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active Template  CDA Clinical Statement

Id 2.16.840.1.113883.10.12.300
ref
?
 		Effective Date 2005‑09‑07
Status active Active Version Label
Name CDAClinicalStatement Display Name CDA Clinical Statement
Description en-US Template CDA Clinical Statement (prototype, directly derived from POCD_RM000040 MIF)
Classification CDA Entry Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 13 templates, Uses 9 templates
Used by as Name Version
2.16.840.1.113883.10.12.301 Containment active CDA Act 2005‑09‑07
notice Circular reference found with 2.16.840.1.113883.10.12.301, please check
2.16.840.1.113883.10.12.300 link active CDA Clinical Statement 2005‑09‑07
notice Circular reference found with 2.16.840.1.113883.10.12.300, please check
2.16.840.1.113883.10.12.302 link active CDA Encounter 2005‑09‑07
notice Circular reference found with 2.16.840.1.113883.10.12.302, please check
2.16.840.1.113883.10.12.303 link active CDA Observation 2005‑09‑07
notice Circular reference found with 2.16.840.1.113883.10.12.303, please check
2.16.840.1.113883.10.12.304 link active CDA ObservationMedia 2005‑09‑07
notice Circular reference found with 2.16.840.1.113883.10.12.304, please check
2.16.840.1.113883.10.12.305 link active CDA Organizer 2005‑09‑07
notice Circular reference found with 2.16.840.1.113883.10.12.305, please check
2.16.840.1.113883.10.12.306 link active CDA Procedure 2005‑09‑07
notice Circular reference found with 2.16.840.1.113883.10.12.306, please check
2.16.840.1.113883.10.12.307 link active CDA RegionOfInterest 2005‑09‑07
notice Circular reference found with 2.16.840.1.113883.10.12.307, please check
2.16.840.1.113883.10.12.308 link active CDA SubstanceAdministration 2005‑09‑07
notice Circular reference found with 2.16.840.1.113883.10.12.308, please check
2.16.840.1.113883.10.12.309 link active CDA Supply 2005‑09‑07
notice Circular reference found with 2.16.840.1.113883.10.12.309, please check
2.16.840.1.113883.3.1937.777.63.10.648 link draft Quesito Diagnostico (Tele) (QuesitoDiagnosticoTele) 2025‑05‑27 12:28:52
2.16.840.1.113883.2.9.10.1.16.2.1 link draft Relazione collaborativa di Teleconsulto 2025‑05‑16 12:25:49
2.16.840.1.113883.3.1937.777.63.10.696 link draft Diagnosi (Tele) (Diagnosi Telemedicina) 2025‑06‑05 14:43:30
Uses as Name Version
2.16.840.1.113883.10.12.301 Include active CDA Act DYNAMIC
2.16.840.1.113883.10.12.302 Include active CDA Encounter DYNAMIC
2.16.840.1.113883.10.12.303 Include active CDA Observation DYNAMIC
2.16.840.1.113883.10.12.304 Include active CDA ObservationMedia DYNAMIC
2.16.840.1.113883.10.12.305 Include active CDA Organizer DYNAMIC
