Consolidated CDA (C-CDA)
3.0.0 - STU3
Consolidated CDA (C-CDA)
3.0.0 - STU3
This page is part of the CCDA: Consolidated CDA Release (v3.0.0: CCDA 3.0) generated with FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version. For a full list of available versions, see the Directory of published versions
| Draft as of 2024-05-18 |
Definitions for the PatientReferralAct logical model.
Guidance on how to interpret the contents of this table can be found here
| 0. Act | |
| Logical Container | ClinicalDocument (CDA Class) |
| Validation | Instance of this type are validated by templateId |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:v3. |
| Invariants | should-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())should-priorityCode: SHOULD contain priorityCode ( priorityCode.exists())should-author: SHOULD contain author ( author.exists()) |
| 2. Act.templateId | |
| Control | 1..? |
| Slicing | This element introduces a set of slices on Act.templateId. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 4. Act.templateId:patient-referral-act | |
| Slice Name | patient-referral-act |
| Control | 1..1 |
| 6. Act.templateId:patient-referral-act.root | |
| Control | 1..? |
| Pattern Value | 2.16.840.1.113883.10.20.22.4.140 |
| 8. Act.templateId:patient-referral-act.extension | |
| Control | 0..0 |
| 10. Act.classCode | |
| Comments | SHALL contain exactly one [1..1] @classCode="PCPR" provision of care (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-30884). |
| Fixed Value | PCPR |
| 12. Act.moodCode | |
| Comments | SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet Patient Referral Act moodCode urn:oid:2.16.840.1.113883.11.20.9.66 STATIC 2014-09-01 (CONF:1098-30885). |
| Binding | The codes SHALL be taken from Patient Referral Act moodCode  (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.66) |
| 14. Act.id | |
| Short | In the case of a Consultation Note where this referral is being fulfilled by this consultation, this id would be referenced in the inFullfilmentOf/order/id of the Consultation Note. |
| Comments | SHALL contain at least one [1..*] id (CONF:1098-30888). |
| Control | 1..? |
| 16. Act.code | |
| Comments | SHALL contain exactly one [1..1] code, which SHALL be selected from ValueSet Referral Types urn:oid:2.16.840.1.113883.11.20.9.56 DYNAMIC (CONF:1098-30889). |
| Binding | The codes SHALL be taken from Referral Types (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.56) |
| 18. Act.text | |
| Short | SHOULD reference the portion of section narrative text corresponding to this entry |
| 20. Act.text.reference | |
| Invariants | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (value.exists() implies value.startsWith('#')) |
| 22. Act.statusCode | |
| Comments | SHALL contain exactly one [1..1] statusCode (CONF:1098-30892). |
| Control | 1..? |
| 24. Act.statusCode.nullFlavor | |
| Control | 0..0 |
| 26. Act.statusCode.code | |
| Control | 1..? |
| Binding | The codes SHALL be taken from ActStatus (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.15933) |
| 28. Act.effectiveTime | |
| Short | The effectiveTime represents the time when the future referral is intended to take place. |
| Comments | SHALL contain exactly one [1..1] effectiveTime (CONF:1098-30893). |
| Control | 1..? |
| 30. Act.priorityCode | |
| Comments | SHOULD contain zero or one [0..1] priorityCode (CONF:1098-32623). |
| 32. Act.author | |
| Comments | SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-31612). |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Author(Author Participation) |
| 34. Act.participant | |
| Comments | MAY contain zero or more [0..*] participant (CONF:1098-32635). |
| 36. Act.participant.typeCode | |
| Comments | The participant, if present, SHALL contain exactly one [1..1] @typeCode. Use REFT to represent the referred-to provider. |
| 38. Act.participant.participantRole | |
| Comments | The participant, if present, SHALL contain exactly one [1..1] participantRole (CONF:1098-32636). |
| 40. Act.participant.participantRole.code | |
| Comments | This participantRole MAY contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1098-32637). |
| Binding | The codes SHOULD be taken from Healthcare Provider Taxonomy (preferred to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066) |
| 42. Act.entryRelationship | |
| Short | The following entryRelationship represents a reference to another act in the document instance representing the clinical reason for the referral (e.g., problem, concern, procedure). |
| Slicing | This element introduces a set of slices on Act.entryRelationship. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 44. Act.entryRelationship:entryRelationship1 | |
| Slice Name | entryRelationship1 |
| Short | The following entryRelationship represents whether the referral is for full or shared care. |
| Comments | MAY contain zero or more [0..*] entryRelationship (CONF:1098-31604) such that it |
| Control | 0..* |
| 46. Act.entryRelationship:entryRelationship1.typeCode | |
| Comments | SHALL contain exactly one [1..1] @typeCode="SUBJ" has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31613). |
| Fixed Value | SUBJ |
| 48. Act.entryRelationship:entryRelationship1.observation | |
| Comments | SHALL contain exactly one [1..1] observation (CONF:1098-31605). |
| Control | 1..? |
| Invariants | should-priorityCode: SHOULD contain priorityCode (priorityCode.exists()) |
| 50. Act.entryRelationship:entryRelationship1.observation.classCode | |
| Comments | This observation SHALL contain exactly one [1..1] @classCode="OBS" observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1098-31606). |
| Fixed Value | OBS |
| 52. Act.entryRelationship:entryRelationship1.observation.moodCode | |
| Comments | This observation SHALL contain exactly one [1..1] @moodCode="RQO" request (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1098-31607). |
| Fixed Value | RQO |
| 54. Act.entryRelationship:entryRelationship1.observation.code | |
| Comments | This observation SHALL contain exactly one [1..1] code (CONF:1098-31608). |
| 56. Act.entryRelationship:entryRelationship1.observation.code.code | |
| Comments | This code SHALL contain exactly one [1..1] @code="ASSERTION" assertion (CONF:1098-31619). |
| Control | 1..? |
| Pattern Value | ASSERTION |
| 58. Act.entryRelationship:entryRelationship1.observation.code.codeSystem | |
| Comments | This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.4 " (CodeSystem: HL7ActCode urn:oid:2.16.840.1.113883.5.4) (CONF:1098-31620). |
| Control | 1..? |
| Pattern Value | 2.16.840.1.113883.5.4 |
| 60. Act.entryRelationship:entryRelationship1.observation.statusCode | |
| Comments | This observation SHALL contain exactly one [1..1] statusCode (CONF:1098-31614). |
| Control | 1..? |
| 62. Act.entryRelationship:entryRelationship1.observation.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) (CONF:1098-31615). |
| Control | 1..? |
| Fixed Value | completed |
| 64. Act.entryRelationship:entryRelationship1.observation.priorityCode | |
| Comments | This observation SHOULD contain zero or one [0..1] priorityCode, which SHOULD be selected from ValueSet ActPriority urn:oid:2.16.840.1.113883.1.11.16866 DYNAMIC (CONF:1098-32443). |
| Binding | The codes SHOULD be taken from ActPriority (preferred to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.16866) |
| 66. Act.entryRelationship:entryRelationship1.observation.value | |
| Comments | This observation SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHOULD be selected from ValueSet Care Model urn:oid:2.16.840.1.113883.11.20.9.61 DYNAMIC (CONF:1098-31611). |
| Control | 1..1 |
| Binding | The codes SHOULD be taken from Care Model (preferred to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.61) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| 68. Act.entryRelationship:indication | |
| Slice Name | indication |
| Comments | MAY contain zero or more [0..*] entryRelationship (CONF:1098-31635) such that it |
| Control | 0..* |
| 70. Act.entryRelationship:indication.typeCode | |
