| Package | hl7.cda.uv.ips |
| Type | StructureDefinition |
| Id | 2.16.840.1.113883.10.22.4.5--20240804100924 |
| FHIR Version | R4 |
| Source | http://hl7.org/cda/uv/cda-ips/https://build.fhir.org/ig/HL7/CDA-IPS/StructureDefinition-2.16.840.1.113883.10.22.4.5--20240804100924.html |
| URL | http://art-decor.org/fhir/StructureDefinition/2.16.840.1.113883.10.22.4.5--20240804100924 |
| Version | 1.1.0-ballot |
| Status | draft |
| Date | 2024-08-04T10:09:24Z |
| Name | IPSAllergyAndIntoleranceConcern |
| Title | IPS Allergy and Intolerance Concern |
| Realm | uv |
| Authority | hl7 |
| Description | This template reflects an ongoing concern on behalf of the person that placed the allergy on a patient’s allergy list. A concern may refer to one or more allergies or intolerances. There are different kinds of status that could be related to an allergy, or more in general to a condition: * The status of the concern (active, inactive,..) * The status of the condition (e.g. active, inactive, resolved,..) * The confirmation status [clinical workflow status, certainty] (e.g. confirmed, likely, unlikely,…) Not all of them can be represented in a CDA using the statusCode elements of the concern (ACT) and observation (condition). As long as the underlying condition is of concern to the author (i.e., as long as the allergy, whether active or resolved, is of ongoing concern and interest to the author), the statusCode is “active”. In case the clinician deems that there is no longer any need to track the underlying conditions then the concern is inactive and the statusCode is set to "completed". The effectiveTime/low of the Allergy Concern Act asserts when the concern became active. This equates to the time the concern was authored in the patient's chart. The effectiveTime/high asserts when the concern became inactive, and it is present if the statusCode of the concern act is "completed" |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Act |
| Kind | logical |
| StructureDefinition | |
| 2.16.840.1.113883.10.22.3.2--20240804100736 | IPS Allergies and Intolerances Section |
| StructureDefinition | |
| Act | Act (CDA Class) |
| II | II: InstanceIdentifier (V3 Data Type) |
| Observation | Observation (CDA Class) |
| 2.16.840.1.113883.10.22.4.1--20240804094850 | IPS Allergy or Intolerance |
| ValueSet | |
| v3-xActStatusActiveComplete | x_ActStatusActiveComplete |
| v3-xActStatusActiveComplete | x_ActStatusActiveComplete |
Note: links and images are rebased to the (stated) source
Generated Narrative: StructureDefinition 2.16.840.1.113883.10.22.4.5--20240804100924
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Act | S | 0..* | Act | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, code, text, statusCode, effectiveTime, priorityCode, languageCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, sdtcInFulfillmentOf1 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) |
  Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root, value:extension | |
   templateId:primary | S | 1..1 | II | |
   @root | 1..1 | string | Fixed Value: 2.16.840.1.113883.10.22.4.5 | |
| @classCode | 1..1 | code | Fixed Value: ACT | |
| @moodCode | 1..1 | code | Fixed Value: EVN | |
| id | S | 0..* | II | |
| code | S | 1..1 | CD | |
| @code | 0..1 | cs | Fixed Value: CONC | |
 @codeSystem | 0..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.5.6 | |
| statusCode | S | 1..1 | CS | Binding: x_ActStatusActiveComplete (required): x_ActStatusActiveComplete |
| effectiveTime | S | 1..1 | IVL_TS | |
| low | S | 1..1 | IVXB_TS | |
| high | C | 0..1 | IVXB_TS | MD1557037N1l27l352l30l19l10l12: If statusCode/@code="completed" Completed, then effectiveTime *SHALL* contain [1..1] high |
| Slices for entryRelationship | 1..* | EntryRelationship | Slice: Unordered, Open by value:resolve() | |
| entryRelationship:entryRelationship-1 | SC | 1..* | EntryRelationship | entryRelationship-1: contains IPS Allergy or Intolerance 2.16.840.1.113883.10.22.4.1 (2024-08-04) |
 @typeCode | 1..1 | code | Fixed Value: SUBJ | |
| @inversionInd | 0..1 | boolean | Fixed Value: false | |
 observation | S | 1..1 | IPSEntryAllergyOrIntolerance | Base for all types and resources |
| Documentation for this format | ||||
FHIR{
"resourceType": "StructureDefinition",
"id": "2.16.840.1.113883.10.22.4.5--20240804100924",
"meta": {
"profile": [
