Consolidated CDA Release 2.2, published by Health Level Seven. This is not an authorized publication; it is the continuous build for version 2.2). This version is based on the current content of https://github.com/HL7/CDA-ccda-2.2/ and changes regularly. See the Directory of published versions
Official URL: http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.2.7 | Version: 2.2 | |||
Active as of 2022-05-13 | Computable Name: ProceduresSectionEntriesOptional | |||
Other Identifiers: : urn:hl7ii:2.16.840.1.113883.10.20.22.2.7:2014-06-09 |
This section describes all interventional, surgical, diagnostic, or therapeutic procedures or treatments pertinent to the patient historically at the time the document is generated. The section should include notable procedures, but can contain all procedures for the period of time being summarized. The common notion of “procedure” is broader than that specified by the HL7 Version 3 Reference Information Model (RIM), therefore this section contains procedure templates represented with three RIM classes: Act, Observation, and Procedure. Procedure Activity Procedure (V2) is for procedures that alter the physical condition of a patient (e.g., splenectomy). Procedure Activity Observation (V2) is for procedures that result in new information about a patient but do not cause physical alteration (e.g., EEG). Procedure Activity Act (V2) is for all other types of procedures (e.g., dressing change).
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from CDAR2.Section
Summary
Mandatory: 8 elements (3 nested mandatory elements)
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
This structure is derived from CDAR2.Section
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Section | 1..1 | CDAR2.Section | ||
Slices for templateId | 0..* | II | Slice: Unordered, Open by value:root, value:extension | |
templateId:primary | 1..1 | II | ||
root | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.2.7 | |
extension | 1..1 | string | Required Pattern: 2014-06-09 | |
code | 1..1 | CE | ||
code | 1..1 | string | Required Pattern: 47519-4 | |
codeSystem | 1..1 | string | ||
title | 1..1 | ED | ||
text | 1..1 | xhtml | ||
Slices for entry | 0..* | Element | Slice: Unordered, Open by profile:observation | |
entry:entryProcedure | 0..* | Element | ||
procedure | 1..1 | ProcedureActivityProcedure | ||
entry:entryAct | 0..* | Element | ||
act | 1..1 | ProcedureActivityAct | ||
entry:entryObservation | 0..* | Element | ||
observation | 1..1 | ProcedureActivityObservation | ||
Documentation for this format |
This structure is derived from CDAR2.Section
Summary
Mandatory: 8 elements (3 nested mandatory elements)
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from CDAR2.Section
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Section | 1..1 | CDAR2.Section | ||
Slices for templateId | 0..* | II | Slice: Unordered, Open by value:root, value:extension | |
templateId:primary | 1..1 | II | ||
root | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.2.7 | |
extension | 1..1 | string | Required Pattern: 2014-06-09 | |
code | 1..1 | CE | ||
code | 1..1 | string | Required Pattern: 47519-4 | |
codeSystem | 1..1 | string | ||
title | 1..1 | ED | ||
text | 1..1 | xhtml | ||
Slices for entry | 0..* | Element | Slice: Unordered, Open by profile:observation | |
entry:entryProcedure | 0..* | Element | ||
procedure | 1..1 | ProcedureActivityProcedure | ||
entry:entryAct | 0..* | Element | ||
act | 1..1 | ProcedureActivityAct | ||
entry:entryObservation | 0..* | Element | ||
observation | 1..1 | ProcedureActivityObservation | ||
Documentation for this format |
Snapshot View
Other representations of profile: CSV, Excel, Schematron
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 |
Section.subject.typeCode | required | Fixed Value: SBJ |
Section.subject.contextControlCode | required | Fixed Value: OP |
Section.subject.awarenessCode | extensible | TargetAwareness |
Section.informant.typeCode | required | Fixed Value: INF |
Section.informant.contextControlCode | required | Fixed Value: OP |
Id | Grade | Path | Details | Requirements |
only-one-statement | error | Section.entry | SHALL have no more than one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer or act. : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 | |
only-one-statement | error | Section.entry:entryProcedure | SHALL have no more than one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer or act. : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 | |
only-one-statement | error | Section.entry:entryAct | SHALL have no more than one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer or act. : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 | |
only-one-statement | error | Section.entry:entryObservation | SHALL have no more than one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer or act. : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |