]() ![]() | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
![]() ![]() ![]() ![]() | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
![]() ![]() ![]() ![]() | 0..1 | ?? | 0..1 | ?? | |||||
![]() ![]() ![]() ![]() | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
![]() ![]() ![]() ![]() | 0..1 | ?? | 0..1 | ?? | |||||
![]() ![]() ![]() ![]() | 0..1 | ?? | Binding: ?? (example) | 0..1 | ?? | Binding: ?? (example) | |||
![]() ![]() ![]() ![]() | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
![]() ![]() ![]() ![]() | 0..1 | ?? | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | 0..1 | ?? | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |||
![]() ![]() ![]() ![]() | C | 0..1 | TEL | Constraints: value-starts-octothorpe | C | 0..1 | TEL | Constraints: value-starts-octothorpe | |
![]() ![]() ![]() ![]() | 0..1 | ED | 0..1 | ED | |||||
![]() ![]() ![]() | 1..1 | CS | Binding: ?? (required) | 1..1 | CS | Binding: ?? (required) | |||
![]() ![]() ![]() ![]() | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
![]() ![]() ![]() ![]() | 1..1 | ?? | Fixed Value: completed | 1..1 | ?? | Fixed Value: completed | |||
![]() ![]() ![]() ![]() | 0..0 | 0..0 | |||||||
![]() ![]() ![]() ![]() | 0..0 | 0..0 | |||||||
![]() ![]() ![]() ![]() | 0..0 | 0..0 | |||||||
![]() ![]() ![]() ![]() | 0..0 | 0..0 | |||||||
![]() ![]() ![]() ![]() | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | |||
![]() ![]() ![]() ![]() | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | |||
![]() ![]() ![]() ![]() | 0..0 | 0..0 | |||||||
![]() ![]() ![]() ![]() | 0..0 | 0..0 | |||||||
![]() ![]() ![]() ![]() | 0..0 | 0..0 | |||||||
![]() ![]() ![]() | 0..1 | IVL_TS | 0..1 | IVL_TS | |||||
![]() ![]() ![]() | 0..1 | CE | Binding: ?? (example) | 0..1 | CE | Binding: ?? (example) | |||
![]() ![]() ![]() | 0..1 | CS | Binding: ?? (required) | 0..1 | CS | Binding: ?? (required) | |||
![]() ![]() ![]() | 0..1 | Subject | 0..1 | Subject | |||||
![]() ![]() ![]() | 0..* | Specimen | 0..* | Specimen | |||||
![]() ![]() ![]() | 1..* | Performer2 | Slice: Unordered, Open by value:templateId.root | 1..* | Performer2 | Slice: Unordered, Open by value:templateId.root | |||
![]() ![]() ![]() | 0..* | Author | 0..* | Author | |||||
![]() ![]() ![]() | 0..* | Informant | 0..* | Informant | |||||
![]() ![]() ![]() | 1..* | Participant2 | Slice: Unordered, Open by value:typeCode | 1..* | Participant2 | Slice: Unordered, Open by value:typeCode | |||
![]() ![]() ![]() | 0..* | EntryRelationship | Slice: Unordered, Open by value:act.moodCode | 0..* | EntryRelationship | Slice: Unordered, Open by value:act.moodCode | |||
![]() ![]() ![]() | 0..* | Reference | 0..* | Reference | |||||
![]() ![]() ![]() | 0..* | Precondition | 0..* | Precondition | |||||
![]() ![]() ![]() | 0..* | Precondition2 | XML: precondition2 (urn:hl7-org:sdtc) | 0..* | Precondition2 | XML: precondition2 (urn:hl7-org:sdtc) | |||
![]() ![]() ![]() | 0..* | InFulfillmentOf1 | XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | 0..* | InFulfillmentOf1 | XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |||
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