2.16.840.1.113883.10.12.306 Include active CDA Procedure DYNAMIC
2.16.840.1.113883.10.12.307 Include active CDA RegionOfInterest DYNAMIC
2.16.840.1.113883.10.12.308 Include active CDA SubstanceAdministration DYNAMIC
2.16.840.1.113883.10.12.309 Include active CDA Supply DYNAMIC
Item DT Card Conf Description Label
Choice 1 … 1 Elements to choose from:
Included from 2.16.840.1.113883.10.12.301 CDA Act (DYNAMIC)
hl7:act
@classCode
 		cs 1 … 1 R
  CONF
The value of @classCode SHALL be drawn from value set 2.16.840.1.113883.1.11.19599 x_ActClassDocumentEntryAct (DYNAMIC)
@moodCode
 		cs 1 … 1 R
  CONF
The value of @moodCode SHALL be drawn from value set 2.16.840.1.113883.1.11.19458 x_DocumentActMood (DYNAMIC)
@negationInd
 		bl 0 … 1  
hl7:templateId
 		II 1 … 1
@root
 		1 … 1 F 2.16.840.1.113883.10.12.301
hl7:id
 		II 0 … *
hl7:code
 		CD 1 … 1 R
  CONF
SHALL be drawn from concept domain "ActCode"
hl7:text
 		ED 0 … 1
hl7:statusCode
 		CS 0 … 1
  CONF
The value of @code SHALL be drawn from value set 2.16.840.1.113883.1.11.15933 ActStatus (DYNAMIC)
hl7:effectiveTime
 		IVL_TS 0 … 1
hl7:priorityCode
 		CE 0 … 1
  CONF
The value of @code SHALL be drawn from value set 2.16.840.1.113883.1.11.16866 ActPriority (DYNAMIC)
hl7:languageCode
 		CS 0 … 1
  CONF
The value of @code SHALL be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
hl7:subject
 		0 … 1 Contains 2.16.840.1.113883.10.12.320 CDA Subject (Body) (DYNAMIC)
hl7:specimen
 		0 … * Contains 2.16.840.1.113883.10.12.322 CDA Specimen (DYNAMIC)
hl7:performer
 		0 … * Contains 2.16.840.1.113883.10.12.323 CDA Performer (Body) (DYNAMIC)
hl7:author
 		0 … * Contains 2.16.840.1.113883.10.12.318 CDA Author (Body) (DYNAMIC)
hl7:informant
 		0 … * Contains 2.16.840.1.113883.10.12.319 CDA Informant (Body) (DYNAMIC)
hl7:participant
 		0 … * Contains 2.16.840.1.113883.10.12.321 CDA Participant (Body) (DYNAMIC)
hl7:entryRelationship
 		0 … * Contains 2.16.840.1.113883.10.12.300 CDA Clinical Statement (DYNAMIC)
@typeCode
 		cs 1 … 1 R
  CONF
The value of @typeCode SHALL be drawn from value set 2.16.840.1.113883.1.11.19447 x_ActRelationshipEntryRelationship (DYNAMIC)
@contextConductionInd
 		bl 0 … 1  
@inversionInd
 		bl 0 … 1  
@negationInd
 		bl 0 … 1  
hl7:sequenceNumber
 		INT 0 … 1
hl7:seperatableInd
 		BL 0 … 1
hl7:reference
 		0 … * Contains 2.16.840.1.113883.10.12.324 CDA Reference (DYNAMIC)
hl7:precondition
 		0 … * Contains 2.16.840.1.113883.10.12.329 CDA Precondition (DYNAMIC)
Included from 2.16.840.1.113883.10.12.302 CDA Encounter (DYNAMIC)
hl7:encounter
@classCode
 		1 … 1 F ENC
@moodCode
 		cs 1 … 1 R
  CONF
The value of @moodCode SHALL be drawn from value set 2.16.840.1.113883.1.11.19459 x_DocumentEncounterMood (DYNAMIC)