"http://hl7.org/fhir/4.0/StructureDefinition/StructureDefinition"
]
},
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace",
"valueUri": "urn:hl7-org:v3"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod",
"valuePeriod": {
"start": "2024-08-04T10:09:24+02:00"
}
},
{
"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/tools/StructureDefinition/logical-container",
"valueUri": "http://hl7.org/cda/stds/core/StructureDefinition/ClinicalDocument"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
"valueUri": "urn:hl7-org:v3"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
"valueString": "act"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/type-profile-style",
"valueUri": "cda"
}
],
"url": "http://art-decor.org/fhir/StructureDefinition/2.16.840.1.113883.10.22.4.5--20240804100924",
"identifier": [
{
"use": "official",
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:2.16.840.1.113883.10.22.4.5"
}
],
"version": "1.1.0-ballot",
"name": "IPSAllergyAndIntoleranceConcern",
"title": "IPS Allergy and Intolerance Concern",
"status": "draft",
"experimental": false,
"date": "2024-08-04T10:09:24Z",
"publisher": "Health Level Seven",
"contact": [
{
"name": "HL7 International - International Patient Summary",
"telecom": [
{
"system": "url",
"value": "http://www.hl7.org/Special/committees/structure"
}
]
}
],
"description": "This template reflects an ongoing concern on behalf of the person that placed the allergy on a patient’s allergy list. \n A concern may refer to one or more allergies or intolerances. \n There are different kinds of status that could be related to an allergy, or more in general to a condition: \n* The status of the concern (active, inactive,..) \n* The status of the condition (e.g. active, inactive, resolved,..) \n* The confirmation status [clinical workflow status, certainty] (e.g. confirmed, likely, unlikely,…) \n\n \n\nNot all of them can be represented in a CDA using the statusCode elements of the concern (ACT) and observation (condition).\n\n \n\nAs long as the underlying condition is of concern to the author (i.e., as long as the allergy, whether active or resolved, is of ongoing concern and interest to the author), the statusCode is “active”.\n\n \n\nIn case the clinician deems that there is no longer any need to track the underlying conditions then the concern is inactive and the statusCode is set to \"completed\".\nThe effectiveTime/low of the Allergy Concern Act asserts when the concern became active. This equates to the time the concern was authored in the patient's chart.\nThe effectiveTime/high asserts when the concern became inactive, and it is present if the statusCode of the concern act is \"completed\"",
"fhirVersion": "4.0.1",
"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/cda/stds/core/StructureDefinition/Act",
"derivation": "constraint",
"snapshot": {
"element": [
{
"id": "Act",
"path": "Act",
"short": "Base for all types and resources",
"definition": "Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.",
"min": 0,
"max": "*",
"base": {
"path": "Base",
"min": 0,
"max": "*"
},
"mustSupport": true,
"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": "ANY.nullFlavor",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code",
"profile": [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id": "Act.realmCode",
"path": "Act.realmCode",
"definition": "When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question",
"min": 0,
"max": "*",
"base": {
"path": "InfrastructureRoot.realmCode",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/CS"
}
]
},
{
"id": "Act.typeId",
"path": "Act.typeId",
"definition": "When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.",
"min": 0,
"max": "1",
"base": {
"path": "InfrastructureRoot.typeId",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
]
},
{
"id": "Act.typeId.nullFlavor",
"path": "Act.typeId.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",
"profile": [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id": "Act.typeId.assigningAuthorityName",
"path": "Act.typeId.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",
"profile": [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id": "Act.typeId.displayable",
"path": "Act.typeId.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",
"profile": [
"http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
