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/ProcedureSpecimensTakenSection | Version: 2.1 | |||
| Draft as of 2023-09-29 | Computable Name: ProcedureSpecimensTakenSection | |||
| Other Identifiers: id: urn:oid:2.16.840.1.113883.10.20.22.2.31 | ||||
The Procedure Specimens Taken Section records the tissues, objects, or samples taken from the patient during the procedure including biopsies, aspiration fluid, or other samples sent for pathological analysis. The narrative may include a description of the specimens.
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 81-8742: The Procedure Specimens Taken section SHALL list all specimens removed or SHALL explicitly state that no specimens were taken (CONF:81-8742). |
  Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root | |
   templateId:primary | 1..1 | II | ||
  root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.2.31 | |
  extension | 0..0 | |||
| code | 1..1 | CE | ||
 code | 1..1 | cs | Required Pattern: 59773-2 | |
 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 |
| 81-8742 | warning | Section | The Procedure Specimens Taken section SHALL list all specimens removed or SHALL explicitly state that no specimens were taken (CONF:81-8742). : |
| 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 81-8742: The Procedure Specimens Taken section SHALL list all specimens removed or SHALL explicitly state that no specimens were taken (CONF:81-8742). |
| Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root | |
| templateId:primary | 1..1 | II | ||
 @root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.2.31 | |
 code | 1..1 | CE | Binding: DocumentSectionType (extensible) | |
| @code | 1..1 | cs | Required Pattern: 59773-2 | |
| @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 |
| 81-8742 | warning | Section | The Procedure Specimens Taken section SHALL list all specimens removed or SHALL explicitly state that no specimens were taken (CONF:81-8742). : | |
| 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 81-8742: The Procedure Specimens Taken section SHALL list all specimens removed or SHALL explicitly state that no specimens were taken (CONF:81-8742). |
| @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: 2.16.840.1.113883.10.20.22.2.31 | |
| id | 0..1 | II | ||
| code | 1..1 | CE | Binding: DocumentSectionType (extensible) | |
| @nullFlavor | 0..1 | cs | Binding: NullFlavor (required) | |
| @code | 1..1 | cs | Required Pattern: 59773-2 | |
| @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 |
| 81-8742 | warning | Section | The Procedure Specimens Taken section SHALL list all specimens removed or SHALL explicitly state that no specimens were taken (CONF:81-8742). : | |
| 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 81-8742: The Procedure Specimens Taken section SHALL list all specimens removed or SHALL explicitly state that no specimens were taken (CONF:81-8742). |
| Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root | |
| templateId:primary | 1..1 | II | ||
| root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.2.31 | |
| extension | 0..0 | |||
| code | 1..1 | CE | ||
| code | 1..1 | cs | Required Pattern: 59773-2 | |
| 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 |
| 81-8742 | warning | Section | The Procedure Specimens Taken section SHALL list all specimens removed or SHALL explicitly state that no specimens were taken (CONF:81-8742). : |
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 81-8742: The Procedure Specimens Taken section SHALL list all specimens removed or SHALL explicitly state that no specimens were taken (CONF:81-8742). |
| Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root | |
| templateId:primary | 1..1 | II | ||
| @root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.2.31 | |
| code | 1..1 | CE | Binding: DocumentSectionType (extensible) | |
| @code | 1..1 | cs | Required Pattern: 59773-2 | |
| @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 |
| 81-8742 | warning | Section | The Procedure Specimens Taken section SHALL list all specimens removed or SHALL explicitly state that no specimens were taken (CONF:81-8742). : | |
| 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 81-8742: The Procedure Specimens Taken section SHALL list all specimens removed or SHALL explicitly state that no specimens were taken (CONF:81-8742). |
| @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: 2.16.840.1.113883.10.20.22.2.31 | |
| id | 0..1 | II | ||
| code | 1..1 | CE | Binding: DocumentSectionType (extensible) | |
| @nullFlavor | 0..1 | cs | Binding: NullFlavor (required) | |
| @code | 1..1 | cs | Required Pattern: 59773-2 | |
| @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 |
| 81-8742 | warning | Section | The Procedure Specimens Taken section SHALL list all specimens removed or SHALL explicitly state that no specimens were taken (CONF:81-8742). : | |
| 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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