FHIR IG Statistics: StructureDefinition/2.16.840.1.113883.10.20.22.4.132
| Package | hl7.cda.us.ccdar2dot2 |
| Type | StructureDefinition |
| Id | 2.16.840.1.113883.10.20.22.4.132 |
| FHIR Version | R4 |
| Source | http://hl7.org/cda/us/ccda/https://build.fhir.org/ig/HL7/CDA-ccda-2.2/StructureDefinition-2.16.840.1.113883.10.20.22.4.132.html |
| URL | http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.132 |
| Version | 2.2 |
| Status | active |
| Date | 2022-05-13T15:50:12+00:00 |
| Name | HealthConcernAct |
| Title | Health Concern Act |
| Realm | us |
| Authority | hl7 |
| Description | This template represents a health concern.
It is a wrapper for a single health concern which may be derived from a variety of sources within an EHR (such as Problem List, Family History, Social History, Social Worker Note, etc.).
A Health Concern Act is used to track non-optimal physical or psychological situations drawing the patient to the healthcare system. These may be from the perspective of the care team or from the perspective of the patient.
When the underlying condition is of concern (i.e., as long as the condition, whether active or resolved, is of ongoing concern and interest), the statusCode is active. Only when the underlying condition is no longer of concern is the statusCode set to completed. The effectiveTime reflects the time that the underlying condition was felt to be a concern; it may or may not correspond to the effectiveTime of the condition (e.g., even five years later, a prior heart attack may remain a concern).
Health concerns require intervention(s) to increase the likelihood of achieving the goals of care for the patient and they specify the condition oriented reasons for creating the plan. |
| Type | Act |
| Kind | resource |
Resources that use this resource
Resources that this resource uses
Narrative
Note: links and images are rebased to the (stated) source
| Name | Flags | Card. | Type | Description & Constraints |
|---|
  Act | | 1..1 | CDAR2.Act | |
 classCode | | 1..1 | code | Required Pattern: ACT |
| moodCode | | 1..1 | code | Required Pattern: EVN |
 Slices for templateId | | 0..* | II | Slice: Unordered, Open by value:root, value:extension |
   templateId:primary | | 1..1 | II | |
  root | | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.132 |
  extension | | 1..1 | string | Required Pattern: 2015-08-01 |
| id | | 1..* | II | |
| code | | 1..1 | CD | |
| code | | 1..1 | string | Required Pattern: 75310-3 |
 codeSystem | | 1..1 | string | Required Pattern: 2.16.840.1.113883.6.1 |
| statusCode | | 1..1 | CS | |
| code | | 1..1 | string | Binding: ProblemAct statusCode (required) |
| effectiveTime | | 0..1 | IVL_TS | |
 author | | 0..* | AuthorParticipation | A health concern may be a patient or provider concern. If the author is set to the recordTarget (patient), this is a patient concern. If the author is set to a provider, this is a provider concern. If both patient and provider are set as authors, this is a concern of both the patient and the provider.
|
| Slices for entryRelationship | | 0..* | Element | Where a Health Concern needs to reference another entry already described in the CDA document instance, rather than repeating the full content of the entry, the Entry Reference template may be used to reference this entry.
Slice: Unordered, Open by profile:observation, profile:act, profile:organizer |
 entryRelationship:problemObservation | | 0..* | Element | |
 typeCode | | 1..1 | code | Required Pattern: REFR |
| observation | | 1..1 | ProblemObservation | |
| entryRelationship:allergy-IntoleranceObservation | | 0..* | Element | |
| typeCode | | 1..1 | code | Required Pattern: REFR |
| observation | | 1..1 | AllergyIntoleranceObservation | |
| entryRelationship:entryReference | | 0..* | Element | The following entryRelationship represents the relationship between two Health Concern Acts where there is a general relationship between the source and the target (Health Concern REFERS TO Health Concern). For example, a patient has 2 health concerns identified in a CARE Plan: Failure to Thrive and Poor Feeding, while it could be that one may have caused the other, at the time of care planning and documentation it is not necessary, nor desirable to have to assert what caused what. The Entry Reference template is used here because the target Health Concern Act will be defined elsewhere in the Health Concerns Section and thus a reference to that template is all that is required.
|
| typeCode | | 1..1 | code | Required Pattern: REFR |
| act | I | 1..1 | EntryReference | 1198-32860: The Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:1198-32860). |
| entryRelationship:entryReference | | 0..* | Element | The following entryRelationship represents the relationship between two Health Concern Acts where the target is a component of the source (Health Concern HAS COMPONENT Health Concern). For example, a patient has an Impaired Mobility Health Concern. There may then be the need to document several component health concerns, such as "Unable to Transfer Bed to Chair", "Unable to Rise from Commode", "Short of Breath Walking with Walker". The Entry Reference template is used here because the target Health Concern Act will be defined elsewhere in the Health Concerns Section and thus a reference to that template is all that is required.
|
| typeCode | | 1..1 | code | Required Pattern: COMP |
| act | I | 1..1 | EntryReference | 1198-32745: The Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:1198-32745). |
| entryRelationship:assessmentScaleObservation | | 0..* | Element | |
| typeCode | | 1..1 | code | Required Pattern: REFR |
| observation | | 1..1 | AssessmentScaleObservation | |
| entryRelationship:self-CareActivities(ADLandIADL) | | 0..* | Element | |
| typeCode | | 1..1 | code | Required Pattern: REFR |
| observation | | 1..1 | SelfCareActivitiesADLandIADL | |
| entryRelationship:mentalStatusObservation | | 0..* | Element | |
| typeCode | | 1..1 | code | Required Pattern: REFR |
| observation | | 1..1 | MentalStatusObservation | |
| entryRelationship:smokingStatus-MeaningfulUse | | 0..* | Element | |
| typeCode | | 1..1 | code | Required Pattern: REFR |
| observation | | 1..1 | SmokingStatusMeaningfulUse | |
| entryRelationship:encounterDiagnosis | | 0..* | Element | |
| typeCode | | 1..1 | code | Required Pattern: REFR |
| act | | 1..1 | EncounterDiagnosis | |
| entryRelationship:entryRelationship10 | | 0..* | Element | |
| typeCode | | 1..1 | code | Required Pattern: REFR |
| organizer | | 1..1 | FamilyHistoryOrganizer | |
| entryRelationship:functionalStatusObservation | | 0..* | Element | |
| typeCode | | 1..1 | code | Required Pattern: REFR |
| observation | | 1..1 | FunctionalStatusObservation | |
| entryRelationship:hospitalAdmissionDiagnosis | | 0..* | Element | |
| typeCode | | 1..1 | code | Required Pattern: REFR |
| act | | 1..1 | HospitalAdmissionDiagnosis | |
| entryRelationship:nutritionAssessment | | 0..* | Element | |
| typeCode | | 1..1 | code | Required Pattern: REFR |
| observation | | 1..1 | NutritionAssessment | |
| entryRelationship:postprocedureDiagnosis | | 0..* | Element | |
| typeCode | | 1..1 | code | Required Pattern: REFR |
| act | | 1..1 | PostprocedureDiagnosis | |
| entryRelationship:pregnancyObservation | | 0..* | Element | |
| typeCode | | 1..1 | code | Required Pattern: REFR |
| observation | | 1..1 | PregnancyObservation | |
| entryRelationship:preoperativeDiagnosis | | 0..* | Element | |
| typeCode | | 1..1 | code | Required Pattern: REFR |
| act | | 1..1 | PreoperativeDiagnosis | |
| entryRelationship:reactionObservation | | 0..* | Element | |
| typeCode | | 1..1 | code | Required Pattern: REFR |
| observation | | 1..1 | ReactionObservation | |
| entryRelationship:resultObservation | | 0..* | Element | |
| typeCode | | 1..1 | code | Required Pattern: REFR |
| observation | | 1..1 | ResultObservation | |
| entryRelationship:sensoryStatus | | 0..* | Element | |
| typeCode | | 1..1 | code | Required Pattern: REFR |
| observation | | 1..1 | SensoryStatus | |
| entryRelationship:socialHistoryObservation | | 0..* | Element | |
| typeCode | | 1..1 | code | Required Pattern: REFR |
| observation | | 1..1 | SocialHistoryObservation | |
| entryRelationship:substanceorDeviceAllergy-IntoleranceObservation | | 0..* | Element | |
| typeCode | | 1..1 | code | Required Pattern: REFR |
| observation | | 1..1 | SubstanceOrDeviceAllergyIntoleranceObservation | |
| entryRelationship:tobaccoUse | | 0..* | Element | |
| typeCode | | 1..1 | code | Required Pattern: REFR |
| observation | | 1..1 | TobaccoUse | |
| entryRelationship:vitalSignObservation | | 0..* | Element | |
| typeCode | | 1..1 | code | Required Pattern: REFR |
| observation | | 1..1 | VitalSignObservation | |
| entryRelationship:longitudinalCareWoundObservation | | 0..* | Element | |
| typeCode | | 1..1 | code | Required Pattern: REFR |
| observation | | 1..1 | LongitudinalCareWoundObservation | |
| entryRelationship:problemObservation | | 0..* | Element | The following entryRelationship represents the relationship Health Concern HAS SUPPORT Observation.
|
| typeCode | | 1..1 | code | Required Pattern: SPRT |
| observation | | 1..1 | ProblemObservation | |
| entryRelationship:caregiverCharacteristics | | 0..* | Element | |
| typeCode | | 1..1 | code | Required Pattern: REFR |
| observation | | 1..1 | CaregiverCharacteristics | |
| entryRelationship:culturalandReligiousObservation | | 0..* | Element | |
| typeCode | | 1..1 | code | Required Pattern: REFR |
| observation | | 1..1 | CulturalandReligiousObservation | |
| entryRelationship:characteristicsofHomeEnvironment | | 0..* | Element | |
| typeCode | | 1..1 | code | Required Pattern: REFR |
| observation | | 1..1 | CharacteristicsofHomeEnvironment | |
| entryRelationship:nutritionalStatusObservation | | 0..* | Element | |
| typeCode | | 1..1 | code | Required Pattern: REFR |
| observation | | 1..1 | NutritionalStatusObservation | |
| entryRelationship:entryRelationship30 | | 0..* | Element | |
| typeCode | | 1..1 | code | Required Pattern: REFR |
| organizer | | 1..1 | ResultOrganizer | |
| entryRelationship:priorityPreference | | 0..* | Element | The following entryRelationship represents the priority that the patient or a provider puts on the health concern.
|
| typeCode | | 1..1 | code | Required Pattern: REFR |
| observation | | 1..1 | PriorityPreference | |
| entryRelationship:problemConcernAct | | 0..* | Element | |
| typeCode | | 1..1 | code | Required Pattern: REFR |
| act | | 1..1 | ProblemConcernAct | |
| entryRelationship:entryReference | | 0..* | Element | |
| typeCode | | 1..1 | code | Required Pattern: REFR |
| act | | 1..1 | EntryReference | |
| reference | | 0..* | Element | Where it is necessary to reference an external clinical document such a Referral document, Discharge Summary document etc., the External Document Reference template can be used to reference this document. However, if this Care Plan document is replacing or appending another Care Plan document in the same set, that relationship is set in the header, using ClinicalDocument/relatedDocument.