| Comments | SHALL contain exactly one [1..1] @typeCode="RSON" has reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31636). |
| Fixed Value | RSON |
| 72. Act.entryRelationship:indication.observation | |
| Comments | SHALL contain exactly one [1..1] Indication (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.19:2014-06-09) (CONF:1098-32634). |
| Control | 1..? |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Observation(Indication) |
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. |
| Short | Base for all types and resources |
| Control | 10..1* |
| Is Modifier | false |
| Logical Container | ClinicalDocument (CDA Class) |
| Validation | Instance of this type are validated by templateId |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:v3. |
| Invariants | should-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())should-priorityCode: SHOULD contain priorityCode ( priorityCode.exists())should-author: SHOULD contain author ( author.exists()) |
| 2. Act.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| Slicing | This element introduces a set of slices on Act.templateId. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 4. Act.templateId:patient-referral-act | |
| Slice Name | patient-referral-act |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 6. Act.templateId:patient-referral-act.root | |
| Definition | A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier. |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Pattern Value | 2.16.840.1.113883.10.20.22.4.140 |
| 8. Act.templateId:patient-referral-act.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| 10. Act.classCode | |
| Comments | SHALL contain exactly one [1..1] @classCode="PCPR" provision of care (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-30884). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from XActClassDocumentEntryAct (2.0.0) (required to http://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryAct|2.0.0) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | PCPR |
| 12. Act.moodCode | |
| Comments | SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet Patient Referral Act moodCode urn:oid:2.16.840.1.113883.11.20.9.66 STATIC 2014-09-01 (CONF:1098-30885). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from Patient Referral Act moodCode (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.66) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 14. Act.id | |
| Short | In the case of a Consultation Note where this referral is being fulfilled by this consultation, this id would be referenced in the inFullfilmentOf/order/id of the Consultation Note. |
| Comments | SHALL contain at least one [1..*] id (CONF:1098-30888). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 16. Act.code | |
| Comments | SHALL contain exactly one [1..1] code, which SHALL be selected from ValueSet Referral Types urn:oid:2.16.840.1.113883.11.20.9.56 DYNAMIC (CONF:1098-30889). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from Referral Types (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.56) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| 18. Act.text | |
| Short | SHOULD reference the portion of section narrative text corresponding to this entry |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| 20. 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. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL |
| Label | Reference |
| Invariants | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (value.exists() implies value.startsWith('#')) |
| 22. Act.statusCode | |
| Comments | SHALL contain exactly one [1..1] statusCode (CONF:1098-30892). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ActStatus (required to http://terminology.hl7.org/ValueSet/v3-ActStatus) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 24. Act.statusCode.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..0 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 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. |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ActStatus (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.15933) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code |
| 28. Act.statusCode.codeSystem | |
| Definition | Specifies the code system that defines the code. |
| Control | 0..0 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System |
| 30. Act.statusCode.codeSystemName | |
| Definition | The common name of the coding system. |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Name |
| 32. Act.statusCode.codeSystemVersion | |
| Definition | If applicable, a version descriptor defined specifically for the given code system. |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code 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. |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Display Name |
| 36. Act.statusCode.originalText | |
| Definition | The text or phrase used as the basis for the coding. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| Label | Original Text |
| 38. Act.statusCode.qualifier | |
| Definition | Specifies additional codes that increase the specificity of the the primary code. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CR |
| Label | Qualifier |
| 40. Act.statusCode.translation | |
| Definition | A set of other concept descriptors that translate this concept descriptor into other code systems. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| XML Format | The type of this property is determined using the " xsi:typeattribute. |
| Label | Translation |
| 42. Act.effectiveTime | |
| Short | The effectiveTime represents the time when the future referral is intended to take place. |
| Comments | SHALL contain exactly one [1..1] effectiveTime (CONF:1098-30893). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS |
| 44. Act.priorityCode | |
| Comments | SHOULD contain zero or one [0..1] priorityCode (CONF:1098-32623). |
| Control | 0..1 |
| Binding | For example codes, see ActPriority (example to http://terminology.hl7.org/ValueSet/v3-ActPriority) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 46. Act.author | |
| 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. |
| Short | Base for all types and resources |
| Comments | SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-31612). |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Author(Author Participation) |
| Is Modifier | false |
| 48. Act.participant | |
| Comments | MAY contain zero or more [0..*] participant (CONF:1098-32635). |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Participant2 |
| 50. Act.participant.typeCode | |
| Comments | The participant, if present, SHALL contain exactly one [1..1] @typeCode. Use REFT to represent the referred-to provider. |
| Control | 1..1 |
| Binding | The codes SHALL be taken from CDAParticipationType (required to http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 52. Act.participant.participantRole | |
| Comments | The participant, if present, SHALL contain exactly one [1..1] participantRole (CONF:1098-32636). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole |
| 54. Act.participant.participantRole.code | |
| Comments | This participantRole MAY contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1098-32637). |
| Control | 0..1 |
| Binding | The codes SHOULD be taken from Healthcare Provider Taxonomy (preferred to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 56. Act.entryRelationship | |
| Short | The following entryRelationship represents a reference to another act in the document instance representing the clinical reason for the referral (e.g., problem, concern, procedure). |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship |
| Slicing | This element introduces a set of slices on Act.entryRelationship. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 58. Act.entryRelationship:entryRelationship1 | |
| Slice Name | entryRelationship1 |
| Short | The following entryRelationship represents whether the referral is for full or shared care. |
| Comments | MAY contain zero or more [0..*] entryRelationship (CONF:1098-31604) such that it |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship |
