Consolidated CDA Release 2.1 StructureDefinition Publication
2.1 - CI Build
Consolidated CDA Release 2.1 StructureDefinition Publication
2.1 - CI Build
Consolidated CDA Release 2.1 StructureDefinition Publication, published by Health Level Seven. This is not an authorized publication; it is the continuous build for version 2.1). This version is based on the current content of https://github.com/HL7/CDA-ccda-2.1-sd/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/OperativeNoteSurgicalProcedureSection | Version: 2.1 | |||
| Draft as of 2023-09-29 | Computable Name: OperativeNoteSurgicalProcedureSection | |||
| Other Identifiers: id: urn:oid:2.16.840.1.113883.10.20.7.14 | ||||
The Operative Note Surgical Procedure Section can be used to restate the procedures performed if appropriate for an enterprise workflow. The procedure(s) performed associated with the Operative Note are formally modeled in the header using serviceEvent.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from CDAR2.Section
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Section | C | 1..1 | CDAR2.Section | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @ID, @nullFlavor, @classCode, @moodCode, templateId, id, code, title, text, confidentialityCode, languageCode, subject, author, informant, entry, component Base for all types and resources 81-8054: If the surgical procedure section is present there SHALL be text indicating the procedure performed (CONF:81-8054). |
  Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root | |
   templateId:primary | 1..1 | II | ||
  root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.7.14 | |
  extension | 0..0 | |||
| code | 1..1 | CE | ||
 code | 1..1 | cs | Required Pattern: 10223-6 | |
 codeSystem | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
| title | 1..1 | ST | ||
| text | 1..1 | xhtml | ||
| Documentation for this format | ||||
| Id | Grade | Path(s) | Details | Requirements |
| 81-8054 | warning | Section | If the surgical procedure section is present there SHALL be text indicating the procedure performed (CONF:81-8054). : |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Section | C | 1..1 | CDAR2.Section | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @ID, @nullFlavor, @classCode, @moodCode, templateId, id, code, title, text, confidentialityCode, languageCode, subject, author, informant, entry, component Base for all types and resources 81-8054: If the surgical procedure section is present there SHALL be text indicating the procedure performed (CONF:81-8054). |
| Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root | |
| templateId:primary | 1..1 | II | ||
 @root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.7.14 | |
 code | 1..1 | CE | Binding: DocumentSectionType (extensible) | |
| @code | 1..1 | cs | Required Pattern: 10223-6 | |
| @codeSystem | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
| title | 1..1 | ST | ||
| text | S | 1..1 | xhtml | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Section.code | extensible | DocumentSectionType |
| Id | Grade | Path(s) | Details | Requirements |
| 81-8054 | warning | Section | If the surgical procedure section is present there SHALL be text indicating the procedure performed (CONF:81-8054). : | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Section | C | 1..1 | CDAR2.Section | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @ID, @nullFlavor, @classCode, @moodCode, templateId, id, code, title, text, confidentialityCode, languageCode, subject, author, informant, entry, component Base for all types and resources 81-8054: If the surgical procedure section is present there SHALL be text indicating the procedure performed (CONF:81-8054). |
| @ID | 0..1 | xs:ID | ||
| @nullFlavor | 0..1 | cs | Binding: NullFlavor (required) | |
| @classCode | 0..1 | cs | Binding: ActClassRecordOrganizer (required) Fixed Value: DOCSECT | |
| @moodCode | 0..1 | cs | Binding: ActMood (required) Fixed Value: EVN | |
| Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root | |
| templateId:primary | 1..1 | II | ||
| @nullFlavor | 0..1 | cs | Binding: NullFlavor (required) | |
| @assigningAuthorityName | 0..1 | st | ||
| @displayable | 0..1 | bl | ||
| @root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.7.14 | |
| id | 0..1 | II | ||
| code | 1..1 | CE | Binding: DocumentSectionType (extensible) | |
| @nullFlavor | 0..1 | cs | Binding: NullFlavor (required) | |
| @code | 1..1 | cs | Required Pattern: 10223-6 | |
| @codeSystem | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
| @codeSystemName | 0..1 | st | ||
| @codeSystemVersion | 0..1 | st | ||
| @displayName | 0..1 | st | ||
| @sdtcValueSet | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
| @sdtcValueSetVersion | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
| originalText | 0..1 | ED | ||
| translation | 0..* | CD | ||
| title | 1..1 | ST | ||
| text | S | 1..1 | xhtml | |
| confidentialityCode | 0..1 | CE | ||
| languageCode | 0..1 | CS | Binding: HumanLanguage (required) | |
| subject | 0..1 | Subject | ||
| author | 0..* | Author | ||
| informant | 0..* | Informant | ||
| entry | 0..* | Entry | ||
 component | 0..* | InfrastructureRoot | ||
| @nullFlavor | 0..1 | cs | Binding: NullFlavor (required) | |
| realmCode | 0..* | CS | ||
| typeId | 0..1 | II | ||
| templateId | 0..* | II | ||
| @typeCode | 0..1 | cs | Fixed Value: COMP | |
| @contextConductionInd | 0..1 | bl | Fixed Value: true | |
| section | 1..1 | Section | ||
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Section.nullFlavor | required | NullFlavor |
| Section.classCode | required | Fixed Value: DOCSECT |
| Section.moodCode | required | Fixed Value: EVN |
| Section.templateId:primary.nullFlavor | required | NullFlavor |
| Section.code | extensible | DocumentSectionType |
| Section.code.nullFlavor | required | NullFlavor |
| Section.languageCode | required | HumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066) |
| Section.component.nullFlavor | required | NullFlavor |
