{
"description": "The Care Plan Act represents a snapshot in time of a dynamic, consensus-driven plan that has captured a patient's and care team members' prioritized concerns, goals, and planned interventions. It reflects the state of the care plan as managed within a source system and may be exchanged to support care coordination across systems and settings.\\n\\nThe Care Plan Act identifies the authoring individual or organization (act.author), which aligns with the FHIR CarePlan.contributor, and records the set of health concerns or conditions being addressed.\\n\\n**To meet USCDI requirements, at least one entryRelationship:addresses element referencing an Indication, Problem Observation, or Observation is required.**\\n\\nThe Care Plan Act may integrate multiple condition- or discipline-specific plans of care and serves to align activities and responsibilities among participants. *Supporting entryRelationship templates such as Goal, Intervention Act, Planned Intervention Act, and Act are available for systems capable of representing structured care plans, but their use is optional and not required for USCDI compliance.*\\n\\nThis entry conveys an instance of the evolving Care Plan at a specific point in time and does not represent a dynamically updated plan.\\n\\n#### Templates Used\\nAlthough open templates may contain any valid CDA content, the following templates are specifically called out by this template:\\n\\n**Optional EntryRelationships**: [Act](https://hl7.org/cda/stds/core/StructureDefinition-Act.html), [EntryReference](StructureDefinition-EntryReference.html), [GoalObservation](StructureDefinition-GoalObservation.html), [Indication](StructureDefinition-Indication.html), [InterventionAct](StructureDefinition-InterventionAct.html), [Observation](https://hl7.org/cda/stds/core/StructureDefinition-Observation.html), [PlannedInterventionAct](StructureDefinition-PlannedInterventionAct.html), [ProblemObservation](StructureDefinition-ProblemObservation.html)",
"_filename": "StructureDefinition-CarePlanAct.json",
"package_name": "hl7.cda.us.ccda",
"date": "2025-12-13T10:23:13+11:00",
"derivation": "constraint",
"publisher": "Health Level Seven",
"fhirVersion": "5.0.0",
"jurisdiction": [ {
"coding": [ {
"code": "US",
"system": "urn:iso:std:iso:3166"
} ]
} ],
"name": "CarePlanAct",
"mapping": [ {
"uri": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan",
"name": "FHIR US Core",
"identity": "CarePlanActToUsCoreCarePlan"
}, {
"uri": "http://hl7.org/v3",
"name": "RIM Mapping",
"identity": "rim"
} ],
"abstract": false,
"type": "http://hl7.org/cda/stds/core/StructureDefinition/Act",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "Care Plan Act",
"package_version": "5.0.0-ballot",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/logical-target",
"_valueBoolean": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode": "not-applicable"
} ]
}
}, {
"url": "http://hl7.org/fhir/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",
"valueCode": "cda"
} ],
"snapshot": {
"element": [ {
"constraint": [ {
"key": "should-text-ref-value",
"human": "SHOULD contain text/reference/@value",
"source": "http://hl7.org/cda/us/ccda/StructureDefinition/CarePlanAct",
"severity": "warning",
"expression": "text.reference.value.exists()"
} ],
"path": "Act",
"min": 1,
"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.",
"isModifier": false,
"short": "Base for all types and resources",
"mapping": [ {
"map": "CarePlan",
"identity": "CarePlanActToUsCoreCarePlan"
}, {
"map": "n/a",
"identity": "rim"
} ],
"max": "1",
"id": "Act",
"base": {
"max": "*",
"min": 0,
"path": "Base"
}
}, {
"path": "Act.nullFlavor",
"min": 0,
"definition": "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"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"
},
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Exceptional Value Detail",
"id": "Act.nullFlavor",
"base": {
"max": "1",
"min": 0,
"path": "ANY.nullFlavor"
}
}, {
"id": "Act.realmCode",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "InfrastructureRoot.realmCode"
},
"path": "Act.realmCode",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/CS"
} ],
"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"
}, {
"id": "Act.typeId",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "InfrastructureRoot.typeId"
},
"path": "Act.typeId",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/II"
} ],
"constraint": [ {
"key": "II-1",
"human": "An II instance must have either a root or an nullFlavor.",
"source": "http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot",
"severity": "error",
"expression": "root.exists() or nullFlavor.exists()"
} ],
"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."
}, {
"path": "Act.typeId.nullFlavor",
"min": 0,
"definition": "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"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"
},
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Exceptional Value Detail",
"id": "Act.typeId.nullFlavor",
"base": {
"max": "1",
"min": 0,
"path": "ANY.nullFlavor"
}
}, {
"path": "Act.typeId.assigningAuthorityName",
"min": 0,
"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.",
"type": [ {
"code": "string",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/st-simple" ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Assigning Authority Name",
"id": "Act.typeId.assigningAuthorityName",
"base": {
"max": "1",
"min": 0,
"path": "II.assigningAuthorityName"
}
}, {
"path": "Act.typeId.displayable",
"min": 0,
"definition": "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
"type": [ {
"code": "boolean",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple" ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Displayable",
"id": "Act.typeId.displayable",
"base": {
"max": "1",
"min": 0,
"path": "II.displayable"
}
}, {
"path": "Act.typeId.root",
"min": 1,
"definition": "Identifies the type as an HL7 Registered model",
"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" ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"fixedString": "2.16.840.1.113883.1.3",
"label": "Root",
"id": "Act.typeId.root",
"base": {
"max": "1",
"min": 0,
"path": "II.root"
}
}, {
"path": "Act.typeId.extension",
"min": 1,
"definition": "A character string as a unique identifier within the scope of the identifier root.",
"type": [ {
"code": "string",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/st-simple" ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Extension",
"id": "Act.typeId.extension",
"base": {
"max": "1",
"min": 0,
"path": "II.extension"
}
}, {
"id": "Act.templateId",
"max": "*",
"min": 1,
"base": {
"max": "*",
"min": 0,
"path": "InfrastructureRoot.templateId"
},
"path": "Act.templateId",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/II"
} ],
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "root",
"type": "value"
}, {
"path": "extension",
"type": "value"
} ]
},
"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"
}, {
"id": "Act.templateId:care-plan-act",
"max": "1",
"min": 1,
"base": {
"max": "*",
"min": 0,
"path": "InfrastructureRoot.templateId"
},
"path": "Act.templateId",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/II"
} ],
"sliceName": "care-plan-act",
"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"
}, {
"path": "Act.templateId.nullFlavor",
"min": 0,
"definition": "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"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"
},
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Exceptional Value Detail",
"id": "Act.templateId:care-plan-act.nullFlavor",
"base": {
"max": "1",
"min": 0,
"path": "ANY.nullFlavor"
}
}, {
"path": "Act.templateId.assigningAuthorityName",
"min": 0,
"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.",
"type": [ {
"code": "string",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/st-simple" ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Assigning Authority Name",
"id": "Act.templateId:care-plan-act.assigningAuthorityName",
"base": {
"max": "1",
"min": 0,
"path": "II.assigningAuthorityName"
}
}, {
"path": "Act.templateId.displayable",
"min": 0,
"definition": "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
"type": [ {
"code": "boolean",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple" ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Displayable",
"id": "Act.templateId:care-plan-act.displayable",
"base": {
"max": "1",
"min": 0,
"path": "II.displayable"
}
}, {
"path": "Act.templateId.root",
"min": 1,
"definition": "A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.",
"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" ]
} ],
"patternString": "2.16.840.1.113883.10.20.22.4.518",
