| Package | hl7.cda.uv.ips |
| Type | StructureDefinition |
| Id | 2.16.840.1.113883.10.22.4.7--20210804084927 |
| FHIR Version | R4 |
| Source | http://hl7.org/cda/uv/cda-ips/https://build.fhir.org/ig/HL7/CDA-IPS/StructureDefinition-2.16.840.1.113883.10.22.4.7--20210804084927.html |
| URL | http://art-decor.org/fhir/StructureDefinition/2.16.840.1.113883.10.22.4.7--20210804084927 |
| Version | 1.1.0-ballot |
| Status | draft |
| Date | 2021-08-04T08:49:27Z |
| Name | IPSProblemConcernEntry |
| Title | IPS Problem Concern Entry |
| Realm | uv |
| Authority | hl7 |
| Description | This template reflects an ongoing concern on behalf of the provider that placed the concern on a patient’s problem list. The purpose of the concern act is that of supporting the tracking of a problem or a condition. There are different kinds of status that could be related 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). So long as the underlying conditions are of concern to the provider (i.e., as long as the condition, whether active or resolved, is of ongoing concern and interest to the provider), the statusCode is “active”. Only when the underlying conditions are no longer of concern is the statusCode set to “completed”. The effectiveTime reflects the time that the underlying condition was felt to be a concern; it may or may not correspond to the effectiveTime of the condition (e.g., even five years later, the clinician may remain concerned about a prior heart attack). The effectiveTime/low of the Problem 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 become inactive, and it is present if the statusCode of the concern act is "completed". A Problem Concern Act can contain many Problem Observations. The many Problem Observations nested under a Problem Concern Act reflect the change in the clinical understanding of a condition over time. For instance, a Concern may initially contain a Problem Observation of “chest pain”: - Problem Concern 1 --- Problem Observation: Chest Pain Later, a new Problem Observation of “esophagitis” will be added, reflecting a better understanding of the nature of the chest pain. The later problem observation will have a more recent author time stamp. - Problem Concern 1 --- Problem Observation (author/time Jan 3, 2012): Chest Pain --- Problem Observation (author/time Jan 6, 2012): Esophagitis Many systems display the nested Problem Observation with the most recent author time stamp, and provide a mechanism for viewing prior observations. |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Act |
| Kind | logical |
| StructureDefinition | |
| 2.16.840.1.113883.10.22.3.3--20170215000000 | IPS Problems Section |
| 2.16.840.1.113883.10.22.3.7--20170412000000 | IPS History of Past Illness Section |
| StructureDefinition | |
| Act | Act (CDA Class) |
| II | II: InstanceIdentifier (V3 Data Type) |
| Observation | Observation (CDA Class) |
| 2.16.840.1.113883.10.22.4.8--20240804110603 | IPS Problem Entry |
| ValueSet | |
| v3-xActStatusActiveComplete | x_ActStatusActiveComplete |
| v3-xActStatusActiveComplete | x_ActStatusActiveComplete |
Note: links and images are rebased to the (stated) source
Generated Narrative: StructureDefinition 2.16.840.1.113883.10.22.4.7--20210804084927
| 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: 2.16.840.1.113883.10.22.4.7 | |
| @classCode | 1..1 | code | Fixed Value: ACT | |
| @moodCode | 1..1 | code | Fixed Value: EVN | |
| id | S | 0..* | II | |
| code | S | 1..1 | CD | |
| @code | 1..1 | code | Fixed Value: CONC | |
 @codeSystem | 1..1 | string | 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 | 0..1 | IVXB_TS | ||
| Slices for entryRelationship | 1..* | EntryRelationship | Slice: Unordered, Open by value:profile | |
| entryRelationship:entryRelationship-1 | SC | 1..* | EntryRelationship | entryRelationship-1: contains IPS Problem Entry 2.16.840.1.113883.10.22.4.8 (2024-08-04) |
 @typeCode | 1..1 | code | Fixed Value: SUBJ | |
| @inversionInd | 0..1 | boolean | Fixed Value: false | |
| Slices for observation | Content/Rules for all slices | |||
| observation:entryRelationship-1 | S | 1..1 | IPSProblemEntry | Base for all types and resources |
| Documentation for this format | ||||
FHIR{
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"meta": {
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"name": "IPSProblemConcernEntry",
"title": "IPS Problem Concern Entry",
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"date": "2021-08-04T08:49:27Z",
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"description": "This template reflects an ongoing concern on behalf of the provider that placed the concern on a patient’s problem list. \nThe purpose of the concern act is that of supporting the tracking of a problem or a condition.\n\nThere are different kinds of status that could be related to a condition:\n\n \n\n \n* The status of the concern (active, inactive,..) \n\n* The status of the condition (e.g. active, inactive, resolved,..) \n\n* The confirmation status [clinical workflow status, certainty] (e.g. confirmed, likely, unlikely,…) \n\n\n \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 \nSo long as the underlying conditions are of concern to the provider (i.e., as long as the condition, whether active or resolved, is of ongoing concern and interest to the provider), the statusCode is “active”. \nOnly when the underlying conditions are no longer of concern is the statusCode set to “completed”. \n\nThe effectiveTime reflects the time that the underlying condition was felt to be a concern; it may or may not correspond to the effectiveTime of the condition (e.g., even five years later, the clinician may remain concerned about a prior heart attack).\nThe effectiveTime/low of the Problem 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 become inactive, and it is present if the statusCode of the concern act is \"completed\".\n\n \n\nA Problem Concern Act can contain many Problem Observations.\n\n\n \n\n \nThe many Problem Observations nested under a Problem Concern Act reflect the change in the clinical understanding of a condition over time. For instance, a Concern may initially contain a Problem Observation of “chest pain”:\n \n- Problem Concern 1\n \n--- Problem Observation: Chest Pain\n \nLater, a new Problem Observation of “esophagitis” will be added, reflecting a better understanding of the nature of the chest pain. The later problem observation will have a more recent author time stamp.\n \n- Problem Concern 1\n \n--- Problem Observation (author/time Jan 3, 2012): Chest Pain\n \n--- Problem Observation (author/time Jan 6, 2012): Esophagitis\n \nMany systems display the nested Problem Observation with the most recent author time stamp, and provide a mechanism for viewing prior observations.",
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"baseDefinition": "http://hl7.org/cda/stds/core/StructureDefinition/Act",
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"snapshot": {
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"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,
