FHIR IG Statistics: StructureDefinition/2.16.840.1.113883.10.20.22.4.140
| Package | hl7.cda.us.ccdar2dot2 |
| Resource Type | StructureDefinition |
| Id | 2.16.840.1.113883.10.20.22.4.140 |
| FHIR Version | R4 |
| Source | http://hl7.org/cda/us/ccda/https://build.fhir.org/ig/HL7/CDA-ccda-2.2/StructureDefinition-2.16.840.1.113883.10.20.22.4.140.html |
| URL | http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.140 |
| Version | 2.2 |
| Status | active |
| Date | 2022-05-13T15:50:12+00:00 |
| Name | PatientReferralAct |
| Title | Patient Referral Act |
| Realm | us |
| Authority | hl7 |
| Description | This template represents the type of referral (e.g., for dental care, to a specialist, for aging problems) and represents whether the referral is for full care or shared care. It may contain a reference to another act in the document instance representing the clinical reason for the referral (e.g., problem, concern, procedure). |
| 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
Source
{
"resourceType": "StructureDefinition",
"id": "2.16.840.1.113883.10.20.22.4.140",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"url": "http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.140",
"identifier": [
{
"value": "urn:oid:2.16.840.1.113883.10.20.22.4.140"
}
],
"version": "2.2",
"name": "PatientReferralAct",
"title": "Patient Referral 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 the type of referral (e.g., for dental care, to a specialist, for aging problems) and represents whether the referral is for full care or shared care. It may contain a reference to another act in the document instance representing the clinical reason for the referral (e.g., problem, concern, procedure).",
"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=\"PCPR\" provision of care (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-30884).",
"min": 1,
"max": "1",
"base": {
"path": "Act.classCode",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"patternCode": "PCPR"
},
{
"id": "Act.moodCode",
"path": "Act.moodCode",
"representation": [
"xmlAttr"
],
"requirements": "SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet Patient Referral Act moodCode urn:oid:2.16.840.1.113883.11.20.9.66 STATIC 2014-09-01 (CONF:1098-30885).",
"min": 1,
"max": "1",
"base": {
"path": "Act.moodCode",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"binding": {
"strength": "required",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.66"
}
},
{
"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"
}
],
"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:1098-30886) 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=\"2.16.840.1.113883.10.20.22.4.140\" (CONF:1098-30887).",
"min": 1,
"max": "1",
"base": {
"path": "II.root",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"patternString": "2.16.840.1.113883.10.20.22.4.140"
},
{
"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.",
"min": 0,
"max": "1",
"base": {
"path": "II.extension",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "Act.id",
"path": "Act.id",
"short": "In the case of a Consultation Note where this referral is being fulfilled by this consultation, this id would be referenced in the inFullfilmentOf/order/id of the Consultation Note.",
"requirements": "SHALL contain at least one [1..*] id (CONF:1098-30888).",
"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, which SHALL be selected from ValueSet Referral Types urn:oid:2.16.840.1.113883.11.20.9.56 DYNAMIC (CONF:1098-30889).",
"min": 1,
"max": "1",
"base": {
"path": "Act.code",
"min": 1,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/CD"
}
],
"binding": {
"strength": "required",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.56"
}
},
{
"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:1098-30892).",
"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=\"active\" Active (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-31598).",
"min": 1,
"max": "1",
"base": {
"path": "CD.code",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"patternString": "active"
},
{
"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",
"short": "The effectiveTime represents the time when the future referral is intended to take place.",
"requirements": "SHALL contain exactly one [1..1] effectiveTime (CONF:1098-30893).",
"min": 1,
"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",
