Id2.16.840.1.113883.10.20.1.20Effective Date2007‑04‑01
Statuspending Under pre-publication reviewVersion Label
NameCoverageActivityDisplay NameCoverage activity
Description
3.1.2.1.1 Coverage activity

CONF-35: A coverage activity (templateId 2.16.840.1.113883.10.20.1.20) SHALL be represented with Act.
CONF-36: The value for “Act / @classCode” in a coverage activity SHALL be “ACT” 2.16.840.1.113883.5.6 ActClass STATIC.
CONF-37: The value for “Act / @moodCode” in a coverage activity SHALL be “DEF” 2.16.840.1.113883.5.1001 ActMood STATIC.
CONF-38: A coverage activity SHALL contain at least one Act / id.
CONF-39: A coverage activity SHALL contain exactly one Act / statusCode.
CONF-40: The value for “Act / statusCode” in a coverage activity SHALL be “completed” 2.16.840.1.113883.5.14 ActStatus STATIC.
CONF-41: A coverage activity SHALL contain exactly one Act / code.
CONF-42: The value for “Act / code” in a coverage activity SHALL be “48768-6” “Payment sources” 2.16.840.1.113883.6.1 LOINC STATIC.
CONF-43: A coverage activity SHALL contain one or more Act / entryRelationship.
CONF-44: An entryRelationship in a coverage activity MAY contain exactly one entryRelationship / sequenceNumber, which serves to prioritize the payment sources.
CONF-45: The value for “Act / entryRelationship / @typeCode” in a coverage activity SHALL be “COMP” 2.16.840.1.113883.5.1002 ActRelationshipType STATIC.
CONF-46: The target of a coverage activity SHALL be a policy activity (templateId 2.16.840.1.113883.10.20.1.26).
CONF-47: A coverage activity SHALL contain one or more sources of information, as defined in section 5.2 Source.

ContextParent nodes of template element with id 2.16.840.1.113883.10.20.1.20
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 1 transaction and 2 templates, Uses 4 templates
Used by as NameVersion
2.16.840.1.113883.3.1937.777.4.4.1Transactionfinal Continuity of Care Document (CCD) (Release 1.1)2013‑01‑31
2.16.840.1.113883.10.20.1linkpending CCD v1.0 Templates Root2007‑04‑01
2.16.840.1.113883.10.20.1.9Containmentpending Payers section2007‑04‑01
Uses as NameVersion
2.16.840.1.113883.3.1937.777.4.10.3Containmentpending CCD Subject (Body)DYNAMIC
2.16.840.1.113883.3.1937.777.4.10.20Containmentpending CCD Informant (Body)DYNAMIC
2.16.840.1.113883.10.20.1.26Containmentpending Policy activityDYNAMIC
2.16.840.1.113883.10.20.1.40Containmentpending CommentDYNAMIC
RelationshipSpecialization: template 2.16.840.1.113883.10.12.301 (2005‑09‑07)
Example
Example
<entry typeCode="DRIV">
  <act classCode="ACT" moodCode="DEF">
    <templateId root="2.16.840.1.113883.10.20.1.20"/>    <!-- Coverage activity template -->
    <id root="1fe2cdd0-7aad-11db-9fe1-0800200c9a66"/>    <code code="48768-6" codeSystem="2.16.840.1.113883.6.1" displayName="Payment sources"/>    <statusCode code="completed"/>    <entryRelationship typeCode="COMP">
      <act classCode="ACT" moodCode="EVN">
        <templateId root="2.16.840.1.113883.10.20.1.26"/>        <!-- Policy activity template -->
        <id root="3e676a50-7aac-11db-9fe1-0800200c9a66"/>        <code code="EHCPOL" codeSystem="2.16.840.1.113883.5.4" displayName="Extended healthcare"/>        <statusCode code="completed"/>        <performer typeCode="PRF">
          <assignedEntity>
            <id root="329fcdf0-7ab3-11db-9fe1-0800200c9a66"/>            <representedOrganization>
              <name>Good Health Insurance</name>            </representedOrganization>          </assignedEntity>        </performer>        <participant typeCode="COV">
          <participantRole>
            <id root="14d4a520-7aae-11db-9fe1-0800200c9a66"/>            <code code="SELF" domain="RoleCode" displayName="Self"/>          </participantRole>        </participant>        <entryRelationship typeCode="REFR">
          <act classCode="ACT" moodCode="EVN">
            <templateId root="2.16.840.1.113883.10.20.1.19"/>            <!-- Authorization activity template -->
            <id root="f4dce790-8328-11db-9fe1-0800200c9a66"/>            <code nullFlavor="NA"/>            <entryRelationship typeCode="SUBJ">
              <procedure classCode="PROC" moodCode="PRMS">
                <code code="73761001" codeSystem="2.16.840.1.113883.6.96" displayName="Colonoscopy"/>              </procedure>            </entryRelationship>          </act>        </entryRelationship>      </act>    </entryRelationship>  </act></entry>
ItemDTCardConfDescriptionLabel
hl7:act
Covedotsvity
@classCode
cs1 … 1FACTCONF‑36
@moodCode
cs1 … 1FDEFCONF‑37
@negationInd
bl0 … 1 
 Schematron assertroleorange warning 
 testhl7:informant or hl7:reference[@typeCode='XCRPT'] or hl7:entryRelationship[@typeCode='REFR']/hl7:observation[@classCode='OBS'][@moodCode='EVN'][hl7:statusCode/@code='completed'][hl7:code[@code='48766-0'][@codeSystem='2.16.840.1.113883.6.1'][@displayName='Information source']][hl7:value] 
 MessageCONF-47: A coverage activity SHALL contain one or more sources of information, as defined in section 5.2 Source. 
hl7:templateId
II1 … 1MCONF‑35
@root
uid1 … 1F2.16.840.1.113883.10.20.1.20
hl7:id
II1 … *CONF‑38
hl7:code
CD1 … 1MCONF‑41 / CONF‑42
@code
CONF1 … 1F48768-6
@codeSystem
1 … 1F2.16.840.1.113883.6.1
@displayName
1 … 1FPayment source
hl7:text
ED0 … 1Covedotsvity
hl7:statusCode
CS1 … 1MCONF‑39 / CONF‑40
@code
CONF1 … 1Fcompleted
hl7:effectiveTime
IVL_TS0 … 1Covedotsvity
hl7:priorityCode
CE0 … 1Covedotsvity
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16866 ActPriority (DYNAMIC)
hl7:languageCode
CS0 … 1Covedotsvity
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
hl7:subject
0 … 1Contains 2.16.840.1.113883.3.1937.777.4.10.3 CCD Subject (Body) (DYNAMIC)Covedotsvity
hl7:informant
0 … *Contains 2.16.840.1.113883.3.1937.777.4.10.20 CCD Informant (Body) (DYNAMIC)CONF‑47
hl7:entryRelationship
1 … *MContains 2.16.840.1.113883.10.20.1.26 Policy activity (DYNAMIC)CONF‑45 / CONF‑46
@typeCode
cs1 … 1RCONF‑45
 CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19447 x_ActRelationshipEntryRelationship (DYNAMIC)
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑45 / CONF‑46
hl7:seperatableInd
BL0 … 1CONF‑45 / CONF‑46
hl7:entryRelationship
0 … *Contains 2.16.840.1.113883.10.20.1.40 Comment (DYNAMIC)CONF‑502
@typeCode
cs1 … 1R
 CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19447 x_ActRelationshipEntryRelationship (DYNAMIC)
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑502
hl7:seperatableInd
BL0 … 1CONF‑502
hl7:entryRelationship
0 … *CONF‑47
@typeCode
cs1 … 1FREFRCONF‑524
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑47
hl7:seperatableInd
BL0 … 1CONF‑47
hl7:observation
1 … 1CONF‑523 / CONF‑525
@classCode
cs0 … 1 CONF‑526
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11529 ActClassObservation (DYNAMIC)
@moodCode
cs1 … 1FEVNCONF‑527
hl7:code
CD1 … 1MCONF‑530 / CONF‑531
@code
CONF1 … 1F48766-0
@codeSystem
1 … 1F2.16.840.1.113883.6.1
@displayName
1 … 1FInformation source
hl7:statusCode
CS1 … 1MCONF‑528 / CONF‑529
@code
CONF1 … 1Fcompleted
hl7:value
1 … 1MCONF‑532 / CONF‑533
hl7:reference
0 … *CONF‑47
@typeCode
cs1 … 1FXCRPT