|
| typeCode | | 1..1 | code | Required Pattern: REFR |
| externalDocument | | 1..1 | ExternalDocumentReference | |
Documentation for this format |
Source
{
"resourceType": "StructureDefinition",
"id": "2.16.840.1.113883.10.20.22.4.132",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"url": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.132",
"identifier": [
{
"value": "urn:hl7ii:2.16.840.1.113883.10.20.22.4.132:2015-08-01"
}
],
"version": "2.2",
"name": "HealthConcernAct",
"title": "Health Concern Act",
"status": "active",
"date": "2022-05-13T15:50:12+00:00",
"publisher": "Health Level Seven",
"contact": [
{
"name": "HL7 International - Structured Documents",
"telecom": [
{
"system": "url",
"value": "http://www.hl7.org/Special/committees/structure"
}
]
}
],
"description": "This template represents a health concern. \n\nIt is a wrapper for a single health concern which may be derived from a variety of sources within an EHR (such as Problem List, Family History, Social History, Social Worker Note, etc.). \n\nA Health Concern Act is used to track non-optimal physical or psychological situations drawing the patient to the healthcare system. These may be from the perspective of the care team or from the perspective of the patient. \nWhen the underlying condition is of concern (i.e., as long as the condition, whether active or resolved, is of ongoing concern and interest), the statusCode is active. Only when the underlying condition is no longer of concern is the statusCode set to completed. The effectiveTime reflects the time that the underlying condition was felt to be a concern; it may or may not correspond to the effectiveTime of the condition (e.g., even five years later, a prior heart attack may remain a concern).\nHealth concerns require intervention(s) to increase the likelihood of achieving the goals of care for the patient and they specify the condition oriented reasons for creating the plan.",
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "US"
}
]
}
],
"fhirVersion": "4.0.1",
"kind": "resource",
"abstract": false,
"type": "Act",
"baseDefinition": "http://hl7.org/fhir/cda/StructureDefinition/Act",
"derivation": "constraint",
"snapshot": {
"element": [
{
"id": "Act",
"path": "Act",
"min": 1,
"max": "1",
"base": {
"path": "Base",
"min": 0,
"max": "*"
},
"isModifier": false
},
{
"id": "Act.classCode",
"path": "Act.classCode",
"representation": [
"xmlAttr"
],
"requirements": "SHALL contain exactly one [1..1] @classCode=\"ACT\" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1198-30750).",
"min": 1,
"max": "1",
"base": {
"path": "Act.classCode",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"patternCode": "ACT"
},
{
"id": "Act.moodCode",
"path": "Act.moodCode",
"representation": [
"xmlAttr"
],
"requirements": "SHALL contain exactly one [1..1] @moodCode=\"EVN\" (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1198-30751).",
"min": 1,
"max": "1",
"base": {
"path": "Act.moodCode",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"patternCode": "EVN"
},
{
"id": "Act.realmCode",
"path": "Act.realmCode",
"min": 0,
"max": "*",
"base": {
"path": "Act.realmCode",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/CS"
}
]
},
{
"id": "Act.typeId",
"path": "Act.typeId",
"min": 0,
"max": "1",
"base": {
"path": "Act.typeId",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/II"
}
]
},
{
"id": "Act.templateId",
"path": "Act.templateId",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "root"
},
{
"type": "value",
"path": "extension"
}
],
"rules": "open"
},
"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",
"min": 0,
"max": "*",
"base": {
"path": "Act.templateId",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/II"
}
]
},
{
"id": "Act.templateId:primary",
"path": "Act.templateId",
"sliceName": "primary",
"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",
"requirements": "SHALL contain exactly one [1..1] templateId (CONF:1198-30752) such that it",
"min": 1,
"max": "1",
"base": {
"path": "Act.templateId",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/II"
}
]
},
{
"id": "Act.templateId:primary.nullFlavor",
"path": "Act.templateId.nullFlavor",
"representation": [
"xmlAttr"
],
"label": "Exceptional Value Detail",
"definition": "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min": 0,
"max": "1",
"base": {
"path": "ANY.nullFlavor",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor"
}
},
{
"id": "Act.templateId:primary.assigningAuthorityName",
"path": "Act.templateId.assigningAuthorityName",
"representation": [
"xmlAttr"
],
"label": "Assigning Authority Name",
"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.",
"min": 0,
"max": "1",
"base": {
"path": "II.assigningAuthorityName",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "Act.templateId:primary.displayable",
"path": "Act.templateId.displayable",
"representation": [
"xmlAttr"
],
"label": "Displayable",
"definition": "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
"min": 0,
"max": "1",
"base": {
"path": "II.displayable",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Act.templateId:primary.root",
"path": "Act.templateId.root",
"representation": [
"xmlAttr"
],
"label": "Root",
"definition": "A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.",
"requirements": "SHALL contain exactly one [1..1] @root=\"2.16.840.1.113883.10.20.22.4.132\" (CONF:1198-30753).",
"min": 1,
"max": "1",
"base": {
"path": "II.root",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"patternString": "2.16.840.1.113883.10.20.22.4.132"
},
{
"id": "Act.templateId:primary.extension",
"path": "Act.templateId.extension",
"representation": [
"xmlAttr"
],
"label": "Extension",
"definition": "A character string as a unique identifier within the scope of the identifier root.",
"requirements": "SHALL contain exactly one [1..1] @extension=\"2015-08-01\" (CONF:1198-32861).",
"min": 1,
"max": "1",
"base": {
"path": "II.extension",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"patternString": "2015-08-01"
},
{
"id": "Act.id",
"path": "Act.id",
"requirements": "SHALL contain at least one [1..*] id (CONF:1198-30754).",
"min": 1,
"max": "*",
"base": {
"path": "Act.id",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/II"
}
]
},
{
"id": "Act.code",
"path": "Act.code",
"requirements": "SHALL contain exactly one [1..1] code (CONF:1198-32310).",
"min": 1,
"max": "1",
"base": {
"path": "Act.code",
"min": 1,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/CD"
}
],
"binding": {
"strength": "extensible",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-ActCode"
}
},
{
"id": "Act.code.nullFlavor",
"path": "Act.code.nullFlavor",
"representation": [
"xmlAttr"
],
"label": "Exceptional Value Detail",
"definition": "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min": 0,
"max": "1",
"base": {
"path": "ANY.nullFlavor",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor"
}
},
{
"id": "Act.code.code",
"path": "Act.code.code",
"representation": [
"xmlAttr"
],
"label": "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.",
"requirements": "This code SHALL contain exactly one [1..1] @code=\"75310-3\" Health Concern (CONF:1198-32311).",
"min": 1,
"max": "1",
"base": {
"path": "CD.code",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"patternString": "75310-3"
},
{
"id": "Act.code.codeSystem",
"path": "Act.code.codeSystem",
"representation": [
"xmlAttr"
],
"label": "Code System",
"definition": "Specifies the code system that defines the code.",
"requirements": "This code SHALL contain exactly one [1..1] @codeSystem=\"2.16.840.1.113883.6.1\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:1198-32312).",
"min": 1,
"max": "1",
"base": {
"path": "CD.codeSystem",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"patternString": "2.16.840.1.113883.6.1"
},
{
"id": "Act.code.codeSystemName",
"path": "Act.code.codeSystemName",
"representation": [
"xmlAttr"
],
"label": "Code System Name",
"definition": "The common name of the coding system.",
"min": 0,
"max": "1",
"base": {
"path": "CD.codeSystemName",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "Act.code.codeSystemVersion",
"path": "Act.code.codeSystemVersion",
"representation": [
"xmlAttr"
],
"label": "Code System Version",
"definition": "If applicable, a version descriptor defined specifically for the given code system.",
"min": 0,
"max": "1",
"base": {
"path": "CD.codeSystemVersion",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "Act.code.displayName",
"path": "Act.code.displayName",
"representation": [
"xmlAttr"
],
"label": "Display Name",
"definition": "A name or title for the code, under which the sending system shows the code value to its users.",
"min": 0,
"max": "1",
"base": {
"path": "CD.displayName",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "Act.code.sdtcValueSet",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
"valueUri": "urn:hl7-org:sdtc"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
"valueString": "valueSet"
}
],
"path": "Act.code.sdtcValueSet",
"representation": [
"xmlAttr"
],
"definition": "The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.",
"min": 0,
"max": "1",
"base": {
"path": "CD.valueSet",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "Act.code.sdtcValueSetVersion",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
"valueUri": "urn:hl7-org:sdtc"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
"valueString": "valueSetVersion"
}
],
"path": "Act.code.sdtcValueSetVersion",
"representation": [
"xmlAttr"
],
"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.",
"min": 0,
"max": "1",
"base": {
"path": "CD.sdtcValueSetVersion",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "Act.code.originalText",
"path": "Act.code.originalText",
"label": "Original Text",
"definition": "The text or phrase used as the basis for the coding.",
"min": 0,
"max": "1",
"base": {
"path": "CD.originalText",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/ED"
}
]
},
{
"id": "Act.code.qualifier",
"path": "Act.code.qualifier",
"label": "Qualifier",
"definition": "Specifies additional codes that increase the specificity of the the primary code.",
"min": 0,
"max": "*",
"base": {
"path": "CD.qualifier",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/CR"
}
]
},
{
"id": "Act.code.translation",
"path": "Act.code.translation",
"representation": [
"typeAttr"
],
"label": "Translation",
"definition": "A set of other concept descriptors that translate this concept descriptor into other code systems.",
"min": 0,
"max": "*",
"base": {
"path": "CD.translation",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/CD"
}
]
},
{
"id": "Act.negationInd",
"path": "Act.negationInd",
"representation": [
"xmlAttr"
],
"min": 0,
"max": "1",
"base": {
"path": "Act.negationInd",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Act.text",
"path": "Act.text",
"min": 0,
"max": "1",
"base": {
"path": "Act.text",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/ED"
}
]
},
{
"id": "Act.statusCode",
"path": "Act.statusCode",
"requirements": "SHALL contain exactly one [1..1] statusCode (CONF:1198-30758).",
"min": 1,
"max": "1",
"base": {
"path": "Act.statusCode",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/CS"
}
],
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-ActStatus"
}
},
{
"id": "Act.statusCode.nullFlavor",
"path": "Act.statusCode.nullFlavor",
"representation": [
"xmlAttr"
],
"label": "Exceptional Value Detail",
"definition": "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min": 0,
"max": "1",
"base": {
"path": "ANY.nullFlavor",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor"
}
},
{
"id": "Act.statusCode.code",
"path": "Act.statusCode.code",
"representation": [
"xmlAttr"
],
"label": "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.",
"requirements": "This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ProblemAct statusCode urn:oid:2.16.840.1.113883.11.20.9.19 STATIC (CONF:1198-32313).",
"min": 1,
"max": "1",
"base": {
"path": "CD.code",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"binding": {
"strength": "required",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.19"
}
},
{
"id": "Act.statusCode.codeSystem",
"path": "Act.statusCode.codeSystem",
"representation": [
"xmlAttr"
],
"label": "Code System",
"definition": "Specifies the code system that defines the code.",
"min": 0,
"max": "0",
"base": {
"path": "CD.codeSystem",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "Act.statusCode.codeSystemName",
"path": "Act.statusCode.codeSystemName",
"representation": [
"xmlAttr"
],
"label": "Code System Name",
"definition": "The common name of the coding system.",
"min": 0,
"max": "0",
"base": {
"path": "CD.codeSystemName",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "Act.statusCode.codeSystemVersion",
"path": "Act.statusCode.codeSystemVersion",
"representation": [
"xmlAttr"
],
"label": "Code System Version",
"definition": "If applicable, a version descriptor defined specifically for the given code system.",
"min": 0,
"max": "0",
"base": {
"path": "CD.codeSystemVersion",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "Act.statusCode.displayName",
"path": "Act.statusCode.displayName",
"representation": [
"xmlAttr"
],
"label": "Display Name",
"definition": "A name or title for the code, under which the sending system shows the code value to its users.",
"min": 0,
"max": "0",
"base": {
"path": "CD.displayName",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "Act.statusCode.sdtcValueSet",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
"valueUri": "urn:hl7-org:sdtc"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
"valueString": "valueSet"
}
],
"path": "Act.statusCode.sdtcValueSet",
"representation": [
"xmlAttr"
],
"definition": "The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.",
"min": 0,
"max": "1",
"base": {
"path": "CD.valueSet",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "Act.statusCode.sdtcValueSetVersion",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
"valueUri": "urn:hl7-org:sdtc"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
"valueString": "valueSetVersion"
}
],
"path": "Act.statusCode.sdtcValueSetVersion",
"representation": [
"xmlAttr"
],
"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.",
"min": 0,
"max": "1",
"base": {
"path": "CD.sdtcValueSetVersion",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "Act.statusCode.originalText",
"path": "Act.statusCode.originalText",
"label": "Original Text",
"definition": "The text or phrase used as the basis for the coding.",
"min": 0,
"max": "0",
"base": {
"path": "CD.originalText",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/ED"
}
]
},
{
"id": "Act.statusCode.qualifier",
"path": "Act.statusCode.qualifier",
"label": "Qualifier",
"definition": "Specifies additional codes that increase the specificity of the the primary code.",
"min": 0,
"max": "0",
"base": {
"path": "CD.qualifier",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/CR"
}
]
},
{
"id": "Act.statusCode.translation",
"path": "Act.statusCode.translation",
"representation": [
