{ "description": "An Authorization Activity represents authorizations or pre-authorizations currently active for the patient for the particular payer. \\n\\nAuthorizations are represented using an act subordinate to the policy or program that provided it. The authorization refers to the policy or program. Authorized treatments can be grouped into an organizer class, where common properties, such as the reason for the authorization, can be expressed. Subordinate acts represent what was authorized.", "_filename": "StructureDefinition-AuthorizationActivity.json", "package_name": "hl7.cda.us.ccda", "date": "2023-12-21T01:13:10+10:00", "derivation": "constraint", "publisher": "Health Level Seven", "fhirVersion": "5.0.0", "jurisdiction": [ { "coding": [ { "code": "US", "system": "urn:iso:std:iso:3166" } ] } ], "name": "AuthorizationActivity", "mapping": [ { "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": "Authorization Activity", "package_version": "3.0.0-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", "valueUri": "cda" } ], "snapshot": { "element": [ { "constraint": [ { "key": "should-text-ref-value", "human": "SHOULD contain text/reference/@value", "source": "http://hl7.org/cda/us/ccda/StructureDefinition/AuthorizationActivity", "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": "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" } ], "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" } ] }, "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:authorization-activity", "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": "authorization-activity", "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:authorization-activity.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:authorization-activity.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:authorization-activity.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": "2.16.840.1.113883.10.20.1.19", "representation": [ "xmlAttr" ], "max": "1", "label": "Root", "id": "Act.templateId:authorization-activity.root", "base": { "max": "1", "min": 0, "path": "II.root" } }, { "path": "Act.templateId.extension", "min": 0, "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": "0", "label": "Extension", "id": "Act.templateId:authorization-activity.extension", "base": { "max": "1", "min": 0, "path": "II.extension" } }, { "path": "Act.classCode", "fixedCode": "ACT", "min": 1, "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" ], "max": "1", "id": "Act.classCode", "comment": "SHALL contain exactly one [1..1] @classCode=\"ACT\" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:81-8944).", "base": { "max": "1", "min": 1, "path": "Act.classCode" } }, { "path": "Act.moodCode", "fixedCode": "EVN", "min": 1, "type": [ { "code": "code", "profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple" ] } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-xDocumentActMood|2.0.0" }, "representation": [ "xmlAttr" ], "max": "1", "id": "Act.moodCode", "comment": "SHALL contain exactly one [1..1] @moodCode=\"EVN\" Event (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:81-8945).", "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": "1", "min": 1, "base": { "max": "*", "min": 0, "path": "Act.id" }, "path": "Act.id", "type": [ { "code": "http://hl7.org/cda/stds/core/StructureDefinition/II" } ], "comment": "SHALL contain exactly one [1..1] id (CONF:81-8947)." }, { "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" } ], "binding": { "strength": "example", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActCode" } }, { "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" }, { "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/AuthorizationActivity", "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" } }, { "id": "Act.text.thumbnail", "max": "1", "min": 0, "base": { "max": "1", "min": 0, "path": "ED.thumbnail" }, "path": "Act.text.thumbnail", "type": [ { "code": "http://hl7.org/cda/stds/core/StructureDefinition/ED" } ], "label": "Thumbnail", "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." }, { "id": "Act.statusCode", "max": "1", "min": 0, "base": { "max": "1", "min": 0, "path": "Act.statusCode" }, "path": "Act.statusCode", "type": [ { "code": "http://hl7.org/cda/stds/core/StructureDefinition/CS" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActStatus" } }, { "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" } ] }, { "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": 1, "base": { "max": "*", "min": 0, "path": "Act.entryRelationship" }, "path": "Act.entryRelationship", "type": [ { "code": "http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship" } ], "slicing": { "rules": "open", "discriminator": [ { "path": "typeCode", "type": "value" } ] } }, { "constraint": [ { "key": "81-8951", "human": "The target of an authorization activity with act/entryRelationship/@typeCode=\"SUBJ\" SHALL be a clinical statement with moodCode=\"PRMS\" Promise (CONF:81-8951).", "source": "http://hl7.org/cda/us/ccda/StructureDefinition/AuthorizationActivity", "severity": "error", "expression": "(act | encounter | observation | observationMedia | organizer | procedure | regionOfInterest | substanceAdministration | supply).where(moodCode='PRMS').exists()" } ], "path": "Act.entryRelationship", "min": 1, "short": "The target of an authorization activity MAY contain one or more performer, to indicate the providers that have been authorized to provide treatment (CONF:81-8952).", "type": [ { "code": "http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship" } ], "sliceName": "target", "max": "*", "id": "Act.entryRelationship:target", "comment": "SHALL contain at least one [1..