Left: | Policy Activity (http://hl7.org/cda/us/ccda/StructureDefinition/PolicyActivity) |
Right: | Policy Activity (http://hl7.org/cda/us/ccda/StructureDefinition/PolicyActivity) |
Error | StructureDefinition.version | Values for version differ: '3.0.0-ballot' vs '3.0.0' |
Information | StructureDefinition.date | Values for date differ: '2023-12-21T01:13:10+10:00' vs '2024-05-18T00:42:57-05:00' |
Name | Value | Comments | |
---|---|---|---|
abstract | false | ||
baseDefinition | http://hl7.org/cda/stds/core/StructureDefinition/Act | ||
copyright | |||
date | 2023-12-21T01:13:10+10:00 | 2024-05-18T00:42:57-05:00 |
|
description | A policy activity represents the policy or program providing the coverage. The person for whom payment is being provided (i.e., the patient) is the covered party. The subscriber of the policy or program is represented as a participant that is the holder of the coverage. The payer is represented as the performer of the policy activity. Note that the absence of a Policy Activity Act is not confirmation the patient does not have coverage. A Patient's coverage may not have been documented yet or not known to the healthcare provider. * Absence of a Policy Activity Act may mean that the patient has no coverage or the healthcare provider may not know it. * A self pay payer type MAY be used to imply that the patient has no coverage or that an individual or organization other than an insurer is taking responsibility for payment for a portion of the health care costs. | ||
experimental | |||
fhirVersion | 5.0.0 | ||
jurisdiction | |||
jurisdiction[0] | urn:iso:std:iso:3166#US | ||
kind | logical | ||
name | PolicyActivity | ||
publisher | Health Level Seven | ||
purpose | |||
status | draft | ||
title | Policy Activity | ||
type | http://hl7.org/cda/stds/core/StructureDefinition/Act | ||
url | http://hl7.org/cda/us/ccda/StructureDefinition/PolicyActivity | ||
version | 3.0.0-ballot | 3.0.0 |
|
Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments |
---|---|---|---|---|---|---|---|---|---|
Act | C | 1..1 | Act | Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value should-effectiveTime: SHOULD contain effectiveTime 4537-17139: When the Subscriber is the patient (COV participant code = 'SELF'), the participant element describing the subscriber **SHALL NOT** be present. This information will be recorded instead in the data elements used to record member information (CONF:4537-17139). | C | 1..1 | Act | Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value 4537-17139: When the Subscriber is the patient (COV participant code = 'SELF'), the participant element describing the subscriber **SHALL NOT** be present. This information will be recorded instead in the data elements used to record member information (CONF:4537-17139). | |
nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
realmCode | 0..* | CS | 0..* | CS | |||||
typeId | 0..1 | II | 0..1 | II | |||||
nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
assigningAuthorityName | 0..1 | ?? | 0..1 | ?? | |||||
displayable | 0..1 | ?? | 0..1 | ?? | |||||
root | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | |||
st-simple | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | |||
Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root, value:extension | 1..* | II | Slice: Unordered, Open by value:root, value:extension | |||
classCode | 1..1 | ?? | Binding: ?? (required) Fixed Value: ACT | 1..1 | ?? | Binding: ?? (required) Fixed Value: ACT | |||
moodCode | 1..1 | ?? | Binding: ?? (required) Fixed Value: EVN | 1..1 | ?? | Binding: ?? (required) Fixed Value: EVN | |||
negationInd | 0..1 | ?? | 0..1 | ?? | |||||
id | 1..* | II | (USCDI) **GROUP NUMBER**: This is the identifier used to uniquely refer to a specific health insurance plan. | 1..* | II | (USCDI) **GROUP NUMBER**: This is the identifier used to uniquely refer to a specific health insurance plan. | |||
code | 1..1 | CD | Binding: ?? (example) | 1..1 | CD | Binding: ?? (example) | |||
nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
code | 0..1 | ?? | Binding: ?? (preferred) | 0..1 | ?? | Binding: ?? (preferred) | |||
codeSystem | 0..1 | ??, ??, ?? | 0..1 | ??, ??, ?? | |||||
codeSystemName | 0..1 | ?? | 0..1 | ?? | |||||
codeSystemVersion | 0..1 | ?? | 0..1 | ?? | |||||
displayName | 0..1 | ?? | 0..1 | ?? | |||||
sdtcValueSet | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | |||
sdtcValueSetVersion | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | |||
originalText | 0..1 | ED | 0..1 | ED | |||||
qualifier | 0..* | CR | 0..* | CR | |||||
translation | 0..* | CD | 0..* | CD | |||||
text | 0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | 0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |||
nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
compression | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
integrityCheck | 0..1 | ?? | 0..1 | ?? | |||||
integrityCheckAlgorithm | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
language | 0..1 | ?? | 0..1 | ?? | |||||
mediaType | 0..1 | ?? | Binding: ?? (example) | 0..1 | ?? | Binding: ?? (example) | |||
representation | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
xmlText | 0..1 | ?? | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | 0..1 | ?? | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |||
reference | C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative | C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative | |
thumbnail | 0..1 | ED | 0..1 | ED | |||||
statusCode | 1..1 | CS | Binding: ?? (required) | 1..1 | CS | Binding: ?? (required) | |||
nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
code | 1..1 | ?? | Fixed Value: completed | 1..1 | ?? | Fixed Value: completed | |||
codeSystem | 0..0 | 0..0 | |||||||
codeSystemName | 0..0 | 0..0 | |||||||
codeSystemVersion | 0..0 | 0..0 | |||||||
displayName | 0..0 | 0..0 | |||||||
sdtcValueSet | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | |||
sdtcValueSetVersion | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | |||
originalText | 0..0 | 0..0 | |||||||
qualifier | 0..0 | 0..0 | |||||||
translation | 0..0 | 0..0 | |||||||
effectiveTime | 0..1 | IVL_TS | This records the policy coverage period, or self-pay period. | 0..1 | IVL_TS | ||||
priorityCode | 0..1 | CE | Binding: ?? (example) | 0..1 | CE | Binding: ?? (example) | |||
languageCode | 0..1 | CS | Binding: ?? (required) | 0..1 | CS | Binding: ?? (required) | |||
subject | 0..1 | Subject | 0..1 | Subject | |||||
specimen | 0..* | Specimen | 0..* | Specimen | |||||
Slices for performer | 1..* | Performer2 | Slice: Unordered, Open by value:templateId.root | 1..* | Performer2 | Slice: Unordered, Open by value:templateId.root | |||
author | 0..* | Author | 0..* | Author | |||||
informant | 0..* | Informant | 0..* | Informant | |||||
Slices for participant | 1..* | Participant2 | Slice: Unordered, Open by value:typeCode | 1..* | Participant2 | Slice: Unordered, Open by value:typeCode | |||
Slices for entryRelationship | 0..* | EntryRelationship | Slice: Unordered, Open by value:act.moodCode | 0..* | EntryRelationship | Slice: Unordered, Open by value:act.moodCode | |||
reference | 0..* | Reference | 0..* | Reference | |||||
precondition | 0..* | Precondition | 0..* | Precondition | |||||
sdtcPrecondition2 | 0..* | Precondition2 | XML: precondition2 (urn:hl7-org:sdtc) | 0..* | Precondition2 | XML: precondition2 (urn:hl7-org:sdtc) | |||
sdtcInFulfillmentOf1 | 0..* | InFulfillmentOf1 | XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | 0..* | InFulfillmentOf1 | XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |||
Documentation for this format |