"typeAttr"
],
"label": "Translation",
"definition": "A set of other concept descriptors that translate this concept descriptor into other code systems.",
"min": 0,
"max": "0",
"base": {
"path": "CD.translation",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/CD"
}
]
},
{
"id": "Act.effectiveTime",
"path": "Act.effectiveTime",
"requirements": "MAY contain zero or one [0..1] effectiveTime (CONF:1198-30759).",
"min": 0,
"max": "1",
"base": {
"path": "Act.effectiveTime",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/IVL-TS"
}
]
},
{
"id": "Act.priorityCode",
"path": "Act.priorityCode",
"min": 0,
"max": "1",
"base": {
"path": "Act.priorityCode",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/CE"
}
],
"binding": {
"strength": "extensible",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-ActPriority"
}
},
{
"id": "Act.languageCode",
"path": "Act.languageCode",
"min": 0,
"max": "1",
"base": {
"path": "Act.languageCode",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/CS"
}
],
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-HumanLanguage"
}
},
{
"id": "Act.subject",
"path": "Act.subject",
"min": 0,
"max": "1",
"base": {
"path": "Act.subject",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Element"
}
]
},
{
"id": "Act.subject.typeCode",
"path": "Act.subject.typeCode",
"representation": [
"xmlAttr"
],
"min": 1,
"max": "1",
"base": {
"path": "Act.subject.typeCode",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"defaultValueCode": "SBJ",
"fixedCode": "SBJ",
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-ParticipationTargetSubject"
}
},
{
"id": "Act.subject.contextControlCode",
"path": "Act.subject.contextControlCode",
"representation": [
"xmlAttr"
],
"min": 1,
"max": "1",
"base": {
"path": "Act.subject.contextControlCode",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"defaultValueCode": "OP",
"fixedCode": "OP",
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-ContextControl"
}
},
{
"id": "Act.subject.awarenessCode",
"path": "Act.subject.awarenessCode",
"min": 0,
"max": "1",
"base": {
"path": "Act.subject.awarenessCode",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/CE"
}
],
"binding": {
"strength": "extensible",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-TargetAwareness"
}
},
{
"id": "Act.subject.relatedSubject",
"path": "Act.subject.relatedSubject",
"min": 1,
"max": "1",
"base": {
"path": "Act.subject.relatedSubject",
"min": 1,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/RelatedSubject"
}
]
},
{
"id": "Act.specimen",
"path": "Act.specimen",
"min": 0,
"max": "*",
"base": {
"path": "Act.specimen",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Specimen"
}
]
},
{
"id": "Act.performer",
"path": "Act.performer",
"min": 0,
"max": "*",
"base": {
"path": "Act.performer",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Performer2"
}
]
},
{
"id": "Act.author",
"path": "Act.author",
"short": "A health concern may be a patient or provider concern. If the author is set to the recordTarget (patient), this is a patient concern. If the author is set to a provider, this is a provider concern. If both patient and provider are set as authors, this is a concern of both the patient and the provider.",
"requirements": "SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1198-31546).",
"min": 0,
"max": "*",
"base": {
"path": "Act.author",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Author",
"profile": [
"http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.119"
]
}
],
"isModifier": false
},
{
"id": "Act.informant",
"path": "Act.informant",
"min": 0,
"max": "*",
"base": {
"path": "Act.informant",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Element"
}
]
},
{
"id": "Act.informant.typeCode",
"path": "Act.informant.typeCode",
"representation": [
"xmlAttr"
],
"min": 1,
"max": "1",
"base": {
"path": "Act.informant.typeCode",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"defaultValueCode": "INF",
"fixedCode": "INF",
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-ParticipationInformationGenerator"
}
},
{
"id": "Act.informant.contextControlCode",
"path": "Act.informant.contextControlCode",
"representation": [
"xmlAttr"
],
"min": 1,
"max": "1",
"base": {
"path": "Act.informant.contextControlCode",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"defaultValueCode": "OP",
"fixedCode": "OP",
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-ContextControl"
}
},
{
"id": "Act.informant.assignedEntity",
"path": "Act.informant.assignedEntity",
"min": 0,
"max": "1",
"base": {
"path": "Act.informant.assignedEntity",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity"
}
]
},
{
"id": "Act.informant.relatedEntity",
"path": "Act.informant.relatedEntity",
"min": 0,
"max": "1",
"base": {
"path": "Act.informant.relatedEntity",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/RelatedEntity"
}
]
},
{
"id": "Act.participant",
"path": "Act.participant",
"min": 0,
"max": "*",
"base": {
"path": "Act.participant",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Participant2"
}
]
},
{
"id": "Act.entryRelationship",
"path": "Act.entryRelationship",
"slicing": {
"discriminator": [
{
"type": "profile",
"path": "observation"
},
{
"type": "profile",
"path": "act"
},
{
"type": "profile",
"path": "organizer"
}
],
"rules": "open"
},
"short": "Where a Health Concern needs to reference another entry already described in the CDA document instance, rather than repeating the full content of the entry, the Entry Reference template may be used to reference this entry.",
"min": 0,
"max": "*",
"base": {
"path": "Act.entryRelationship",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Element"
}
],
"constraint": [
{
"key": "act-er-1",
"severity": "error",
"human": "Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act",
"expression": "(observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1",
"source": "http://hl7.org/fhir/cda/StructureDefinition/Act"
}
]
},
{
"id": "Act.entryRelationship.typeCode",
"path": "Act.entryRelationship.typeCode",
"representation": [
"xmlAttr"
],
"min": 1,
"max": "1",
"base": {
"path": "Act.entryRelationship.typeCode",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
]
},
{
"id": "Act.entryRelationship.inversionInd",
"path": "Act.entryRelationship.inversionInd",
"representation": [
"xmlAttr"
],
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.inversionInd",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Act.entryRelationship.contextConductionInd",
"path": "Act.entryRelationship.contextConductionInd",
"representation": [
"xmlAttr"
],
"min": 1,
"max": "1",
"base": {
"path": "Act.entryRelationship.contextConductionInd",
"min": 1,
"max": "1"
},
"type": [
{
"code": "boolean"
}
],
"defaultValueBoolean": true
},
{
"id": "Act.entryRelationship.sequenceNumber",
"path": "Act.entryRelationship.sequenceNumber",
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.sequenceNumber",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/INT"
}
]
},
{
"id": "Act.entryRelationship.negationInd",
"path": "Act.entryRelationship.negationInd",
"representation": [
"xmlAttr"
],
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.negationInd",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Act.entryRelationship.seperatableInd",
"path": "Act.entryRelationship.seperatableInd",
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.seperatableInd",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/BL"
}
]
},
{
"id": "Act.entryRelationship.observation",
"path": "Act.entryRelationship.observation",
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.observation",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Observation"
}
]
},
{
"id": "Act.entryRelationship.regionOfInterest",
"path": "Act.entryRelationship.regionOfInterest",
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.regionOfInterest",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest"
}
]
},
{
"id": "Act.entryRelationship.observationMedia",
"path": "Act.entryRelationship.observationMedia",
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.observationMedia",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"
}
]
},
{
"id": "Act.entryRelationship.substanceAdministration",
"path": "Act.entryRelationship.substanceAdministration",
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.substanceAdministration",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"
}
]
},
{
"id": "Act.entryRelationship.supply",
"path": "Act.entryRelationship.supply",
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.supply",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Supply"
}
]
},
{
"id": "Act.entryRelationship.procedure",
"path": "Act.entryRelationship.procedure",
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.procedure",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Procedure"
}
]
},
{
"id": "Act.entryRelationship.encounter",
"path": "Act.entryRelationship.encounter",
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.encounter",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Encounter"
}
]
},
{
"id": "Act.entryRelationship.organizer",
"path": "Act.entryRelationship.organizer",
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.organizer",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Organizer"
}
]
},
{
"id": "Act.entryRelationship.act",
"path": "Act.entryRelationship.act",
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.act",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Act"
}
]
},
{
"id": "Act.entryRelationship:problemObservation",
"path": "Act.entryRelationship",
"sliceName": "problemObservation",
"requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-30761) such that it",
"min": 0,
"max": "*",
"base": {
"path": "Act.entryRelationship",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Element"
}
],
"constraint": [
{
"key": "act-er-1",
"severity": "error",
"human": "Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act",
"expression": "(observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1",
"source": "http://hl7.org/fhir/cda/StructureDefinition/Act"
}
]
},
{
"id": "Act.entryRelationship:problemObservation.typeCode",
"path": "Act.entryRelationship.typeCode",
"representation": [
"xmlAttr"
],
"requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-30762).",
"min": 1,
"max": "1",
"base": {
"path": "Act.entryRelationship.typeCode",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"patternCode": "REFR"
},
{
"id": "Act.entryRelationship:problemObservation.inversionInd",
"path": "Act.entryRelationship.inversionInd",
"representation": [
"xmlAttr"
],
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.inversionInd",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Act.entryRelationship:problemObservation.contextConductionInd",
"path": "Act.entryRelationship.contextConductionInd",
"representation": [
"xmlAttr"
],
"min": 1,
"max": "1",
"base": {
"path": "Act.entryRelationship.contextConductionInd",
"min": 1,
"max": "1"
},
"type": [
{
"code": "boolean"
}
],
"defaultValueBoolean": true
},
{
"id": "Act.entryRelationship:problemObservation.sequenceNumber",
"path": "Act.entryRelationship.sequenceNumber",
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.sequenceNumber",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/INT"
}
]
},
{
"id": "Act.entryRelationship:problemObservation.negationInd",
"path": "Act.entryRelationship.negationInd",
"representation": [
"xmlAttr"
],
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.negationInd",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Act.entryRelationship:problemObservation.seperatableInd",
"path": "Act.entryRelationship.seperatableInd",
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.seperatableInd",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/BL"
}
]
},
{
"id": "Act.entryRelationship:problemObservation.observation",
"path": "Act.entryRelationship.observation",
"requirements": "SHALL contain exactly one [1..1] Problem Observation (V3) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.4:2015-08-01) (CONF:1198-31001).",
"min": 1,
"max": "1",
"base": {
"path": "Act.entryRelationship.observation",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Observation",
"profile": [
"http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.4"
]
}
],
"isModifier": false
},
{
"id": "Act.entryRelationship:problemObservation.regionOfInterest",
"path": "Act.entryRelationship.regionOfInterest",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.regionOfInterest",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest"
}
]
},
{
"id": "Act.entryRelationship:problemObservation.observationMedia",
"path": "Act.entryRelationship.observationMedia",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.observationMedia",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"
}
]
},
{
"id": "Act.entryRelationship:problemObservation.substanceAdministration",
"path": "Act.entryRelationship.substanceAdministration",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.substanceAdministration",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"
}
]
},
{
"id": "Act.entryRelationship:problemObservation.supply",
"path": "Act.entryRelationship.supply",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.supply",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Supply"
}
]
},
{
"id": "Act.entryRelationship:problemObservation.procedure",
"path": "Act.entryRelationship.procedure",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.procedure",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Procedure"
}
]
},
{
"id": "Act.entryRelationship:problemObservation.encounter",
"path": "Act.entryRelationship.encounter",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.encounter",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Encounter"
}
]
},
{
"id": "Act.entryRelationship:problemObservation.organizer",
"path": "Act.entryRelationship.organizer",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.organizer",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Organizer"
}
]
},
{
"id": "Act.entryRelationship:problemObservation.act",
"path": "Act.entryRelationship.act",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.act",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Act"
}
]
},
{
"id": "Act.entryRelationship:allergy-IntoleranceObservation",
"path": "Act.entryRelationship",
"sliceName": "allergy-IntoleranceObservation",
"requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-31007) such that it",
"min": 0,
"max": "*",
"base": {
"path": "Act.entryRelationship",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Element"
}
],
"constraint": [
{
"key": "act-er-1",
"severity": "error",
"human": "Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act",
"expression": "(observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1",
"source": "http://hl7.org/fhir/cda/StructureDefinition/Act"
}
]
},
{
"id": "Act.entryRelationship:allergy-IntoleranceObservation.typeCode",
"path": "Act.entryRelationship.typeCode",
"representation": [
"xmlAttr"
],
"requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31008).",