hl7:templateId
 		II 1 … 1
@root
 		1 … 1 F 2.16.840.1.113883.10.12.302
hl7:id
 		II 0 … *
hl7:code
 		CD 0 … 1
  CONF
The value of @code SHALL be drawn from value set 2.16.840.1.113883.1.11.13955 ActEncounterCode (DYNAMIC)
hl7:text
 		ED 0 … 1
hl7:statusCode
 		CS 0 … 1
  CONF
The value of @code SHALL be drawn from value set 2.16.840.1.113883.1.11.15933 ActStatus (DYNAMIC)
hl7:effectiveTime
 		IVL_TS 0 … 1
hl7:priorityCode
 		CE 0 … 1
  CONF
The value of @code SHALL be drawn from value set 2.16.840.1.113883.1.11.16866 ActPriority (DYNAMIC)
hl7:subject
 		0 … 1 Contains 2.16.840.1.113883.10.12.320 CDA Subject (Body) (DYNAMIC)
hl7:specimen
 		0 … * Contains 2.16.840.1.113883.10.12.322 CDA Specimen (DYNAMIC)
hl7:performer
 		0 … * Contains 2.16.840.1.113883.10.12.323 CDA Performer (Body) (DYNAMIC)
hl7:author
 		0 … * Contains 2.16.840.1.113883.10.12.318 CDA Author (Body) (DYNAMIC)
hl7:informant
 		0 … * Contains 2.16.840.1.113883.10.12.319 CDA Informant (Body) (DYNAMIC)
hl7:participant
 		0 … * Contains 2.16.840.1.113883.10.12.321 CDA Participant (Body) (DYNAMIC)
hl7:entryRelationship
 		0 … * Contains 2.16.840.1.113883.10.12.300 CDA Clinical Statement (DYNAMIC)
@typeCode
 		cs 1 … 1 R
  CONF
The value of @typeCode SHALL be drawn from value set 2.16.840.1.113883.1.11.19447 x_ActRelationshipEntryRelationship (DYNAMIC)
@contextConductionInd
 		bl 0 … 1  
@inversionInd
 		bl 0 … 1  
@negationInd
 		bl 0 … 1  
hl7:sequenceNumber
 		INT 0 … 1
hl7:seperatableInd
 		BL 0 … 1
hl7:reference
 		0 … * Contains 2.16.840.1.113883.10.12.324 CDA Reference (DYNAMIC)
hl7:precondition
 		0 … * Contains 2.16.840.1.113883.10.12.329 CDA Precondition (DYNAMIC)
Included from 2.16.840.1.113883.10.12.303 CDA Observation (DYNAMIC)
hl7:observation
@classCode
 		1 … 1 F OBS
@moodCode
 		cs 1 … 1 R
  CONF
The value of @moodCode SHALL be drawn from value set 2.16.840.1.113883.1.11.18943 x_ActMoodDocumentObservation (DYNAMIC)
@negationInd
 		bl 0 … 1  
hl7:templateId
 		II 1 … 1
@root
 		1 … 1 F 2.16.840.1.113883.10.12.303
hl7:id
 		II 0 … *
hl7:code
 		CD 1 … 1 R
  CONF
The value of @code SHALL be drawn from value set 2.16.840.1.113883.1.11.16226 ObservationType (DYNAMIC)
hl7:derivationExpr
 		ST 0 … 1
hl7:text
 		ED 0 … 1
hl7:statusCode
 		CS 0 … 1
  CONF
The value of @code SHALL be drawn from value set 2.16.840.1.113883.1.11.15933 ActStatus (DYNAMIC)
hl7:effectiveTime
 		IVL_TS 0 … 1
hl7:priorityCode
 		CE 0 … 1
  CONF
The value of @code SHALL be drawn from value set 2.16.840.1.113883.1.11.16866 ActPriority (DYNAMIC)
hl7:repeatNumber
 		IVL_INT 0 … 1
hl7:languageCode
 		CS 0 … 1
  CONF
The value of @code SHALL be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