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Root",
"id": "Act.templateId:care-plan-act.root",
"base": {
"max": "1",
"min": 0,
"path": "II.root"
}
}, {
"path": "Act.templateId.extension",
"min": 1,
"definition": "A character string as a unique identifier within the scope of the identifier root.",
"type": [ {
"code": "string",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/st-simple" ]
} ],
"patternString": "2026-05-01",
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Extension",
"id": "Act.templateId:care-plan-act.extension",
"base": {
"max": "1",
"min": 0,
"path": "II.extension"
}
}, {
"id": "Act.classCode",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 1,
"path": "Act.classCode"
},
"path": "Act.classCode",
"type": [ {
"code": "code",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple" ]
} ],
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-xActClassDocumentEntryAct|2.0.0"
},
"representation": [ "xmlAttr" ]
}, {
"path": "Act.moodCode",
"min": 1,
"short": "CarePlan.intent",
"mapping": [ {
"map": "CarePlan.intent",
"identity": "CarePlanActToUsCoreCarePlan"
} ],
"type": [ {
"code": "code",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple" ]
} ],
"binding": {
"strength": "required",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.37"
},
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Act.moodCode",
"base": {
"max": "1",
"min": 1,
"path": "Act.moodCode"
}
}, {
"id": "Act.negationInd",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "Act.negationInd"
},
"path": "Act.negationInd",
"type": [ {
"code": "boolean",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple" ]
} ],
"representation": [ "xmlAttr" ]
}, {
"id": "Act.id",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "Act.id"
},
"path": "Act.id",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/II"
} ]
}, {
"id": "Act.code",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 1,
"path": "Act.code"
},
"path": "Act.code",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/CD"
} ],
"short": "Plan of care note",
"binding": {
"strength": "example",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-ActCode"
}
}, {
"path": "Act.code.nullFlavor",
"min": 0,
"definition": "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"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"
},
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Exceptional Value Detail",
"id": "Act.code.nullFlavor",
"base": {
"max": "1",
"min": 0,
"path": "ANY.nullFlavor"
}
}, {
"path": "Act.code.code",
"min": 1,
"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.",
"type": [ {
"code": "code",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple" ]
} ],
"patternCode": "18776-5",
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Code",
"id": "Act.code.code",
"base": {
"max": "1",
"min": 0,
"path": "CD.code"
}
}, {
"path": "Act.code.codeSystem",
"min": 1,
"definition": "Specifies the code system that defines the code.",
"short": "LOINC",
"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" ]
} ],
"patternString": "2.16.840.1.113883.6.1",
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Code System",
"id": "Act.code.codeSystem",
"base": {
"max": "1",
"min": 0,
"path": "CD.codeSystem"
}
}, {
"path": "Act.code.codeSystemName",
"min": 0,
"definition": "The common name of the coding system.",
"type": [ {
"code": "string",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/st-simple" ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Code System Name",
"id": "Act.code.codeSystemName",
"base": {
"max": "1",
"min": 0,
"path": "CD.codeSystemName"
}
}, {
"path": "Act.code.codeSystemVersion",
"min": 0,
"definition": "If applicable, a version descriptor defined specifically for the given code system.",
"type": [ {
"code": "string",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/st-simple" ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Code System Version",
"id": "Act.code.codeSystemVersion",
"base": {
"max": "1",
"min": 0,
"path": "CD.codeSystemVersion"
}
}, {
"path": "Act.code.displayName",
"min": 0,
"definition": "A name or title for the code, under which the sending system shows the code value to its users.",
"type": [ {
"code": "string",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/st-simple" ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Display Name",
"id": "Act.code.displayName",
"base": {
"max": "1",
"min": 0,
"path": "CD.displayName"
}
}, {
"path": "Act.code.sdtcValueSet",
"min": 0,
"definition": "The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.",
"type": [ {
"code": "string",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/oid" ]
} ],
"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"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Act.code.sdtcValueSet",
"base": {
"max": "1",
"min": 0,
"path": "CD.valueSet"
}
}, {
"path": "Act.code.sdtcValueSetVersion",
"min": 0,
"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.",
"type": [ {
"code": "string",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/st-simple" ]
} ],
"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"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Act.code.sdtcValueSetVersion",
"base": {
"max": "1",
"min": 0,
"path": "CD.sdtcValueSetVersion"
}
}, {
"id": "Act.code.originalText",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "CD.originalText"
},
"path": "Act.code.originalText",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/ED"
} ],
"label": "Original Text",
"definition": "The text or phrase used as the basis for the coding."
}, {
"id": "Act.code.qualifier",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "CD.qualifier"
},
"path": "Act.code.qualifier",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/CR"
} ],
"label": "Qualifier",
"definition": "Specifies additional codes that increase the specificity of the the primary code."
}, {
"path": "Act.code.translation",
"min": 0,
"definition": "A set of other concept descriptors that translate this concept descriptor into other code systems.",
"mapping": [ {
"map": "CarePlan.category",
"identity": "CarePlanActToUsCoreCarePlan"
} ],
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/CD"
} ],
"binding": {
"strength": "preferred",
"valueSet": "http://hl7.org/fhir/ValueSet/care-plan-category"
},
"representation": [ "typeAttr" ],
"max": "*",
"label": "Translation",
"id": "Act.code.translation",
"base": {
"max": "*",
"min": 0,
"path": "CD.translation"
}
}, {
"id": "Act.text",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "Act.text"
},
"path": "Act.text",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/ED"
} ],
"short": "SHOULD reference the portion of section narrative text corresponding to this entry",
"condition": [ "should-text-ref-value" ]
}, {
"path": "Act.text.nullFlavor",
"min": 0,
"definition": "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"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"
},
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Exceptional Value Detail",
"id": "Act.text.nullFlavor",
"base": {
"max": "1",
"min": 0,
"path": "ANY.nullFlavor"
}
}, {
"path": "Act.text.compression",
"min": 0,
"definition": "Indicates whether the raw byte data is compressed, and what compression algorithm was used.",
"type": [ {
"code": "code",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple" ]
} ],
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm"
},
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Compression",
"id": "Act.text.compression",
"base": {
"max": "1",
"min": 0,
"path": "ED.compression"
}
}, {
"path": "Act.text.integrityCheck",
"min": 0,
"definition": "The integrity check is a short binary value representing a cryptographically strong checksum that is calculated over the binary data. The purpose of this property, when communicated with a reference is for anyone to validate later whether the reference still resolved to the same data that the reference resolved to when the encapsulated data value with reference was created.",
"type": [ {
"code": "base64Binary",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/bin" ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Integrity Check",
"id": "Act.text.integrityCheck",
"base": {
"max": "1",
"min": 0,
"path": "ED.integrityCheck"
}
}, {
"path": "Act.text.integrityCheckAlgorithm",
"min": 0,
"definition": "Specifies the algorithm used to compute the integrityCheck value. The cryptographically strong checksum algorithm Secure Hash Algorithm-1 (SHA-1) is currently the industry standard. It has superseded the MD5 algorithm only a couple of years ago, when certain flaws in the security of MD5 were discovered. Currently the SHA-1 hash algorithm is the default choice for the integrity check algorithm. Note that SHA-256 is also entering widespread usage.",