"min": 1,
"max": "1",
"base": {
"path": "Act.entryRelationship.typeCode",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"patternCode": "REFR"
},
{
"id": "Act.entryRelationship:allergy-IntoleranceObservation.inversionInd",
"path": "Act.entryRelationship.inversionInd",
"representation": [
"xmlAttr"
],
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.inversionInd",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Act.entryRelationship:allergy-IntoleranceObservation.contextConductionInd",
"path": "Act.entryRelationship.contextConductionInd",
"representation": [
"xmlAttr"
],
"min": 1,
"max": "1",
"base": {
"path": "Act.entryRelationship.contextConductionInd",
"min": 1,
"max": "1"
},
"type": [
{
"code": "boolean"
}
],
"defaultValueBoolean": true
},
{
"id": "Act.entryRelationship:allergy-IntoleranceObservation.sequenceNumber",
"path": "Act.entryRelationship.sequenceNumber",
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.sequenceNumber",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/INT"
}
]
},
{
"id": "Act.entryRelationship:allergy-IntoleranceObservation.negationInd",
"path": "Act.entryRelationship.negationInd",
"representation": [
"xmlAttr"
],
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.negationInd",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Act.entryRelationship:allergy-IntoleranceObservation.seperatableInd",
"path": "Act.entryRelationship.seperatableInd",
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.seperatableInd",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/BL"
}
]
},
{
"id": "Act.entryRelationship:allergy-IntoleranceObservation.observation",
"path": "Act.entryRelationship.observation",
"requirements": "SHALL contain exactly one [1..1] Allergy - Intolerance Observation (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.7:2014-06-09) (CONF:1198-31186).",
"min": 1,
"max": "1",
"base": {
"path": "Act.entryRelationship.observation",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Observation",
"profile": [
"http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.7"
]
}
],
"isModifier": false
},
{
"id": "Act.entryRelationship:allergy-IntoleranceObservation.regionOfInterest",
"path": "Act.entryRelationship.regionOfInterest",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.regionOfInterest",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest"
}
]
},
{
"id": "Act.entryRelationship:allergy-IntoleranceObservation.observationMedia",
"path": "Act.entryRelationship.observationMedia",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.observationMedia",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"
}
]
},
{
"id": "Act.entryRelationship:allergy-IntoleranceObservation.substanceAdministration",
"path": "Act.entryRelationship.substanceAdministration",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.substanceAdministration",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"
}
]
},
{
"id": "Act.entryRelationship:allergy-IntoleranceObservation.supply",
"path": "Act.entryRelationship.supply",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.supply",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Supply"
}
]
},
{
"id": "Act.entryRelationship:allergy-IntoleranceObservation.procedure",
"path": "Act.entryRelationship.procedure",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.procedure",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Procedure"
}
]
},
{
"id": "Act.entryRelationship:allergy-IntoleranceObservation.encounter",
"path": "Act.entryRelationship.encounter",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.encounter",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Encounter"
}
]
},
{
"id": "Act.entryRelationship:allergy-IntoleranceObservation.organizer",
"path": "Act.entryRelationship.organizer",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.organizer",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Organizer"
}
]
},
{
"id": "Act.entryRelationship:allergy-IntoleranceObservation.act",
"path": "Act.entryRelationship.act",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.act",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Act"
}
]
},
{
"id": "Act.entryRelationship:entryReference",
"path": "Act.entryRelationship",
"sliceName": "entryReference",
"short": "The following entryRelationship represents the relationship between two Health Concern Acts where there is a general relationship between the source and the target (Health Concern REFERS TO Health Concern). For example, a patient has 2 health concerns identified in a CARE Plan: Failure to Thrive and Poor Feeding, while it could be that one may have caused the other, at the time of care planning and documentation it is not necessary, nor desirable to have to assert what caused what. The Entry Reference template is used here because the target Health Concern Act will be defined elsewhere in the Health Concerns Section and thus a reference to that template is all that is required.",
"requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-31157) such that it",
"min": 0,
"max": "*",
"base": {
"path": "Act.entryRelationship",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Element"
}
],
"constraint": [
{
"key": "act-er-1",
"severity": "error",
"human": "Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act",
"expression": "(observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1",
"source": "http://hl7.org/fhir/cda/StructureDefinition/Act"
}
]
},
{
"id": "Act.entryRelationship:entryReference.typeCode",
"path": "Act.entryRelationship.typeCode",
"representation": [
"xmlAttr"
],
"requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31158).",
"min": 1,
"max": "1",
"base": {
"path": "Act.entryRelationship.typeCode",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"patternCode": "REFR"
},
{
"id": "Act.entryRelationship:entryReference.inversionInd",
"path": "Act.entryRelationship.inversionInd",
"representation": [
"xmlAttr"
],
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.inversionInd",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Act.entryRelationship:entryReference.contextConductionInd",
"path": "Act.entryRelationship.contextConductionInd",
"representation": [
"xmlAttr"
],
"min": 1,
"max": "1",
"base": {
"path": "Act.entryRelationship.contextConductionInd",
"min": 1,
"max": "1"
},
"type": [
{
"code": "boolean"
}
],
"defaultValueBoolean": true
},
{
"id": "Act.entryRelationship:entryReference.sequenceNumber",
"path": "Act.entryRelationship.sequenceNumber",
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.sequenceNumber",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/INT"
}
]
},
{
"id": "Act.entryRelationship:entryReference.negationInd",
"path": "Act.entryRelationship.negationInd",
"representation": [
"xmlAttr"
],
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.negationInd",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Act.entryRelationship:entryReference.seperatableInd",
"path": "Act.entryRelationship.seperatableInd",
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.seperatableInd",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/BL"
}
]
},
{
"id": "Act.entryRelationship:entryReference.observation",
"path": "Act.entryRelationship.observation",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.observation",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Observation"
}
]
},
{
"id": "Act.entryRelationship:entryReference.regionOfInterest",
"path": "Act.entryRelationship.regionOfInterest",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.regionOfInterest",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest"
}
]
},
{
"id": "Act.entryRelationship:entryReference.observationMedia",
"path": "Act.entryRelationship.observationMedia",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.observationMedia",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"
}
]
},
{
"id": "Act.entryRelationship:entryReference.substanceAdministration",
"path": "Act.entryRelationship.substanceAdministration",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.substanceAdministration",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"
}
]
},
{
"id": "Act.entryRelationship:entryReference.supply",
"path": "Act.entryRelationship.supply",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.supply",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Supply"
}
]
},
{
"id": "Act.entryRelationship:entryReference.procedure",
"path": "Act.entryRelationship.procedure",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.procedure",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Procedure"
}
]
},
{
"id": "Act.entryRelationship:entryReference.encounter",
"path": "Act.entryRelationship.encounter",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.encounter",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Encounter"
}
]
},
{
"id": "Act.entryRelationship:entryReference.organizer",
"path": "Act.entryRelationship.organizer",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.organizer",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Organizer"
}
]
},
{
"id": "Act.entryRelationship:entryReference.act",
"path": "Act.entryRelationship.act",
"requirements": "SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:1198-32106).",
"min": 1,
"max": "1",
"base": {
"path": "Act.entryRelationship.act",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Act",
"profile": [
"http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.122"
]
}
],
"constraint": [
{
"key": "1198-32860",
"severity": "error",
"human": "The Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:1198-32860)."
}
],
"isModifier": false
},
{
"id": "Act.entryRelationship:entryReference",
"path": "Act.entryRelationship",
"sliceName": "entryReference",
"short": "The following entryRelationship represents the relationship between two Health Concern Acts where the target is a component of the source (Health Concern HAS COMPONENT Health Concern). For example, a patient has an Impaired Mobility Health Concern. There may then be the need to document several component health concerns, such as \"Unable to Transfer Bed to Chair\", \"Unable to Rise from Commode\", \"Short of Breath Walking with Walker\". The Entry Reference template is used here because the target Health Concern Act will be defined elsewhere in the Health Concerns Section and thus a reference to that template is all that is required.",
"requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-31160) such that it",
"min": 0,
"max": "*",
"base": {
"path": "Act.entryRelationship",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Element"
}
],
"constraint": [
{
"key": "act-er-1",
"severity": "error",
"human": "Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act",
"expression": "(observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1",
"source": "http://hl7.org/fhir/cda/StructureDefinition/Act"
}
]
},
{
"id": "Act.entryRelationship:entryReference.typeCode",
"path": "Act.entryRelationship.typeCode",
"representation": [
"xmlAttr"
],
"requirements": "SHALL contain exactly one [1..1] @typeCode=\"COMP\" Has component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31161).",
"min": 1,
"max": "1",
"base": {
"path": "Act.entryRelationship.typeCode",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"patternCode": "COMP"
},
{
"id": "Act.entryRelationship:entryReference.inversionInd",
"path": "Act.entryRelationship.inversionInd",
"representation": [
"xmlAttr"
],
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.inversionInd",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Act.entryRelationship:entryReference.contextConductionInd",
"path": "Act.entryRelationship.contextConductionInd",
"representation": [
"xmlAttr"
],
"min": 1,
"max": "1",
"base": {
"path": "Act.entryRelationship.contextConductionInd",
"min": 1,
"max": "1"
},
"type": [
{
"code": "boolean"
}
],
"defaultValueBoolean": true
},
{
"id": "Act.entryRelationship:entryReference.sequenceNumber",
"path": "Act.entryRelationship.sequenceNumber",
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.sequenceNumber",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/INT"
}
]
},
{
"id": "Act.entryRelationship:entryReference.negationInd",
"path": "Act.entryRelationship.negationInd",
"representation": [
"xmlAttr"
],
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.negationInd",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Act.entryRelationship:entryReference.seperatableInd",
"path": "Act.entryRelationship.seperatableInd",
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.seperatableInd",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/BL"
}
]
},
{
"id": "Act.entryRelationship:entryReference.observation",
"path": "Act.entryRelationship.observation",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.observation",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Observation"
}
]
},
{
"id": "Act.entryRelationship:entryReference.regionOfInterest",
"path": "Act.entryRelationship.regionOfInterest",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.regionOfInterest",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest"
}
]
},
{
"id": "Act.entryRelationship:entryReference.observationMedia",
"path": "Act.entryRelationship.observationMedia",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.observationMedia",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"
}
]
},
{
"id": "Act.entryRelationship:entryReference.substanceAdministration",
"path": "Act.entryRelationship.substanceAdministration",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.substanceAdministration",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"
}
]
},
{
"id": "Act.entryRelationship:entryReference.supply",
"path": "Act.entryRelationship.supply",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.supply",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Supply"
}
]
},
{
"id": "Act.entryRelationship:entryReference.procedure",
"path": "Act.entryRelationship.procedure",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.procedure",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Procedure"
}
]
},
{
"id": "Act.entryRelationship:entryReference.encounter",
"path": "Act.entryRelationship.encounter",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.encounter",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Encounter"
}
]
},
{
"id": "Act.entryRelationship:entryReference.organizer",
"path": "Act.entryRelationship.organizer",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.organizer",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Organizer"
}
]
},
{
"id": "Act.entryRelationship:entryReference.act",
"path": "Act.entryRelationship.act",
"requirements": "SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:1198-32107).",
"min": 1,
"max": "1",
"base": {
"path": "Act.entryRelationship.act",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Act",
"profile": [
"http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.122"
]
}
],
"constraint": [
{
"key": "1198-32745",
"severity": "error",
"human": "The Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:1198-32745)."