"requirements": "SHOULD contain zero or one [0..1] priorityCode (CONF:1098-32623).",
"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",
"requirements": "SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-31612).",
"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",
"requirements": "MAY contain zero or more [0..*] participant (CONF:1098-32635).",
"min": 0,
"max": "*",
"base": {
"path": "Act.participant",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Participant2"
}
]
},
{
"id": "Act.participant.nullFlavor",
"path": "Act.participant.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": "Participant2.nullFlavor",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor"
}
},
{
"id": "Act.participant.typeCode",
"path": "Act.participant.typeCode",
"representation": [
"xmlAttr"
],
"requirements": "The participant, if present, SHALL contain exactly one [1..1] @typeCode=\"REFT\" Referred to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32638).",
"min": 1,
"max": "1",
"base": {
"path": "Participant2.typeCode",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"patternCode": "REFT",
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-ParticipationType"
}
},
{
"id": "Act.participant.contextControlCode",
"path": "Act.participant.contextControlCode",
"representation": [
"xmlAttr"
],
"min": 0,
"max": "1",
"base": {
"path": "Participant2.contextControlCode",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"fixedCode": "OP",
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-ContextControl"
}
},
{
"id": "Act.participant.realmCode",
"path": "Act.participant.realmCode",
"definition": "When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question",
"min": 0,
"max": "*",
"base": {
"path": "Participant2.realmCode",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/CS"
}
]
},
{
"id": "Act.participant.typeId",
"path": "Act.participant.typeId",
"definition": "When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.",
"min": 0,
"max": "1",
"base": {
"path": "Participant2.typeId",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/II"
}
]
},
{
"id": "Act.participant.templateId",
"path": "Act.participant.templateId",
"definition": "When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question",
"min": 0,
"max": "*",
"base": {
"path": "Participant2.templateId",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/II"
}
]
},
{
"id": "Act.participant.sdtcFunctionCode",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
"valueUri": "urn:hl7-org:sdtc"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
"valueString": "functionCode"
}
],
"path": "Act.participant.sdtcFunctionCode",
"min": 0,
"max": "1",
"base": {
"path": "Participant2.sdtcFunctionCode",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/CE"
}
]
},
{
"id": "Act.participant.time",
"path": "Act.participant.time",
"min": 0,
"max": "1",
"base": {
"path": "Participant2.time",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/IVL-TS"
}
]
},
{
"id": "Act.participant.awarenessCode",
"path": "Act.participant.awarenessCode",
"min": 0,
"max": "1",
"base": {
"path": "Participant2.awarenessCode",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/CE"
}
]
},
{
"id": "Act.participant.participantRole",
"path": "Act.participant.participantRole",
"requirements": "The participant, if present, SHALL contain exactly one [1..1] participantRole (CONF:1098-32636).",
"min": 1,
"max": "1",
"base": {
"path": "Participant2.participantRole",
"min": 1,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/ParticipantRole"
}
]
},
{
"id": "Act.participant.participantRole.classCode",
"path": "Act.participant.participantRole.classCode",
"representation": [
"xmlAttr"
],
"min": 1,
"max": "1",
"base": {
"path": "ParticipantRole.classCode",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"defaultValueCode": "ROL",
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-RoleClassRoot"
}
},
{
"id": "Act.participant.participantRole.templateId",
"path": "Act.participant.participantRole.templateId",
"definition": "When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question",
"min": 0,
"max": "*",
"base": {
"path": "ParticipantRole.templateId",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/II"
}
]
},
{
"id": "Act.participant.participantRole.id",
"path": "Act.participant.participantRole.id",
"min": 0,
"max": "*",
"base": {
"path": "ParticipantRole.id",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/II"
}
]
},
{