| Id | Grade | Path(s) | Details | Requirements |
| 81-8054 | warning | Section | If the surgical procedure section is present there SHALL be text indicating the procedure performed (CONF:81-8054). : | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
This structure is derived from CDAR2.Section
Summary
Mandatory: 8 elements
Prohibited: 1 element
Slices
This structure defines the following Slices:
Differential View
This structure is derived from CDAR2.Section
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Section | C | 1..1 | CDAR2.Section | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @ID, @nullFlavor, @classCode, @moodCode, templateId, id, code, title, text, confidentialityCode, languageCode, subject, author, informant, entry, component Base for all types and resources 81-8054: If the surgical procedure section is present there SHALL be text indicating the procedure performed (CONF:81-8054). |
| Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root | |
| templateId:primary | 1..1 | II | ||
| root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.7.14 | |
| extension | 0..0 | |||
| code | 1..1 | CE | ||
| code | 1..1 | cs | Required Pattern: 10223-6 | |
| codeSystem | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
| title | 1..1 | ST | ||
| text | 1..1 | xhtml | ||
| Documentation for this format | ||||
| Id | Grade | Path(s) | Details | Requirements |
| 81-8054 | warning | Section | If the surgical procedure section is present there SHALL be text indicating the procedure performed (CONF:81-8054). : |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Section | C | 1..1 | CDAR2.Section | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @ID, @nullFlavor, @classCode, @moodCode, templateId, id, code, title, text, confidentialityCode, languageCode, subject, author, informant, entry, component Base for all types and resources 81-8054: If the surgical procedure section is present there SHALL be text indicating the procedure performed (CONF:81-8054). |
| Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root | |
| templateId:primary | 1..1 | II | ||
| @root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.7.14 | |
| code | 1..1 | CE | Binding: DocumentSectionType (extensible) | |
| @code | 1..1 | cs | Required Pattern: 10223-6 | |
| @codeSystem | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
| title | 1..1 | ST | ||
| text | S | 1..1 | xhtml | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Section.code | extensible | DocumentSectionType |
| Id | Grade | Path(s) | Details | Requirements |
| 81-8054 | warning | Section | If the surgical procedure section is present there SHALL be text indicating the procedure performed (CONF:81-8054). : | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Section | C | 1..1 | CDAR2.Section | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @ID, @nullFlavor, @classCode, @moodCode, templateId, id, code, title, text, confidentialityCode, languageCode, subject, author, informant, entry, component Base for all types and resources 81-8054: If the surgical procedure section is present there SHALL be text indicating the procedure performed (CONF:81-8054). |
| @ID | 0..1 | xs:ID | ||
| @nullFlavor | 0..1 | cs | Binding: NullFlavor (required) | |
| @classCode | 0..1 | cs | Binding: ActClassRecordOrganizer (required) Fixed Value: DOCSECT | |
| @moodCode | 0..1 | cs | Binding: ActMood (required) Fixed Value: EVN | |
| Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root | |
| templateId:primary | 1..1 | II | ||
| @nullFlavor | 0..1 | cs | Binding: NullFlavor (required) | |
| @assigningAuthorityName | 0..1 | st | ||
| @displayable | 0..1 | bl | ||
| @root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.7.14 | |
| id | 0..1 | II | ||
| code | 1..1 | CE | Binding: DocumentSectionType (extensible) | |
| @nullFlavor | 0..1 | cs | Binding: NullFlavor (required) | |
| @code | 1..1 | cs | Required Pattern: 10223-6 | |
| @codeSystem | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
| @codeSystemName | 0..1 | st | ||
| @codeSystemVersion | 0..1 | st | ||
| @displayName | 0..1 | st | ||
| @sdtcValueSet | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
| @sdtcValueSetVersion | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
| originalText | 0..1 | ED | ||
| translation | 0..* | CD | ||
| title | 1..1 | ST | ||
| text | S | 1..1 | xhtml | |
| confidentialityCode | 0..1 | CE | ||
| languageCode | 0..1 | CS | Binding: HumanLanguage (required) | |
| subject | 0..1 | Subject | ||
| author | 0..* | Author | ||
| informant | 0..* | Informant | ||
| entry | 0..* | Entry | ||
| component | 0..* | InfrastructureRoot | ||
| @nullFlavor | 0..1 | cs | Binding: NullFlavor (required) | |
| realmCode | 0..* | CS | ||
| typeId | 0..1 | II | ||
| templateId | 0..* | II | ||
| @typeCode | 0..1 | cs | Fixed Value: COMP | |
| @contextConductionInd | 0..1 | bl | Fixed Value: true | |
| section | 1..1 | Section | ||
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Section.nullFlavor | required | NullFlavor |
| Section.classCode | required | Fixed Value: DOCSECT |
| Section.moodCode | required | Fixed Value: EVN |
| Section.templateId:primary.nullFlavor | required | NullFlavor |
| Section.code | extensible | DocumentSectionType |
| Section.code.nullFlavor | required | NullFlavor |
| Section.languageCode | required | HumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066) |
| Section.component.nullFlavor | required | NullFlavor |
| Id | Grade | Path(s) | Details | Requirements |
| 81-8054 | warning | Section | If the surgical procedure section is present there SHALL be text indicating the procedure performed (CONF:81-8054). : | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
This structure is derived from CDAR2.Section
Summary
Mandatory: 8 elements
Prohibited: 1 element
Slices
This structure defines the following Slices:
IG © 2019+ Health Level Seven. Package hl7.cda.us.ccda#2.1 based on FHIR 5.0.0. Generated 2023-09-29
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