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Packagehl7.cda.uv.core
Resource TypeStructureDefinition
IdStructureDefinition-Act.json
FHIR VersionR5

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Narrative

Note: links and images are rebased to the (stated) source

A derivative of the RIM Act class, to be used when the other more specific classes aren't appropriate.

Act.negationInd, when set to "true", is a positive assertion that the Act as a whole is negated. Some properties such as Act.id, Act.moodCode, and the participations are not affected. These properties always have the same meaning: i.e., the author remains the author of the negative Act. An act statement with negationInd is still a statement about the specific fact described by the Act. For instance, a negated "finding of wheezing on July 1" means that the author positively denies that there was wheezing on July 1, and that he takes the same responsibility for such statement and the same requirement to have evidence for such statement than if he had not used negation.


Source1

{
  "resourceType": "StructureDefinition",
  "id": "Act",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/logical-target",
      "_valueBoolean": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode": "not-applicable"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
      "valueUri": "urn:hl7-org:v3"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name",
      "valueUri": "act"
    }
  ],
  "url": "http://hl7.org/cda/stds/core/StructureDefinition/Act",
  "version": "2.0.1",
  "name": "CDAR2.Act",
  "title": "Act (CDA Class)",
  "status": "active",
  "experimental": false,
  "date": "2023-10-03T20:44:04+00:00",
  "publisher": "Health Level 7",
  "contact": [
    {
      "name": "HL7 International - Structured Documents",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/structdoc"
        },
        {
          "system": "email",
          "value": "structdog@lists.HL7.org"
        }
      ]
    }
  ],
  "description": "A derivative of the RIM Act class, to be used when the other more specific classes aren't appropriate.\nAct.negationInd, when set to \"true\", is a positive assertion that the Act as a whole is negated. Some properties such as Act.id, Act.moodCode, and the participations are not affected. These properties always have the same meaning: i.e., the author remains the author of the negative Act. An act statement with negationInd is still a statement about the specific fact described by the Act. For instance, a negated \"finding of wheezing on July 1\" means that the author positively denies that there was wheezing on July 1, and that he takes the same responsibility for such statement and the same requirement to have evidence for such statement than if he had not used negation.",
  "fhirVersion": "5.0.0",
  "mapping": [
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    }
  ],
  "kind": "logical",
  "abstract": false,
  "type": "http://hl7.org/cda/stds/core/StructureDefinition/Act",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Base",
  "derivation": "specialization",
  "snapshot": {
    "element": [
      {
        "id": "Act",
        "path": "Act",
        "short": "Base for all types and resources",
        "definition": "Base definition for all types defined in FHIR type system.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Base",
          "min": 0,
          "max": "*"
        },
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Act.nullFlavor",
        "path": "Act.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": "Act.nullFlavor",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code",
            "profile": [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor"
        }
      },
      {
        "id": "Act.classCode",
        "path": "Act.classCode",
        "representation": [
          "xmlAttr"
        ],
        "definition": "Element Act.classCode",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.classCode",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code",
            "profile": [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ]
      },
      {
        "id": "Act.moodCode",
        "path": "Act.moodCode",
        "representation": [
          "xmlAttr"
        ],
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.moodCode",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code",
            "profile": [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ]
      },
      {
        "id": "Act.realmCode",
        "path": "Act.realmCode",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Act.realmCode",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/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/cda/stds/core/StructureDefinition/II"
          }
        ]
      },
      {
        "id": "Act.templateId",
        "path": "Act.templateId",
        "definition": "When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Act.templateId",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/II"
          }
        ]
      },
      {
        "id": "Act.id",
        "path": "Act.id",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Act.id",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/II"
          }
        ]
      },
      {
        "id": "Act.code",
        "path": "Act.code",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Act.code",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/CD"
          }
        ],
        "binding": {
          "strength": "extensible",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActCode"
        }
      },
      {
        "id": "Act.negationInd",
        "path": "Act.negationInd",
        "representation": [
          "xmlAttr"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.negationInd",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean",
            "profile": [
              "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
            ]
          }
        ]
      },
      {
        "id": "Act.text",
        "path": "Act.text",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/ED"
          }
        ]
      },
      {
        "id": "Act.statusCode",
        "path": "Act.statusCode",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.statusCode",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/CS"
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActStatus"
        }
      },
      {
        "id": "Act.effectiveTime",
        "path": "Act.effectiveTime",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Act.effectiveTime",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/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/cda/stds/core/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/cda/stds/core/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": "http://hl7.org/cda/stds/core/StructureDefinition/Subject"