"id": "Act.participant.participantRole.sdtcIdentifiedBy",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
"valueUri": "urn:hl7-org:sdtc"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
"valueString": "identifiedBy"
}
],
"path": "Act.participant.participantRole.sdtcIdentifiedBy",
"min": 0,
"max": "*",
"base": {
"path": "ParticipantRole.sdtcIdentifiedBy",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/IdentifiedBy"
}
]
},
{
"id": "Act.participant.participantRole.code",
"path": "Act.participant.participantRole.code",
"requirements": "This participantRole MAY contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1098-32637).",
"min": 0,
"max": "1",
"base": {
"path": "ParticipantRole.code",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/CE"
}
],
"binding": {
"strength": "preferred",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066"
}
},
{
"id": "Act.participant.participantRole.addr",
"path": "Act.participant.participantRole.addr",
"min": 0,
"max": "*",
"base": {
"path": "ParticipantRole.addr",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/AD"
}
]
},
{
"id": "Act.participant.participantRole.telecom",
"path": "Act.participant.participantRole.telecom",
"min": 0,
"max": "*",
"base": {
"path": "ParticipantRole.telecom",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/TEL"
}
]
},
{
"id": "Act.participant.participantRole.playingDevice",
"path": "Act.participant.participantRole.playingDevice",
"min": 0,
"max": "1",
"base": {
"path": "ParticipantRole.playingDevice",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Device"
}
]
},
{
"id": "Act.participant.participantRole.playingEntity",
"path": "Act.participant.participantRole.playingEntity",
"min": 0,
"max": "1",
"base": {
"path": "ParticipantRole.playingEntity",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/PlayingEntity"
}
]
},
{
"id": "Act.participant.participantRole.scopingEntity",
"path": "Act.participant.participantRole.scopingEntity",
"min": 0,
"max": "1",
"base": {
"path": "ParticipantRole.scopingEntity",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Entity"
}
]
},
{
"id": "Act.entryRelationship",
"path": "Act.entryRelationship",
"slicing": {
"discriminator": [
{
"type": "profile",
"path": "observation"
}
],
"rules": "open"
},
"short": "The following entryRelationship represents a reference to another act in the document instance representing the clinical reason for the referral (e.g., problem, concern, procedure).",
"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:entryRelationship1",
"path": "Act.entryRelationship",
"sliceName": "entryRelationship1",
"short": "The following entryRelationship represents whether the referral is for full or shared care.",
"requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1098-31604) 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:entryRelationship1.typeCode",
"path": "Act.entryRelationship.typeCode",
"representation": [
"xmlAttr"
],
"requirements": "SHALL contain exactly one [1..1] @typeCode=\"SUBJ\" has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31613).",
"min": 1,
"max": "1",
"base": {
"path": "Act.entryRelationship.typeCode",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"patternCode": "SUBJ"
},
{
"id": "Act.entryRelationship:entryRelationship1.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:entryRelationship1.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:entryRelationship1.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:entryRelationship1.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:entryRelationship1.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:entryRelationship1.observation",
"path": "Act.entryRelationship.observation",
"requirements": "SHALL contain exactly one [1..1] observation (CONF:1098-31605).",
"min": 1,
"max": "1",
"base": {
"path": "Act.entryRelationship.observation",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Observation"
}
]
},
{
"id": "Act.entryRelationship:entryRelationship1.observation.classCode",
"path": "Act.entryRelationship.observation.classCode",
"representation": [
"xmlAttr"
],
"requirements": "This observation SHALL contain exactly one [1..1] @classCode=\"OBS\" observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1098-31606).",
"min": 1,
"max": "1",
"base": {
"path": "Observation.classCode",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"patternCode": "OBS",
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-ActClassObservation"