| 60. Act.entryRelationship:entryRelationship1.typeCode | |
| Comments | SHALL contain exactly one [1..1] @typeCode="SUBJ" has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31613). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from x_ActRelationshipEntryRelationship (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | SUBJ |
| 62. Act.entryRelationship:entryRelationship1.observation | |
| Comments | SHALL contain exactly one [1..1] observation (CONF:1098-31605). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Observation |
| Invariants | should-priorityCode: SHOULD contain priorityCode (priorityCode.exists()) |
| 64. Act.entryRelationship:entryRelationship1.observation.classCode | |
| Comments | This observation SHALL contain exactly one [1..1] @classCode="OBS" observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1098-31606). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from CDAActClassObservation (required to http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | OBS |
| 66. Act.entryRelationship:entryRelationship1.observation.moodCode | |
| Comments | This observation SHALL contain exactly one [1..1] @moodCode="RQO" request (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1098-31607). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from XActMoodDocumentObservation (2.0.0) (required to http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | RQO |
| 68. Act.entryRelationship:entryRelationship1.observation.code | |
| Definition | Describes what was observed. Sometimes this is called the observation "name". |
| Short | Type of observation (code / type) |
| Comments | This observation SHALL contain exactly one [1..1] code (CONF:1098-31608). All code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation. |
| Control | 1..1 This element is affected by the following invariants: obs-7 |
| Binding | For example codes, see ObservationTypehttp://hl7.org/fhir/ValueSet/observation-codes (example to http://terminology.hl7.org/ValueSet/v3-ObservationType) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CDCodeableConcept |
| Is Modifier | false |
| XML Format | The type of this property is determined using the " xsi:typeattribute. |
| Requirements | Knowing what kind of observation is being made is essential to understanding the observation. |
| Alternate Names | Name |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 70. Act.entryRelationship:entryRelationship1.observation.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="ASSERTION" assertion (CONF:1098-31619). |
| Control | 1..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code |
| Pattern Value | ASSERTION |
| 72. Act.entryRelationship:entryRelationship1.observation.code.codeSystem | |
| Definition | Specifies the code system that defines the code. |
| Comments | This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.4 " (CodeSystem: HL7ActCode urn:oid:2.16.840.1.113883.5.4) (CONF:1098-31620). |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System |
| Pattern Value | 2.16.840.1.113883.5.4 |
| 74. Act.entryRelationship:entryRelationship1.observation.statusCode | |
| Comments | This observation SHALL contain exactly one [1..1] statusCode (CONF:1098-31614). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ActStatus (required to http://terminology.hl7.org/ValueSet/v3-ActStatus) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 76. Act.entryRelationship:entryRelationship1.observation.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) (CONF:1098-31615). |
| Control | 1..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code |
| Fixed Value | completed |
| 78. Act.entryRelationship:entryRelationship1.observation.statusCode.codeSystem | |
| Definition | Specifies the code system that defines the code. |
| Control | 0..0 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System |
| 80. Act.entryRelationship:entryRelationship1.observation.statusCode.codeSystemName | |
| Definition | The common name of the coding system. |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Name |
| 82. Act.entryRelationship:entryRelationship1.observation.statusCode.codeSystemVersion | |
| Definition | If applicable, a version descriptor defined specifically for the given code system. |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Version |
| 84. Act.entryRelationship:entryRelationship1.observation.statusCode.displayName | |
| Definition | A name or title for the code, under which the sending system shows the code value to its users. |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Display Name |
| 86. Act.entryRelationship:entryRelationship1.observation.statusCode.originalText | |
| Definition | The text or phrase used as the basis for the coding. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| Label | Original Text |
| 88. Act.entryRelationship:entryRelationship1.observation.statusCode.qualifier | |
| Definition | Specifies additional codes that increase the specificity of the the primary code. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CR |
| Label | Qualifier |
| 90. Act.entryRelationship:entryRelationship1.observation.statusCode.translation | |
| Definition | A set of other concept descriptors that translate this concept descriptor into other code systems. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| XML Format | The type of this property is determined using the " xsi:typeattribute. |
| Label | Translation |
| 92. Act.entryRelationship:entryRelationship1.observation.priorityCode | |
| Comments | This observation SHOULD contain zero or one [0..1] priorityCode, which SHOULD be selected from ValueSet ActPriority urn:oid:2.16.840.1.113883.1.11.16866 DYNAMIC (CONF:1098-32443). |
| Control | 0..1 |
| Binding | The codes SHOULD be taken from ActPriority (preferred to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.16866) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 94. Act.entryRelationship:entryRelationship1.observation.value | |
| Comments | This observation SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHOULD be selected from ValueSet Care Model urn:oid:2.16.840.1.113883.11.20.9.61 DYNAMIC (CONF:1098-31611). |
| Control | 1..1 |
| Binding | The codes SHOULD be taken from Care Model (preferred to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.61) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| XML Format | The type of this property is determined using the " xsi:typeattribute. |
| 96. Act.entryRelationship:indication | |
| Slice Name | indication |
| Comments | MAY contain zero or more [0..*] entryRelationship (CONF:1098-31635) such that it |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship |
| 98. Act.entryRelationship:indication.typeCode | |
| Comments | SHALL contain exactly one [1..1] @typeCode="RSON" has reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31636). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from x_ActRelationshipEntryRelationship (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | RSON |
| 100. Act.entryRelationship:indication.observation | |
| Definition | Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type. |
| Short | Base for all types and resources |
| Comments | SHALL contain exactly one [1..1] Indication (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.19:2014-06-09) (CONF:1098-32634). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Observation(Indication) |
| Is Modifier | false |
| Invariants | should-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())should-effectiveTime: SHOULD contain effectiveTime ( effectiveTime.exists())indication-value: If the ID element does not reference a problem recorded elsewhere in the document, then observation/value must be populated with a coded entry. ( value.exists() or (%resource.descendants().ofType(CDA.Observation).where(id.exists($this.root = %context.id.first().root and $this.extension ~ %context.id.first().extension) and value.exists()))) |
Guidance on how to interpret the contents of this table can be found here