          }
        ]
      },
      {
        "id": "Act.specimen",
        "path": "Act.specimen",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Act.specimen",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/Specimen"
          }
        ]
      },
      {
        "id": "Act.performer",
        "path": "Act.performer",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Act.performer",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/Performer2"
          }
        ]
      },
      {
        "id": "Act.author",
        "path": "Act.author",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Act.author",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/Author"
          }
        ]
      },
      {
        "id": "Act.informant",
        "path": "Act.informant",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Act.informant",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/Informant"
          }
        ]
      },
      {
        "id": "Act.participant",
        "path": "Act.participant",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Act.participant",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/Participant2"
          }
        ]
      },
      {
        "id": "Act.entryRelationship",
        "path": "Act.entryRelationship",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Act.entryRelationship",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship"
          }
        ]
      },
      {
        "id": "Act.reference",
        "path": "Act.reference",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Act.reference",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/Reference"
          }
        ]
      },
      {
        "id": "Act.precondition",
        "path": "Act.precondition",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Act.precondition",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/Precondition"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "Act",
        "path": "Act",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Act.nullFlavor",
        "path": "Act.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",
        "type": [
          {
            "code": "code",
            "profile": [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor"
        }
      },
      {
        "id": "Act.classCode",
        "path": "Act.classCode",
        "representation": [
          "xmlAttr"
        ],
        "definition": "Element Act.classCode",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code",
            "profile": [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ]
      },
      {
        "id": "Act.moodCode",
        "path": "Act.moodCode",
        "representation": [
          "xmlAttr"
        ],
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code",
            "profile": [
              "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ]
      },
      {
        "id": "Act.realmCode",
        "path": "Act.realmCode",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/CS"
          }
        ]
      },
      {
        "id": "Act.typeId",
        "path": "Act.typeId",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/II"
          }
        ]
      },
      {
        "id": "Act.templateId",
        "path": "Act.templateId",
        "definition": "When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/II"
          }
        ]
      },
      {
        "id": "Act.id",
        "path": "Act.id",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/II"
          }
        ]
      },
      {
        "id": "Act.code",
        "path": "Act.code",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/CD"
          }
        ],
        "binding": {
          "strength": "extensible",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActCode"
        }
      },
      {
        "id": "Act.negationInd",
        "path": "Act.negationInd",
        "representation": [
          "xmlAttr"
        ],
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "boolean",
            "profile": [
              "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
            ]
          }
        ]
      },
      {
        "id": "Act.text",
        "path": "Act.text",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/ED"
          }
        ]
      },
      {
        "id": "Act.statusCode",
        "path": "Act.statusCode",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/CS"
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActStatus"
        }
      },
      {
        "id": "Act.effectiveTime",
        "path": "Act.effectiveTime",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"
          }
        ]
      },
      {
        "id": "Act.priorityCode",
        "path": "Act.priorityCode",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/CE"
          }
        ],
        "binding": {
          "strength": "extensible",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActPriority"
        }
      },
      {
        "id": "Act.languageCode",
        "path": "Act.languageCode",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/CS"
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-HumanLanguage"
        }
      },
      {
        "id": "Act.subject",
        "path": "Act.subject",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/Subject"
          }
        ]
      },
      {
        "id": "Act.specimen",
        "path": "Act.specimen",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/Specimen"
          }
        ]
      },
      {
        "id": "Act.performer",
        "path": "Act.performer",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/Performer2"
          }
        ]
      },
      {
        "id": "Act.author",
        "path": "Act.author",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/Author"
          }
        ]
      },
      {
        "id": "Act.informant",
        "path": "Act.informant",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/Informant"
          }
        ]
      },
      {
        "id": "Act.participant",
        "path": "Act.participant",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/Participant2"
          }
        ]
      },
      {
        "id": "Act.entryRelationship",
        "path": "Act.entryRelationship",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship"
          }
        ]
      },
      {
        "id": "Act.reference",
        "path": "Act.reference",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/Reference"
          }
        ]
      },
      {
        "id": "Act.precondition",
        "path": "Act.precondition",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "http://hl7.org/cda/stds/core/StructureDefinition/Precondition"
          }
        ]
      }
    ]
  }
}