Consolidated CDA (C-CDA), published by Health Level Seven. This guide is not an authorized publication; it is the continuous build for version 4.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/CDA-ccda/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON

Logical Model: Planned Procedure

This template is used to represent ordered procedures for a patient. A procedure is an activity that is performed on, with, or for a patient as part of the provision of care. Examples include surgical procedures, diagnostic procedures, endoscopic procedures, biopsies, counseling, physiotherapy, personal support services, adult day care services, non-emergency transportation, home modification, exercise, etc. Procedures may be performed by a healthcare professional, a service provider, a friend or relative or in some cases by the patient themselves.

Planned Procedure Usage Note: Common practice in the industry has shown that Planned Procedure is the usually implemented CDA template for any type of intervention or procedure regardless of if the "immediate and primary outcome (post-condition) is the alteration of the physical condition of the patient", or not. As a result, it is recommended to use Planned Procedure when sending procedures also thought of as "interventions" such as "Home Environment Evaluation" or "Assessment of nutritional status".

Usage:

• Use this Logical Model: Assessment and Plan Section, Nutrition Recommendation, Planned Intervention Act, Planned Procedure Section and Plan of Treatment Section

Formal Views of Template Content

Description of Template, Differentials, Snapshots and how the different presentations work.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Procedure

Name	Flags	Card.	Type	Description & Constraints
Procedure	C	1..1	Procedure	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, sdtcCategory, code, @negationInd, text, statusCode, effectiveTime, priorityCode, languageCode, methodCode, approachSiteCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, sdtcInFulfillmentOf1 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value should-sdtcCategory: SHOULD contain sdtcCategory should-effectiveTime: SHOULD contain effectiveTime should-author: SHOULD contain author
Slices for templateId		1..*	II	Slice: Unordered, Open by value:root, value:extension
templateId:planned-proc		1..1	II
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.4.41
@extension		1..1	st	Required Pattern: 2022-06-01
@classCode		1..1	cs
@moodCode		1..1	cs	Binding: Planned moodCode (Act/Encounter/Procedure) (required)
id		1..*	II
sdtcCategory		0..1	CD	Binding: US Core ServiceRequest Category Codes (preferred)
code		1..1	CD	𝗨𝗦𝗖𝗗𝗜: SDOH Interventions Binding: US Core Procedure Codes (preferred) Additional Bindings Purpose Documentation Social Determinants of Health Service Requests Preferred For Social Determinant of Planned Intervention Procedure Common LOINC Lab Codes Preferred Common Lab Tests Radiology Procedures (LOINC) Preferred Radiology Clinical Tests Preferred Clinical Test
text		0..1	ED	SHOULD reference the portion of section narrative text corresponding to this entry
reference	C	0..1	TEL	value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
statusCode		1..1	CS
@code		1..1	cs	Fixed Value: active
effectiveTime		0..1	IVL_TS	The effectiveTime in a planned procedure represents the time that the procedure should occur.
methodCode		0..*	CE	In a planned procedure the provider may suggest that a procedure should be performed using a particular method. MethodCode *SHALL NOT* conflict with the method inherent in Procedure/code.
targetSiteCode		0..*	CD	The targetSiteCode is used to identify the part of the body of concern for the planned procedure. Binding: Body Site Value Set (required)
performer		0..*	Performer2	The clinician who is expected to perform the procedure could be identified using procedure/performer.
author		0..1	AuthorParticipation	The author in a planned procedure represents the clinician who is requesting or planning the procedure.
Slices for entryRelationship		0..*	EntryRelationship	Slice: Unordered, Open by profile:act, profile:observation
entryRelationship:priorityPreference		0..*	EntryRelationship	The following entryRelationship represents the priority that a patient or a provider places on the procedure.
@typeCode		1..1	cs	Fixed Value: REFR
observation		1..1	PriorityPreference	Base for all types and resources
entryRelationship:indication		0..*	EntryRelationship	The following entryRelationship represents the indication for the procedure.
@typeCode		1..1	cs	Fixed Value: RSON
observation		1..1	Indication	Base for all types and resources
entryRelationship:instruction		0..*	EntryRelationship	The following entryRelationship captures any instructions associated with the planned procedure.
@typeCode		1..1	cs	Fixed Value: SUBJ
@inversionInd		1..1	bl	Fixed Value: true
observation		1..1	InstructionObservation	Base for all types and resources
entryRelationship:coverage		0..*	EntryRelationship	The following entryRelationship represents the insurance coverage the patient may have for the procedure.
@typeCode		1..1	cs	Fixed Value: COMP
act		1..1	PlannedCoverage	Base for all types and resources
entryRelationship:assessmentScale		0..*	EntryRelationship	When an Assessment Scale Observation is contained in a Procedure Template instance that is a Social Determinant of Health procedure, that Assessment scale **MAY** contain Assessment Scale observations that represent LOINC question and answer pairs from SDOH screening instruments.
@typeCode		1..1	cs	Fixed Value: RSON
observation		1..1	AssessmentScaleObservation	Base for all types and resources
entryRelationship:entryReference		0..*	EntryRelationship	When an Entry Reference Template is contained in a Procedure Template instance that is a Social Determinant of Health procedure, that Entry Reference **MAY** refer to Assessment Scale Observation in the same document that represent LOINC question and answer pairs from SDOH screening instruments.
@typeCode		1..1	cs	Fixed Value: RSON
act		1..1	EntryReference	Base for all types and resources
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Procedure.moodCode	required	PlannedMoodCodeActEncounterProcedure http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.23 from https://vsac.nlm.nih.gov
Procedure.sdtcCategory	preferred	USCoreServiceRequestCategoryCodes http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category
Procedure.code	preferred	USCoreProcedureCodes http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code
Procedure.targetSiteCode	required	BodySiteValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.9 from https://vsac.nlm.nih.gov