| 0. Act | |
| Definition | Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type. |
| Short | Base for all types and resources |
| Control | 1..1 |
| Is Modifier | false |
| Logical Container | ClinicalDocument (CDA Class) |
| Validation | Instance of this type are validated by templateId |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:v3. |
| Invariants | should-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())should-priorityCode: SHOULD contain priorityCode ( priorityCode.exists())should-author: SHOULD contain author ( author.exists()) |
| 2. Act.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional 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 |
| Control | 0..* |
| Type | http://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. |
| Control | 0..1 |
| Type | http://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. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional 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. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Assigning 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). |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Displayable |
| 14. Act.typeId.root | |
| Definition | Identifies the type as an HL7 Registered model |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Fixed Value | 2.16.840.1.113883.1.3 |
| 16. Act.typeId.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Control | 1..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| 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 |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| Slicing | This element introduces a set of slices on Act.templateId. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 20. Act.templateId:patient-referral-act | |
| Slice Name | patient-referral-act |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 22. Act.templateId:patient-referral-act.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 24. Act.templateId:patient-referral-act.assigningAuthorityName | |
| Definition | A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Assigning Authority Name |
| 26. Act.templateId:patient-referral-act.displayable | |
| Definition | Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false). |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Displayable |
| 28. Act.templateId:patient-referral-act.root | |
| Definition | A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier. |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Pattern Value | 2.16.840.1.113883.10.20.22.4.140 |
| 30. Act.templateId:patient-referral-act.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| 32. Act.classCode | |
| Comments | SHALL contain exactly one [1..1] @classCode="PCPR" provision of care (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-30884). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from XActClassDocumentEntryAct (2.0.0) (required to http://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryAct|2.0.0) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | PCPR |
| 34. Act.moodCode | |
| Comments | SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet Patient Referral Act moodCode urn:oid:2.16.840.1.113883.11.20.9.66 STATIC 2014-09-01 (CONF:1098-30885). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from Patient Referral Act moodCode (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.66) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 36. Act.negationInd | |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 38. Act.id | |
| Short | In the case of a Consultation Note where this referral is being fulfilled by this consultation, this id would be referenced in the inFullfilmentOf/order/id of the Consultation Note. |
| Comments | SHALL contain at least one [1..*] id (CONF:1098-30888). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 40. Act.code | |
| Comments | SHALL contain exactly one [1..1] code, which SHALL be selected from ValueSet Referral Types urn:oid:2.16.840.1.113883.11.20.9.56 DYNAMIC (CONF:1098-30889). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from Referral Types (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.56) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| 42. Act.text | |
| Short | SHOULD reference the portion of section narrative text corresponding to this entry |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| 44. Act.text.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 46. Act.text.compression | |
| Definition | Indicates whether the raw byte data is compressed, and what compression algorithm was used. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDACompressionAlgorithm (required to http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Compression |
| 48. 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. |
| Control | 0..1 |
| Type | base64Binary(bin: Binary Data) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Integrity Check |
| 50. 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. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from IntegrityCheckAlgorithm (2.0.0) (required to http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Integrity Check Algorithm |
| 52. Act.text.language | |
| Definition | For character based information the language property specifies the human language of the text. |
| Control | 0..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Language |
| 54. Act.text.mediaType | |
| Definition | Identifies the type of the encapsulated data and identifies a method to interpret or render the data. |
| Control | 0..1 |
| Binding | For example codes, see MediaType (example to http://terminology.hl7.org/ValueSet/v3-MediaType) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Media Type |
| 56. Act.text.representation | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDABinaryDataEncoding (required to http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 58. 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.) |
| Short | Allows 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. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as unadorned text. |
| 60. 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. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL |
| Label | Reference |
| Invariants | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (value.exists() implies value.startsWith('#')) |
| 62. 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. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| Label | Thumbnail |
| 64. Act.statusCode | |
| Comments | SHALL contain exactly one [1..1] statusCode (CONF:1098-30892). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ActStatus (required to http://terminology.hl7.org/ValueSet/v3-ActStatus) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 66. Act.statusCode.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..0 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 68. 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. |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ActStatus (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.15933) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code |
| 70. Act.statusCode.codeSystem | |
| Definition | Specifies the code system that defines the code. |
| Control | 0..0 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System |
| 72. Act.statusCode.codeSystemName | |
| Definition | The common name of the coding system. |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Name |
| 74. Act.statusCode.codeSystemVersion | |
| Definition | If applicable, a version descriptor defined specifically for the given code system. |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Version |
| 76. Act.statusCode.displayName | |
| Definition | A name or title for the code, under which the sending system shows the code value to its users. |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Display Name |
| 78. 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. |
| Control | 0..1 |
| Type | string(oid: ISO Object Identifier) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In 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. |