]
}
]
},
{
"id": "Act.typeId.root",
"path": "Act.typeId.root",
"representation": [
"xmlAttr"
],
"label": "Root",
"definition": "Identifies the type as an HL7 Registered model",
"min": 1,
"max": "1",
"base": {
"path": "II.root",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string",
"profile": [
"http://hl7.org/cda/stds/core/StructureDefinition/oid",
"http://hl7.org/cda/stds/core/StructureDefinition/uuid",
"http://hl7.org/cda/stds/core/StructureDefinition/ruid"
]
}
],
"fixedString": "2.16.840.1.113883.1.3"
},
{
"id": "Act.typeId.extension",
"path": "Act.typeId.extension",
"representation": [
"xmlAttr"
],
"label": "Extension",
"definition": "A character string as a unique identifier within the scope of the identifier root.",
"min": 1,
"max": "1",
"base": {
"path": "II.extension",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string",
"profile": [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id": "Act.templateId",
"path": "Act.templateId",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "root"
},
{
"type": "value",
"path": "extension"
}
],
"rules": "open"
},
"definition": "When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question",
"min": 1,
"max": "*",
"base": {
"path": "InfrastructureRoot.templateId",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/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",
"min": 1,
"max": "1",
"base": {
"path": "InfrastructureRoot.templateId",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
],
"mustSupport": true
},
{
"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",
"profile": [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"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",
"profile": [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"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",
"profile": [
"http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
]
}
]
},
{
"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.",
"min": 1,
"max": "1",
"base": {
"path": "II.root",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"fixedString": "2.16.840.1.113883.10.22.4.5"
},
{
"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",
"profile": [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id": "Act.classCode",
"path": "Act.classCode",
"representation": [
"xmlAttr"
],
"min": 1,
"max": "1",
"base": {
"path": "Act.classCode",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"fixedString": "ACT",
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryAct|2.0.0"
}
},
{
"id": "Act.moodCode",
"path": "Act.moodCode",
"representation": [
"xmlAttr"
],
"min": 1,
"max": "1",
"base": {
"path": "Act.moodCode",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"fixedString": "EVN",
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-xDocumentActMood|2.0.0"
}
},
{
"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.id",
"path": "Act.id",
"min": 0,
"max": "*",
"base": {
"path": "Act.id",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
],
"mustSupport": true
},
{
"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"
}
],
"mustSupport": true,
"binding": {
"strength": "example",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-ActCode"
}
},
{
"id": "Act.code.nullFlavor",
"path": "Act.code.nullFlavor",
"representation": [
"xmlAttr"
],
"label": "Exceptional Value Detail",
"definition": "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"min": 0,
"max": "1",
"base": {
"path": "ANY.nullFlavor",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code",
"profile": [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id": "Act.code.code",
"path": "Act.code.code",
"representation": [
"xmlAttr"
],
"label": "Code",
"definition": "The plain code symbol defined by the code system. For example, \"784.0\" is the code symbol of the ICD-9 code \"784.0\" for headache.",
"min": 0,
"max": "1",
"base": {
"path": "CD.code",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code",
"profile": [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"fixedString": "CONC"
},
{
"id": "Act.code.codeSystem",
"path": "Act.code.codeSystem",
"representation": [
"xmlAttr"
],
"label": "Code System",
"definition": "Specifies the code system that defines the code.",
"min": 0,
"max": "1",
"base": {
"path": "CD.codeSystem",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string",