"type": [ {
"code": "code",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple" ]
} ],
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0"
},
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Integrity Check Algorithm",
"id": "Act.text.integrityCheckAlgorithm",
"base": {
"max": "1",
"min": 0,
"path": "ED.integrityCheckAlgorithm"
}
}, {
"path": "Act.text.language",
"min": 0,
"definition": "For character based information the language property specifies the human language of the text.",
"type": [ {
"code": "code",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple" ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Language",
"id": "Act.text.language",
"base": {
"max": "1",
"min": 0,
"path": "ED.language"
}
}, {
"path": "Act.text.mediaType",
"min": 0,
"definition": "Identifies the type of the encapsulated data and identifies a method to interpret or render the data.",
"type": [ {
"code": "code",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple" ]
} ],
"binding": {
"strength": "example",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-MediaType"
},
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Media Type",
"id": "Act.text.mediaType",
"base": {
"max": "1",
"min": 0,
"path": "ED.mediaType"
}
}, {
"id": "Act.text.representation",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "ED.representation"
},
"path": "Act.text.representation",
"type": [ {
"code": "code",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple" ]
} ],
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding"
},
"representation": [ "xmlAttr" ]
}, {
"path": "Act.text.xmlText",
"min": 0,
"definition": "Data that is primarily intended for human interpretation or for further machine processing is outside the scope of HL7. This includes unformatted or formatted written language, multimedia data, or structured information as defined by a different standard (e.g., XML-signatures.)",
"short": "Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.",
"type": [ {
"code": "string",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/st-simple" ]
} ],
"representation": [ "xmlText" ],
"max": "1",
"id": "Act.text.xmlText",
"comment": "This element is represented in XML as textual content. The actual name \"xmlText\" will not appear in a CDA instance.",
"base": {
"max": "1",
"min": 0,
"path": "ED.xmlText"
}
}, {
"constraint": [ {
"key": "value-starts-octothorpe",
"human": "If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative",
"source": "http://hl7.org/cda/us/ccda/StructureDefinition/CarePlanAct",
"severity": "error",
"expression": "value.exists() implies value.startsWith('#')"
} ],
"path": "Act.text.reference",
"min": 0,
"definition": "A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data.",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/TEL"
} ],
"max": "1",
"label": "Reference",
"id": "Act.text.reference",
"base": {
"max": "1",
"min": 0,
"path": "ED.reference"
}
}, {
"constraint": [ {
"key": "ED-1",
"human": "Thumbnails cannot contain their own thumbnails",
"source": "http://hl7.org/cda/stds/core/StructureDefinition/Act",
"severity": "error",
"expression": "thumbnail.empty()"
} ],
"path": "Act.text.thumbnail",
"min": 0,
"definition": "An abbreviated rendition of the full data. A thumbnail requires significantly fewer resources than the full data, while still maintaining some distinctive similarity with the full data. A thumbnail is typically used with by-reference encapsulated data. It allows a user to select data more efficiently before actually downloading through the reference.",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/ED"
} ],
"max": "1",
"label": "Thumbnail",
"id": "Act.text.thumbnail",
"base": {
"max": "1",
"min": 0,
"path": "ED.thumbnail"
}
}, {
"path": "Act.statusCode",
"min": 1,
"short": "CarePlan.status",
"mapping": [ {
"map": "CarePlan.status",
"identity": "CarePlanActToUsCoreCarePlan"
} ],
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/CS"
} ],
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-ActStatus"
},
"max": "1",
"id": "Act.statusCode",
"base": {
"max": "1",
"min": 0,
"path": "Act.statusCode"
}
}, {
"id": "Act.effectiveTime",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "Act.effectiveTime"
},
"path": "Act.effectiveTime",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"
} ]
}, {
"id": "Act.priorityCode",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "Act.priorityCode"
},
"path": "Act.priorityCode",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/CE"
} ],
"binding": {
"strength": "example",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-ActPriority"
}
}, {
"id": "Act.languageCode",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "Act.languageCode"
},
"path": "Act.languageCode",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/CS"
} ],
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/all-languages"
}
}, {
"id": "Act.subject",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "Act.subject"
},
"path": "Act.subject",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Subject"
} ]
}, {
"id": "Act.specimen",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "Act.specimen"
},
"path": "Act.specimen",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Specimen"
} ]
}, {
"id": "Act.performer",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "Act.performer"
},
"path": "Act.performer",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Performer2"
} ]
}, {
"id": "Act.author",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "Act.author"
},
"path": "Act.author",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Author",
"profile": [ "http://hl7.org/cda/us/ccda/StructureDefinition/AuthorParticipation" ]
} ],
"short": "CarePlan.contributor",
"mapping": [ {
"map": "CarePlan.contributor",
"identity": "CarePlanActToUsCoreCarePlan"
} ]
}, {
"id": "Act.informant",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "Act.informant"
},
"path": "Act.informant",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Informant"
} ]
}, {
"id": "Act.participant",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "Act.participant"
},
"path": "Act.participant",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Participant2"
} ]
}, {
"id": "Act.entryRelationship",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "Act.entryRelationship"
},
"path": "Act.entryRelationship",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship"
} ],
"short": "Entries can be embedded directly or referenced via EntryReference. Use the @typeCode attribute to distinguish the type of relationship.",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "typeCode",
"type": "value"
} ]
}
}, {
"constraint": [ {
"key": "act-or-observation",
"human": "Either act or observation SHALL be present but not both.",
"source": "http://hl7.org/cda/us/ccda/StructureDefinition/CarePlanAct",
"severity": "error",
"expression": "act.exists() or observation.exists()"
} ],
"path": "Act.entryRelationship",
"min": 0,
"short": "𝗨𝗦𝗖𝗗𝗜: CarePlan.addresses",
"mapping": [ {
"map": "CarePlan.addresses",
"identity": "CarePlanActToUsCoreCarePlan"
} ],
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship"
} ],
"sliceName": "addresses",
"extension": [ {
"url": "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
"valueBoolean": true
} ],
"max": "*",
"id": "Act.entryRelationship:addresses",
"base": {
"max": "*",
"min": 0,
"path": "Act.entryRelationship"
}
}, {
"path": "Act.entryRelationship.nullFlavor",
"min": 0,
"definition": "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"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"
},
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Exceptional Value Detail",
"id": "Act.entryRelationship:addresses.nullFlavor",
"base": {
"max": "1",
"min": 0,
"path": "ANY.nullFlavor"
}
}, {
"id": "Act.entryRelationship:addresses.realmCode",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "InfrastructureRoot.realmCode"
},
"path": "Act.entryRelationship.realmCode",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/CS"
} ],
"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"
}, {
"id": "Act.entryRelationship:addresses.typeId",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "InfrastructureRoot.typeId"
},
"path": "Act.entryRelationship.typeId",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/II"
} ],
"constraint": [ {
"key": "II-1",
"human": "An II instance must have either a root or an nullFlavor.",
"source": "http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot",
"severity": "error",
"expression": "root.exists() or nullFlavor.exists()"
} ],
"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."