| 80. 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. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In 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. |
| 82. Act.statusCode.originalText | |
| Definition | The text or phrase used as the basis for the coding. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| Label | Original Text |
| 84. Act.statusCode.qualifier | |
| Definition | Specifies additional codes that increase the specificity of the the primary code. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CR |
| Label | Qualifier |
| 86. Act.statusCode.translation | |
| Definition | A set of other concept descriptors that translate this concept descriptor into other code systems. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| XML Format | The type of this property is determined using the " xsi:typeattribute. |
| Label | Translation |
| 88. Act.effectiveTime | |
| Short | The effectiveTime represents the time when the future referral is intended to take place. |
| Comments | SHALL contain exactly one [1..1] effectiveTime (CONF:1098-30893). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS |
| 90. Act.priorityCode | |
| Comments | SHOULD contain zero or one [0..1] priorityCode (CONF:1098-32623). |
| Control | 0..1 |
| Binding | For example codes, see ActPriority (example to http://terminology.hl7.org/ValueSet/v3-ActPriority) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 92. Act.languageCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from AllLanguages (required to http://hl7.org/fhir/ValueSet/all-languages) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 94. Act.subject | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Subject |
| 96. Act.specimen | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Specimen |
| 98. Act.performer | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Performer2 |
| 100. Act.author | |
| 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. |
| Short | Base for all types and resources |
| Comments | SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-31612). |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Author(Author Participation) |
| Is Modifier | false |
| 102. Act.informant | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Informant |
| 104. Act.participant | |
| Comments | MAY contain zero or more [0..*] participant (CONF:1098-32635). |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Participant2 |
| 106. Act.participant.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 108. Act.participant.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 |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 110. Act.participant.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. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 112. Act.participant.typeId.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 114. Act.participant.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. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Assigning Authority Name |
| 116. Act.participant.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). |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Displayable |
| 118. Act.participant.typeId.root | |
| Definition | Identifies the type as an HL7 Registered model |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Fixed Value | 2.16.840.1.113883.1.3 |
| 120. Act.participant.typeId.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Control | 1..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| 122. Act.participant.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 |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 124. Act.participant.typeCode | |
| Comments | The participant, if present, SHALL contain exactly one [1..1] @typeCode. Use REFT to represent the referred-to provider. |
| Control | 1..1 |
| Binding | The codes SHALL be taken from CDAParticipationType (required to http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 126. Act.participant.contextControlCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDAContextControl (required to http://hl7.org/cda/stds/core/ValueSet/CDAContextControl) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | OP |
| 128. Act.participant.sdtcFunctionCode | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namefunctionCode. |
| 130. Act.participant.time | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS |
| 132. Act.participant.awarenessCode | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 134. Act.participant.participantRole | |
| Comments | The participant, if present, SHALL contain exactly one [1..1] participantRole (CONF:1098-32636). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole |
| 136. Act.participant.participantRole.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 138. Act.participant.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 |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 140. Act.participant.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. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 142. Act.participant.participantRole.typeId.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 144. Act.participant.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. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Assigning Authority Name |
| 146. Act.participant.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). |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Displayable |
| 148. Act.participant.participantRole.typeId.root | |
| Definition | Identifies the type as an HL7 Registered model |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Fixed Value | 2.16.840.1.113883.1.3 |
| 150. Act.participant.participantRole.typeId.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Control | 1..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| 152. Act.participant.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 |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 154. Act.participant.participantRole.classCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDARoleClassRoot (required to http://hl7.org/cda/stds/core/ValueSet/CDARoleClassRoot) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Default Value | ROL |
| 156. Act.participant.participantRole.id | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 158. Act.participant.participantRole.sdtcIdentifiedBy | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameidentifiedBy. |
| 160. Act.participant.participantRole.code | |
| Comments | This participantRole MAY contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1098-32637). |
| Control | 0..1 |
| Binding | The codes SHOULD be taken from Healthcare Provider Taxonomy (preferred to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 162. Act.participant.participantRole.addr | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AD |
| 164. Act.participant.participantRole.telecom | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL |
| 166. Act.participant.participantRole.playingDevice | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Device |
| 168. Act.participant.participantRole.playingEntity | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/PlayingEntity |
| 170. Act.participant.participantRole.scopingEntity | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Entity |
| 172. Act.entryRelationship | |
| Short | The following entryRelationship represents a reference to another act in the document instance representing the clinical reason for the referral (e.g., problem, concern, procedure). |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship |
| Slicing | This element introduces a set of slices on Act.entryRelationship. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 174. Act.entryRelationship:entryRelationship1 | |
| Slice Name | entryRelationship1 |
| Short | The following entryRelationship represents whether the referral is for full or shared care. |
| Comments | MAY contain zero or more [0..*] entryRelationship (CONF:1098-31604) such that it |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship |
| 176. Act.entryRelationship:entryRelationship1.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 178. Act.entryRelationship:entryRelationship1.realmCode | |
| Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 180. Act.entryRelationship:entryRelationship1.typeId | |
| Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 182. Act.entryRelationship:entryRelationship1.typeId.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 184. Act.entryRelationship:entryRelationship1.typeId.assigningAuthorityName | |
| Definition | A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Assigning Authority Name |
| 186. Act.entryRelationship:entryRelationship1.typeId.displayable | |
| Definition | Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false). |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Displayable |
| 188. Act.entryRelationship:entryRelationship1.typeId.root | |
| Definition | Identifies the type as an HL7 Registered model |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Fixed Value | 2.16.840.1.113883.1.3 |
| 190. Act.entryRelationship:entryRelationship1.typeId.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Control | 1..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| 192. Act.entryRelationship:entryRelationship1.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 194. Act.entryRelationship:entryRelationship1.typeCode | |
| Comments | SHALL contain exactly one [1..1] @typeCode="SUBJ" has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31613). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from x_ActRelationshipEntryRelationship (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | SUBJ |
| 196. Act.entryRelationship:entryRelationship1.inversionInd | |
| Definition | The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed. |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 198. Act.entryRelationship:entryRelationship1.contextConductionInd | |
| Definition | The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context. |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Default Value | true |
| 200. Act.entryRelationship:entryRelationship1.negationInd | |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 202. Act.entryRelationship:entryRelationship1.sequenceNumber | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/INT |
| 204. Act.entryRelationship:entryRelationship1.seperatableInd | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/BL |
| 206. Act.entryRelationship:entryRelationship1.act | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Act |
| 208. Act.entryRelationship:entryRelationship1.encounter | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Encounter |
| 210. Act.entryRelationship:entryRelationship1.observation | |
| Comments | SHALL contain exactly one [1..1] observation (CONF:1098-31605). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Observation |
| Invariants | should-priorityCode: SHOULD contain priorityCode (priorityCode.exists()) |
| 212. Act.entryRelationship:entryRelationship1.observation.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 214. Act.entryRelationship:entryRelationship1.observation.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 |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 216. Act.entryRelationship:entryRelationship1.observation.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. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 218. Act.entryRelationship:entryRelationship1.observation.typeId.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 220. Act.entryRelationship:entryRelationship1.observation.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. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Assigning Authority Name |
| 222. Act.entryRelationship:entryRelationship1.observation.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). |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Displayable |
| 224. Act.entryRelationship:entryRelationship1.observation.typeId.root | |
| Definition | Identifies the type as an HL7 Registered model |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Fixed Value | 2.16.840.1.113883.1.3 |
| 226. Act.entryRelationship:entryRelationship1.observation.typeId.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Control | 1..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| 228. Act.entryRelationship:entryRelationship1.observation.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 |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 230. Act.entryRelationship:entryRelationship1.observation.classCode | |
| Comments | This observation SHALL contain exactly one [1..1] @classCode="OBS" observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1098-31606). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from CDAActClassObservation (required to http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | OBS |
| 232. Act.entryRelationship:entryRelationship1.observation.moodCode | |
| Comments | This observation SHALL contain exactly one [1..1] @moodCode="RQO" request (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1098-31607). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from XActMoodDocumentObservation (2.0.0) (required to http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | RQO |
| 234. Act.entryRelationship:entryRelationship1.observation.negationInd | |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 236. Act.entryRelationship:entryRelationship1.observation.id | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 238. Act.entryRelationship:entryRelationship1.observation.code | |
| Comments | This observation SHALL contain exactly one [1..1] code (CONF:1098-31608). |
| Control | 1..1 |
| Binding | For example codes, see ObservationType (example to http://terminology.hl7.org/ValueSet/v3-ObservationType) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| XML Format | The type of this property is determined using the " xsi:typeattribute. |
| 240. Act.entryRelationship:entryRelationship1.observation.code.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 242. Act.entryRelationship:entryRelationship1.observation.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="ASSERTION" assertion (CONF:1098-31619). |
| Control | 1..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code |
| Pattern Value | ASSERTION |
| 244. Act.entryRelationship:entryRelationship1.observation.code.codeSystem | |
| Definition | Specifies the code system that defines the code. |
| Comments | This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.4 " (CodeSystem: HL7ActCode urn:oid:2.16.840.1.113883.5.4) (CONF:1098-31620). |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System |
| Pattern Value | 2.16.840.1.113883.5.4 |
| 246. Act.entryRelationship:entryRelationship1.observation.code.codeSystemName | |
| Definition | The common name of the coding system. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Name |
| 248. Act.entryRelationship:entryRelationship1.observation.code.codeSystemVersion | |
| Definition | If applicable, a version descriptor defined specifically for the given code system. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Version |
| 250. Act.entryRelationship:entryRelationship1.observation.code.displayName | |
| Definition | A name or title for the code, under which the sending system shows the code value to its users. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Display Name |
| 252. Act.entryRelationship:entryRelationship1.observation.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. |
| Control | 0..1 |
| Type | string(oid: ISO Object Identifier) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In 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. |
| 254. Act.entryRelationship:entryRelationship1.observation.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. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In 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. |
| 256. Act.entryRelationship:entryRelationship1.observation.code.originalText | |