"profile": [
"http://hl7.org/cda/stds/core/StructureDefinition/oid",
"http://hl7.org/cda/stds/core/StructureDefinition/uuid",
"http://hl7.org/cda/stds/core/StructureDefinition/ruid"
]
}
],
"fixedString": "2.16.840.1.113883.5.6"
},
{
"id": "Act.code.codeSystemName",
"path": "Act.code.codeSystemName",
"representation": [
"xmlAttr"
],
"label": "Code System Name",
"definition": "The common name of the coding system.",
"min": 0,
"max": "1",
"base": {
"path": "CD.codeSystemName",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string",
"profile": [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id": "Act.code.codeSystemVersion",
"path": "Act.code.codeSystemVersion",
"representation": [
"xmlAttr"
],
"label": "Code System Version",
"definition": "If applicable, a version descriptor defined specifically for the given code system.",
"min": 0,
"max": "1",
"base": {
"path": "CD.codeSystemVersion",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string",
"profile": [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id": "Act.code.displayName",
"path": "Act.code.displayName",
"representation": [
"xmlAttr"
],
"label": "Display Name",
"definition": "A name or title for the code, under which the sending system shows the code value to its users.",
"min": 0,
"max": "1",
"base": {
"path": "CD.displayName",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string",
"profile": [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id": "Act.code.sdtcValueSet",
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
"valueUri": "urn:hl7-org:sdtc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
"valueString": "valueSet"
}
],
"path": "Act.code.sdtcValueSet",
"representation": [
"xmlAttr"
],
"definition": "The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.",
"min": 0,
"max": "1",
"base": {
"path": "CD.valueSet",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string",
"profile": [
"http://hl7.org/cda/stds/core/StructureDefinition/oid"
]
}
]
},
{
"id": "Act.code.sdtcValueSetVersion",
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
"valueUri": "urn:hl7-org:sdtc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
"valueString": "valueSetVersion"
}
],
"path": "Act.code.sdtcValueSetVersion",
"representation": [
"xmlAttr"
],
"definition": "The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.",
"min": 0,
"max": "1",
"base": {
"path": "CD.sdtcValueSetVersion",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string",
"profile": [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id": "Act.code.originalText",
"path": "Act.code.originalText",
"label": "Original Text",
"definition": "The text or phrase used as the basis for the coding.",
"min": 0,
"max": "1",
"base": {
"path": "CD.originalText",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/ED"
}
]
},
{
"id": "Act.code.qualifier",
"path": "Act.code.qualifier",
"label": "Qualifier",
"definition": "Specifies additional codes that increase the specificity of the the primary code.",
"min": 0,
"max": "*",
"base": {
"path": "CD.qualifier",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/CR"
}
]
},
{
"id": "Act.code.translation",
"path": "Act.code.translation",
"representation": [
"typeAttr"
],
"label": "Translation",
"definition": "A set of other concept descriptors that translate this concept descriptor into other code systems.",
"min": 0,
"max": "*",
"base": {
"path": "CD.translation",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/CD"
}
]
},
{
"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",
"definition": "As long as the underlying conditions are of concern to the author (i.e., as long as allergies, whether active or resolved, is of ongoing concern and interest to the author), the statusCode is “ **active** ”. The concern is tracked by the author. \n \n Only when the underlying allergies are no longer of concern then the statusCode is set to “ **completed** ”. The author is no more tracking this concern and no further actions are expected.",
"min": 1,
"max": "1",
"base": {
"path": "Act.statusCode",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/CS"
}
],
"mustSupport": true,
"binding": {
"strength": "required",
"description": "x_ActStatusActiveComplete",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-xActStatusActiveComplete"
}
},
{
"id": "Act.effectiveTime",
"path": "Act.effectiveTime",