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"base": {
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"min": 0,
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},
{
"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": [
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}
],
"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,
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{
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"path": "Act.typeId.displayable",
"representation": [
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],
"label": "Displayable",
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"min": 0,
"max": "1",
"base": {
"path": "II.displayable",
"min": 0,
"max": "1"
},
"type": [
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"code": "boolean",
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},
{
"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": [
{
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"http://hl7.org/cda/stds/core/StructureDefinition/uuid",
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],
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{
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"path": "Act.typeId.extension",
"representation": [
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],
"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": [
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}
]
},
{
"id": "Act.templateId",
"path": "Act.templateId",
"slicing": {
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{
"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": [
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],
"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,
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"type": [
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}
],
"binding": {
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},
{
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],
"label": "Assigning Authority Name",
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{
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],
"label": "Root",
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"min": 1,
"max": "1",
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],
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{
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"path": "Act.templateId.extension",
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],
"label": "Extension",
"definition": "A character string as a unique identifier within the scope of the identifier root.",
"min": 0,
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"max": "1"
},
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"code": "string",
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}
]
},
{
"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",
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"representation": [
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],
"min": 0,
"max": "1",
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}
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"path": "Act.id",
"min": 0,
"max": "*",
"base": {
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"min": 0,
"max": "*"
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"type": [
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"code": "http://hl7.org/cda/stds/core/StructureDefinition/II"
}
],
"mustSupport": true
},
{
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"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"
}
},
{
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"path": "Act.code.nullFlavor",
"representation": [
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],
"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,
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"type": [
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"valueSet": "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
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},
{
"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": 1,
"max": "1",
"base": {
"path": "CD.code",
"min": 0,
"max": "1"
},
"type": [
{
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}
],
"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": 1,
"max": "1",
"base": {
"path": "CD.codeSystem",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"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": "So long as the underlying conditions are of concern to the provider (i.e., as long as the condition, whether active or resolved, is of ongoing concern and interest to the provider), the statusCode is “**active**”. \n\nOnly when the underlying conditions are no longer of concern is the statusCode set to “**completed**”.",
"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 the statusCode is completed this element is required",
"min": 0,
"max": "1",
"base": {
"path": "IVL_TS.high",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/IVXB-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": "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": "profile"
}
],
"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 Problem Entry 2.16.840.1.113883.10.22.4.8 (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:entryRelationship-1",
"path": "Act.entryRelationship.observation",
"sliceName": "entryRelationship-1",
"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/2.16.840.1.113883.10.22.4.8--20240804110603"
]
}
],
"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": "2.16.840.1.113883.10.22.4.7"
},
{
"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"
],
"min": 1,
"max": "1",
"type": [
{
"code": "code"
}
],
"fixedString": "CONC"
},
{
"id": "Act.code.codeSystem",
"path": "Act.code.codeSystem",
"representation": [
"xmlAttr"
],
"min": 1,
"max": "1",
"type": [
{
"code": "string"
}
],
"fixedString": "2.16.840.1.113883.5.6"
},
{
"id": "Act.statusCode",
"path": "Act.statusCode",
"definition": "So long as the underlying conditions are of concern to the provider (i.e., as long as the condition, whether active or resolved, is of ongoing concern and interest to the provider), the statusCode is “**active**”. \n\nOnly when the underlying conditions are no longer of concern is the statusCode set to “**completed**”.",
"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 the statusCode is completed this element is required",
"min": 0,
"max": "1"
},
{
"id": "Act.entryRelationship",
"path": "Act.entryRelationship",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "profile"
}
],
"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 Problem Entry 2.16.840.1.113883.10.22.4.8 (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:entryRelationship-1",
"path": "Act.entryRelationship.observation",
"sliceName": "entryRelationship-1",
"min": 1,
"max": "1",
"type": [
{
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Observation",
"profile": [
"http://art-decor.org/fhir/StructureDefinition/2.16.840.1.113883.10.22.4.8--20240804110603"
]
}
],
"mustSupport": true
}
]
}
}