}, {
"path": "Act.entryRelationship.typeId.nullFlavor",
"min": 0,
"definition": "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"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"
},
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Exceptional Value Detail",
"id": "Act.entryRelationship:addresses.typeId.nullFlavor",
"base": {
"max": "1",
"min": 0,
"path": "ANY.nullFlavor"
}
}, {
"path": "Act.entryRelationship.typeId.assigningAuthorityName",
"min": 0,
"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.",
"type": [ {
"code": "string",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/st-simple" ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Assigning Authority Name",
"id": "Act.entryRelationship:addresses.typeId.assigningAuthorityName",
"base": {
"max": "1",
"min": 0,
"path": "II.assigningAuthorityName"
}
}, {
"path": "Act.entryRelationship.typeId.displayable",
"min": 0,
"definition": "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
"type": [ {
"code": "boolean",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple" ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Displayable",
"id": "Act.entryRelationship:addresses.typeId.displayable",
"base": {
"max": "1",
"min": 0,
"path": "II.displayable"
}
}, {
"path": "Act.entryRelationship.typeId.root",
"min": 1,
"definition": "Identifies the type as an HL7 Registered model",
"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" ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"fixedString": "2.16.840.1.113883.1.3",
"label": "Root",
"id": "Act.entryRelationship:addresses.typeId.root",
"base": {
"max": "1",
"min": 0,
"path": "II.root"
}
}, {
"path": "Act.entryRelationship.typeId.extension",
"min": 1,
"definition": "A character string as a unique identifier within the scope of the identifier root.",
"type": [ {
"code": "string",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/st-simple" ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Extension",
"id": "Act.entryRelationship:addresses.typeId.extension",
"base": {
"max": "1",
"min": 0,
"path": "II.extension"
}
}, {
"id": "Act.entryRelationship:addresses.templateId",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "InfrastructureRoot.templateId"
},
"path": "Act.entryRelationship.templateId",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/II"
} ],
"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"
}, {
"path": "Act.entryRelationship.typeCode",
"min": 1,
"type": [ {
"code": "code",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple" ]
} ],
"patternCode": "RSON",
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship"
},
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Act.entryRelationship:addresses.typeCode",
"base": {
"max": "1",
"min": 1,
"path": "EntryRelationship.typeCode"
}
}, {
"id": "Act.entryRelationship:addresses.inversionInd",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.inversionInd"
},
"path": "Act.entryRelationship.inversionInd",
"type": [ {
"code": "boolean",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple" ]
} ],
"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.",
"representation": [ "xmlAttr" ]
}, {
"path": "Act.entryRelationship.contextConductionInd",
"min": 0,
"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.",
"type": [ {
"code": "boolean",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple" ]
} ],
"defaultValueBoolean": true,
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Act.entryRelationship:addresses.contextConductionInd",
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.contextConductionInd"
}
}, {
"id": "Act.entryRelationship:addresses.negationInd",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.negationInd"
},
"path": "Act.entryRelationship.negationInd",
"type": [ {
"code": "boolean",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple" ]
} ],
"representation": [ "xmlAttr" ]
}, {
"id": "Act.entryRelationship:addresses.sequenceNumber",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.sequenceNumber"
},
"path": "Act.entryRelationship.sequenceNumber",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/INT"
} ]
}, {
"id": "Act.entryRelationship:addresses.seperatableInd",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.seperatableInd"
},
"path": "Act.entryRelationship.seperatableInd",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/BL"
} ]
}, {
"id": "Act.entryRelationship:addresses.act",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.act"
},
"path": "Act.entryRelationship.act",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Act",
"profile": [ "http://hl7.org/cda/us/ccda/StructureDefinition/EntryReference", "http://hl7.org/cda/stds/core/StructureDefinition/Act" ]
} ],
"short": "References an Indication, Problem Observation, or other Problem described elsewhere in the document."
}, {
"id": "Act.entryRelationship:addresses.encounter",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.encounter"
},
"path": "Act.entryRelationship.encounter",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Encounter"
} ]
}, {
"id": "Act.entryRelationship:addresses.observation",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.observation"
},
"path": "Act.entryRelationship.observation",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Observation",
"profile": [ "http://hl7.org/cda/us/ccda/StructureDefinition/Indication", "http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation", "http://hl7.org/cda/stds/core/StructureDefinition/Observation" ]
} ],
"short": "Directly-embedded Problem or Indication observation. Use EntryReference to reference an existing problem observation or indication described elsewhere in the document."
}, {
"id": "Act.entryRelationship:addresses.observationMedia",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.observationMedia"
},
"path": "Act.entryRelationship.observationMedia",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia"
} ]
}, {
"id": "Act.entryRelationship:addresses.organizer",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.organizer"
},
"path": "Act.entryRelationship.organizer",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Organizer"
} ]
}, {
"id": "Act.entryRelationship:addresses.procedure",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.procedure"
},
"path": "Act.entryRelationship.procedure",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Procedure"
} ]
}, {
"id": "Act.entryRelationship:addresses.regionOfInterest",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.regionOfInterest"
},
"path": "Act.entryRelationship.regionOfInterest",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest"
} ]
}, {
"id": "Act.entryRelationship:addresses.substanceAdministration",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.substanceAdministration"
},
"path": "Act.entryRelationship.substanceAdministration",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration"
} ]
}, {
"id": "Act.entryRelationship:addresses.supply",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.supply"
},
"path": "Act.entryRelationship.supply",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Supply"
} ]
}, {
"constraint": [ {
"key": "act-or-observation",
"human": "Either act or observation SHALL be present but not both.",
"source": "http://hl7.org/cda/us/ccda/StructureDefinition/CarePlanAct",
"severity": "error",
"expression": "act.exists() or observation.exists()"
} ],
"path": "Act.entryRelationship",
"min": 0,
"short": "Desired outcome of the plan (CarePlan.goal). Can embed a Goal Observation directly or use the EntryReference template to reference a Goal Observation described elsewhere in the document.",
"mapping": [ {
"map": "CarePlan.goal",
"identity": "CarePlanActToUsCoreCarePlan"
} ],
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship"
} ],
"sliceName": "goal",
"max": "*",
"id": "Act.entryRelationship:goal",
"base": {
"max": "*",
"min": 0,
"path": "Act.entryRelationship"
}
}, {
"path": "Act.entryRelationship.nullFlavor",
"min": 0,
"definition": "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"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"
},
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Exceptional Value Detail",
"id": "Act.entryRelationship:goal.nullFlavor",
"base": {
"max": "1",
"min": 0,
"path": "ANY.nullFlavor"
}
}, {
"id": "Act.entryRelationship:goal.realmCode",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "InfrastructureRoot.realmCode"
},
"path": "Act.entryRelationship.realmCode",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/CS"
} ],
"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"
}, {
"id": "Act.entryRelationship:goal.typeId",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "InfrastructureRoot.typeId"
},
"path": "Act.entryRelationship.typeId",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/II"
} ],
"constraint": [ {
"key": "II-1",
"human": "An II instance must have either a root or an nullFlavor.",
"source": "http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot",
"severity": "error",
"expression": "root.exists() or nullFlavor.exists()"
} ],
"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."