hl7:value
 		ANY 0 … *
hl7:interpretationCode
 		CE 0 … *
  CONF
The value of @code SHALL be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (DYNAMIC)
hl7:methodCode
 		CE 0 … *
  CONF
The value of @code SHALL be drawn from value set 2.16.840.1.113883.1.11.14079 ObservationMethod (DYNAMIC)
hl7:targetSiteCode
 		CD 0 … *
  CONF
SHALL be drawn from concept domain "ActSite"
hl7:subject
 		0 … 1 Contains 2.16.840.1.113883.10.12.320 CDA Subject (Body) (DYNAMIC)
hl7:specimen
 		0 … * Contains 2.16.840.1.113883.10.12.322 CDA Specimen (DYNAMIC)
hl7:performer
 		0 … * Contains 2.16.840.1.113883.10.12.323 CDA Performer (Body) (DYNAMIC)
hl7:author
 		0 … * Contains 2.16.840.1.113883.10.12.318 CDA Author (Body) (DYNAMIC)
hl7:informant
 		0 … * Contains 2.16.840.1.113883.10.12.319 CDA Informant (Body) (DYNAMIC)
hl7:participant
 		0 … * Contains 2.16.840.1.113883.10.12.321 CDA Participant (Body) (DYNAMIC)
hl7:entryRelationship
 		0 … * Contains 2.16.840.1.113883.10.12.300 CDA Clinical Statement (DYNAMIC)
@typeCode
 		cs 1 … 1 R
  CONF
The value of @typeCode SHALL be drawn from value set 2.16.840.1.113883.1.11.19447 x_ActRelationshipEntryRelationship (DYNAMIC)
@contextConductionInd
 		bl 0 … 1  
@inversionInd
 		bl 0 … 1  
@negationInd
 		bl 0 … 1  
hl7:sequenceNumber
 		INT 0 … 1
hl7:seperatableInd
 		BL 0 … 1
hl7:reference
 		0 … * Contains 2.16.840.1.113883.10.12.324 CDA Reference (DYNAMIC)
hl7:precondition
 		0 … * Contains 2.16.840.1.113883.10.12.329 CDA Precondition (DYNAMIC)
hl7:referenceRange
 		0 … *
@typeCode
 		1 … 1 F REFV
hl7:observationRange
 		1 … 1
@classCode
 		0 … 1 F OBS
@moodCode
 		0 … 1 F EVN.CRT
hl7:code
 		CD 0 … 1
  CONF
SHALL be drawn from concept domain "ActCode"
hl7:text
 		ED 0 … 1
hl7:value
 		ANY 0 … 1
hl7:interpretationCode
 		CE 0 … 1
  CONF
The value of @code SHALL be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (DYNAMIC)
Included from 2.16.840.1.113883.10.12.304 CDA ObservationMedia (DYNAMIC)
hl7:observationMedia
@classCode
 		1 … 1 F OBS
@moodCode
 		0 … 1 F EVN
hl7:templateId
 		II 1 … 1
@root
 		1 … 1 F 2.16.840.1.113883.10.12.304
hl7:id
 		II 0 … *
hl7:languageCode
 		CS 0 … 1
  CONF
The value of @code SHALL be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
hl7:value
 		ED 1 … 1 R
hl7:subject
 		0 … 1 Contains 2.16.840.1.113883.10.12.320 CDA Subject (Body) (DYNAMIC)
hl7:specimen
 		0 … * Contains 2.16.840.1.113883.10.12.322 CDA Specimen (DYNAMIC)
hl7:performer
 		0 … * Contains 2.16.840.1.113883.10.12.323 CDA Performer (Body) (DYNAMIC)
hl7:author
 		0 … * Contains 2.16.840.1.113883.10.12.318 CDA Author (Body) (DYNAMIC)
hl7:informant
 		0 … * Contains 2.16.840.1.113883.10.12.319 CDA Informant (Body) (DYNAMIC)