}
],
"isModifier": false
},
{
"id": "Act.entryRelationship:assessmentScaleObservation",
"path": "Act.entryRelationship",
"sliceName": "assessmentScaleObservation",
"requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-31190) such that it",
"min": 0,
"max": "*",
"base": {
"path": "Act.entryRelationship",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Element"
}
],
"constraint": [
{
"key": "act-er-1",
"severity": "error",
"human": "Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act",
"expression": "(observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1",
"source": "http://hl7.org/fhir/cda/StructureDefinition/Act"
}
]
},
{
"id": "Act.entryRelationship:assessmentScaleObservation.typeCode",
"path": "Act.entryRelationship.typeCode",
"representation": [
"xmlAttr"
],
"requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31191).",
"min": 1,
"max": "1",
"base": {
"path": "Act.entryRelationship.typeCode",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"patternCode": "REFR"
},
{
"id": "Act.entryRelationship:assessmentScaleObservation.inversionInd",
"path": "Act.entryRelationship.inversionInd",
"representation": [
"xmlAttr"
],
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.inversionInd",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Act.entryRelationship:assessmentScaleObservation.contextConductionInd",
"path": "Act.entryRelationship.contextConductionInd",
"representation": [
"xmlAttr"
],
"min": 1,
"max": "1",
"base": {
"path": "Act.entryRelationship.contextConductionInd",
"min": 1,
"max": "1"
},
"type": [
{
"code": "boolean"
}
],
"defaultValueBoolean": true
},
{
"id": "Act.entryRelationship:assessmentScaleObservation.sequenceNumber",
"path": "Act.entryRelationship.sequenceNumber",
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.sequenceNumber",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/INT"
}
]
},
{
"id": "Act.entryRelationship:assessmentScaleObservation.negationInd",
"path": "Act.entryRelationship.negationInd",
"representation": [
"xmlAttr"
],
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.negationInd",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Act.entryRelationship:assessmentScaleObservation.seperatableInd",
"path": "Act.entryRelationship.seperatableInd",
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.seperatableInd",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/BL"
}
]
},
{
"id": "Act.entryRelationship:assessmentScaleObservation.observation",
"path": "Act.entryRelationship.observation",
"requirements": "SHALL contain exactly one [1..1] Assessment Scale Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.69) (CONF:1198-31192).",
"min": 1,
"max": "1",
"base": {
"path": "Act.entryRelationship.observation",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Observation",
"profile": [
"http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.69"
]
}
],
"isModifier": false
},
{
"id": "Act.entryRelationship:assessmentScaleObservation.regionOfInterest",
"path": "Act.entryRelationship.regionOfInterest",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.regionOfInterest",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest"
}
]
},
{
"id": "Act.entryRelationship:assessmentScaleObservation.observationMedia",
"path": "Act.entryRelationship.observationMedia",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.observationMedia",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"
}
]
},
{
"id": "Act.entryRelationship:assessmentScaleObservation.substanceAdministration",
"path": "Act.entryRelationship.substanceAdministration",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.substanceAdministration",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"
}
]
},
{
"id": "Act.entryRelationship:assessmentScaleObservation.supply",
"path": "Act.entryRelationship.supply",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.supply",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Supply"
}
]
},
{
"id": "Act.entryRelationship:assessmentScaleObservation.procedure",
"path": "Act.entryRelationship.procedure",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.procedure",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Procedure"
}
]
},
{
"id": "Act.entryRelationship:assessmentScaleObservation.encounter",
"path": "Act.entryRelationship.encounter",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.encounter",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Encounter"
}
]
},
{
"id": "Act.entryRelationship:assessmentScaleObservation.organizer",
"path": "Act.entryRelationship.organizer",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.organizer",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Organizer"
}
]
},
{
"id": "Act.entryRelationship:assessmentScaleObservation.act",
"path": "Act.entryRelationship.act",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.act",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Act"
}
]
},
{
"id": "Act.entryRelationship:self-CareActivities(ADLandIADL)",
"path": "Act.entryRelationship",
"sliceName": "self-CareActivities(ADLandIADL)",
"requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-31232) such that it",
"min": 0,
"max": "*",
"base": {
"path": "Act.entryRelationship",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Element"
}
],
"constraint": [
{
"key": "act-er-1",
"severity": "error",
"human": "Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act",
"expression": "(observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1",
"source": "http://hl7.org/fhir/cda/StructureDefinition/Act"
}
]
},
{
"id": "Act.entryRelationship:self-CareActivities(ADLandIADL).typeCode",
"path": "Act.entryRelationship.typeCode",
"representation": [
"xmlAttr"
],
"requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31264).",
"min": 1,
"max": "1",
"base": {
"path": "Act.entryRelationship.typeCode",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"patternCode": "REFR"
},
{
"id": "Act.entryRelationship:self-CareActivities(ADLandIADL).inversionInd",
"path": "Act.entryRelationship.inversionInd",
"representation": [
"xmlAttr"
],
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.inversionInd",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Act.entryRelationship:self-CareActivities(ADLandIADL).contextConductionInd",
"path": "Act.entryRelationship.contextConductionInd",
"representation": [
"xmlAttr"
],
"min": 1,
"max": "1",
"base": {
"path": "Act.entryRelationship.contextConductionInd",
"min": 1,
"max": "1"
},
"type": [
{
"code": "boolean"
}
],
"defaultValueBoolean": true
},
{
"id": "Act.entryRelationship:self-CareActivities(ADLandIADL).sequenceNumber",
"path": "Act.entryRelationship.sequenceNumber",
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.sequenceNumber",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/INT"
}
]
},
{
"id": "Act.entryRelationship:self-CareActivities(ADLandIADL).negationInd",
"path": "Act.entryRelationship.negationInd",
"representation": [
"xmlAttr"
],
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.negationInd",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Act.entryRelationship:self-CareActivities(ADLandIADL).seperatableInd",
"path": "Act.entryRelationship.seperatableInd",
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.seperatableInd",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/BL"
}
]
},
{
"id": "Act.entryRelationship:self-CareActivities(ADLandIADL).observation",
"path": "Act.entryRelationship.observation",
"requirements": "SHALL contain exactly one [1..1] Self-Care Activities (ADL and IADL) (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.128) (CONF:1198-31265).",
"min": 1,
"max": "1",
"base": {
"path": "Act.entryRelationship.observation",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Observation",
"profile": [
"http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.128"
]
}
],
"isModifier": false
},
{
"id": "Act.entryRelationship:self-CareActivities(ADLandIADL).regionOfInterest",
"path": "Act.entryRelationship.regionOfInterest",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.regionOfInterest",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest"
}
]
},
{
"id": "Act.entryRelationship:self-CareActivities(ADLandIADL).observationMedia",
"path": "Act.entryRelationship.observationMedia",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.observationMedia",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"
}
]
},
{
"id": "Act.entryRelationship:self-CareActivities(ADLandIADL).substanceAdministration",
"path": "Act.entryRelationship.substanceAdministration",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.substanceAdministration",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"
}
]
},
{
"id": "Act.entryRelationship:self-CareActivities(ADLandIADL).supply",
"path": "Act.entryRelationship.supply",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.supply",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Supply"
}
]
},
{
"id": "Act.entryRelationship:self-CareActivities(ADLandIADL).procedure",
"path": "Act.entryRelationship.procedure",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.procedure",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Procedure"
}
]
},
{
"id": "Act.entryRelationship:self-CareActivities(ADLandIADL).encounter",
"path": "Act.entryRelationship.encounter",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.encounter",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Encounter"
}
]
},
{
"id": "Act.entryRelationship:self-CareActivities(ADLandIADL).organizer",
"path": "Act.entryRelationship.organizer",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.organizer",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Organizer"
}
]
},
{
"id": "Act.entryRelationship:self-CareActivities(ADLandIADL).act",
"path": "Act.entryRelationship.act",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.act",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Act"
}
]
},
{
"id": "Act.entryRelationship:mentalStatusObservation",
"path": "Act.entryRelationship",
"sliceName": "mentalStatusObservation",
"requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-31234) such that it",
"min": 0,
"max": "*",
"base": {
"path": "Act.entryRelationship",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Element"
}
],
"constraint": [
{
"key": "act-er-1",
"severity": "error",
"human": "Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act",
"expression": "(observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1",
"source": "http://hl7.org/fhir/cda/StructureDefinition/Act"
}
]
},
{
"id": "Act.entryRelationship:mentalStatusObservation.typeCode",
"path": "Act.entryRelationship.typeCode",
"representation": [
"xmlAttr"
],
"requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31268).",
"min": 1,
"max": "1",
"base": {
"path": "Act.entryRelationship.typeCode",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"patternCode": "REFR"
},
{
"id": "Act.entryRelationship:mentalStatusObservation.inversionInd",
"path": "Act.entryRelationship.inversionInd",
"representation": [
"xmlAttr"
],
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.inversionInd",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Act.entryRelationship:mentalStatusObservation.contextConductionInd",
"path": "Act.entryRelationship.contextConductionInd",
"representation": [
"xmlAttr"
],
"min": 1,
"max": "1",
"base": {
"path": "Act.entryRelationship.contextConductionInd",
"min": 1,
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},
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{
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},
{
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},
{
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"path": "Act.entryRelationship.act",
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"min": 1,
"max": "1",
"base": {
"path": "Act.entryRelationship.act",
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"max": "1"
},
"type": [
{
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]
}
],
"isModifier": false
},
{
"id": "Act.entryRelationship:reactionObservation",
"path": "Act.entryRelationship",
"sliceName": "reactionObservation",
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"min": 0,
"max": "*",
"base": {
"path": "Act.entryRelationship",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Element"
}
],
"constraint": [
{
"key": "act-er-1",
"severity": "error",
"human": "Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act",
"expression": "(observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1",
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}
]
},
{
"id": "Act.entryRelationship:reactionObservation.typeCode",
"path": "Act.entryRelationship.typeCode",
"representation": [
"xmlAttr"
],
"requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31318).",
"min": 1,
"max": "1",
"base": {
"path": "Act.entryRelationship.typeCode",
"min": 1,
"max": "1"
},
"type": [
{
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}
],
"patternCode": "REFR"
},
{
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],
"min": 0,
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"base": {
"path": "Act.entryRelationship.inversionInd",
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},
"type": [
{
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}
]
},
{
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],
"min": 1,
"max": "1",
"base": {
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},
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}
],
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},
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},
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}
]
},
{
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],
"min": 0,
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},
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}
]
},
{
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"max": "1",
"base": {
"path": "Act.entryRelationship.seperatableInd",
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},
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}
]
},
{
"id": "Act.entryRelationship:reactionObservation.observation",
"path": "Act.entryRelationship.observation",
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}
],
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},
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},
{
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},
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},
{
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"base": {
"path": "Act.entryRelationship.substanceAdministration",
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},
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}
]
},
{
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},
{
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"max": "0",
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},
{
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"max": "0",
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},
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},
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]
},
{
"id": "Act.entryRelationship:reactionObservation.act",
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}
]
},
{
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"min": 0,
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"base": {
"path": "Act.entryRelationship",
"min": 0,
"max": "*"
},
"type": [
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}
],
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]
},
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],
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],
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},
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},
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},
{
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},
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},
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},
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},
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]
},
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],
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"code": "http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"
}
]
},
{
"id": "Act.entryRelationship:nutritionalStatusObservation.substanceAdministration",
"path": "Act.entryRelationship.substanceAdministration",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.substanceAdministration",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"
}
]
},
{
"id": "Act.entryRelationship:nutritionalStatusObservation.supply",
"path": "Act.entryRelationship.supply",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.supply",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Supply"
}
]
},
{
"id": "Act.entryRelationship:nutritionalStatusObservation.procedure",