}, {
"path": "Act.entryRelationship.typeId.nullFlavor",
"min": 0,
"definition": "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"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"
},
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Exceptional Value Detail",
"id": "Act.entryRelationship:goal.typeId.nullFlavor",
"base": {
"max": "1",
"min": 0,
"path": "ANY.nullFlavor"
}
}, {
"path": "Act.entryRelationship.typeId.assigningAuthorityName",
"min": 0,
"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.",
"type": [ {
"code": "string",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/st-simple" ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Assigning Authority Name",
"id": "Act.entryRelationship:goal.typeId.assigningAuthorityName",
"base": {
"max": "1",
"min": 0,
"path": "II.assigningAuthorityName"
}
}, {
"path": "Act.entryRelationship.typeId.displayable",
"min": 0,
"definition": "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
"type": [ {
"code": "boolean",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple" ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Displayable",
"id": "Act.entryRelationship:goal.typeId.displayable",
"base": {
"max": "1",
"min": 0,
"path": "II.displayable"
}
}, {
"path": "Act.entryRelationship.typeId.root",
"min": 1,
"definition": "Identifies the type as an HL7 Registered model",
"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" ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"fixedString": "2.16.840.1.113883.1.3",
"label": "Root",
"id": "Act.entryRelationship:goal.typeId.root",
"base": {
"max": "1",
"min": 0,
"path": "II.root"
}
}, {
"path": "Act.entryRelationship.typeId.extension",
"min": 1,
"definition": "A character string as a unique identifier within the scope of the identifier root.",
"type": [ {
"code": "string",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/st-simple" ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Extension",
"id": "Act.entryRelationship:goal.typeId.extension",
"base": {
"max": "1",
"min": 0,
"path": "II.extension"
}
}, {
"id": "Act.entryRelationship:goal.templateId",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "InfrastructureRoot.templateId"
},
"path": "Act.entryRelationship.templateId",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/II"
} ],
"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"
}, {
"path": "Act.entryRelationship.typeCode",
"min": 1,
"type": [ {
"code": "code",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple" ]
} ],
"patternCode": "GEVL",
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship"
},
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Act.entryRelationship:goal.typeCode",
"base": {
"max": "1",
"min": 1,
"path": "EntryRelationship.typeCode"
}
}, {
"id": "Act.entryRelationship:goal.inversionInd",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.inversionInd"
},
"path": "Act.entryRelationship.inversionInd",
"type": [ {
"code": "boolean",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple" ]
} ],
"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.",
"representation": [ "xmlAttr" ]
}, {
"path": "Act.entryRelationship.contextConductionInd",
"min": 0,
"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.",
"type": [ {
"code": "boolean",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple" ]
} ],
"defaultValueBoolean": true,
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Act.entryRelationship:goal.contextConductionInd",
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.contextConductionInd"
}
}, {
"id": "Act.entryRelationship:goal.negationInd",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.negationInd"
},
"path": "Act.entryRelationship.negationInd",
"type": [ {
"code": "boolean",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple" ]
} ],
"representation": [ "xmlAttr" ]
}, {
"id": "Act.entryRelationship:goal.sequenceNumber",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.sequenceNumber"
},
"path": "Act.entryRelationship.sequenceNumber",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/INT"
} ]
}, {
"id": "Act.entryRelationship:goal.seperatableInd",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.seperatableInd"
},
"path": "Act.entryRelationship.seperatableInd",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/BL"
} ]
}, {
"id": "Act.entryRelationship:goal.act",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.act"
},
"path": "Act.entryRelationship.act",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Act",
"profile": [ "http://hl7.org/cda/us/ccda/StructureDefinition/EntryReference" ]
} ],
"short": "Use to reference a Goal Observation elsewhere",
"constraint": [ {
"key": "entry-ref-goal",
"human": "This entryReference template **SHALL** reference an instance of a Goal Observation template.",
"source": "http://hl7.org/cda/us/ccda/StructureDefinition/CarePlanAct",
"severity": "error",
"expression": "%resource.descendants().ofType(CDA.Observation).where(templateId.exists($this.root = '2.16.840.1.113883.10.20.22.4.121' and $this.extension = '2022-06-01') and id.exists($this.root = %context.id.first().root and $this.extension ~ %context.id.first().extension))"
} ]
}, {
"id": "Act.entryRelationship:goal.encounter",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.encounter"
},
"path": "Act.entryRelationship.encounter",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Encounter"
} ]
}, {
"id": "Act.entryRelationship:goal.observation",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.observation"
},
"path": "Act.entryRelationship.observation",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Observation",
"profile": [ "http://hl7.org/cda/us/ccda/StructureDefinition/GoalObservation" ]
} ],
"short": "Use to embed a Goal Observation directly"
}, {
"id": "Act.entryRelationship:goal.observationMedia",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.observationMedia"
},
"path": "Act.entryRelationship.observationMedia",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia"
} ]
}, {
"id": "Act.entryRelationship:goal.organizer",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.organizer"
},
"path": "Act.entryRelationship.organizer",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Organizer"
} ]
}, {
"id": "Act.entryRelationship:goal.procedure",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.procedure"
},
"path": "Act.entryRelationship.procedure",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Procedure"
} ]
}, {
"id": "Act.entryRelationship:goal.regionOfInterest",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.regionOfInterest"
},
"path": "Act.entryRelationship.regionOfInterest",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest"
} ]
}, {
"id": "Act.entryRelationship:goal.substanceAdministration",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.substanceAdministration"
},
"path": "Act.entryRelationship.substanceAdministration",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration"
} ]
}, {
"id": "Act.entryRelationship:goal.supply",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.supply"
},
"path": "Act.entryRelationship.supply",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Supply"
} ]
}, {
"path": "Act.entryRelationship",
"min": 0,
"short": "Information considered as part of the plan (CarePlan.supportingInfo)",
"mapping": [ {
"map": "CarePlan.supportingInfo",
"identity": "CarePlanActToUsCoreCarePlan"
} ],
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship"
} ],
"sliceName": "supportingInfo",
"max": "*",
"id": "Act.entryRelationship:supportingInfo",
"base": {
"max": "*",
"min": 0,
"path": "Act.entryRelationship"
}
}, {
"path": "Act.entryRelationship.nullFlavor",
"min": 0,
"definition": "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"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"
},
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Exceptional Value Detail",
"id": "Act.entryRelationship:supportingInfo.nullFlavor",
"base": {
"max": "1",
"min": 0,
"path": "ANY.nullFlavor"
}
}, {
"id": "Act.entryRelationship:supportingInfo.realmCode",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "InfrastructureRoot.realmCode"
},
"path": "Act.entryRelationship.realmCode",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/CS"
} ],
"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"
}, {
"id": "Act.entryRelationship:supportingInfo.typeId",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "InfrastructureRoot.typeId"
},
"path": "Act.entryRelationship.typeId",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/II"
} ],
"constraint": [ {
"key": "II-1",
"human": "An II instance must have either a root or an nullFlavor.",
"source": "http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot",
"severity": "error",
"expression": "root.exists() or nullFlavor.exists()"
} ],
"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."