hl7:participant
 		0 … * Contains 2.16.840.1.113883.10.12.321 CDA Participant (Body) (DYNAMIC)
hl7:entryRelationship
 		0 … * Contains 2.16.840.1.113883.10.12.300 CDA Clinical Statement (DYNAMIC)
@typeCode
 		cs 1 … 1 R
  CONF
The value of @typeCode SHALL be drawn from value set 2.16.840.1.113883.1.11.19447 x_ActRelationshipEntryRelationship (DYNAMIC)
@contextConductionInd
 		bl 0 … 1  
@inversionInd
 		bl 0 … 1  
@negationInd
 		bl 0 … 1  
hl7:sequenceNumber
 		INT 0 … 1
hl7:seperatableInd
 		BL 0 … 1
hl7:reference
 		0 … * Contains 2.16.840.1.113883.10.12.324 CDA Reference (DYNAMIC)
hl7:precondition
 		0 … * Contains 2.16.840.1.113883.10.12.329 CDA Precondition (DYNAMIC)
Included from 2.16.840.1.113883.10.12.305 CDA Organizer (DYNAMIC)
hl7:organizer
@classCode
 		cs 1 … 1 R
  CONF
The value of @classCode SHALL be drawn from value set 2.16.840.1.113883.1.11.19598 x_ActClassDocumentEntryOrganizer (DYNAMIC)
@moodCode
 		0 … 1 F EVN
hl7:templateId
 		II 1 … 1
@root
 		1 … 1 F 2.16.840.1.113883.10.12.305
hl7:id
 		II 0 … *
hl7:code
 		CD 0 … 1
  CONF
SHALL be drawn from concept domain "ActCode"
hl7:statusCode
 		CS 1 … 1 R
  CONF
The value of @code SHALL be drawn from value set 2.16.840.1.113883.1.11.15933 ActStatus (DYNAMIC)
hl7:effectiveTime
 		IVL_TS 0 … 1
hl7:subject
 		0 … 1 Contains 2.16.840.1.113883.10.12.320 CDA Subject (Body) (DYNAMIC)
hl7:specimen
 		0 … * Contains 2.16.840.1.113883.10.12.322 CDA Specimen (DYNAMIC)
hl7:performer
 		0 … * Contains 2.16.840.1.113883.10.12.323 CDA Performer (Body) (DYNAMIC)
hl7:author
 		0 … * Contains 2.16.840.1.113883.10.12.318 CDA Author (Body) (DYNAMIC)
hl7:informant
 		0 … * Contains 2.16.840.1.113883.10.12.319 CDA Informant (Body) (DYNAMIC)
hl7:participant
 		0 … * Contains 2.16.840.1.113883.10.12.321 CDA Participant (Body) (DYNAMIC)
hl7:reference
 		0 … * Contains 2.16.840.1.113883.10.12.324 CDA Reference (DYNAMIC)
hl7:precondition
 		0 … * Contains 2.16.840.1.113883.10.12.329 CDA Precondition (DYNAMIC)
hl7:component
 		0 … * Contains 2.16.840.1.113883.10.12.300 CDA Clinical Statement (DYNAMIC)
@typeCode
 		0 … 1 F COMP
@contextConductionInd
 		bl 0 … 1 F true
hl7:sequenceNumber
 		INT 0 … 1
hl7:seperatableInd
 		BL 0 … 1
Included from 2.16.840.1.113883.10.12.306 CDA Procedure (DYNAMIC)
hl7:procedure
@classCode
 		1 … 1 F PROC
@moodCode
 		cs 1 … 1 R
  CONF
The value of @moodCode SHALL be drawn from value set 2.16.840.1.113883.1.11.19460 x_DocumentProcedureMood (DYNAMIC)
@negationInd
 		bl 0 … 1  
hl7:templateId
 		II 1 … 1
@root
 		1 … 1 F 2.16.840.1.113883.10.12.306
hl7:id
 		II 0 … *
hl7:code
 		CD 0 … 1
  CONF
SHALL be drawn from concept domain "ActCode"
hl7:text
