{
"description": "This template represents the sender (author) and receivers (participants) of a handoff communication in a plan of treatment. It does not convey details about the communication. The \\\"handoff\\\" process involves senders, those transmitting the patient's information and releasing the care of that patient to the next clinician, and receivers, those who accept the patient information and care of that patient.",
"_filename": "StructureDefinition-HandoffCommunicationParticipants.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": "HandoffCommunicationParticipants",
"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": "Handoff Communication Participants",
"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/HandoffCommunicationParticipants",
"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:handoff-comm-participants",
"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": "handoff-comm-participants",
"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:handoff-comm-participants.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:handoff-comm-participants.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:handoff-comm-participants.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": "2.16.840.1.113883.10.20.22.4.141",
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Root",
"id": "Act.templateId:handoff-comm-participants.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:handoff-comm-participants.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:1098-30832).",
"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\" (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1098-30833).",
"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"
} ],
"binding": {
"strength": "example",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-ActCode"
},
"comment": "SHALL contain exactly one [1..1] code (CONF:1098-30836)."
}, {
"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": "432138007",
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Code",
"id": "Act.code.code",
"comment": "This code SHALL contain exactly one [1..1] @code=\"432138007\" handoff communication (procedure) (CONF:1098-30837).",
"base": {
"max": "1",
"min": 0,
"path": "CD.code"
}
}, {
"path": "Act.code.codeSystem",
"min": 1,
"definition": "Specifies the code system that defines the code.",
"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": "2.16.840.1.113883.6.96",
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Code System",
"id": "Act.code.codeSystem",
"comment": "This code SHALL contain exactly one [1..1] @codeSystem=\"2.16.840.1.113883.6.96\" (CodeSystem: SNOMED CT urn:oid:2.16.840.1.113883.6.96) (CONF:1098-30838).",
"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.",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/CD"
} ],
"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"
}, {
"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/HandoffCommunicationParticipants",
"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": 1,
"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"
},
"comment": "SHALL contain exactly one [1..1] statusCode (CONF:1098-31668)."
}, {
"path": "Act.statusCode.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.statusCode.nullFlavor",
"base": {
"max": "1",
"min": 0,
"path": "ANY.nullFlavor"
}
}, {
"path": "Act.statusCode.code",
"fixedCode": "completed",
"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" ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"label": "Code",
"id": "Act.statusCode.code",
"comment": "This statusCode SHALL contain exactly one [1..1] @code=\"completed\" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-31669).",
"base": {
"max": "1",
"min": 0,
"path": "CD.code"
}
}, {
"path": "Act.statusCode.codeSystem",
"min": 0,
"definition": "Specifies the code system that defines the code.",
"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": "0",
"label": "Code System",
"id": "Act.statusCode.codeSystem",
"base": {
"max": "1",
"min": 0,
"path": "CD.codeSystem"
}
}, {
"path": "Act.statusCode.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": "0",
"label": "Code System Name",
"id": "Act.statusCode.codeSystemName",
"base": {
"max": "1",
"min": 0,
"path": "CD.codeSystemName"
}
}, {
"path": "Act.statusCode.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": "0",
"label": "Code System Version",
"id": "Act.statusCode.codeSystemVersion",
"base": {
"max": "1",
"min": 0,
"path": "CD.codeSystemVersion"
}
}, {
"path": "Act.statusCode.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": "0",
"label": "Display Name",
"id": "Act.statusCode.displayName",
"base": {
"max": "1",
"min": 0,
"path": "CD.displayName"
}
}, {
"path": "Act.statusCode.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.statusCode.sdtcValueSet",
"base": {
"max": "1",
"min": 0,
"path": "CD.valueSet"
}
}, {
"path": "Act.statusCode.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.statusCode.sdtcValueSetVersion",
"base": {
"max": "1",
"min": 0,
"path": "CD.sdtcValueSetVersion"
}
}, {
"id": "Act.statusCode.originalText",
"max": "0",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "CD.originalText"
},
"path": "Act.statusCode.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.statusCode.qualifier",
"max": "0",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "CD.qualifier"
},
"path": "Act.statusCode.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.statusCode.translation",
"min": 0,
"definition": "A set of other concept descriptors that translate this concept descriptor into other code systems.",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/CD"
} ],
"representation": [ "typeAttr" ],
"max": "0",
"label": "Translation",
"id": "Act.statusCode.translation",
"base": {
"max": "*",
"min": 0,
"path": "CD.translation"
}
}, {
"id": "Act.effectiveTime",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 0,
"path": "Act.effectiveTime"
},
"path": "Act.effectiveTime",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"
} ],
"short": "The effective time is the time when the handoff process took place between the sender and receiver of the patient information. This could be the time the information was transmitted, released, or verbally communicated to the next clinician.",
"comment": "SHALL contain exactly one [1..1] effectiveTime (CONF:1098-31670)."