"min": 1,
"max": "1",
"base": {
"path": "Act.effectiveTime",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"
}
],
"mustSupport": true
},
{
"id": "Act.effectiveTime.nullFlavor",
"path": "Act.effectiveTime.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",
"profile": [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id": "Act.effectiveTime.value",
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/elementdefinition-date-format",
"valueString": "YYYYMMDDHHMMSS.UUUU[+|-ZZzz]"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/elementdefinition-date-rules",
"valueString": "year-valid"
}
],
"path": "Act.effectiveTime.value",
"representation": [
"xmlAttr"
],
"definition": "A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.",
"min": 0,
"max": "1",
"base": {
"path": "TS.value",
"min": 0,
"max": "1"
},
"type": [
{
"code": "dateTime",
"profile": [
"http://hl7.org/cda/stds/core/StructureDefinition/ts-simple"
]
}
]
},
{
"id": "Act.effectiveTime.operator",
"path": "Act.effectiveTime.operator",
"representation": [
"xmlAttr"
],
"definition": "A code specifying whether the set component is included (union) or excluded (set-difference) from the set, or other set operations with the current set component and the set as constructed from the representation stream up to the current point.",
"min": 0,
"max": "1",
"base": {
"path": "SXCM_TS.operator",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code",
"profile": [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"defaultValueCode": "I",
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/cda/stds/core/ValueSet/CDASetOperator"
}
},
{
"id": "Act.effectiveTime.low",
"path": "Act.effectiveTime.low",
"label": "Low Boundary",
"definition": "This element asserts when the concern became active. This equates to the time the concern was authored in the patient's chart and the author started tracking this concern.",
"min": 1,
"max": "1",
"base": {
"path": "IVL_TS.low",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS"
}
],
"mustSupport": true
},
{
"id": "Act.effectiveTime.center",
"path": "Act.effectiveTime.center",
"label": "Central Value",
"definition": "The arithmetic mean of the interval (low plus high divided by 2). The purpose of distinguishing the center as a semantic property is for conversions of intervals from and to point values.",
"min": 0,
"max": "1",
"base": {
"path": "IVL_TS.center",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/TS"
}
]
},
{
"id": "Act.effectiveTime.width",
"path": "Act.effectiveTime.width",
"label": "Width",
"definition": "The difference between high and low boundary. The purpose of distinguishing a width property is to handle all cases of incomplete information symmetrically. In any interval representation only two of the three properties high, low, and width need to be stated and the third can be derived.",
"min": 0,
"max": "1",
"base": {
"path": "IVL_TS.width",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/PQ"
}
]
},
{
"id": "Act.effectiveTime.high",
"path": "Act.effectiveTime.high",
"label": "High Boundary",
"definition": "This element asserts when the clinician deemed there is no longer any need to track the underlying conditions.If statusCode/@code=\"completed\" Completed, then effectiveTime *SHALL* contain [1..1] high",
"min": 0,
"max": "1",
"base": {
"path": "IVL_TS.high",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS"
}
],
"condition": [
"MD1557037N1l27l352l30l19l10l12"
],
"constraint": [
{
"key": "MD1557037N1l27l352l30l19l10l12",
"severity": "error",
"human": "If statusCode/@code=\"completed\" Completed, then effectiveTime *SHALL* contain [1..1] high",
"xpath": "not(../hl7:statusCode[@code='completed']) or hl7:high"
}
]
},
{
"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": "example",
"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://hl7.org/fhir/ValueSet/all-languages"
}
},
{
"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",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "resolve()"
}
],
"rules": "open"
},
"min": 1,
"max": "*",
"base": {
"path": "Act.entryRelationship",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship"
}
]
},
{
"id": "Act.entryRelationship:entryRelationship-1",
"path": "Act.entryRelationship",
"sliceName": "entryRelationship-1",
"min": 1,
"max": "*",
"base": {