}
},
{
"id": "Act.entryRelationship:entryRelationship1.observation.moodCode",
"path": "Act.entryRelationship.observation.moodCode",
"representation": [
"xmlAttr"
],
"requirements": "This observation SHALL contain exactly one [1..1] @moodCode=\"RQO\" request (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1098-31607).",
"min": 1,
"max": "1",
"base": {
"path": "Observation.moodCode",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"patternCode": "RQO"
},
{
"id": "Act.entryRelationship:entryRelationship1.observation.negationInd",
"path": "Act.entryRelationship.observation.negationInd",
"representation": [
"xmlAttr"
],
"min": 0,
"max": "1",
"base": {
"path": "Observation.negationInd",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Act.entryRelationship:entryRelationship1.observation.realmCode",
"path": "Act.entryRelationship.observation.realmCode",
"min": 0,
"max": "*",
"base": {
"path": "Observation.realmCode",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/CS"
}
]
},
{
"id": "Act.entryRelationship:entryRelationship1.observation.typeId",
"path": "Act.entryRelationship.observation.typeId",
"min": 0,
"max": "1",
"base": {
"path": "Observation.typeId",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/II"
}
]
},
{
"id": "Act.entryRelationship:entryRelationship1.observation.templateId",
"path": "Act.entryRelationship.observation.templateId",
"definition": "When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question",
"min": 0,
"max": "*",
"base": {
"path": "Observation.templateId",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/II"
}
]
},
{
"id": "Act.entryRelationship:entryRelationship1.observation.id",
"path": "Act.entryRelationship.observation.id",
"min": 0,
"max": "*",
"base": {
"path": "Observation.id",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/II"
}
]
},
{
"id": "Act.entryRelationship:entryRelationship1.observation.code",
"path": "Act.entryRelationship.observation.code",
"representation": [
"typeAttr"
],
"requirements": "This observation SHALL contain exactly one [1..1] code (CONF:1098-31608).",
"min": 1,
"max": "1",
"base": {
"path": "Observation.code",
"min": 1,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/CD"
}
],
"binding": {
"strength": "extensible",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-ObservationType"
}
},
{
"id": "Act.entryRelationship:entryRelationship1.observation.code.nullFlavor",
"path": "Act.entryRelationship.observation.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.entryRelationship:entryRelationship1.observation.code.code",
"path": "Act.entryRelationship.observation.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=\"ASSERTION\" assertion (CONF:1098-31619).",
"min": 1,
"max": "1",
"base": {
"path": "CD.code",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"patternString": "ASSERTION"
},
{
"id": "Act.entryRelationship:entryRelationship1.observation.code.codeSystem",
"path": "Act.entryRelationship.observation.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=\"2.16.840.1.113883.5.4 \" (CodeSystem: HL7ActCode urn:oid:2.16.840.1.113883.5.4) (CONF:1098-31620).",
"min": 1,
"max": "1",
"base": {
"path": "CD.codeSystem",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"patternString": "2.16.840.1.113883.5.4"
},
{
"id": "Act.entryRelationship:entryRelationship1.observation.code.codeSystemName",
"path": "Act.entryRelationship.observation.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.entryRelationship:entryRelationship1.observation.code.codeSystemVersion",
"path": "Act.entryRelationship.observation.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.entryRelationship:entryRelationship1.observation.code.displayName",
"path": "Act.entryRelationship.observation.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.entryRelationship:entryRelationship1.observation.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.entryRelationship.observation.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.entryRelationship:entryRelationship1.observation.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.entryRelationship.observation.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.entryRelationship:entryRelationship1.observation.code.originalText",
"path": "Act.entryRelationship.observation.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.entryRelationship:entryRelationship1.observation.code.qualifier",