}, {
"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"
} ]
}, {
"path": "Act.author",
"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": "The Author Participant contains the sender's contact information and is a resource for the Information Recipient for any follow-up questions.",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Author",
"profile": [ "http://hl7.org/cda/us/ccda/StructureDefinition/AuthorParticipation" ]
} ],
"max": "*",
"id": "Act.author",
"comment": "SHALL contain at least one [1..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-31672).",
"base": {
"max": "*",
"min": 0,
"path": "Act.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": 1,
"base": {
"max": "*",
"min": 0,
"path": "Act.participant"
},
"path": "Act.participant",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Participant2"
} ],
"short": "Documentation of the Information Recipient's name and address verifies that the information was exchanged.",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "typeCode",
"type": "value"
} ]
}
}, {
"id": "Act.participant:infoRecipient",
"max": "*",
"min": 1,
"base": {
"max": "*",
"min": 0,
"path": "Act.participant"
},
"path": "Act.participant",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Participant2"
} ],
"comment": "SHALL contain at least one [1..*] participant (CONF:1098-31673) such that it",
"sliceName": "infoRecipient"
}, {
"path": "Act.participant.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.participant:infoRecipient.nullFlavor",
"base": {
"max": "1",
"min": 0,
"path": "ANY.nullFlavor"
}
}, {
"id": "Act.participant:infoRecipient.realmCode",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "InfrastructureRoot.realmCode"
},
"path": "Act.participant.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.participant:infoRecipient.typeId",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "InfrastructureRoot.typeId"
},
"path": "Act.participant.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.participant.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.participant:infoRecipient.typeId.nullFlavor",
"base": {
"max": "1",
"min": 0,
"path": "ANY.nullFlavor"
}
}, {
"path": "Act.participant.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.participant:infoRecipient.typeId.assigningAuthorityName",
"base": {
"max": "1",
"min": 0,
"path": "II.assigningAuthorityName"
}
}, {
"path": "Act.participant.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.participant:infoRecipient.typeId.displayable",
"base": {
"max": "1",
"min": 0,
"path": "II.displayable"
}
}, {
"path": "Act.participant.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.participant:infoRecipient.typeId.root",
"base": {
"max": "1",
"min": 0,
"path": "II.root"
}
}, {
"path": "Act.participant.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.participant:infoRecipient.typeId.extension",
"base": {
"max": "1",
"min": 0,
"path": "II.extension"
}
}, {
"id": "Act.participant:infoRecipient.templateId",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "InfrastructureRoot.templateId"
},
"path": "Act.participant.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.participant.typeCode",
"fixedCode": "IRCP",
"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-ParticipationType"
},
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Act.participant:infoRecipient.typeCode",
"comment": "SHALL contain exactly one [1..1] @typeCode=\"IRCP\" Information Recipient (CodeSystem: HL7RoleClass urn:oid:2.16.840.1.113883.5.110) (CONF:1098-31674).",
"base": {
"max": "1",
"min": 1,
"path": "Participant2.typeCode"
}
}, {
"path": "Act.participant.contextControlCode",
"fixedCode": "OP",
"min": 0,
"type": [ {
"code": "code",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple" ]
} ],
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-ContextControl"
},
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Act.participant:infoRecipient.contextControlCode",
"base": {
"max": "1",
"min": 0,
"path": "Participant2.contextControlCode"
}
}, {
"id": "Act.participant:infoRecipient.sdtcFunctionCode",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "Participant2.sdtcFunctionCode"
},
"path": "Act.participant.sdtcFunctionCode",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/CE"
} ],
"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": "functionCode"
} ]
}, {
"id": "Act.participant:infoRecipient.time",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "Participant2.time"
},