"path": "Act.entryRelationship",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship"
}
],
"constraint": [
{
"key": "entryRelationship-1",
"human": "contains IPS Allergy or Intolerance 2.16.840.1.113883.10.22.4.1 (2024-08-04)"
}
],
"mustSupport": true
},
{
"id": "Act.entryRelationship:entryRelationship-1.nullFlavor",
"path": "Act.entryRelationship.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",
"profile": [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id": "Act.entryRelationship:entryRelationship-1.realmCode",
"path": "Act.entryRelationship.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": "InfrastructureRoot.realmCode",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/CS"
}
]
},
{
"id": "Act.entryRelationship:entryRelationship-1.typeId",
"path": "Act.entryRelationship.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": "InfrastructureRoot.typeId",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
]
},
{
"id": "Act.entryRelationship:entryRelationship-1.typeId.nullFlavor",
"path": "Act.entryRelationship.typeId.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",
"profile": [
"http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
]
}
],
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
}
},
{
"id": "Act.entryRelationship:entryRelationship-1.typeId.assigningAuthorityName",
"path": "Act.entryRelationship.typeId.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",
"profile": [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id": "Act.entryRelationship:entryRelationship-1.typeId.displayable",
"path": "Act.entryRelationship.typeId.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",
"profile": [
"http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
]
}
]
},
{
"id": "Act.entryRelationship:entryRelationship-1.typeId.root",
"path": "Act.entryRelationship.typeId.root",
"representation": [
"xmlAttr"
],
"label": "Root",
"definition": "Identifies the type as an HL7 Registered model",
"min": 1,
"max": "1",
"base": {
"path": "II.root",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string",
"profile": [
"http://hl7.org/cda/stds/core/StructureDefinition/oid",
"http://hl7.org/cda/stds/core/StructureDefinition/uuid",
"http://hl7.org/cda/stds/core/StructureDefinition/ruid"
]
}
],
"fixedString": "2.16.840.1.113883.1.3"
},
{
"id": "Act.entryRelationship:entryRelationship-1.typeId.extension",
"path": "Act.entryRelationship.typeId.extension",
"representation": [
"xmlAttr"
],
"label": "Extension",
"definition": "A character string as a unique identifier within the scope of the identifier root.",
"min": 1,
"max": "1",
"base": {
"path": "II.extension",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string",
"profile": [
"http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
]
}
]
},
{
"id": "Act.entryRelationship:entryRelationship-1.templateId",
"path": "Act.entryRelationship.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": "InfrastructureRoot.templateId",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
]
},
{
"id": "Act.entryRelationship:entryRelationship-1.typeCode",
"path": "Act.entryRelationship.typeCode",
"representation": [
"xmlAttr"
],
"min": 1,
"max": "1",
"base": {
"path": "EntryRelationship.typeCode",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"fixedString": "SUBJ",
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship"
}
},
{
"id": "Act.entryRelationship:entryRelationship-1.inversionInd",
"path": "Act.entryRelationship.inversionInd",
"representation": [
"xmlAttr"
],
"definition": "The entryRelationship.inversionInd can be set to \"true\" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.",
"min": 0,
"max": "1",
"base": {
"path": "EntryRelationship.inversionInd",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
],
"fixedString": "false"
},
{
"id": "Act.entryRelationship:entryRelationship-1.contextConductionInd",
"path": "Act.entryRelationship.contextConductionInd",
"representation": [
"xmlAttr"
],
"definition": "The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at \"true\", whereas here the value is defaulted to \"true\", and can be changed to \"false\" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.",
"min": 0,
"max": "1",
"base": {
"path": "EntryRelationship.contextConductionInd",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean",
"profile": [
"http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