"path": "Act.entryRelationship.observation.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.entryRelationship:entryRelationship1.observation.code.translation",
"path": "Act.entryRelationship.observation.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.entryRelationship:entryRelationship1.observation.derivationExpr",
"path": "Act.entryRelationship.observation.derivationExpr",
"min": 0,
"max": "1",
"base": {
"path": "Observation.derivationExpr",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/ST"
}
]
},
{
"id": "Act.entryRelationship:entryRelationship1.observation.text",
"path": "Act.entryRelationship.observation.text",
"representation": [
"typeAttr"
],
"min": 0,
"max": "1",
"base": {
"path": "Observation.text",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/ED"
}
]
},
{
"id": "Act.entryRelationship:entryRelationship1.observation.statusCode",
"path": "Act.entryRelationship.observation.statusCode",
"requirements": "This observation SHALL contain exactly one [1..1] statusCode (CONF:1098-31614).",
"min": 1,
"max": "1",
"base": {
"path": "Observation.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.entryRelationship:entryRelationship1.observation.statusCode.nullFlavor",
"path": "Act.entryRelationship.observation.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.entryRelationship:entryRelationship1.observation.statusCode.code",
"path": "Act.entryRelationship.observation.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=\"completed\" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-31615).",
"min": 1,
"max": "1",
"base": {
"path": "CD.code",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"patternString": "completed"
},
{
"id": "Act.entryRelationship:entryRelationship1.observation.statusCode.codeSystem",
"path": "Act.entryRelationship.observation.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.entryRelationship:entryRelationship1.observation.statusCode.codeSystemName",
"path": "Act.entryRelationship.observation.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.entryRelationship:entryRelationship1.observation.statusCode.codeSystemVersion",
"path": "Act.entryRelationship.observation.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.entryRelationship:entryRelationship1.observation.statusCode.displayName",
"path": "Act.entryRelationship.observation.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.entryRelationship:entryRelationship1.observation.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.entryRelationship.observation.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.entryRelationship:entryRelationship1.observation.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.entryRelationship.observation.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.entryRelationship:entryRelationship1.observation.statusCode.originalText",
"path": "Act.entryRelationship.observation.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.entryRelationship:entryRelationship1.observation.statusCode.qualifier",
"path": "Act.entryRelationship.observation.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.entryRelationship:entryRelationship1.observation.statusCode.translation",
"path": "Act.entryRelationship.observation.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.entryRelationship:entryRelationship1.observation.effectiveTime",
"path": "Act.entryRelationship.observation.effectiveTime",
"min": 0,
"max": "1",
"base": {
"path": "Observation.effectiveTime",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/IVL-TS"
}
]
},
{
"id": "Act.entryRelationship:entryRelationship1.observation.priorityCode",
"path": "Act.entryRelationship.observation.priorityCode",
"requirements": "This observation SHOULD contain zero or one [0..1] priorityCode, which SHOULD be selected from ValueSet ActPriority urn:oid:2.16.840.1.113883.1.11.16866 DYNAMIC (CONF:1098-32443).",
"min": 0,
"max": "1",
"base": {
"path": "Observation.priorityCode",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/CE"
}
],
"binding": {
"strength": "preferred",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.16866"
}
},
{
"id": "Act.entryRelationship:entryRelationship1.observation.repeatNumber",
"path": "Act.entryRelationship.observation.repeatNumber",
"min": 0,
"max": "1",
"base": {
"path": "Observation.repeatNumber",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/IVL-INT"
}
]
},
{
"id": "Act.entryRelationship:entryRelationship1.observation.languageCode",