}, {
"path": "Act.entryRelationship.typeId.nullFlavor",
"min": 0,
"definition": "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"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"
},
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Exceptional Value Detail",
"id": "Act.entryRelationship:supportingInfo.typeId.nullFlavor",
"base": {
"max": "1",
"min": 0,
"path": "ANY.nullFlavor"
}
}, {
"path": "Act.entryRelationship.typeId.assigningAuthorityName",
"min": 0,
"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.",
"type": [ {
"code": "string",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/st-simple" ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Assigning Authority Name",
"id": "Act.entryRelationship:supportingInfo.typeId.assigningAuthorityName",
"base": {
"max": "1",
"min": 0,
"path": "II.assigningAuthorityName"
}
}, {
"path": "Act.entryRelationship.typeId.displayable",
"min": 0,
"definition": "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
"type": [ {
"code": "boolean",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple" ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Displayable",
"id": "Act.entryRelationship:supportingInfo.typeId.displayable",
"base": {
"max": "1",
"min": 0,
"path": "II.displayable"
}
}, {
"path": "Act.entryRelationship.typeId.root",
"min": 1,
"definition": "Identifies the type as an HL7 Registered model",
"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" ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"fixedString": "2.16.840.1.113883.1.3",
"label": "Root",
"id": "Act.entryRelationship:supportingInfo.typeId.root",
"base": {
"max": "1",
"min": 0,
"path": "II.root"
}
}, {
"path": "Act.entryRelationship.typeId.extension",
"min": 1,
"definition": "A character string as a unique identifier within the scope of the identifier root.",
"type": [ {
"code": "string",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/st-simple" ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Extension",
"id": "Act.entryRelationship:supportingInfo.typeId.extension",
"base": {
"max": "1",
"min": 0,
"path": "II.extension"
}
}, {
"id": "Act.entryRelationship:supportingInfo.templateId",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "InfrastructureRoot.templateId"
},
"path": "Act.entryRelationship.templateId",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/II"
} ],
"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"
}, {
"path": "Act.entryRelationship.typeCode",
"min": 1,
"type": [ {
"code": "code",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple" ]
} ],
"patternCode": "SPRT",
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship"
},
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Act.entryRelationship:supportingInfo.typeCode",
"base": {
"max": "1",
"min": 1,
"path": "EntryRelationship.typeCode"
}
}, {
"id": "Act.entryRelationship:supportingInfo.inversionInd",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.inversionInd"
},
"path": "Act.entryRelationship.inversionInd",
"type": [ {
"code": "boolean",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple" ]
} ],
"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.",
"representation": [ "xmlAttr" ]
}, {
"path": "Act.entryRelationship.contextConductionInd",
"min": 0,
"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.",
"type": [ {
"code": "boolean",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple" ]
} ],
"defaultValueBoolean": true,
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Act.entryRelationship:supportingInfo.contextConductionInd",
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.contextConductionInd"
}
}, {
"id": "Act.entryRelationship:supportingInfo.negationInd",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.negationInd"
},
"path": "Act.entryRelationship.negationInd",
"type": [ {
"code": "boolean",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple" ]
} ],
"representation": [ "xmlAttr" ]
}, {
"id": "Act.entryRelationship:supportingInfo.sequenceNumber",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.sequenceNumber"
},
"path": "Act.entryRelationship.sequenceNumber",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/INT"
} ]
}, {
"id": "Act.entryRelationship:supportingInfo.seperatableInd",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.seperatableInd"
},
"path": "Act.entryRelationship.seperatableInd",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/BL"
} ]
}, {
"id": "Act.entryRelationship:supportingInfo.act",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.act"
},
"path": "Act.entryRelationship.act",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Act"
} ]
}, {
"id": "Act.entryRelationship:supportingInfo.encounter",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.encounter"
},
"path": "Act.entryRelationship.encounter",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Encounter"
} ]
}, {
"id": "Act.entryRelationship:supportingInfo.observation",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.observation"
},
"path": "Act.entryRelationship.observation",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Observation"
} ]
}, {
"id": "Act.entryRelationship:supportingInfo.observationMedia",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.observationMedia"
},
"path": "Act.entryRelationship.observationMedia",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia"
} ]
}, {
"id": "Act.entryRelationship:supportingInfo.organizer",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.organizer"
},
"path": "Act.entryRelationship.organizer",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Organizer"
} ]
}, {
"id": "Act.entryRelationship:supportingInfo.procedure",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.procedure"
},
"path": "Act.entryRelationship.procedure",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Procedure"
} ]
}, {
"id": "Act.entryRelationship:supportingInfo.regionOfInterest",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.regionOfInterest"
},
"path": "Act.entryRelationship.regionOfInterest",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest"
} ]
}, {
"id": "Act.entryRelationship:supportingInfo.substanceAdministration",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.substanceAdministration"
},
"path": "Act.entryRelationship.substanceAdministration",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration"
} ]
}, {
"id": "Act.entryRelationship:supportingInfo.supply",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.supply"
},
"path": "Act.entryRelationship.supply",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Supply"
} ]
}, {
"path": "Act.entryRelationship",
"min": 0,
"short": "Activity to occur as part of plan (CarePlan.activity). Common examples include the Intervention Act and Planned Intervention Act, but any entry may be considered an activity of the care plan.",
"mapping": [ {
"map": "CarePlan.activity",
"identity": "CarePlanActToUsCoreCarePlan"
} ],
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship"
} ],
"sliceName": "activity",
"max": "*",
"id": "Act.entryRelationship:activity",
"base": {
"max": "*",
"min": 0,
"path": "Act.entryRelationship"
}
}, {
"path": "Act.entryRelationship.nullFlavor",
"min": 0,
"definition": "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"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"
},
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Exceptional Value Detail",
"id": "Act.entryRelationship:activity.nullFlavor",
"base": {
"max": "1",
"min": 0,
"path": "ANY.nullFlavor"
}
}, {
"id": "Act.entryRelationship:activity.realmCode",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "InfrastructureRoot.realmCode"
},
"path": "Act.entryRelationship.realmCode",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/CS"
} ],
"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"
}, {
"id": "Act.entryRelationship:activity.typeId",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "InfrastructureRoot.typeId"
},
"path": "Act.entryRelationship.typeId",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/II"
} ],
"constraint": [ {
"key": "II-1",
"human": "An II instance must have either a root or an nullFlavor.",
"source": "http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot",
"severity": "error",
"expression": "root.exists() or nullFlavor.exists()"
} ],
"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."