]
}
],
"defaultValueBoolean": true
},
{
"id": "Act.entryRelationship:entryRelationship-1.negationInd",
"path": "Act.entryRelationship.negationInd",
"representation": [
"xmlAttr"
],
"min": 0,
"max": "1",
"base": {
"path": "EntryRelationship.negationInd",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean",
"profile": [
"http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
]
}
]
},
{
"id": "Act.entryRelationship:entryRelationship-1.sequenceNumber",
"path": "Act.entryRelationship.sequenceNumber",
"min": 0,
"max": "1",
"base": {
"path": "EntryRelationship.sequenceNumber",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/INT"
}
]
},
{
"id": "Act.entryRelationship:entryRelationship-1.seperatableInd",
"path": "Act.entryRelationship.seperatableInd",
"min": 0,
"max": "1",
"base": {
"path": "EntryRelationship.seperatableInd",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/BL"
}
]
},
{
"id": "Act.entryRelationship:entryRelationship-1.act",
"path": "Act.entryRelationship.act",
"min": 0,
"max": "1",
"base": {
"path": "EntryRelationship.act",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Act"
}
]
},
{
"id": "Act.entryRelationship:entryRelationship-1.encounter",
"path": "Act.entryRelationship.encounter",
"min": 0,
"max": "1",
"base": {
"path": "EntryRelationship.encounter",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Encounter"
}
]
},
{
"id": "Act.entryRelationship:entryRelationship-1.observation",
"path": "Act.entryRelationship.observation",
"short": "Base for all types and resources",
"definition": "Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.",
"min": 1,
"max": "1",
"base": {
"path": "EntryRelationship.observation",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Observation",
"profile": [
"http://art-decor.org/fhir/StructureDefinition/2.16.840.1.113883.10.22.4.1--20240804094850"
]
}
],
"mustSupport": true,
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Act.entryRelationship:entryRelationship-1.observationMedia",
"path": "Act.entryRelationship.observationMedia",
"min": 0,
"max": "1",
"base": {
"path": "EntryRelationship.observationMedia",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia"
}
]
},
{
"id": "Act.entryRelationship:entryRelationship-1.organizer",
"path": "Act.entryRelationship.organizer",
"min": 0,
"max": "1",
"base": {
"path": "EntryRelationship.organizer",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Organizer"
}
]
},
{
"id": "Act.entryRelationship:entryRelationship-1.procedure",
"path": "Act.entryRelationship.procedure",
"min": 0,
"max": "1",
"base": {
"path": "EntryRelationship.procedure",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Procedure"
}
]
},
{
"id": "Act.entryRelationship:entryRelationship-1.regionOfInterest",
"path": "Act.entryRelationship.regionOfInterest",
"min": 0,
"max": "1",
"base": {
"path": "EntryRelationship.regionOfInterest",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest"
}
]
},
{
"id": "Act.entryRelationship:entryRelationship-1.substanceAdministration",
"path": "Act.entryRelationship.substanceAdministration",
"min": 0,
"max": "1",
"base": {
"path": "EntryRelationship.substanceAdministration",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration"
}
]
},
{
"id": "Act.entryRelationship:entryRelationship-1.supply",
"path": "Act.entryRelationship.supply",
"min": 0,
"max": "1",
"base": {
"path": "EntryRelationship.supply",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Supply"
}
]
},
{
"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"
}
]
},
{
"id": "Act.sdtcPrecondition2",
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
"valueUri": "urn:hl7-org:sdtc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
"valueString": "precondition2"
}
],
"path": "Act.sdtcPrecondition2",
"min": 0,
"max": "*",
"base": {
"path": "Act.sdtcPrecondition2",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Precondition2"
}
]
},
{
"id": "Act.sdtcInFulfillmentOf1",
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
"valueUri": "urn:hl7-org:sdtc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
"valueString": "inFulfillmentOf1"
}
],
"path": "Act.sdtcInFulfillmentOf1",
"min": 0,
"max": "*",
"base": {
"path": "Act.sdtcInFulfillmentOf1",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1"
}
]
}
]
},
"differential": {
"element": [
{
"id": "Act",
"path": "Act",