 		ED 0 … 1
hl7:statusCode
 		CS 0 … 1
  CONF
The value of @code SHALL be drawn from value set 2.16.840.1.113883.1.11.15933 ActStatus (DYNAMIC)
hl7:effectiveTime
 		IVL_TS 0 … 1
hl7:priorityCode
 		CE 0 … 1
  CONF
The value of @code SHALL be drawn from value set 2.16.840.1.113883.1.11.16866 ActPriority (DYNAMIC)
hl7:languageCode
 		CS 0 … 1
  CONF
The value of @code SHALL be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
hl7:methodCode
 		CE 0 … *
  CONF
SHALL be drawn from concept domain "ObservationMethod"
hl7:approachSiteCode
 		CD 0 … *
  CONF
SHALL be drawn from concept domain "ActSite"
hl7:targetSiteCode
 		CD 0 … *
  CONF
SHALL be drawn from concept domain "ActSite"
hl7:subject
 		0 … 1 Contains 2.16.840.1.113883.10.12.320 CDA Subject (Body) (DYNAMIC)
hl7:specimen
 		0 … * Contains 2.16.840.1.113883.10.12.322 CDA Specimen (DYNAMIC)
hl7:performer
 		0 … * Contains 2.16.840.1.113883.10.12.323 CDA Performer (Body) (DYNAMIC)
hl7:author
 		0 … * Contains 2.16.840.1.113883.10.12.318 CDA Author (Body) (DYNAMIC)
hl7:informant
 		0 … * Contains 2.16.840.1.113883.10.12.319 CDA Informant (Body) (DYNAMIC)
hl7:participant
 		0 … * Contains 2.16.840.1.113883.10.12.321 CDA Participant (Body) (DYNAMIC)
hl7:entryRelationship
 		0 … * Contains 2.16.840.1.113883.10.12.300 CDA Clinical Statement (DYNAMIC)
@typeCode
 		cs 1 … 1 R
  CONF
The value of @typeCode SHALL be drawn from value set 2.16.840.1.113883.1.11.19447 x_ActRelationshipEntryRelationship (DYNAMIC)
@contextConductionInd
 		bl 0 … 1  
@inversionInd
 		bl 0 … 1  
@negationInd
 		bl 0 … 1  
hl7:sequenceNumber
 		INT 0 … 1
hl7:seperatableInd
 		BL 0 … 1
hl7:reference
 		0 … * Contains 2.16.840.1.113883.10.12.324 CDA Reference (DYNAMIC)
hl7:precondition
 		0 … * Contains 2.16.840.1.113883.10.12.329 CDA Precondition (DYNAMIC)
Included from 2.16.840.1.113883.10.12.307 CDA RegionOfInterest (DYNAMIC)
hl7:regionOfInterest
@classCode
 		1 … 1 F ROIOVL
@moodCode
 		1 … 1 F EVN
hl7:templateId
 		II 1 … 1
@root
 		1 … 1 F 2.16.840.1.113883.10.12.307
hl7:id
 		II 1 … * R
hl7:code
 		CS 1 … 1 R
  CONF
The value of @code SHALL be drawn from value set 2.16.840.1.113883.1.11.16117 ROIOverlayShape (DYNAMIC)
hl7:value
 		INT 1 … * R
hl7:subject
 		0 … 1 Contains 2.16.840.1.113883.10.12.320 CDA Subject (Body) (DYNAMIC)
hl7:specimen
 		0 … * Contains 2.16.840.1.113883.10.12.322 CDA Specimen (DYNAMIC)
hl7:performer
 		0 … * Contains 2.16.840.1.113883.10.12.323 CDA Performer (Body) (DYNAMIC)
hl7:author
 		0 … * Contains 2.16.840.1.113883.10.12.318 CDA Author (Body) (DYNAMIC)
hl7:informant
 		0 … * Contains 2.16.840.1.113883.10.12.319 CDA Informant (Body) (DYNAMIC)
hl7:participant