"path": "Act.entryRelationship.observation.languageCode",
"min": 0,
"max": "1",
"base": {
"path": "Observation.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.entryRelationship:entryRelationship1.observation.value",
"path": "Act.entryRelationship.observation.value",
"representation": [
"typeAttr"
],
"requirements": "This observation SHALL contain exactly one [1..1] value with @xsi:type=\"CD\", where the code SHOULD be selected from ValueSet Care Model urn:oid:2.16.840.1.113883.11.20.9.61 DYNAMIC (CONF:1098-31611).",
"min": 1,
"max": "1",
"base": {
"path": "Observation.value",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/CD"
}
],
"binding": {
"strength": "preferred",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.61"
}
},
{
"id": "Act.entryRelationship:entryRelationship1.observation.interpretationCode",
"path": "Act.entryRelationship.observation.interpretationCode",
"min": 0,
"max": "*",
"base": {
"path": "Observation.interpretationCode",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/CE"
}
],
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-ObservationInterpretation"
}
},
{
"id": "Act.entryRelationship:entryRelationship1.observation.methodCode",
"path": "Act.entryRelationship.observation.methodCode",
"min": 0,
"max": "*",
"base": {
"path": "Observation.methodCode",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/CE"
}
],
"binding": {
"strength": "extensible",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-ObservationMethod"
}
},
{
"id": "Act.entryRelationship:entryRelationship1.observation.targetSiteCode",
"path": "Act.entryRelationship.observation.targetSiteCode",
"definition": "Drawn from concept domain ActSite",
"min": 0,
"max": "*",
"base": {
"path": "Observation.targetSiteCode",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/CD"
}
]
},
{
"id": "Act.entryRelationship:entryRelationship1.observation.subject",
"path": "Act.entryRelationship.observation.subject",
"min": 0,
"max": "1",
"base": {
"path": "Observation.subject",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Element"
}
]
},
{
"id": "Act.entryRelationship:entryRelationship1.observation.subject.typeCode",
"path": "Act.entryRelationship.observation.subject.typeCode",
"representation": [
"xmlAttr"
],
"min": 1,
"max": "1",
"base": {
"path": "Observation.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.entryRelationship:entryRelationship1.observation.subject.contextControlCode",
"path": "Act.entryRelationship.observation.subject.contextControlCode",
"representation": [
"xmlAttr"
],
"min": 1,
"max": "1",
"base": {
"path": "Observation.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.entryRelationship:entryRelationship1.observation.subject.awarenessCode",
"path": "Act.entryRelationship.observation.subject.awarenessCode",
"min": 0,
"max": "1",
"base": {
"path": "Observation.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"
}
},
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},
{
"id": "Act.entryRelationship:indication.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:indication.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:indication.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:indication.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:indication.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:indication.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:indication.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:indication.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.reference",
"path": "Act.reference",
"min": 0,
"max": "*",
"base": {
"path": "Act.reference",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Element"
}
]
},
{
"id": "Act.reference.typeCode",
"path": "Act.reference.typeCode",
"representation": [
"xmlAttr"
],
"min": 1,
"max": "1",
"base": {
"path": "Act.reference.typeCode",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
]
},
{
"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",
"min": 0,
"max": "1",
"base": {
"path": "Act.reference.externalDocument",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/ExternalDocument"
}
]
},
{
"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=\"PCPR\" provision of care (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-30884).",
"min": 1,
"max": "1",
"patternCode": "PCPR"
},
{
"id": "Act.moodCode",
"path": "Act.moodCode",
"requirements": "SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet Patient Referral Act moodCode urn:oid:2.16.840.1.113883.11.20.9.66 STATIC 2014-09-01 (CONF:1098-30885).",