"path": "Act.participant.time",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"
} ]
}, {
"id": "Act.participant:infoRecipient.awarenessCode",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "Participant2.awarenessCode"
},
"path": "Act.participant.awarenessCode",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/CE"
} ]
}, {
"id": "Act.participant:infoRecipient.participantRole",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 1,
"path": "Participant2.participantRole"
},
"path": "Act.participant.participantRole",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole"
} ],
"comment": "SHALL contain exactly one [1..1] participantRole (CONF:1098-31675).",
"constraint": [ {
"key": "should-code",
"human": "SHOULD contain code",
"source": "http://hl7.org/cda/us/ccda/StructureDefinition/HandoffCommunicationParticipants",
"severity": "warning",
"expression": "code.exists()"
} ]
}, {
"path": "Act.participant.participantRole.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.participant:infoRecipient.participantRole.nullFlavor",
"base": {
"max": "1",
"min": 0,
"path": "ANY.nullFlavor"
}
}, {
"id": "Act.participant:infoRecipient.participantRole.realmCode",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "InfrastructureRoot.realmCode"
},
"path": "Act.participant.participantRole.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.participant:infoRecipient.participantRole.typeId",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "InfrastructureRoot.typeId"
},
"path": "Act.participant.participantRole.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.participant.participantRole.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.participant:infoRecipient.participantRole.typeId.nullFlavor",
"base": {
"max": "1",
"min": 0,
"path": "ANY.nullFlavor"
}
}, {
"path": "Act.participant.participantRole.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.participant:infoRecipient.participantRole.typeId.assigningAuthorityName",
"base": {
"max": "1",
"min": 0,
"path": "II.assigningAuthorityName"
}
}, {
"path": "Act.participant.participantRole.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.participant:infoRecipient.participantRole.typeId.displayable",
"base": {
"max": "1",
"min": 0,
"path": "II.displayable"
}
}, {
"path": "Act.participant.participantRole.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.participant:infoRecipient.participantRole.typeId.root",
"base": {
"max": "1",
"min": 0,
"path": "II.root"
}
}, {
"path": "Act.participant.participantRole.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.participant:infoRecipient.participantRole.typeId.extension",
"base": {
"max": "1",
"min": 0,
"path": "II.extension"
}
}, {
"id": "Act.participant:infoRecipient.participantRole.templateId",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "InfrastructureRoot.templateId"
},
"path": "Act.participant.participantRole.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.participant.participantRole.classCode",
"min": 1,
"defaultValueCode": "ROL",
"type": [ {
"code": "code",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple" ]
} ],
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-RoleClassRoot"
},
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Act.participant:infoRecipient.participantRole.classCode",
"base": {
"max": "1",
"min": 1,
"path": "ParticipantRole.classCode"
}
}, {
"id": "Act.participant:infoRecipient.participantRole.id",
"max": "*",
"min": 1,
"base": {
"max": "*",
"min": 0,
"path": "ParticipantRole.id"
},
"path": "Act.participant.participantRole.id",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/II"
} ],
"comment": "This participantRole SHALL contain at least one [1..*] id (CONF:1098-32422)."
}, {
"id": "Act.participant:infoRecipient.participantRole.sdtcIdentifiedBy",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "ParticipantRole.sdtcIdentifiedBy"
},
"path": "Act.participant.participantRole.sdtcIdentifiedBy",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy"
} ],
"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": "identifiedBy"
} ]
}, {
"id": "Act.participant:infoRecipient.participantRole.code",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "ParticipantRole.code"
},
"path": "Act.participant.participantRole.code",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/CE"
} ],
"binding": {
"strength": "preferred",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066"
},
"comment": "This participantRole SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1098-31676)."
