<?xml version="1.0" encoding="UTF-8"?>

<ValueSet xmlns="http://hl7.org/fhir">
  <id value="v3-xActRelationshipExternalReference"/>
  <language value="en"/>
  <text>
    <status value="extensions"/><div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en"><p class="res-header-id"><b>Generated Narrative: ValueSet v3-xActRelationshipExternalReference</b></p><a name="v3-xActRelationshipExternalReference"> </a><a name="hcv3-xActRelationshipExternalReference"> </a><a name="v3-xActRelationshipExternalReference-en-US"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Language: en</p></div><ul><li>Include these codes as defined in <a href="CodeSystem-v3-ActRelationshipType.html"><code>http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType</code></a><table class="none"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href="CodeSystem-v3-ActRelationshipType.html#v3-ActRelationshipType-ELNK">ELNK</a></td><td style="color: #cccccc">episodeLink</td><td>Expresses an association that links two instances of the same act over time, indicating that the instance are part of the same episode, e.g. linking two condition nodes for episode of illness; linking two encounters for episode of encounter.</td></tr><tr><td><a href="CodeSystem-v3-ActRelationshipType.html#v3-ActRelationshipType-REFR">REFR</a></td><td style="color: #cccccc">refers to</td><td>A relationship in which the target act is referred to by the source act. This permits a simple reference relationship that distinguishes between the referent and the referee.</td></tr><tr><td><a href="CodeSystem-v3-ActRelationshipType.html#v3-ActRelationshipType-RPLC">RPLC</a></td><td style="color: #cccccc">replaces</td><td>A replacement source act replaces an existing target act. The state of the target act being replaced becomes obselete, but the act is typically still retained in the system for historical reference. The source and target must be of the same type.</td></tr><tr><td><a href="CodeSystem-v3-ActRelationshipType.html#v3-ActRelationshipType-SPRT">SPRT</a></td><td style="color: #cccccc">has support</td><td>Used to indicate that an existing service is suggesting evidence for a new observation. The assumption of support is attributed to the same actor who asserts the observation. Source must be an observation, target may be any service (e.g., to indicate a status post).</td></tr><tr><td><a href="CodeSystem-v3-ActRelationshipType.html#v3-ActRelationshipType-SUBJ">SUBJ</a></td><td style="color: #cccccc">has subject</td><td>Relates an Act to its subject Act that the first Act is primarily concerned with.<br/><br/>Examples<br/><br/>1.  The first Act may be a ControlAct manipulating the subject Act<br/>2.  The first act is a region of interest (ROI) that defines a region within the subject Act.<br/>3.  The first act is a reporting or notification Act, that echos the subject Act for a specific new purpose.<br/><br/>Constraints<br/><br/>An Act may have multiple subject acts.<br/><br/>Rationale<br/><br/>The ActRelationshipType &quot;has subject&quot; is similar to the ParticipationType &quot;subject&quot;, Acts that primarily operate on physical subjects use the Participation, those Acts that primarily operate on other Acts (other information) use the ActRelationship.</td></tr><tr><td><a href="CodeSystem-v3-ActRelationshipType.html#v3-ActRelationshipType-XCRPT">XCRPT</a></td><td style="color: #cccccc">Excerpts</td><td>The source is an excerpt from the target.</td></tr></table></li></ul></div>
  </text>
  <extension url="http://terminology.hl7.org/StructureDefinition/ext-mif-assocConceptProp">
    <extension url="name">
      <valueString value="Name:Act:inboundRelationship:ActRelationship"/>
    </extension>
    <extension url="value">
      <valueString value="referencedBy"/>
    </extension>
  </extension>
  <extension url="http://terminology.hl7.org/StructureDefinition/ext-mif-assocConceptProp">
    <extension url="name">
      <valueString value="Name:Act:outboundRelationship:ActRelationship"/>
    </extension>
    <extension url="value">
      <valueString value="reference"/>
    </extension>
  </extension>
  <extension url="http://terminology.hl7.org/StructureDefinition/ext-mif-assocConceptProp">
    <extension url="name">
      <valueString value="Sort:Act:inboundRelationship:ActRelationship"/>
    </extension>
    <extension url="value">
      <valueString value="BG_______"/>
    </extension>
  </extension>
  <extension url="http://terminology.hl7.org/StructureDefinition/ext-mif-assocConceptProp">
    <extension url="name">
      <valueString value="Sort:Act:outboundRelationship:ActRelationship"/>
    </extension>
    <extension url="value">
      <valueString value="BG_______"/>
    </extension>
  </extension>
  <url value="http://terminology.hl7.org/ValueSet/v3-xActRelationshipExternalReference"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.1.11.19000"/>
  </identifier>
  <version value="3.0.0"/>
  <name value="XActRelationshipExternalReference"/>
  <title value="x_ActRelationshipExternalReference"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2014-03-26"/>
  <publisher value="Health Level Seven International"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.org"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="hq@HL7.org"/>
    </telecom>
  </contact>
  <description value="Used to enumerate the relationships between a CDA entry and an externally referenced act."/>
  <copyright value="This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license"/>
  <compose>
    <include>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType"/>
      <concept>
        <code value="ELNK"/>
      </concept>
      <concept>
        <code value="REFR"/>
      </concept>
      <concept>
        <code value="RPLC"/>
      </concept>
      <concept>
        <code value="SPRT"/>
      </concept>
      <concept>
        <code value="SUBJ"/>
      </concept>
      <concept>
        <code value="XCRPT"/>
      </concept>
    </include>
  </compose>
</ValueSet>