"min": 1,
"max": "1",
"binding": {
"strength": "required",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.66"
}
},
{
"id": "Act.templateId",
"path": "Act.templateId",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "root"
}
],
"rules": "open"
}
},
{
"id": "Act.templateId:primary",
"path": "Act.templateId",
"sliceName": "primary",
"requirements": "SHALL contain exactly one [1..1] templateId (CONF:1098-30886) such that it",
"min": 1,
"max": "1"
},
{
"id": "Act.templateId:primary.root",
"path": "Act.templateId.root",
"requirements": "SHALL contain exactly one [1..1] @root=\"2.16.840.1.113883.10.20.22.4.140\" (CONF:1098-30887).",
"min": 1,
"max": "1",
"patternString": "2.16.840.1.113883.10.20.22.4.140"
},
{
"id": "Act.id",
"path": "Act.id",
"short": "In the case of a Consultation Note where this referral is being fulfilled by this consultation, this id would be referenced in the inFullfilmentOf/order/id of the Consultation Note.",
"requirements": "SHALL contain at least one [1..*] id (CONF:1098-30888).",
"min": 1,
"max": "*"
},
{
"id": "Act.code",
"path": "Act.code",
"requirements": "SHALL contain exactly one [1..1] code, which SHALL be selected from ValueSet Referral Types urn:oid:2.16.840.1.113883.11.20.9.56 DYNAMIC (CONF:1098-30889).",
"min": 1,
"max": "1",
"binding": {
"strength": "required",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.56"
}
},
{
"id": "Act.statusCode",
"path": "Act.statusCode",
"requirements": "SHALL contain exactly one [1..1] statusCode (CONF:1098-30892).",
"min": 1,
"max": "1"
},
{
"id": "Act.statusCode.code",
"path": "Act.statusCode.code",
"requirements": "This statusCode SHALL contain exactly one [1..1] @code=\"active\" Active (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-31598).",
"min": 1,
"max": "1",
"patternString": "active"
},
{
"id": "Act.effectiveTime",
"path": "Act.effectiveTime",
"short": "The effectiveTime represents the time when the future referral is intended to take place.",
"requirements": "SHALL contain exactly one [1..1] effectiveTime (CONF:1098-30893).",
"min": 1,
"max": "1"
},
{
"id": "Act.priorityCode",
"path": "Act.priorityCode",
"requirements": "SHOULD contain zero or one [0..1] priorityCode (CONF:1098-32623).",
"min": 0,
"max": "1"
},
{
"id": "Act.author",
"path": "Act.author",
"requirements": "SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-31612).",
"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.participant",
"path": "Act.participant",
"requirements": "MAY contain zero or more [0..*] participant (CONF:1098-32635).",
"min": 0,
"max": "*"
},
{
"id": "Act.participant.typeCode",
"path": "Act.participant.typeCode",
"requirements": "The participant, if present, SHALL contain exactly one [1..1] @typeCode=\"REFT\" Referred to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32638).",
"min": 1,
"max": "1",
"patternCode": "REFT"
},
{
"id": "Act.participant.participantRole",
"path": "Act.participant.participantRole",
"requirements": "The participant, if present, SHALL contain exactly one [1..1] participantRole (CONF:1098-32636).",
"min": 1,
"max": "1"
},
{
"id": "Act.participant.participantRole.code",
"path": "Act.participant.participantRole.code",
"requirements": "This participantRole MAY contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1098-32637).",
"min": 0,
"max": "1",
"binding": {
"strength": "preferred",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066"
}
},
{
"id": "Act.entryRelationship",
"path": "Act.entryRelationship",
"slicing": {
"discriminator": [
{
"type": "profile",
"path": "observation"
}
],
"rules": "open"
},
"short": "The following entryRelationship represents a reference to another act in the document instance representing the clinical reason for the referral (e.g., problem, concern, procedure)."
},
{
"id": "Act.entryRelationship:entryRelationship1",
"path": "Act.entryRelationship",
"sliceName": "entryRelationship1",
"short": "The following entryRelationship represents whether the referral is for full or shared care.",
"requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1098-31604) such that it",
"min": 0,
"max": "*"
},
{
"id": "Act.entryRelationship:entryRelationship1.typeCode",
"path": "Act.entryRelationship.typeCode",
"requirements": "SHALL contain exactly one [1..1] @typeCode=\"SUBJ\" has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31613).",