}, {
"path": "Act.entryRelationship.typeId.nullFlavor",
"min": 0,
"definition": "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
"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"
},
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Exceptional Value Detail",
"id": "Act.entryRelationship:activity.typeId.nullFlavor",
"base": {
"max": "1",
"min": 0,
"path": "ANY.nullFlavor"
}
}, {
"path": "Act.entryRelationship.typeId.assigningAuthorityName",
"min": 0,
"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.",
"type": [ {
"code": "string",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/st-simple" ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Assigning Authority Name",
"id": "Act.entryRelationship:activity.typeId.assigningAuthorityName",
"base": {
"max": "1",
"min": 0,
"path": "II.assigningAuthorityName"
}
}, {
"path": "Act.entryRelationship.typeId.displayable",
"min": 0,
"definition": "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
"type": [ {
"code": "boolean",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple" ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Displayable",
"id": "Act.entryRelationship:activity.typeId.displayable",
"base": {
"max": "1",
"min": 0,
"path": "II.displayable"
}
}, {
"path": "Act.entryRelationship.typeId.root",
"min": 1,
"definition": "Identifies the type as an HL7 Registered model",
"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" ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"fixedString": "2.16.840.1.113883.1.3",
"label": "Root",
"id": "Act.entryRelationship:activity.typeId.root",
"base": {
"max": "1",
"min": 0,
"path": "II.root"
}
}, {
"path": "Act.entryRelationship.typeId.extension",
"min": 1,
"definition": "A character string as a unique identifier within the scope of the identifier root.",
"type": [ {
"code": "string",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/st-simple" ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Extension",
"id": "Act.entryRelationship:activity.typeId.extension",
"base": {
"max": "1",
"min": 0,
"path": "II.extension"
}
}, {
"id": "Act.entryRelationship:activity.templateId",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "InfrastructureRoot.templateId"
},
"path": "Act.entryRelationship.templateId",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/II"
} ],
"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"
}, {
"path": "Act.entryRelationship.typeCode",
"min": 1,
"type": [ {
"code": "code",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple" ]
} ],
"patternCode": "COMP",
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship"
},
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Act.entryRelationship:activity.typeCode",
"base": {
"max": "1",
"min": 1,
"path": "EntryRelationship.typeCode"
}
}, {
"id": "Act.entryRelationship:activity.inversionInd",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.inversionInd"
},
"path": "Act.entryRelationship.inversionInd",
"type": [ {
"code": "boolean",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple" ]
} ],
"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.",
"representation": [ "xmlAttr" ]
}, {
"path": "Act.entryRelationship.contextConductionInd",
"min": 0,
"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.",
"type": [ {
"code": "boolean",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple" ]
} ],
"defaultValueBoolean": true,
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Act.entryRelationship:activity.contextConductionInd",
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.contextConductionInd"
}
}, {
"id": "Act.entryRelationship:activity.negationInd",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.negationInd"
},
"path": "Act.entryRelationship.negationInd",
"type": [ {
"code": "boolean",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple" ]
} ],
"representation": [ "xmlAttr" ]
}, {
"id": "Act.entryRelationship:activity.sequenceNumber",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.sequenceNumber"
},
"path": "Act.entryRelationship.sequenceNumber",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/INT"
} ]
}, {
"id": "Act.entryRelationship:activity.seperatableInd",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.seperatableInd"
},
"path": "Act.entryRelationship.seperatableInd",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/BL"
} ]
}, {
"id": "Act.entryRelationship:activity.act",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.act"
},
"path": "Act.entryRelationship.act",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Act",
"profile": [ "http://hl7.org/cda/us/ccda/StructureDefinition/InterventionAct", "http://hl7.org/cda/us/ccda/StructureDefinition/PlannedInterventionAct", "http://hl7.org/cda/stds/core/StructureDefinition/Act" ]
} ],
"short": "A care plan may have multiple COMP entryRelationships, but each entryRelationship may only have a single act/encounter/observation/supply or other clinical statement."
}, {
"id": "Act.entryRelationship:activity.encounter",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.encounter"
},
"path": "Act.entryRelationship.encounter",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Encounter"
} ],
"short": "A care plan may have multiple COMP entryRelationships, but each entryRelationship may only have a single act/encounter/observation/supply or other clinical statement."
}, {
"id": "Act.entryRelationship:activity.observation",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.observation"
},
"path": "Act.entryRelationship.observation",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Observation"
} ],
"short": "A care plan may have multiple COMP entryRelationships, but each entryRelationship may only have a single act/encounter/observation/supply or other clinical statement."
}, {
"id": "Act.entryRelationship:activity.observationMedia",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.observationMedia"
},
"path": "Act.entryRelationship.observationMedia",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia"
} ]
}, {
"id": "Act.entryRelationship:activity.organizer",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.organizer"
},
"path": "Act.entryRelationship.organizer",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Organizer"
} ]
}, {
"id": "Act.entryRelationship:activity.procedure",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.procedure"
},
"path": "Act.entryRelationship.procedure",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Procedure"
} ]
}, {
"id": "Act.entryRelationship:activity.regionOfInterest",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.regionOfInterest"
},
"path": "Act.entryRelationship.regionOfInterest",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest"
} ]
}, {
"id": "Act.entryRelationship:activity.substanceAdministration",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.substanceAdministration"
},
"path": "Act.entryRelationship.substanceAdministration",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration"
} ]
}, {
"id": "Act.entryRelationship:activity.supply",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "EntryRelationship.supply"
},
"path": "Act.entryRelationship.supply",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Supply"
} ],
"short": "A care plan may have multiple COMP entryRelationships, but each entryRelationship may only have a single act/encounter/observation/supply or other clinical statement."
}, {
"id": "Act.reference",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "Act.reference"
},
"path": "Act.reference",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Reference"
} ]
}, {
"id": "Act.precondition",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "Act.precondition"
},
"path": "Act.precondition",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Precondition"
} ]
}, {
"id": "Act.sdtcPrecondition2",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "Act.sdtcPrecondition2"
},
"path": "Act.sdtcPrecondition2",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Precondition2"
} ],
"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"
} ]
}, {
"id": "Act.sdtcInFulfillmentOf1",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "Act.sdtcInFulfillmentOf1"
},
"path": "Act.sdtcInFulfillmentOf1",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1"
} ],
"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"
} ]
} ],
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
"valueString": "2.0.2-sd"
} ]
},
"status": "draft",
"id": "1a22c636-1faa-41c4-86b1-00b8b7d7c926",
"kind": "logical",
"url": "http://hl7.org/cda/us/ccda/StructureDefinition/CarePlanAct",
"identifier": [ {
"value": "urn:hl7ii:2.16.840.1.113883.10.20.22.4.518:2026-05-01",
"system": "urn:ietf:rfc:3986"
} ],
"version": "5.0.0-ballot",
"differential": {
"element": [ {
"id": "Act",
"path": "Act",
"mapping": [ {
"map": "CarePlan",
"identity": "CarePlanActToUsCoreCarePlan"
} ],
"constraint": [ {
"key": "should-text-ref-value",
"human": "SHOULD contain text/reference/@value",