 		0 … * Contains 2.16.840.1.113883.10.12.321 CDA Participant (Body) (DYNAMIC)
hl7:entryRelationship
 		0 … * Contains 2.16.840.1.113883.10.12.300 CDA Clinical Statement (DYNAMIC)
@typeCode
 		cs 1 … 1 R
  CONF
The value of @typeCode SHALL be drawn from value set 2.16.840.1.113883.1.11.19447 x_ActRelationshipEntryRelationship (DYNAMIC)
@contextConductionInd
 		bl 0 … 1  
@inversionInd
 		bl 0 … 1  
@negationInd
 		bl 0 … 1  
hl7:sequenceNumber
 		INT 0 … 1
hl7:seperatableInd
 		BL 0 … 1
hl7:reference
 		0 … * Contains 2.16.840.1.113883.10.12.324 CDA Reference (DYNAMIC)
hl7:precondition
 		0 … * Contains 2.16.840.1.113883.10.12.329 CDA Precondition (DYNAMIC)
Included from 2.16.840.1.113883.10.12.308 CDA SubstanceAdministration (DYNAMIC)
hl7:substanceAdministration
@classCode
 		1 … 1 F SBADM
@moodCode
 		cs 1 … 1 R
  CONF
The value of @moodCode SHALL be drawn from value set 2.16.840.1.113883.1.11.19461 x_DocumentSubstanceMood (DYNAMIC)
@negationInd
 		bl 0 … 1  
hl7:templateId
 		II 1 … 1
@root
 		1 … 1 F 2.16.840.1.113883.10.12.308
hl7:id
 		II 0 … *
hl7:code
 		CD 0 … 1
  CONF
The value of @code SHALL be drawn from value set 2.16.840.1.113883.1.11.19708 ActSubstanceAdministrationCode (DYNAMIC)
hl7:text
 		ED 0 … 1
hl7:statusCode
 		CS 0 … 1
  CONF
The value of @code SHALL be drawn from value set 2.16.840.1.113883.1.11.15933 ActStatus (DYNAMIC)
hl7:effectiveTime
 		SXCM_TS 0 … *
hl7:priorityCode
 		CE 0 … 1
  CONF
The value of @code SHALL be drawn from value set 2.16.840.1.113883.1.11.16866 ActPriority (DYNAMIC)
hl7:repeatNumber
 		IVL_INT 0 … 1
hl7:routeCode
 		CE 0 … 1
  CONF
The value of @code SHALL be drawn from value set 2.16.840.1.113883.1.11.14581 RouteOfAdministration (DYNAMIC)
hl7:approachSiteCode
 		CD 0 … *
  CONF
SHALL be drawn from concept domain "ActSite"
hl7:doseQuantity
 		IVL_PQ 0 … 1
hl7:rateQuantity
 		IVL_PQ 0 … 1
hl7:maxDoseQuantity
 		RTO_PQ_PQ 0 … 1
hl7:administrationUnitCode
 		CE 0 … 1
  CONF
The value of @code SHALL be drawn from value set 2.16.840.1.113883.1.11.14570 AdministrableDrugForm (DYNAMIC)
hl7:subject
 		0 … 1 Contains 2.16.840.1.113883.10.12.320 CDA Subject (Body) (DYNAMIC)
hl7:specimen
 		0 … * Contains 2.16.840.1.113883.10.12.322 CDA Specimen (DYNAMIC)
hl7:consumable
 		1 … 1 Contains 2.16.840.1.113883.10.12.312 CDA ManufacturedProduct (DYNAMIC)
@typeCode
 		1 … 1 F CSM
hl7:performer
 		0 … * Contains 2.16.840.1.113883.10.12.323 CDA Performer (Body) (DYNAMIC)
hl7:author
 		0 … * Contains 2.16.840.1.113883.10.12.318 CDA Author (Body) (DYNAMIC)
hl7:informant
 		0 … * Contains 2.16.840.1.113883.10.12.319 CDA Informant (Body) (DYNAMIC)
hl7:participant
 		0 … * Contains 2.16.840.1.113883.10.12.321 CDA Participant (Body) (DYNAMIC)