*] entryRelationship (CONF:81-8948) such that it", "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:target.nullFlavor", "base": { "max": "1", "min": 0, "path": "ANY.nullFlavor" } }, { "id": "Act.entryRelationship:target.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:target.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" } ], "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:target.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:target.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:target.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:target.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:target.typeId.extension", "base": { "max": "1", "min": 0, "path": "II.extension" } }, { "id": "Act.entryRelationship:target.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", "fixedCode": "SUBJ", "min": 1, "type": [ { "code": "code", "profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple" ] } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship" }, "representation": [ "xmlAttr" ], "max": "1", "id": "Act.entryRelationship:target.typeCode", "comment": "SHALL contain exactly one [1..1] @typeCode=\"SUBJ\" Has Subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:81-8949).", "base": { "max": "1", "min": 1, "path": "EntryRelationship.typeCode" } }, { "id": "Act.entryRelationship:target.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:target.contextConductionInd", "base": { "max": "1", "min": 0, "path": "EntryRelationship.contextConductionInd" } }, { "id": "Act.entryRelationship:target.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:target.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:target.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:target.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:target.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:target.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:target.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:target.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:target.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:target.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:target.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:target.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" } ] }, { "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" } ] } ] }, "status": "draft", "id": "27929956-d3ad-42bd-92d4-6e86715d90cf", "kind": "logical", "url": "http://hl7.org/cda/us/ccda/StructureDefinition/AuthorizationActivity", "identifier": [ { "value": "urn:oid:2.16.840.1.113883.10.20.1.19" } ], "version": "3.0.0-ballot", "differential": { "element": [ { "id": "Act", "path": "Act", "constraint": [ { "key": "should-text-ref-value", "human": "SHOULD contain text/reference/@value", "source": "http://hl7.org/cda/us/ccda/StructureDefinition/AuthorizationActivity", "severity": "warning", "expression": "text.reference.value.exists()" } ] }, { "id": "Act.templateId", "min": 1, "path": "Act.templateId", "slicing": { "rules": "open", "discriminator": [ { "path": "root", "type": "value" } ] } }, { "id": "Act.templateId:authorization-activity", "max": "1", "min": 1, "path": "Act.templateId", "sliceName": "authorization-activity" }, { "id": "Act.templateId:authorization-activity.root", "min": 1, "path": "Act.templateId.root", "patternString": "2.16.840.1.113883.10.20.1.19" }, { "id": "Act.templateId:authorization-activity.extension", "max": "0", "path": "Act.templateId.extension" }, { "id": "Act.classCode", "path": "Act.classCode", "comment": "SHALL contain exactly one [1..1] @classCode=\"ACT\" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:81-8944).", "fixedCode": "ACT" }, { "id": "Act.moodCode", "path": "Act.moodCode", "comment": "SHALL contain exactly one [1..1] @moodCode=\"EVN\" Event (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:81-8945).", "fixedCode": "EVN" }, { "id": "Act.id", "max": "1", "min": 1, "path": "Act.id", "comment": "SHALL contain exactly one [1..1] id (CONF:81-8947)." }, { "id": "Act.text", "path": "Act.text", "short": "SHOULD reference the portion of section narrative text corresponding to this entry" }, { "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/AuthorizationActivity", "severity": "error", "expression": "value.exists() implies value.startsWith('#')" } ] }, { "id": "Act.entryRelationship", "min": 1, "path": "Act.entryRelationship", "slicing": { "rules": "open", "discriminator": [ { "path": "typeCode", "type": "value" } ] } }, { "id": "Act.entryRelationship:target", "max": "*", "min": 1, "path": "Act.entryRelationship", "short": "The target of an authorization activity MAY contain one or more performer, to indicate the providers that have been authorized to provide treatment (CONF:81-8952).", "comment": "SHALL contain at least one [1..*] entryRelationship (CONF:81-8948) such that it", "sliceName": "target", "constraint": [ { "key": "81-8951", "human": "The target of an authorization activity with act/entryRelationship/@typeCode=\"SUBJ\" SHALL be a clinical statement with moodCode=\"PRMS\" Promise (CONF:81-8951).", "source": "http://hl7.org/cda/us/ccda/StructureDefinition/AuthorizationActivity", "severity": "error", "expression": "(act | encounter | observation | observationMedia | organizer | procedure | regionOfInterest | substanceAdministration | supply).where(moodCode='PRMS').exists()" } ] }, { "id": "Act.entryRelationship:target.typeCode", "path": "Act.entryRelationship.typeCode", "comment": "SHALL contain exactly one [1..1] @typeCode=\"SUBJ\" Has Subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:81-8949).", "fixedCode": "SUBJ" } ] }, "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" }