"path": "Act.entryRelationship.procedure",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.procedure",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Procedure"
}
]
},
{
"id": "Act.entryRelationship:nutritionalStatusObservation.encounter",
"path": "Act.entryRelationship.encounter",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.encounter",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Encounter"
}
]
},
{
"id": "Act.entryRelationship:nutritionalStatusObservation.organizer",
"path": "Act.entryRelationship.organizer",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.organizer",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Organizer"
}
]
},
{
"id": "Act.entryRelationship:nutritionalStatusObservation.act",
"path": "Act.entryRelationship.act",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.act",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Act"
}
]
},
{
"id": "Act.entryRelationship:entryRelationship30",
"path": "Act.entryRelationship",
"sliceName": "entryRelationship30",
"requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-31380) such that it",
"min": 0,
"max": "*",
"base": {
"path": "Act.entryRelationship",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Element"
}
],
"constraint": [
{
"key": "act-er-1",
"severity": "error",
"human": "Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act",
"expression": "(observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1",
"source": "http://hl7.org/fhir/cda/StructureDefinition/Act"
}
]
},
{
"id": "Act.entryRelationship:entryRelationship30.typeCode",
"path": "Act.entryRelationship.typeCode",
"representation": [
"xmlAttr"
],
"requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31381).",
"min": 1,
"max": "1",
"base": {
"path": "Act.entryRelationship.typeCode",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"patternCode": "REFR"
},
{
"id": "Act.entryRelationship:entryRelationship30.inversionInd",
"path": "Act.entryRelationship.inversionInd",
"representation": [
"xmlAttr"
],
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.inversionInd",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Act.entryRelationship:entryRelationship30.contextConductionInd",
"path": "Act.entryRelationship.contextConductionInd",
"representation": [
"xmlAttr"
],
"min": 1,
"max": "1",
"base": {
"path": "Act.entryRelationship.contextConductionInd",
"min": 1,
"max": "1"
},
"type": [
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"code": "boolean"
}
],
"defaultValueBoolean": true
},
{
"id": "Act.entryRelationship:entryRelationship30.sequenceNumber",
"path": "Act.entryRelationship.sequenceNumber",
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.sequenceNumber",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/INT"
}
]
},
{
"id": "Act.entryRelationship:entryRelationship30.negationInd",
"path": "Act.entryRelationship.negationInd",
"representation": [
"xmlAttr"
],
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.negationInd",
"min": 0,
"max": "1"
},
"type": [
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"code": "boolean"
}
]
},
{
"id": "Act.entryRelationship:entryRelationship30.seperatableInd",
"path": "Act.entryRelationship.seperatableInd",
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.seperatableInd",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/BL"
}
]
},
{
"id": "Act.entryRelationship:entryRelationship30.observation",
"path": "Act.entryRelationship.observation",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.observation",
"min": 0,
"max": "1"
},
"type": [
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"code": "http://hl7.org/fhir/cda/StructureDefinition/Observation"
}
]
},
{
"id": "Act.entryRelationship:entryRelationship30.regionOfInterest",
"path": "Act.entryRelationship.regionOfInterest",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.regionOfInterest",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest"
}
]
},
{
"id": "Act.entryRelationship:entryRelationship30.observationMedia",
"path": "Act.entryRelationship.observationMedia",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.observationMedia",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"
}
]
},
{
"id": "Act.entryRelationship:entryRelationship30.substanceAdministration",
"path": "Act.entryRelationship.substanceAdministration",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.substanceAdministration",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"
}
]
},
{
"id": "Act.entryRelationship:entryRelationship30.supply",
"path": "Act.entryRelationship.supply",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.supply",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Supply"
}
]
},
{
"id": "Act.entryRelationship:entryRelationship30.procedure",
"path": "Act.entryRelationship.procedure",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.procedure",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Procedure"
}
]
},
{
"id": "Act.entryRelationship:entryRelationship30.encounter",
"path": "Act.entryRelationship.encounter",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.encounter",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Encounter"
}
]
},
{
"id": "Act.entryRelationship:entryRelationship30.organizer",
"path": "Act.entryRelationship.organizer",
"requirements": "SHALL contain exactly one [1..1] Result Organizer (V3) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.1:2015-08-01) (CONF:1198-31382).",
"min": 1,
"max": "1",
"base": {
"path": "Act.entryRelationship.organizer",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Organizer",
"profile": [
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]
}
],
"isModifier": false
},
{
"id": "Act.entryRelationship:entryRelationship30.act",
"path": "Act.entryRelationship.act",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.act",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Act"
}
]
},
{
"id": "Act.entryRelationship:priorityPreference",
"path": "Act.entryRelationship",
"sliceName": "priorityPreference",
"short": "The following entryRelationship represents the priority that the patient or a provider puts on the health concern.",
"requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-31442) such that it",
"min": 0,
"max": "*",
"base": {
"path": "Act.entryRelationship",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Element"
}
],
"constraint": [
{
"key": "act-er-1",
"severity": "error",
"human": "Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act",
"expression": "(observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1",
"source": "http://hl7.org/fhir/cda/StructureDefinition/Act"
}
]
},
{
"id": "Act.entryRelationship:priorityPreference.typeCode",
"path": "Act.entryRelationship.typeCode",
"representation": [
"xmlAttr"
],
"requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31443).",
"min": 1,
"max": "1",
"base": {
"path": "Act.entryRelationship.typeCode",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"patternCode": "REFR"
},
{
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"representation": [
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],
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.inversionInd",
"min": 0,
"max": "1"
},
"type": [
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"code": "boolean"
}
]
},
{
"id": "Act.entryRelationship:priorityPreference.contextConductionInd",
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"representation": [
"xmlAttr"
],
"min": 1,
"max": "1",
"base": {
"path": "Act.entryRelationship.contextConductionInd",
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"max": "1"
},
"type": [
{
"code": "boolean"
}
],
"defaultValueBoolean": true
},
{
"id": "Act.entryRelationship:priorityPreference.sequenceNumber",
"path": "Act.entryRelationship.sequenceNumber",
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.sequenceNumber",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/INT"
}
]
},
{
"id": "Act.entryRelationship:priorityPreference.negationInd",
"path": "Act.entryRelationship.negationInd",
"representation": [
"xmlAttr"
],
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.negationInd",
"min": 0,
"max": "1"
},
"type": [
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"code": "boolean"
}
]
},
{
"id": "Act.entryRelationship:priorityPreference.seperatableInd",
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"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.seperatableInd",
"min": 0,
"max": "1"
},
"type": [
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"code": "http://hl7.org/fhir/cda/StructureDefinition/BL"
}
]
},
{
"id": "Act.entryRelationship:priorityPreference.observation",
"path": "Act.entryRelationship.observation",
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"min": 1,
"max": "1",
"base": {
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},
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}
],
"isModifier": false
},
{
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"path": "Act.entryRelationship.regionOfInterest",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.regionOfInterest",
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"max": "1"
},
"type": [
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]
},
{
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"max": "0",
"base": {
"path": "Act.entryRelationship.observationMedia",
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},
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"code": "http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"
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]
},
{
"id": "Act.entryRelationship:priorityPreference.substanceAdministration",
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"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.substanceAdministration",
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},
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]
},
{
"id": "Act.entryRelationship:priorityPreference.supply",
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"max": "0",
"base": {
"path": "Act.entryRelationship.supply",
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"max": "1"
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"type": [
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"code": "http://hl7.org/fhir/cda/StructureDefinition/Supply"
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]
},
{
"id": "Act.entryRelationship:priorityPreference.procedure",
"path": "Act.entryRelationship.procedure",
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"max": "0",
"base": {
"path": "Act.entryRelationship.procedure",
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"max": "1"
},
"type": [
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"code": "http://hl7.org/fhir/cda/StructureDefinition/Procedure"
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]
},
{
"id": "Act.entryRelationship:priorityPreference.encounter",
"path": "Act.entryRelationship.encounter",
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"max": "0",
"base": {
"path": "Act.entryRelationship.encounter",
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"max": "1"
},
"type": [
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"code": "http://hl7.org/fhir/cda/StructureDefinition/Encounter"
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]
},
{
"id": "Act.entryRelationship:priorityPreference.organizer",
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"max": "0",
"base": {
"path": "Act.entryRelationship.organizer",
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},
"type": [
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"code": "http://hl7.org/fhir/cda/StructureDefinition/Organizer"
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]
},
{
"id": "Act.entryRelationship:priorityPreference.act",
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"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.act",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Act"
}
]
},
{
"id": "Act.entryRelationship:problemConcernAct",
"path": "Act.entryRelationship",
"sliceName": "problemConcernAct",
"requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-31544) such that it",
"min": 0,
"max": "*",
"base": {
"path": "Act.entryRelationship",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Element"
}
],
"constraint": [
{
"key": "act-er-1",
"severity": "error",
"human": "Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act",
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]
},
{
"id": "Act.entryRelationship:problemConcernAct.typeCode",
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"representation": [
"xmlAttr"
],
"requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31547).",
"min": 1,
"max": "1",
"base": {
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"max": "1"
},
"type": [
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"code": "code"
}
],
"patternCode": "REFR"
},
{
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],
"min": 0,
"max": "1",
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},
"type": [
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}
]
},
{
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],
"min": 1,
"max": "1",
"base": {
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"max": "1"
},
"type": [
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}
],
"defaultValueBoolean": true
},
{
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"max": "1",
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"path": "Act.entryRelationship.sequenceNumber",
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},
"type": [
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]
},
{
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],
"min": 0,
"max": "1",
"base": {
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},
"type": [
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}
]
},
{
"id": "Act.entryRelationship:problemConcernAct.seperatableInd",
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"max": "1",
"base": {
"path": "Act.entryRelationship.seperatableInd",
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"max": "1"
},
"type": [
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]
},
{
"id": "Act.entryRelationship:problemConcernAct.observation",
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"max": "0",
"base": {
"path": "Act.entryRelationship.observation",
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},
"type": [
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]
},
{
"id": "Act.entryRelationship:problemConcernAct.regionOfInterest",
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"max": "0",
"base": {
"path": "Act.entryRelationship.regionOfInterest",
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},
"type": [
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]
},
{
"id": "Act.entryRelationship:problemConcernAct.observationMedia",
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"max": "0",
"base": {
"path": "Act.entryRelationship.observationMedia",
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},
"type": [
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"code": "http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"
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]
},
{
"id": "Act.entryRelationship:problemConcernAct.substanceAdministration",
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"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.substanceAdministration",
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"max": "1"
},
"type": [
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"code": "http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"
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},
{
"id": "Act.entryRelationship:problemConcernAct.supply",
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"max": "0",
"base": {
"path": "Act.entryRelationship.supply",
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"type": [
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]
},
{
"id": "Act.entryRelationship:problemConcernAct.procedure",
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"max": "0",
"base": {
"path": "Act.entryRelationship.procedure",
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"max": "1"
},
"type": [
{
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]
},
{
"id": "Act.entryRelationship:problemConcernAct.encounter",
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"max": "0",
"base": {
"path": "Act.entryRelationship.encounter",
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"type": [
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]
},
{
"id": "Act.entryRelationship:problemConcernAct.organizer",
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"max": "0",
"base": {
"path": "Act.entryRelationship.organizer",
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"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Organizer"