| Definition | The text or phrase used as the basis for the coding. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| Label | Original Text |
| 258. Act.entryRelationship:entryRelationship1.observation.code.qualifier | |
| Definition | Specifies additional codes that increase the specificity of the the primary code. |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CR |
| Label | Qualifier |
| 260. Act.entryRelationship:entryRelationship1.observation.code.translation | |
| Definition | A set of other concept descriptors that translate this concept descriptor into other code systems. |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| XML Format | The type of this property is determined using the " xsi:typeattribute. |
| Label | Translation |
| 262. Act.entryRelationship:entryRelationship1.observation.derivationExpr | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ST |
| 264. Act.entryRelationship:entryRelationship1.observation.text | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| XML Format | The type of this property is determined using the " xsi:typeattribute. |
| 266. Act.entryRelationship:entryRelationship1.observation.statusCode | |
| Comments | This observation SHALL contain exactly one [1..1] statusCode (CONF:1098-31614). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ActStatus (required to http://terminology.hl7.org/ValueSet/v3-ActStatus) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 268. Act.entryRelationship:entryRelationship1.observation.statusCode.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 270. Act.entryRelationship:entryRelationship1.observation.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) (CONF:1098-31615). |
| Control | 1..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code |
| Fixed Value | completed |
| 272. Act.entryRelationship:entryRelationship1.observation.statusCode.codeSystem | |
| Definition | Specifies the code system that defines the code. |
| Control | 0..0 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System |
| 274. Act.entryRelationship:entryRelationship1.observation.statusCode.codeSystemName | |
| Definition | The common name of the coding system. |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Name |
| 276. Act.entryRelationship:entryRelationship1.observation.statusCode.codeSystemVersion | |
| Definition | If applicable, a version descriptor defined specifically for the given code system. |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Version |
| 278. Act.entryRelationship:entryRelationship1.observation.statusCode.displayName | |
| Definition | A name or title for the code, under which the sending system shows the code value to its users. |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Display Name |
| 280. Act.entryRelationship:entryRelationship1.observation.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. |
| Control | 0..1 |
| Type | string(oid: ISO Object Identifier) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In 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. |
| 282. Act.entryRelationship:entryRelationship1.observation.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. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In 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. |
| 284. Act.entryRelationship:entryRelationship1.observation.statusCode.originalText | |
| Definition | The text or phrase used as the basis for the coding. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| Label | Original Text |
| 286. Act.entryRelationship:entryRelationship1.observation.statusCode.qualifier | |
| Definition | Specifies additional codes that increase the specificity of the the primary code. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CR |
| Label | Qualifier |
| 288. Act.entryRelationship:entryRelationship1.observation.statusCode.translation | |
| Definition | A set of other concept descriptors that translate this concept descriptor into other code systems. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| XML Format | The type of this property is determined using the " xsi:typeattribute. |
| Label | Translation |
| 290. Act.entryRelationship:entryRelationship1.observation.effectiveTime | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS |
| 292. Act.entryRelationship:entryRelationship1.observation.priorityCode | |
| Comments | This observation SHOULD contain zero or one [0..1] priorityCode, which SHOULD be selected from ValueSet ActPriority urn:oid:2.16.840.1.113883.1.11.16866 DYNAMIC (CONF:1098-32443). |
| Control | 0..1 |
| Binding | The codes SHOULD be taken from ActPriority (preferred to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.16866) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 294. Act.entryRelationship:entryRelationship1.observation.repeatNumber | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IVL-INT |
| 296. Act.entryRelationship:entryRelationship1.observation.languageCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from AllLanguages (required to http://hl7.org/fhir/ValueSet/all-languages) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 298. Act.entryRelationship:entryRelationship1.observation.value | |
| Comments | This observation SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHOULD be selected from ValueSet Care Model urn:oid:2.16.840.1.113883.11.20.9.61 DYNAMIC (CONF:1098-31611). |
| Control | 1..1 |
| Binding | The codes SHOULD be taken from Care Model (preferred to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.61) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| XML Format | The type of this property is determined using the " xsi:typeattribute. |
| 300. Act.entryRelationship:entryRelationship1.observation.interpretationCode | |
| Control | 0..* |
| Binding | The codes SHALL be taken from CDAObservationInterpretation (required to http://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 302. Act.entryRelationship:entryRelationship1.observation.methodCode | |
| Control | 0..* |
| Binding | For example codes, see ObservationMethod (example to http://terminology.hl7.org/ValueSet/v3-ObservationMethod) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 304. Act.entryRelationship:entryRelationship1.observation.targetSiteCode | |
| Definition | Drawn from concept domain ActSite |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| 306. Act.entryRelationship:entryRelationship1.observation.subject | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Subject |
| 308. Act.entryRelationship:entryRelationship1.observation.specimen | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Specimen |
| 310. Act.entryRelationship:entryRelationship1.observation.performer | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Performer2 |
| 312. Act.entryRelationship:entryRelationship1.observation.author | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Author |
| 314. Act.entryRelationship:entryRelationship1.observation.informant | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Informant |
| 316. Act.entryRelationship:entryRelationship1.observation.participant | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Participant2 |
| 318. Act.entryRelationship:entryRelationship1.observation.entryRelationship | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship |
| 320. Act.entryRelationship:entryRelationship1.observation.reference | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Reference |
| 322. Act.entryRelationship:entryRelationship1.observation.precondition | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Precondition |
| 324. Act.entryRelationship:entryRelationship1.observation.sdtcPrecondition2 | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Precondition2 |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameprecondition2. |
| 326. Act.entryRelationship:entryRelationship1.observation.referenceRange | |
| Definition | Relates an Observation to the ObservationRange class, where the expected range of values for a particular observation can be specified. |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot |
| 328. Act.entryRelationship:entryRelationship1.observation.referenceRange.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 330. Act.entryRelationship:entryRelationship1.observation.referenceRange.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 |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 332. Act.entryRelationship:entryRelationship1.observation.referenceRange.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. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 334. Act.entryRelationship:entryRelationship1.observation.referenceRange.typeId.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 336. Act.entryRelationship:entryRelationship1.observation.referenceRange.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. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Assigning Authority Name |
| 338. Act.entryRelationship:entryRelationship1.observation.referenceRange.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). |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Displayable |
| 340. Act.entryRelationship:entryRelationship1.observation.referenceRange.typeId.root | |
| Definition | Identifies the type as an HL7 Registered model |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Fixed Value | 2.16.840.1.113883.1.3 |
| 342. Act.entryRelationship:entryRelationship1.observation.referenceRange.typeId.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Control | 1..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| 344. Act.entryRelationship:entryRelationship1.observation.referenceRange.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 |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 346. Act.entryRelationship:entryRelationship1.observation.referenceRange.typeCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDAActRelationshipType (required to http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | REFV |
| 348. Act.entryRelationship:entryRelationship1.observation.referenceRange.observationRange | |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ObservationRange |
| 350. Act.entryRelationship:entryRelationship1.observation.sdtcInFulfillmentOf1 | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1 |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameinFulfillmentOf1. |
| 352. Act.entryRelationship:entryRelationship1.observationMedia | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia |
| 354. Act.entryRelationship:entryRelationship1.organizer | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Organizer |
| 356. Act.entryRelationship:entryRelationship1.procedure | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Procedure |
| 358. Act.entryRelationship:entryRelationship1.regionOfInterest | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest |
| 360. Act.entryRelationship:entryRelationship1.substanceAdministration | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration |
| 362. Act.entryRelationship:entryRelationship1.supply | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Supply |
| 364. Act.entryRelationship:indication | |
| Slice Name | indication |
| Comments | MAY contain zero or more [0..*] entryRelationship (CONF:1098-31635) such that it |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship |
| 366. Act.entryRelationship:indication.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 368. Act.entryRelationship:indication.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 |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 370. Act.entryRelationship:indication.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. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 372. Act.entryRelationship:indication.typeId.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 374. Act.entryRelationship:indication.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. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Assigning Authority Name |
| 376. Act.entryRelationship:indication.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). |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Displayable |
| 378. Act.entryRelationship:indication.typeId.root | |
| Definition | Identifies the type as an HL7 Registered model |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Fixed Value | 2.16.840.1.113883.1.3 |
| 380. Act.entryRelationship:indication.typeId.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Control | 1..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| 382. Act.entryRelationship:indication.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 |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 384. Act.entryRelationship:indication.typeCode | |
| Comments | SHALL contain exactly one [1..1] @typeCode="RSON" has reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31636). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from x_ActRelationshipEntryRelationship (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | RSON |
| 386. Act.entryRelationship:indication.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. |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 388. Act.entryRelationship:indication.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. |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Default Value | true |
| 390. Act.entryRelationship:indication.negationInd | |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 392. Act.entryRelationship:indication.sequenceNumber | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/INT |
| 394. Act.entryRelationship:indication.seperatableInd | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/BL |
| 396. Act.entryRelationship:indication.act | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Act |
| 398. Act.entryRelationship:indication.encounter | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Encounter |
| 400. Act.entryRelationship:indication.observation | |
| Definition | Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type. |
| Short | Base for all types and resources |
| Comments | SHALL contain exactly one [1..1] Indication (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.19:2014-06-09) (CONF:1098-32634). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Observation(Indication) |
| Is Modifier | false |
| Invariants | should-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())should-effectiveTime: SHOULD contain effectiveTime ( effectiveTime.exists())indication-value: If the ID element does not reference a problem recorded elsewhere in the document, then observation/value must be populated with a coded entry. ( value.exists() or (%resource.descendants().ofType(CDA.Observation).where(id.exists($this.root = %context.id.first().root and $this.extension ~ %context.id.first().extension) and value.exists()))) |
| 402. Act.entryRelationship:indication.observationMedia | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia |
| 404. Act.entryRelationship:indication.organizer | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Organizer |
| 406. Act.entryRelationship:indication.procedure | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Procedure |
| 408. Act.entryRelationship:indication.regionOfInterest | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest |
| 410. Act.entryRelationship:indication.substanceAdministration | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration |
| 412. Act.entryRelationship:indication.supply | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Supply |
| 414. Act.reference | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Reference |
| 416. Act.precondition | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Precondition |
| 418. Act.sdtcPrecondition2 | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Precondition2 |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameprecondition2. |
| 420. Act.sdtcInFulfillmentOf1 | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1 |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameinFulfillmentOf1. |
IG © 2019+ Health Level Seven. Package hl7.cda.us.ccda#3.0.0 based on FHIR 5.0.0. Generated 2024-05-18
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