"min": 0,
"max": "*",
"mustSupport": true
},
{
"id": "Act.templateId",
"path": "Act.templateId",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "root"
},
{
"type": "value",
"path": "extension"
}
],
"rules": "open"
},
"min": 1
},
{
"id": "Act.templateId:primary",
"path": "Act.templateId",
"sliceName": "primary",
"min": 1,
"max": "1",
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
],
"mustSupport": true
},
{
"id": "Act.templateId:primary.root",
"path": "Act.templateId.root",
"representation": [
"xmlAttr"
],
"min": 1,
"max": "1",
"type": [
{
"code": "string"
}
],
"fixedString": "2.16.840.1.113883.10.22.4.5"
},
{
"id": "Act.classCode",
"path": "Act.classCode",
"representation": [
"xmlAttr"
],
"min": 1,
"max": "1",
"type": [
{
"code": "code"
}
],
"fixedString": "ACT"
},
{
"id": "Act.moodCode",
"path": "Act.moodCode",
"representation": [
"xmlAttr"
],
"min": 1,
"max": "1",
"type": [
{
"code": "code"
}
],
"fixedString": "EVN"
},
{
"id": "Act.id",
"path": "Act.id",
"min": 0,
"max": "*",
"mustSupport": true
},
{
"id": "Act.code",
"path": "Act.code",
"min": 1,
"max": "1",
"mustSupport": true
},
{
"id": "Act.code.code",
"path": "Act.code.code",
"representation": [
"xmlAttr"
],
"fixedString": "CONC"
},
{
"id": "Act.code.codeSystem",
"path": "Act.code.codeSystem",
"representation": [
"xmlAttr"
],
"fixedString": "2.16.840.1.113883.5.6"
},
{
"id": "Act.statusCode",
"path": "Act.statusCode",
"definition": "As long as the underlying conditions are of concern to the author (i.e., as long as allergies, whether active or resolved, is of ongoing concern and interest to the author), the statusCode is “ **active** ”. The concern is tracked by the author. \n \n Only when the underlying allergies are no longer of concern then the statusCode is set to “ **completed** ”. The author is no more tracking this concern and no further actions are expected.",
"min": 1,
"max": "1",
"mustSupport": true,
"binding": {
"strength": "required",
"description": "x_ActStatusActiveComplete",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-xActStatusActiveComplete"
}
},
{
"id": "Act.effectiveTime",
"path": "Act.effectiveTime",
"min": 1,
"max": "1",
"mustSupport": true
},
{
"id": "Act.effectiveTime.low",
"path": "Act.effectiveTime.low",
"definition": "This element asserts when the concern became active. This equates to the time the concern was authored in the patient's chart and the author started tracking this concern.",
"min": 1,
"max": "1",
"mustSupport": true
},
{
"id": "Act.effectiveTime.high",
"path": "Act.effectiveTime.high",
"definition": "This element asserts when the clinician deemed there is no longer any need to track the underlying conditions.If statusCode/@code=\"completed\" Completed, then effectiveTime *SHALL* contain [1..1] high",
"min": 0,
"max": "1",
"condition": [
"MD1557037N1l27l352l30l19l10l12"
],
"constraint": [
{
"key": "MD1557037N1l27l352l30l19l10l12",
"severity": "error",
"human": "If statusCode/@code=\"completed\" Completed, then effectiveTime *SHALL* contain [1..1] high",
"xpath": "not(../hl7:statusCode[@code='completed']) or hl7:high"
}
]
},
{
"id": "Act.entryRelationship",
"path": "Act.entryRelationship",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "resolve()"
}
],
"rules": "open"
},
"min": 1
},
{
"id": "Act.entryRelationship:entryRelationship-1",
"path": "Act.entryRelationship",
"sliceName": "entryRelationship-1",
"min": 1,
"max": "*",
"constraint": [
{
"key": "entryRelationship-1",
"human": "contains IPS Allergy or Intolerance 2.16.840.1.113883.10.22.4.1 (2024-08-04)"
}
],
"mustSupport": true
},
{
"id": "Act.entryRelationship:entryRelationship-1.typeCode",
"path": "Act.entryRelationship.typeCode",
"representation": [
"xmlAttr"
],
"min": 1,
"max": "1",
"type": [
{
"code": "code"
}
],
"fixedString": "SUBJ"
},
{
"id": "Act.entryRelationship:entryRelationship-1.inversionInd",
"path": "Act.entryRelationship.inversionInd",
"representation": [
"xmlAttr"
],
"min": 0,
"max": "1",
"type": [
{
"code": "boolean"
}
],
"fixedString": "false"
},
{
"id": "Act.entryRelationship:entryRelationship-1.observation",
"path": "Act.entryRelationship.observation",
"min": 1,
"max": "1",
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Observation",
"profile": [
"http://art-decor.org/fhir/StructureDefinition/2.16.840.1.113883.10.22.4.1--20240804094850"
]
}
],
"mustSupport": true
}
]
}
}