hl7:entryRelationship
 		0 … * Contains 2.16.840.1.113883.10.12.300 CDA Clinical Statement (DYNAMIC)
@typeCode
 		cs 1 … 1 R
  CONF
The value of @typeCode SHALL be drawn from value set 2.16.840.1.113883.1.11.19447 x_ActRelationshipEntryRelationship (DYNAMIC)
@contextConductionInd
 		bl 0 … 1  
@inversionInd
 		bl 0 … 1  
@negationInd
 		bl 0 … 1  
hl7:sequenceNumber
 		INT 0 … 1
hl7:seperatableInd
 		BL 0 … 1
hl7:reference
 		0 … * Contains 2.16.840.1.113883.10.12.324 CDA Reference (DYNAMIC)
hl7:precondition
 		0 … * Contains 2.16.840.1.113883.10.12.329 CDA Precondition (DYNAMIC)
Included from 2.16.840.1.113883.10.12.309 CDA Supply (DYNAMIC)
hl7:supply
@classCode
 		1 … 1 F SPLY
@moodCode
 		cs 1 … 1 R
  CONF
The value of @moodCode SHALL be drawn from value set 2.16.840.1.113883.1.11.19461 x_DocumentSubstanceMood (DYNAMIC)
hl7:templateId
 		II 1 … 1
@root
 		1 … 1 F 2.16.840.1.113883.10.12.309
hl7:id
 		II 0 … *
hl7:code
 		CD 0 … 1
  CONF
SHALL be drawn from concept domain "ActCode"
hl7:text
 		ED 0 … 1
hl7:statusCode
 		CS 0 … 1
  CONF
The value of @code SHALL be drawn from value set 2.16.840.1.113883.1.11.15933 ActStatus (DYNAMIC)
hl7:effectiveTime
 		SXCM_TS 0 … *
hl7:priorityCode
 		CE 0 … *
  CONF
The value of @code SHALL be drawn from value set 2.16.840.1.113883.1.11.16866 ActPriority (DYNAMIC)
hl7:repeatNumber
 		IVL_INT 0 … 1
hl7:independentInd
 		BL 0 … 1
hl7:quantity
 		PQ 0 … 1
hl7:expectedUseTime
 		IVL_TS 0 … 1
hl7:subject
 		0 … 1 Contains 2.16.840.1.113883.10.12.320 CDA Subject (Body) (DYNAMIC)
hl7:specimen
 		0 … * Contains 2.16.840.1.113883.10.12.322 CDA Specimen (DYNAMIC)
hl7:product
 		0 … 1 R Contains 2.16.840.1.113883.10.12.312 CDA ManufacturedProduct (DYNAMIC)
@typeCode
 		0 … 1 F PRD
hl7:performer
 		0 … * Contains 2.16.840.1.113883.10.12.323 CDA Performer (Body) (DYNAMIC)
hl7:author
 		0 … * Contains 2.16.840.1.113883.10.12.318 CDA Author (Body) (DYNAMIC)
hl7:informant
 		0 … * Contains 2.16.840.1.113883.10.12.319 CDA Informant (Body) (DYNAMIC)
hl7:participant
 		0 … * Contains 2.16.840.1.113883.10.12.321 CDA Participant (Body) (DYNAMIC)
hl7:entryRelationship
 		0 … * Contains 2.16.840.1.113883.10.12.300 CDA Clinical Statement (DYNAMIC)
@typeCode
 		cs 1 … 1 R
  CONF
The value of @typeCode SHALL be drawn from value set 2.16.840.1.113883.1.11.19447 x_ActRelationshipEntryRelationship (DYNAMIC)
@contextConductionInd
 		bl 0 … 1  
@inversionInd
 		bl 0 … 1  
@negationInd
 		bl 0 … 1  
hl7:sequenceNumber
 		INT 0 … 1
hl7:seperatableInd
 		BL 0 … 1
hl7:reference
 		0 … * Contains 2.16.840.1.113883.10.12.324 CDA Reference (DYNAMIC)
hl7:precondition
 		0 … * Contains 2.16.840.1.113883.10.12.329 CDA Precondition (DYNAMIC)