}, {
"constraint": [ {
"key": "shall-city",
"human": "SHALL contain exactly one [1..1] city (CONF:81-7292).",
"source": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress",
"severity": "error",
"expression": "nullFlavor.exists() or item.city.count() = 1"
}, {
"key": "shall-streetAddressLine",
"human": "SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291).",
"source": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress",
"severity": "error",
"expression": "nullFlavor.exists() or (item.streetAddressLine.count() >= 1 and item.streetAddressLine.count() <= 4)"
}, {
"key": "should-use",
"human": "SHOULD contain @use",
"source": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress",
"severity": "warning",
"expression": "nullFlavor.exists() or use.exists()"
}, {
"key": "should-country",
"human": "SHOULD contain country",
"source": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress",
"severity": "warning",
"expression": "nullFlavor.exists() or item.country.exists()"
}, {
"key": "81-7296",
"human": "**SHALL NOT** have mixed content except for white space (CONF:81-7296)",
"source": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress",
"severity": "error",
"expression": "item.xmlText.empty()"
}, {
"key": "81-10024",
"human": "If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024).",
"source": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress",
"severity": "error",
"expression": "nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state'))"
}, {
"key": "81-10025",
"human": "If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025).",
"source": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress",
"severity": "error",
"expression": "nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?'))"
}, {
"key": "shall-max-ad-parts",
"human": "SHALL have at most one of each: state, city, postalCode, and country",
"source": "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress",
"severity": "error",
"expression": "(item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1)"
} ],
"path": "Act.participant.participantRole.addr",
"min": 1,
"definition": "Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.",
"isModifier": false,
"short": "Base for all types and resources",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/AD",
"profile": [ "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress" ]
} ],
"max": "*",
"id": "Act.participant:infoRecipient.participantRole.addr",
"comment": "This participantRole SHALL contain at least one [1..*] addr (CONF:1098-32392).",
"base": {
"max": "*",
"min": 0,
"path": "ParticipantRole.addr"
}
}, {
"id": "Act.participant:infoRecipient.participantRole.telecom",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "ParticipantRole.telecom"
},
"path": "Act.participant.participantRole.telecom",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/TEL"
} ]
}, {
"id": "Act.participant:infoRecipient.participantRole.playingDevice",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "ParticipantRole.playingDevice"
},
"path": "Act.participant.participantRole.playingDevice",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Device"
} ]
}, {
"id": "Act.participant:infoRecipient.participantRole.playingEntity",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "ParticipantRole.playingEntity"
},
"path": "Act.participant.participantRole.playingEntity",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/PlayingEntity"
} ],
"comment": "This participantRole MAY contain zero or one [0..1] playingEntity (CONF:1098-32393)."
}, {
"path": "Act.participant.participantRole.playingEntity.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.participant:infoRecipient.participantRole.playingEntity.nullFlavor",
"base": {
"max": "1",
"min": 0,
"path": "ANY.nullFlavor"
}
}, {
"id": "Act.participant:infoRecipient.participantRole.playingEntity.realmCode",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "InfrastructureRoot.realmCode"
},
"path": "Act.participant.participantRole.playingEntity.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.participant:infoRecipient.participantRole.playingEntity.typeId",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "InfrastructureRoot.typeId"
},
"path": "Act.participant.participantRole.playingEntity.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.participant.participantRole.playingEntity.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.participant:infoRecipient.participantRole.playingEntity.typeId.nullFlavor",
"base": {
"max": "1",
"min": 0,
"path": "ANY.nullFlavor"
}
}, {
"path": "Act.participant.participantRole.playingEntity.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.participant:infoRecipient.participantRole.playingEntity.typeId.assigningAuthorityName",
"base": {
"max": "1",
"min": 0,
"path": "II.assigningAuthorityName"
}
}, {
"path": "Act.participant.participantRole.playingEntity.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.participant:infoRecipient.participantRole.playingEntity.typeId.displayable",
"base": {
"max": "1",
"min": 0,
"path": "II.displayable"
}
}, {