"min": 1,
"max": "1",
"patternCode": "SUBJ"
},
{
"id": "Act.entryRelationship:entryRelationship1.observation",
"path": "Act.entryRelationship.observation",
"requirements": "SHALL contain exactly one [1..1] observation (CONF:1098-31605).",
"min": 1,
"max": "1"
},
{
"id": "Act.entryRelationship:entryRelationship1.observation.classCode",
"path": "Act.entryRelationship.observation.classCode",
"requirements": "This observation SHALL contain exactly one [1..1] @classCode=\"OBS\" observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1098-31606).",
"min": 1,
"max": "1",
"patternCode": "OBS"
},
{
"id": "Act.entryRelationship:entryRelationship1.observation.moodCode",
"path": "Act.entryRelationship.observation.moodCode",
"requirements": "This observation SHALL contain exactly one [1..1] @moodCode=\"RQO\" request (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1098-31607).",
"min": 1,
"max": "1",
"patternCode": "RQO"
},
{
"id": "Act.entryRelationship:entryRelationship1.observation.code",
"path": "Act.entryRelationship.observation.code",
"requirements": "This observation SHALL contain exactly one [1..1] code (CONF:1098-31608).",
"min": 1,
"max": "1"
},
{
"id": "Act.entryRelationship:entryRelationship1.observation.code.code",
"path": "Act.entryRelationship.observation.code.code",
"requirements": "This code SHALL contain exactly one [1..1] @code=\"ASSERTION\" assertion (CONF:1098-31619).",
"min": 1,
"max": "1",
"patternString": "ASSERTION"
},
{
"id": "Act.entryRelationship:entryRelationship1.observation.code.codeSystem",
"path": "Act.entryRelationship.observation.code.codeSystem",
"requirements": "This code SHALL contain exactly one [1..1] @codeSystem=\"2.16.840.1.113883.5.4 \" (CodeSystem: HL7ActCode urn:oid:2.16.840.1.113883.5.4) (CONF:1098-31620).",
"min": 1,
"max": "1",
"patternString": "2.16.840.1.113883.5.4"
},
{
"id": "Act.entryRelationship:entryRelationship1.observation.statusCode",
"path": "Act.entryRelationship.observation.statusCode",
"requirements": "This observation SHALL contain exactly one [1..1] statusCode (CONF:1098-31614).",
"min": 1,
"max": "1"
},
{
"id": "Act.entryRelationship:entryRelationship1.observation.statusCode.code",
"path": "Act.entryRelationship.observation.statusCode.code",
"requirements": "This statusCode SHALL contain exactly one [1..1] @code=\"completed\" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-31615).",
"min": 1,
"max": "1",
"patternString": "completed"
},
{
"id": "Act.entryRelationship:entryRelationship1.observation.priorityCode",
"path": "Act.entryRelationship.observation.priorityCode",
"requirements": "This observation SHOULD contain zero or one [0..1] priorityCode, which SHOULD be selected from ValueSet ActPriority urn:oid:2.16.840.1.113883.1.11.16866 DYNAMIC (CONF:1098-32443).",
"min": 0,
"max": "1",
"binding": {
"strength": "preferred",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.16866"
}
},
{
"id": "Act.entryRelationship:entryRelationship1.observation.value",
"path": "Act.entryRelationship.observation.value",
"requirements": "This observation SHALL contain exactly one [1..1] value with @xsi:type=\"CD\", where the code SHOULD be selected from ValueSet Care Model urn:oid:2.16.840.1.113883.11.20.9.61 DYNAMIC (CONF:1098-31611).",
"min": 1,
"max": "1",
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/CD"
}
],
"binding": {
"strength": "preferred",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.61"
}
},
{
"id": "Act.entryRelationship:indication",
"path": "Act.entryRelationship",
"sliceName": "indication",
"requirements": "MAY contain zero or more [0..*] entryRelationship (CONF:1098-31635) such that it",
"min": 0,
"max": "*"
},
{
"id": "Act.entryRelationship:indication.typeCode",
"path": "Act.entryRelationship.typeCode",
"requirements": "SHALL contain exactly one [1..1] @typeCode=\"RSON\" has reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31636).",
"min": 1,
"max": "1",
"patternCode": "RSON"
},
{
"id": "Act.entryRelationship:indication.observation",
"path": "Act.entryRelationship.observation",
"requirements": "SHALL contain exactly one [1..1] Indication (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.19:2014-06-09) (CONF:1098-32634).",
"min": 1,
"max": "1",
"type": [
{
"code": "http://hl7.org/fhir/cda/StructureDefinition/Observation",
"profile": [
"http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.19"
]
}
]
}
]
}
}
Act 
Slices for templateId 
templateId:primary 
author 
FHIR