"source": "http://hl7.org/cda/us/ccda/StructureDefinition/CarePlanAct",
"severity": "warning",
"expression": "text.reference.value.exists()"
} ]
}, {
"id": "Act.templateId",
"min": 1,
"path": "Act.templateId",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "root",
"type": "value"
}, {
"path": "extension",
"type": "value"
} ]
}
}, {
"id": "Act.templateId:care-plan-act",
"max": "1",
"min": 1,
"path": "Act.templateId",
"sliceName": "care-plan-act"
}, {
"id": "Act.templateId:care-plan-act.root",
"min": 1,
"path": "Act.templateId.root",
"patternString": "2.16.840.1.113883.10.20.22.4.518"
}, {
"id": "Act.templateId:care-plan-act.extension",
"min": 1,
"path": "Act.templateId.extension",
"patternString": "2026-05-01"
}, {
"id": "Act.moodCode",
"path": "Act.moodCode",
"short": "CarePlan.intent",
"binding": {
"strength": "required",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.37"
},
"mapping": [ {
"map": "CarePlan.intent",
"identity": "CarePlanActToUsCoreCarePlan"
} ]
}, {
"id": "Act.code",
"path": "Act.code",
"short": "Plan of care note"
}, {
"id": "Act.code.code",
"min": 1,
"path": "Act.code.code",
"patternCode": "18776-5"
}, {
"id": "Act.code.codeSystem",
"min": 1,
"path": "Act.code.codeSystem",
"short": "LOINC",
"patternString": "2.16.840.1.113883.6.1"
}, {
"id": "Act.code.translation",
"path": "Act.code.translation",
"binding": {
"strength": "preferred",
"valueSet": "http://hl7.org/fhir/ValueSet/care-plan-category"
},
"mapping": [ {
"map": "CarePlan.category",
"identity": "CarePlanActToUsCoreCarePlan"
} ]
}, {
"id": "Act.text",
"path": "Act.text",
"short": "SHOULD reference the portion of section narrative text corresponding to this entry",
"condition": [ "should-text-ref-value" ]
}, {
"id": "Act.text.reference",
"path": "Act.text.reference",
"constraint": [ {
"key": "value-starts-octothorpe",
"human": "If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative",
"source": "http://hl7.org/cda/us/ccda/StructureDefinition/CarePlanAct",
"severity": "error",
"expression": "value.exists() implies value.startsWith('#')"
} ]
}, {
"id": "Act.statusCode",
"min": 1,
"path": "Act.statusCode",
"short": "CarePlan.status",
"mapping": [ {
"map": "CarePlan.status",
"identity": "CarePlanActToUsCoreCarePlan"
} ]
}, {
"id": "Act.author",
"path": "Act.author",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Author",
"profile": [ "http://hl7.org/cda/us/ccda/StructureDefinition/AuthorParticipation" ]
} ],
"short": "CarePlan.contributor",
"mapping": [ {
"map": "CarePlan.contributor",
"identity": "CarePlanActToUsCoreCarePlan"
} ]
}, {
"id": "Act.entryRelationship",
"path": "Act.entryRelationship",
"short": "Entries can be embedded directly or referenced via EntryReference. Use the @typeCode attribute to distinguish the type of relationship.",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "typeCode",
"type": "value"
} ]
}
}, {
"constraint": [ {
"key": "act-or-observation",
"human": "Either act or observation SHALL be present but not both.",
"source": "http://hl7.org/cda/us/ccda/StructureDefinition/CarePlanAct",
"severity": "error",
"expression": "act.exists() or observation.exists()"
} ],
"path": "Act.entryRelationship",
"min": 0,
"short": "𝗨𝗦𝗖𝗗𝗜: CarePlan.addresses",
"mapping": [ {
"map": "CarePlan.addresses",
"identity": "CarePlanActToUsCoreCarePlan"
} ],
"sliceName": "addresses",
"extension": [ {
"url": "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
"valueBoolean": true
} ],
"max": "*",
"id": "Act.entryRelationship:addresses"
}, {
"id": "Act.entryRelationship:addresses.typeCode",
"path": "Act.entryRelationship.typeCode",
"patternCode": "RSON"
}, {
"id": "Act.entryRelationship:addresses.act",
"path": "Act.entryRelationship.act",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Act",
"profile": [ "http://hl7.org/cda/us/ccda/StructureDefinition/EntryReference", "http://hl7.org/cda/stds/core/StructureDefinition/Act" ]
} ],
"short": "References an Indication, Problem Observation, or other Problem described elsewhere in the document."
}, {
"id": "Act.entryRelationship:addresses.observation",
"path": "Act.entryRelationship.observation",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Observation",
"profile": [ "http://hl7.org/cda/us/ccda/StructureDefinition/Indication", "http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation", "http://hl7.org/cda/stds/core/StructureDefinition/Observation" ]
} ],
"short": "Directly-embedded Problem or Indication observation. Use EntryReference to reference an existing problem observation or indication described elsewhere in the document."
}, {
"id": "Act.entryRelationship:goal",
"max": "*",
"min": 0,
"path": "Act.entryRelationship",
"short": "Desired outcome of the plan (CarePlan.goal). Can embed a Goal Observation directly or use the EntryReference template to reference a Goal Observation described elsewhere in the document.",
"mapping": [ {
"map": "CarePlan.goal",
"identity": "CarePlanActToUsCoreCarePlan"
} ],
"sliceName": "goal",
"constraint": [ {
"key": "act-or-observation",
"human": "Either act or observation SHALL be present but not both.",
"source": "http://hl7.org/cda/us/ccda/StructureDefinition/CarePlanAct",
"severity": "error",
"expression": "act.exists() or observation.exists()"
} ]
}, {
"id": "Act.entryRelationship:goal.typeCode",
"path": "Act.entryRelationship.typeCode",
"patternCode": "GEVL"
}, {
"id": "Act.entryRelationship:goal.act",
"path": "Act.entryRelationship.act",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Act",
"profile": [ "http://hl7.org/cda/us/ccda/StructureDefinition/EntryReference" ]
} ],
"short": "Use to reference a Goal Observation elsewhere",
"constraint": [ {
"key": "entry-ref-goal",
"human": "This entryReference template **SHALL** reference an instance of a Goal Observation template.",
"source": "http://hl7.org/cda/us/ccda/StructureDefinition/CarePlanAct",
"severity": "error",
"expression": "%resource.descendants().ofType(CDA.Observation).where(templateId.exists($this.root = '2.16.840.1.113883.10.20.22.4.121' and $this.extension = '2022-06-01') and id.exists($this.root = %context.id.first().root and $this.extension ~ %context.id.first().extension))"
} ]
}, {
"id": "Act.entryRelationship:goal.observation",
"path": "Act.entryRelationship.observation",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Observation",
"profile": [ "http://hl7.org/cda/us/ccda/StructureDefinition/GoalObservation" ]
} ],
"short": "Use to embed a Goal Observation directly"
}, {
"id": "Act.entryRelationship:supportingInfo",
"max": "*",
"min": 0,
"path": "Act.entryRelationship",
"short": "Information considered as part of the plan (CarePlan.supportingInfo)",
"mapping": [ {
"map": "CarePlan.supportingInfo",
"identity": "CarePlanActToUsCoreCarePlan"
} ],
"sliceName": "supportingInfo"
}, {
"id": "Act.entryRelationship:supportingInfo.typeCode",
"path": "Act.entryRelationship.typeCode",
"patternCode": "SPRT"
}, {
"id": "Act.entryRelationship:activity",
"max": "*",
"min": 0,
"path": "Act.entryRelationship",
"short": "Activity to occur as part of plan (CarePlan.activity). Common examples include the Intervention Act and Planned Intervention Act, but any entry may be considered an activity of the care plan.",
"mapping": [ {
"map": "CarePlan.activity",
"identity": "CarePlanActToUsCoreCarePlan"
} ],
"sliceName": "activity"
}, {
"id": "Act.entryRelationship:activity.typeCode",
"path": "Act.entryRelationship.typeCode",
"patternCode": "COMP"
}, {
"id": "Act.entryRelationship:activity.act",
"path": "Act.entryRelationship.act",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Act",
"profile": [ "http://hl7.org/cda/us/ccda/StructureDefinition/InterventionAct", "http://hl7.org/cda/us/ccda/StructureDefinition/PlannedInterventionAct", "http://hl7.org/cda/stds/core/StructureDefinition/Act" ]
} ],
"short": "A care plan may have multiple COMP entryRelationships, but each entryRelationship may only have a single act/encounter/observation/supply or other clinical statement."
}, {
"id": "Act.entryRelationship:activity.encounter",
"path": "Act.entryRelationship.encounter",
"short": "A care plan may have multiple COMP entryRelationships, but each entryRelationship may only have a single act/encounter/observation/supply or other clinical statement."
}, {
"id": "Act.entryRelationship:activity.observation",
"path": "Act.entryRelationship.observation",
"short": "A care plan may have multiple COMP entryRelationships, but each entryRelationship may only have a single act/encounter/observation/supply or other clinical statement."
}, {
"id": "Act.entryRelationship:activity.supply",
"path": "Act.entryRelationship.supply",
"short": "A care plan may have multiple COMP entryRelationships, but each entryRelationship may only have a single act/encounter/observation/supply or other clinical statement."
} ]
},
"contact": [ {
"name": "HL7 International - Structured Documents",
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/structure",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/cda/stds/core/StructureDefinition/Act"
}