"path": "Act.participant.participantRole.playingEntity.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.participant:infoRecipient.participantRole.playingEntity.typeId.root",
"base": {
"max": "1",
"min": 0,
"path": "II.root"
}
}, {
"path": "Act.participant.participantRole.playingEntity.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.participant:infoRecipient.participantRole.playingEntity.typeId.extension",
"base": {
"max": "1",
"min": 0,
"path": "II.extension"
}
}, {
"id": "Act.participant:infoRecipient.participantRole.playingEntity.templateId",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "InfrastructureRoot.templateId"
},
"path": "Act.participant.participantRole.playingEntity.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.participant.participantRole.playingEntity.classCode",
"min": 1,
"defaultValueCode": "ENT",
"type": [ {
"code": "code",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple" ]
} ],
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-EntityClassRoot"
},
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Act.participant:infoRecipient.participantRole.playingEntity.classCode",
"base": {
"max": "1",
"min": 1,
"path": "PlayingEntity.classCode"
}
}, {
"path": "Act.participant.participantRole.playingEntity.determinerCode",
"fixedCode": "INSTANCE",
"min": 0,
"type": [ {
"code": "code",
"profile": [ "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple" ]
} ],
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-EntityDeterminer"
},
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Act.participant:infoRecipient.participantRole.playingEntity.determinerCode",
"base": {
"max": "1",
"min": 0,
"path": "PlayingEntity.determinerCode"
}
}, {
"id": "Act.participant:infoRecipient.participantRole.playingEntity.code",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "PlayingEntity.code"
},
"path": "Act.participant.participantRole.playingEntity.code",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/CE"
} ],
"binding": {
"strength": "example",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-EntityCode"
}
}, {
"id": "Act.participant:infoRecipient.participantRole.playingEntity.quantity",
"max": "*",
"min": 0,
"base": {
"max": "*",
"min": 0,
"path": "PlayingEntity.quantity"
},
"path": "Act.participant.participantRole.playingEntity.quantity",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/PQ"
} ]
}, {
"id": "Act.participant:infoRecipient.participantRole.playingEntity.name",
"max": "*",
"min": 1,
"base": {
"max": "*",
"min": 0,
"path": "PlayingEntity.name"
},
"path": "Act.participant.participantRole.playingEntity.name",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/PN"
} ],
"comment": "The playingEntity, if present, SHALL contain at least one [1..*] name (CONF:1098-32394)."
}, {
"id": "Act.participant:infoRecipient.participantRole.playingEntity.sdtcBirthTime",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "PlayingEntity.sdtcBirthTime"
},
"path": "Act.participant.participantRole.playingEntity.sdtcBirthTime",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/TS"
} ],
"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": "birthTime"
} ],
"definition": "The purpose of this extension is to allow the recording of the subscriber or member of a health plan in cases where the health plan eligibility system has different information on file than the provider does for the patient."
}, {
"id": "Act.participant:infoRecipient.participantRole.playingEntity.desc",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "PlayingEntity.desc"
},
"path": "Act.participant.participantRole.playingEntity.desc",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/ED"
} ]
}, {
"id": "Act.participant:infoRecipient.participantRole.scopingEntity",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "ParticipantRole.scopingEntity"
},
"path": "Act.participant.participantRole.scopingEntity",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Entity"
} ]
}, {
"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"
} ]
}, {
"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": "dae75fc8-b306-4535-a6e5-91e5d8206bef",
"kind": "logical",
"url": "http://hl7.org/cda/us/ccda/StructureDefinition/HandoffCommunicationParticipants",
"identifier": [ {
"value": "urn:oid:2.16.840.1.113883.10.20.22.4.141"
} ],
"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/HandoffCommunicationParticipants",
"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:handoff-comm-participants",
"max": "1",
"min": 1,
"path": "Act.templateId",
"sliceName": "handoff-comm-participants"
}, {
"id": "Act.templateId:handoff-comm-participants.root",
"min": 1,
"path": "Act.templateId.root",
"patternString": "2.16.840.1.113883.10.20.22.4.141"
}, {
"id": "Act.templateId:handoff-comm-participants.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:1098-30832).",
"fixedCode": "ACT"
}, {
"id": "Act.moodCode",
"path": "Act.moodCode",
"comment": "SHALL contain exactly one [1..1] @moodCode=\"EVN\" (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1098-30833).",
"fixedCode": "EVN"
}, {
"id": "Act.code",
"path": "Act.code",
"comment": "SHALL contain exactly one [1..1] code (CONF:1098-30836)."