}
]
},
{
"id": "Act.entryRelationship:problemConcernAct.act",
"path": "Act.entryRelationship.act",
"requirements": "SHALL contain exactly one [1..1] Problem Concern Act (V3) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.3:2015-08-01) (CONF:1198-31548).",
"min": 1,
"max": "1",
"base": {
"path": "Act.entryRelationship.act",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Act",
"profile": [
"http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.3"
]
}
],
"isModifier": false
},
{
"id": "Act.entryRelationship:entryReference",
"path": "Act.entryRelationship",
"sliceName": "entryReference",
"requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-31549) such that it",
"min": 0,
"max": "*",
"base": {
"path": "Act.entryRelationship",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Element"
}
],
"constraint": [
{
"key": "act-er-1",
"severity": "error",
"human": "Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act",
"expression": "(observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1",
"source": "http://hl7.org/fhir/cda/StructureDefinition/Act"
}
]
},
{
"id": "Act.entryRelationship:entryReference.typeCode",
"path": "Act.entryRelationship.typeCode",
"representation": [
"xmlAttr"
],
"requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31550).",
"min": 1,
"max": "1",
"base": {
"path": "Act.entryRelationship.typeCode",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"patternCode": "REFR"
},
{
"id": "Act.entryRelationship:entryReference.inversionInd",
"path": "Act.entryRelationship.inversionInd",
"representation": [
"xmlAttr"
],
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.inversionInd",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Act.entryRelationship:entryReference.contextConductionInd",
"path": "Act.entryRelationship.contextConductionInd",
"representation": [
"xmlAttr"
],
"min": 1,
"max": "1",
"base": {
"path": "Act.entryRelationship.contextConductionInd",
"min": 1,
"max": "1"
},
"type": [
{
"code": "boolean"
}
],
"defaultValueBoolean": true
},
{
"id": "Act.entryRelationship:entryReference.sequenceNumber",
"path": "Act.entryRelationship.sequenceNumber",
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.sequenceNumber",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/INT"
}
]
},
{
"id": "Act.entryRelationship:entryReference.negationInd",
"path": "Act.entryRelationship.negationInd",
"representation": [
"xmlAttr"
],
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.negationInd",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Act.entryRelationship:entryReference.seperatableInd",
"path": "Act.entryRelationship.seperatableInd",
"min": 0,
"max": "1",
"base": {
"path": "Act.entryRelationship.seperatableInd",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/BL"
}
]
},
{
"id": "Act.entryRelationship:entryReference.observation",
"path": "Act.entryRelationship.observation",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.observation",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Observation"
}
]
},
{
"id": "Act.entryRelationship:entryReference.regionOfInterest",
"path": "Act.entryRelationship.regionOfInterest",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.regionOfInterest",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest"
}
]
},
{
"id": "Act.entryRelationship:entryReference.observationMedia",
"path": "Act.entryRelationship.observationMedia",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.observationMedia",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia"
}
]
},
{
"id": "Act.entryRelationship:entryReference.substanceAdministration",
"path": "Act.entryRelationship.substanceAdministration",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.substanceAdministration",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration"
}
]
},
{
"id": "Act.entryRelationship:entryReference.supply",
"path": "Act.entryRelationship.supply",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.supply",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Supply"
}
]
},
{
"id": "Act.entryRelationship:entryReference.procedure",
"path": "Act.entryRelationship.procedure",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.procedure",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Procedure"
}
]
},
{
"id": "Act.entryRelationship:entryReference.encounter",
"path": "Act.entryRelationship.encounter",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.encounter",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Encounter"
}
]
},
{
"id": "Act.entryRelationship:entryReference.organizer",
"path": "Act.entryRelationship.organizer",
"min": 0,
"max": "0",
"base": {
"path": "Act.entryRelationship.organizer",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Organizer"
}
]
},
{
"id": "Act.entryRelationship:entryReference.act",
"path": "Act.entryRelationship.act",
"requirements": "SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:1198-31551).",
"min": 1,
"max": "1",
"base": {
"path": "Act.entryRelationship.act",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Act",
"profile": [
"http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.122"
]
}
],
"isModifier": false
},
{
"id": "Act.reference",
"path": "Act.reference",
"short": "Where it is necessary to reference an external clinical document such a Referral document, Discharge Summary document etc., the External Document Reference template can be used to reference this document. However, if this Care Plan document is replacing or appending another Care Plan document in the same set, that relationship is set in the header, using ClinicalDocument/relatedDocument.",
"requirements": "MAY contain zero or more [0..*] reference (CONF:1198-32757).",
"min": 0,
"max": "*",
"base": {
"path": "Act.reference",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Element"
}
]
},
{
"id": "Act.reference.typeCode",
"path": "Act.reference.typeCode",
"representation": [
"xmlAttr"
],
"requirements": "The reference, if present, SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32758).",
"min": 1,
"max": "1",
"base": {
"path": "Act.reference.typeCode",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"patternCode": "REFR"
},
{
"id": "Act.reference.seperatableInd",
"path": "Act.reference.seperatableInd",
"min": 0,
"max": "1",
"base": {
"path": "Act.reference.seperatableInd",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/BL"
}
]
},
{
"id": "Act.reference.externalAct",
"path": "Act.reference.externalAct",
"min": 0,
"max": "1",
"base": {
"path": "Act.reference.externalAct",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/ExternalAct"
}
]
},
{
"id": "Act.reference.externalObservation",
"path": "Act.reference.externalObservation",
"min": 0,
"max": "1",
"base": {
"path": "Act.reference.externalObservation",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/ExternalObservation"
}
]
},
{
"id": "Act.reference.externalProcedure",
"path": "Act.reference.externalProcedure",
"min": 0,
"max": "1",
"base": {
"path": "Act.reference.externalProcedure",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure"
}
]
},
{
"id": "Act.reference.externalDocument",
"path": "Act.reference.externalDocument",
"requirements": "The reference, if present, SHALL contain exactly one [1..1] External Document Reference (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.115:2014-06-09) (CONF:1198-32759).",
"min": 1,
"max": "1",
"base": {
"path": "Act.reference.externalDocument",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/ExternalDocument",
"profile": [
"http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.115"
]
}
],
"isModifier": false
},
{
"id": "Act.precondition",
"path": "Act.precondition",
"min": 0,
"max": "*",
"base": {
"path": "Act.precondition",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Precondition"
}
]
}
]
},
"differential": {
"element": [
{
"id": "Act",
"path": "Act"
},
{
"id": "Act.classCode",
"path": "Act.classCode",
"requirements": "SHALL contain exactly one [1..1] @classCode=\"ACT\" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1198-30750).",
"min": 1,
"max": "1",
"patternCode": "ACT"
},
{
"id": "Act.moodCode",
"path": "Act.moodCode",
"requirements": "SHALL contain exactly one [1..1] @moodCode=\"EVN\" (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1198-30751).",
"min": 1,
"max": "1",
"patternCode": "EVN"
},
{
"id": "Act.templateId",
"path": "Act.templateId",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "root"
},
{
"type": "value",
"path": "extension"
}
],
"rules": "open"
}
},
{
"id": "Act.templateId:primary",
"path": "Act.templateId",
"sliceName": "primary",
"requirements": "SHALL contain exactly one [1..1] templateId (CONF:1198-30752) such that it",
"min": 1,
"max": "1"
},
{
"id": "Act.templateId:primary.root",
"path": "Act.templateId.root",
"requirements": "SHALL contain exactly one [1..1] @root=\"2.16.840.1.113883.10.20.22.4.132\" (CONF:1198-30753).",
"min": 1,
"max": "1",
"patternString": "2.16.840.1.113883.10.20.22.4.132"
},
{
"id": "Act.templateId:primary.extension",
"path": "Act.templateId.extension",
"requirements": "SHALL contain exactly one [1..1] @extension=\"2015-08-01\" (CONF:1198-32861).",
"min": 1,
"max": "1",
"patternString": "2015-08-01"
},
{
"id": "Act.id",
"path": "Act.id",
"requirements": "SHALL contain at least one [1..*] id (CONF:1198-30754).",
"min": 1,
"max": "*"
},
{
"id": "Act.code",
"path": "Act.code",
"requirements": "SHALL contain exactly one [1..1] code (CONF:1198-32310).",
"min": 1,
"max": "1"
},
{
"id": "Act.code.code",
"path": "Act.code.code",
"requirements": "This code SHALL contain exactly one [1..1] @code=\"75310-3\" Health Concern (CONF:1198-32311).",
"min": 1,
"max": "1",
"patternString": "75310-3"
},
{
"id": "Act.code.codeSystem",
"path": "Act.code.codeSystem",
"requirements": "This code SHALL contain exactly one [1..1] @codeSystem=\"2.16.840.1.113883.6.1\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:1198-32312).",
"min": 1,
"max": "1",
"patternString": "2.16.840.1.113883.6.1"
},
{
"id": "Act.statusCode",
"path": "Act.statusCode",
"requirements": "SHALL contain exactly one [1..1] statusCode (CONF:1198-30758).",
"min": 1,
"max": "1"
},
{
"id": "Act.statusCode.code",
"path": "Act.statusCode.code",
"requirements": "This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ProblemAct statusCode urn:oid:2.16.840.1.113883.11.20.9.19 STATIC (CONF:1198-32313).",
"min": 1,
"max": "1",
"binding": {
"strength": "required",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.19"
}
},
{
"id": "Act.effectiveTime",
"path": "Act.effectiveTime",
"requirements": "MAY contain zero or one [0..1] effectiveTime (CONF:1198-30759).",
"min": 0,
"max": "1"
},
{
"id": "Act.author",
"path": "Act.author",
"short": "A health concern may be a patient or provider concern. If the author is set to the recordTarget (patient), this is a patient concern. If the author is set to a provider, this is a provider concern. If both patient and provider are set as authors, this is a concern of both the patient and the provider.",
"requirements": "SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1198-31546).",
"min": 0,
"max": "*",
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Author",
"profile": [
"http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.119"
]
}
]
},
{
"id": "Act.entryRelationship",
"path": "Act.entryRelationship",
"slicing": {
"discriminator": [
{
"type": "profile",
"path": "observation"
},
{
"type": "profile",
"path": "act"
},
{
"type": "profile",
"path": "organizer"
}
],
"rules": "open"
},
"short": "Where a Health Concern needs to reference another entry already described in the CDA document instance, rather than repeating the full content of the entry, the Entry Reference template may be used to reference this entry."
},
{
"id": "Act.entryRelationship:problemObservation",
"path": "Act.entryRelationship",
"sliceName": "problemObservation",
"requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-30761) such that it",
"min": 0,
"max": "*"
},
{
"id": "Act.entryRelationship:problemObservation.typeCode",
"path": "Act.entryRelationship.typeCode",
"requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-30762).",
"min": 1,
"max": "1",
"patternCode": "REFR"
},
{
"id": "Act.entryRelationship:problemObservation.observation",
"path": "Act.entryRelationship.observation",
"requirements": "SHALL contain exactly one [1..1] Problem Observation (V3) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.4:2015-08-01) (CONF:1198-31001).",
"min": 1,
"max": "1",
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Observation",
"profile": [
"http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.4"
]
}
]
},
{
"id": "Act.entryRelationship:allergy-IntoleranceObservation",
"path": "Act.entryRelationship",
"sliceName": "allergy-IntoleranceObservation",
"requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-31007) such that it",
"min": 0,
"max": "*"
},
{
"id": "Act.entryRelationship:allergy-IntoleranceObservation.typeCode",
"path": "Act.entryRelationship.typeCode",
"requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31008).",
"min": 1,
"max": "1",
"patternCode": "REFR"
},
{
"id": "Act.entryRelationship:allergy-IntoleranceObservation.observation",
"path": "Act.entryRelationship.observation",
"requirements": "SHALL contain exactly one [1..1] Allergy - Intolerance Observation (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.7:2014-06-09) (CONF:1198-31186).",
"min": 1,
"max": "1",
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Observation",
"profile": [
"http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.7"
]
}
]
},
{
"id": "Act.entryRelationship:entryReference",
"path": "Act.entryRelationship",
"sliceName": "entryReference",
"short": "The following entryRelationship represents the relationship between two Health Concern Acts where there is a general relationship between the source and the target (Health Concern REFERS TO Health Concern). For example, a patient has 2 health concerns identified in a CARE Plan: Failure to Thrive and Poor Feeding, while it could be that one may have caused the other, at the time of care planning and documentation it is not necessary, nor desirable to have to assert what caused what. The Entry Reference template is used here because the target Health Concern Act will be defined elsewhere in the Health Concerns Section and thus a reference to that template is all that is required.",
"requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-31157) such that it",
"min": 0,
"max": "*"
},
{
"id": "Act.entryRelationship:entryReference.typeCode",
"path": "Act.entryRelationship.typeCode",
"requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31158).",
"min": 1,
"max": "1",
"patternCode": "REFR"
},
{
"id": "Act.entryRelationship:entryReference.act",
"path": "Act.entryRelationship.act",
"requirements": "SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:1198-32106).",
"min": 1,
"max": "1",
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Act",
"profile": [
"http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.122"
]
}
],
"constraint": [
{
"key": "1198-32860",
"severity": "error",
"human": "The Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:1198-32860)."
}
]
},
{
"id": "Act.entryRelationship:entryReference",
"path": "Act.entryRelationship",
"sliceName": "entryReference",
"short": "The following entryRelationship represents the relationship between two Health Concern Acts where the target is a component of the source (Health Concern HAS COMPONENT Health Concern). For example, a patient has an Impaired Mobility Health Concern. There may then be the need to document several component health concerns, such as \"Unable to Transfer Bed to Chair\", \"Unable to Rise from Commode\", \"Short of Breath Walking with Walker\". The Entry Reference template is used here because the target Health Concern Act will be defined elsewhere in the Health Concerns Section and thus a reference to that template is all that is required.",
"requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-31160) such that it",
"min": 0,
"max": "*"
},
{
"id": "Act.entryRelationship:entryReference.typeCode",
"path": "Act.entryRelationship.typeCode",
"requirements": "SHALL contain exactly one [1..1] @typeCode=\"COMP\" Has component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31161).",
"min": 1,
"max": "1",
"patternCode": "COMP"
},
{
"id": "Act.entryRelationship:entryReference.act",
"path": "Act.entryRelationship.act",
"requirements": "SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:1198-32107).",
"min": 1,
"max": "1",
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Act",
"profile": [
"http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.122"
]
}
],
"constraint": [
{
"key": "1198-32745",
"severity": "error",
"human": "The Entry Reference template **SHALL** contain an id that references a Health Concern Act (CONF:1198-32745)."
}
]
},
{
"id": "Act.entryRelationship:assessmentScaleObservation",
"path": "Act.entryRelationship",
"sliceName": "assessmentScaleObservation",
"requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-31190) such that it",
"min": 0,
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},
{
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"min": 1,
"max": "1",
"patternCode": "REFR"
},
{
"id": "Act.entryRelationship:assessmentScaleObservation.observation",
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"min": 1,
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{
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},
{
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},
{
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"min": 1,
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"patternCode": "REFR"
},
{
"id": "Act.entryRelationship:self-CareActivities(ADLandIADL).observation",
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{
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}
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},
{
"id": "Act.entryRelationship:mentalStatusObservation",
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},
{
"id": "Act.entryRelationship:mentalStatusObservation.typeCode",
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"min": 1,
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},
{
"id": "Act.entryRelationship:mentalStatusObservation.observation",
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}
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},
{
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},
{
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},
{
"id": "Act.entryRelationship:smokingStatus-MeaningfulUse.observation",
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}
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},
{
"id": "Act.entryRelationship:encounterDiagnosis",
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},
{
"id": "Act.entryRelationship:encounterDiagnosis.typeCode",
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{
"id": "Act.entryRelationship:encounterDiagnosis.act",
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}
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},
{
"id": "Act.entryRelationship:entryRelationship10",
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},
{
"id": "Act.entryRelationship:entryRelationship10.typeCode",
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},
{
"id": "Act.entryRelationship:entryRelationship10.organizer",
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{
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},
{
"id": "Act.entryRelationship:functionalStatusObservation",
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},
{
"id": "Act.entryRelationship:functionalStatusObservation.typeCode",
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{
"id": "Act.entryRelationship:functionalStatusObservation.observation",
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},
{
"id": "Act.entryRelationship:hospitalAdmissionDiagnosis",
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},
{
"id": "Act.entryRelationship:hospitalAdmissionDiagnosis.typeCode",
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{
"id": "Act.entryRelationship:hospitalAdmissionDiagnosis.act",
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{
"id": "Act.entryRelationship:nutritionAssessment",
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},
{
"id": "Act.entryRelationship:nutritionAssessment.typeCode",
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{
"id": "Act.entryRelationship:nutritionAssessment.observation",
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},
{
"id": "Act.entryRelationship:postprocedureDiagnosis",
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},
{
"id": "Act.entryRelationship:postprocedureDiagnosis.typeCode",
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{
"id": "Act.entryRelationship:postprocedureDiagnosis.act",
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{
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},
{
"id": "Act.entryRelationship:pregnancyObservation.typeCode",
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{
"id": "Act.entryRelationship:pregnancyObservation.observation",
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{
"id": "Act.entryRelationship:preoperativeDiagnosis.act",
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"id": "Act.entryRelationship:reactionObservation.typeCode",
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{
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},
{
"id": "Act.entryRelationship:vitalSignObservation.typeCode",
"path": "Act.entryRelationship.typeCode",
"requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31336).",
"min": 1,
"max": "1",
"patternCode": "REFR"
},
{
"id": "Act.entryRelationship:vitalSignObservation.observation",
"path": "Act.entryRelationship.observation",
"requirements": "SHALL contain exactly one [1..1] Vital Sign Observation (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.27:2014-06-09) (CONF:1198-31337).",
"min": 1,
"max": "1",
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Observation",
"profile": [
"http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.27"
]
}
]
},
{
"id": "Act.entryRelationship:longitudinalCareWoundObservation",
"path": "Act.entryRelationship",
"sliceName": "longitudinalCareWoundObservation",
"requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-31257) such that it",
"min": 0,
"max": "*"
},
{
"id": "Act.entryRelationship:longitudinalCareWoundObservation.typeCode",
"path": "Act.entryRelationship.typeCode",
"requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31339).",
"min": 1,
"max": "1",
"patternCode": "REFR"
},
{
"id": "Act.entryRelationship:longitudinalCareWoundObservation.observation",
"path": "Act.entryRelationship.observation",
"requirements": "SHALL contain exactly one [1..1] Longitudinal Care Wound Observation (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.114:2015-08-01) (CONF:1198-31340).",
"min": 1,
"max": "1",
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Observation",
"profile": [
"http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.114"
]
}
]
},
{
"id": "Act.entryRelationship:problemObservation",
"path": "Act.entryRelationship",
"sliceName": "problemObservation",
"short": "The following entryRelationship represents the relationship Health Concern HAS SUPPORT Observation.",
"requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-31365) such that it",
"min": 0,
"max": "*"
},
{
"id": "Act.entryRelationship:problemObservation.typeCode",
"path": "Act.entryRelationship.typeCode",
"requirements": "SHALL contain exactly one [1..1] @typeCode=\"SPRT\" Has support (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31366).",
"min": 1,
"max": "1",
"patternCode": "SPRT"
},
{
"id": "Act.entryRelationship:problemObservation.observation",
"path": "Act.entryRelationship.observation",
"requirements": "SHALL contain exactly one [1..1] Problem Observation (V3) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.4:2015-08-01) (CONF:1198-31367).",
"min": 1,
"max": "1",
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Observation",
"profile": [
"http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.4"
]
}
]
},
{
"id": "Act.entryRelationship:caregiverCharacteristics",
"path": "Act.entryRelationship",
"sliceName": "caregiverCharacteristics",
"requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-31368) such that it",
"min": 0,
"max": "*"
},
{
"id": "Act.entryRelationship:caregiverCharacteristics.typeCode",
"path": "Act.entryRelationship.typeCode",
"requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31369).",
"min": 1,
"max": "1",
"patternCode": "REFR"
},
{
"id": "Act.entryRelationship:caregiverCharacteristics.observation",
"path": "Act.entryRelationship.observation",
"requirements": "SHALL contain exactly one [1..1] Caregiver Characteristics (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.72) (CONF:1198-31370).",
"min": 1,
"max": "1",
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Observation",
"profile": [
"http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.72"
]
}
]
},
{
"id": "Act.entryRelationship:culturalandReligiousObservation",
"path": "Act.entryRelationship",
"sliceName": "culturalandReligiousObservation",
"requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-31371) such that it",
"min": 0,
"max": "*"
},
{
"id": "Act.entryRelationship:culturalandReligiousObservation.typeCode",
"path": "Act.entryRelationship.typeCode",
"requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31372).",
"min": 1,
"max": "1",
"patternCode": "REFR"
},
{
"id": "Act.entryRelationship:culturalandReligiousObservation.observation",
"path": "Act.entryRelationship.observation",
"requirements": "SHALL contain exactly one [1..1] Cultural and Religious Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.111) (CONF:1198-31373).",
"min": 1,
"max": "1",
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Observation",
"profile": [
"http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.111"
]
}
]
},
{
"id": "Act.entryRelationship:characteristicsofHomeEnvironment",
"path": "Act.entryRelationship",
"sliceName": "characteristicsofHomeEnvironment",
"requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-31374) such that it",
"min": 0,
"max": "*"
},
{
"id": "Act.entryRelationship:characteristicsofHomeEnvironment.typeCode",
"path": "Act.entryRelationship.typeCode",
"requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31375).",
"min": 1,
"max": "1",
"patternCode": "REFR"
},
{
"id": "Act.entryRelationship:characteristicsofHomeEnvironment.observation",
"path": "Act.entryRelationship.observation",
"requirements": "SHALL contain exactly one [1..1] Characteristics of Home Environment (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.109) (CONF:1198-31376).",
"min": 1,
"max": "1",
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Observation",
"profile": [
"http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.109"
]
}
]
},
{
"id": "Act.entryRelationship:nutritionalStatusObservation",
"path": "Act.entryRelationship",
"sliceName": "nutritionalStatusObservation",
"requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-31377) such that it",
"min": 0,
"max": "*"
},
{
"id": "Act.entryRelationship:nutritionalStatusObservation.typeCode",
"path": "Act.entryRelationship.typeCode",
"requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31378).",
"min": 1,
"max": "1",
"patternCode": "REFR"
},
{
"id": "Act.entryRelationship:nutritionalStatusObservation.observation",
"path": "Act.entryRelationship.observation",
"requirements": "SHALL contain exactly one [1..1] Nutritional Status Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.124) (CONF:1198-31379).",
"min": 1,
"max": "1",
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Observation",
"profile": [
"http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.124"
]
}
]
},
{
"id": "Act.entryRelationship:entryRelationship30",
"path": "Act.entryRelationship",
"sliceName": "entryRelationship30",
"requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-31380) such that it",
"min": 0,
"max": "*"
},
{
"id": "Act.entryRelationship:entryRelationship30.typeCode",
"path": "Act.entryRelationship.typeCode",
"requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31381).",
"min": 1,
"max": "1",
"patternCode": "REFR"
},
{
"id": "Act.entryRelationship:entryRelationship30.organizer",
"path": "Act.entryRelationship.organizer",
"requirements": "SHALL contain exactly one [1..1] Result Organizer (V3) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.1:2015-08-01) (CONF:1198-31382).",
"min": 1,
"max": "1",
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Organizer",
"profile": [
"http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.1"
]
}
]
},
{
"id": "Act.entryRelationship:priorityPreference",
"path": "Act.entryRelationship",
"sliceName": "priorityPreference",
"short": "The following entryRelationship represents the priority that the patient or a provider puts on the health concern.",
"requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-31442) such that it",
"min": 0,
"max": "*"
},
{
"id": "Act.entryRelationship:priorityPreference.typeCode",
"path": "Act.entryRelationship.typeCode",
"requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31443).",
"min": 1,
"max": "1",
"patternCode": "REFR"
},
{
"id": "Act.entryRelationship:priorityPreference.observation",
"path": "Act.entryRelationship.observation",
"requirements": "SHALL contain exactly one [1..1] Priority Preference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.143) (CONF:1198-31444).",
"min": 1,
"max": "1",
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Observation",
"profile": [
"http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.143"
]
}
]
},
{
"id": "Act.entryRelationship:problemConcernAct",
"path": "Act.entryRelationship",
"sliceName": "problemConcernAct",
"requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-31544) such that it",
"min": 0,
"max": "*"
},
{
"id": "Act.entryRelationship:problemConcernAct.typeCode",
"path": "Act.entryRelationship.typeCode",
"requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31547).",
"min": 1,
"max": "1",
"patternCode": "REFR"
},
{
"id": "Act.entryRelationship:problemConcernAct.act",
"path": "Act.entryRelationship.act",
"requirements": "SHALL contain exactly one [1..1] Problem Concern Act (V3) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.3:2015-08-01) (CONF:1198-31548).",
"min": 1,
"max": "1",
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Act",
"profile": [
"http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.3"
]
}
]
},
{
"id": "Act.entryRelationship:entryReference",
"path": "Act.entryRelationship",
"sliceName": "entryReference",
"requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1198-31549) such that it",
"min": 0,
"max": "*"
},
{
"id": "Act.entryRelationship:entryReference.typeCode",
"path": "Act.entryRelationship.typeCode",
"requirements": "SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31550).",
"min": 1,
"max": "1",
"patternCode": "REFR"
},
{
"id": "Act.entryRelationship:entryReference.act",
"path": "Act.entryRelationship.act",
"requirements": "SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:1198-31551).",
"min": 1,
"max": "1",
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Act",
"profile": [
"http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.122"
]
}
]
},
{
"id": "Act.reference",
"path": "Act.reference",
"short": "Where it is necessary to reference an external clinical document such a Referral document, Discharge Summary document etc., the External Document Reference template can be used to reference this document. However, if this Care Plan document is replacing or appending another Care Plan document in the same set, that relationship is set in the header, using ClinicalDocument/relatedDocument.",
"requirements": "MAY contain zero or more [0..*] reference (CONF:1198-32757).",
"min": 0,
"max": "*"
},
{
"id": "Act.reference.typeCode",
"path": "Act.reference.typeCode",
"requirements": "The reference, if present, SHALL contain exactly one [1..1] @typeCode=\"REFR\" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32758).",
"min": 1,
"max": "1",
"patternCode": "REFR"
},
{
"id": "Act.reference.externalDocument",
"path": "Act.reference.externalDocument",
"requirements": "The reference, if present, SHALL contain exactly one [1..1] External Document Reference (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.115:2014-06-09) (CONF:1198-32759).",
"min": 1,
"max": "1",
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/ExternalDocument",
"profile": [
"http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.115"
]
}
]
}
]
}
}
FHIR