}, {
"id": "Act.code.code",
"min": 1,
"path": "Act.code.code",
"comment": "This code SHALL contain exactly one [1..1] @code=\"432138007\" handoff communication (procedure) (CONF:1098-30837).",
"patternCode": "432138007"
}, {
"id": "Act.code.codeSystem",
"min": 1,
"path": "Act.code.codeSystem",
"comment": "This code SHALL contain exactly one [1..1] @codeSystem=\"2.16.840.1.113883.6.96\" (CodeSystem: SNOMED CT urn:oid:2.16.840.1.113883.6.96) (CONF:1098-30838).",
"patternString": "2.16.840.1.113883.6.96"
}, {
"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/HandoffCommunicationParticipants",
"severity": "error",
"expression": "value.exists() implies value.startsWith('#')"
} ]
}, {
"id": "Act.statusCode",
"min": 1,
"path": "Act.statusCode",
"comment": "SHALL contain exactly one [1..1] statusCode (CONF:1098-31668)."
}, {
"id": "Act.statusCode.code",
"min": 1,
"path": "Act.statusCode.code",
"comment": "This statusCode SHALL contain exactly one [1..1] @code=\"completed\" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-31669).",
"fixedCode": "completed"
}, {
"id": "Act.effectiveTime",
"min": 1,
"path": "Act.effectiveTime",
"short": "The effective time is the time when the handoff process took place between the sender and receiver of the patient information. This could be the time the information was transmitted, released, or verbally communicated to the next clinician.",
"comment": "SHALL contain exactly one [1..1] effectiveTime (CONF:1098-31670)."
}, {
"id": "Act.author",
"min": 1,
"path": "Act.author",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/Author",
"profile": [ "http://hl7.org/cda/us/ccda/StructureDefinition/AuthorParticipation" ]
} ],
"short": "The Author Participant contains the sender's contact information and is a resource for the Information Recipient for any follow-up questions.",
"comment": "SHALL contain at least one [1..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-31672)."
}, {
"id": "Act.participant",
"min": 1,
"path": "Act.participant",
"short": "Documentation of the Information Recipient's name and address verifies that the information was exchanged.",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "typeCode",
"type": "value"
} ]
}
}, {
"id": "Act.participant:infoRecipient",
"max": "*",
"min": 1,
"path": "Act.participant",
"comment": "SHALL contain at least one [1..*] participant (CONF:1098-31673) such that it",
"sliceName": "infoRecipient"
}, {
"id": "Act.participant:infoRecipient.typeCode",
"path": "Act.participant.typeCode",
"comment": "SHALL contain exactly one [1..1] @typeCode=\"IRCP\" Information Recipient (CodeSystem: HL7RoleClass urn:oid:2.16.840.1.113883.5.110) (CONF:1098-31674).",
"fixedCode": "IRCP"
}, {
"id": "Act.participant:infoRecipient.participantRole",
"path": "Act.participant.participantRole",
"comment": "SHALL contain exactly one [1..1] participantRole (CONF:1098-31675).",
"constraint": [ {
"key": "should-code",
"human": "SHOULD contain code",
"source": "http://hl7.org/cda/us/ccda/StructureDefinition/HandoffCommunicationParticipants",
"severity": "warning",
"expression": "code.exists()"
} ]
}, {
"id": "Act.participant:infoRecipient.participantRole.id",
"min": 1,
"path": "Act.participant.participantRole.id",
"comment": "This participantRole SHALL contain at least one [1..*] id (CONF:1098-32422)."
}, {
"id": "Act.participant:infoRecipient.participantRole.code",
"path": "Act.participant.participantRole.code",
"binding": {
"strength": "preferred",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066"
},
"comment": "This participantRole SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1098-31676)."
}, {
"id": "Act.participant:infoRecipient.participantRole.addr",
"min": 1,
"path": "Act.participant.participantRole.addr",
"type": [ {
"code": "http://hl7.org/cda/stds/core/StructureDefinition/AD",
"profile": [ "http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress" ]
} ],
"comment": "This participantRole SHALL contain at least one [1..*] addr (CONF:1098-32392)."
}, {
"id": "Act.participant:infoRecipient.participantRole.playingEntity",
"path": "Act.participant.participantRole.playingEntity",
"comment": "This participantRole MAY contain zero or one [0..1] playingEntity (CONF:1098-32393)."
}, {
"id": "Act.participant:infoRecipient.participantRole.playingEntity.name",
"min": 1,
"path": "Act.participant.participantRole.playingEntity.name",
"comment": "The playingEntity, if present, SHALL contain at least one [1..*] name (CONF:1098-32394)."
} ]
},
"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"
}