Constraints

Id	Grade	Path(s)	Details	Requirements
should-author	warning	Procedure	SHOULD contain author : author.exists()
should-effectiveTime	warning	Procedure	SHOULD contain effectiveTime : effectiveTime.exists()
should-sdtcCategory	warning	Procedure	SHOULD contain sdtcCategory : sdtcCategory.exists()
should-text-ref-value	warning	Procedure	SHOULD contain text/reference/@value : text.reference.value.exists()
value-starts-octothorpe	error	Procedure.text.reference	If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#')

Name	Flags	Card.	Type	Description & Constraints
Procedure	C	1..1	Procedure	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, sdtcCategory, code, @negationInd, text, statusCode, effectiveTime, priorityCode, languageCode, methodCode, approachSiteCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, sdtcInFulfillmentOf1 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value should-sdtcCategory: SHOULD contain sdtcCategory should-effectiveTime: SHOULD contain effectiveTime should-author: SHOULD contain author
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
Slices for templateId		1..*	II	Slice: Unordered, Open by value:root, value:extension
templateId:planned-proc		1..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.4.41
@extension		1..1	st	Required Pattern: 2022-06-01
@classCode		1..1	cs	Binding: ActClassProcedure (required) Fixed Value: PROC
@moodCode		1..1	cs	Binding: Planned moodCode (Act/Encounter/Procedure) (required)
id		1..*	II
sdtcCategory		0..1	CD	XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc) Binding: US Core ServiceRequest Category Codes (preferred)
code		1..1	CD	𝗨𝗦𝗖𝗗𝗜: SDOH Interventions Binding: US Core Procedure Codes (preferred) Additional Bindings Purpose Documentation Social Determinants of Health Service Requests Preferred For Social Determinant of Planned Intervention Procedure Common LOINC Lab Codes Preferred Common Lab Tests Radiology Procedures (LOINC) Preferred Radiology Clinical Tests Preferred Clinical Test
@negationInd		0..1	bl
text		0..1	ED	SHOULD reference the portion of section narrative text corresponding to this entry
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@compression		0..1	cs	Binding: CDACompressionAlgorithm (required)
@integrityCheck		0..1	bin
@integrityCheckAlgorithm		0..1	cs	Binding: IntegrityCheckAlgorithm (2.0.0) (required)
@language		0..1	cs
@mediaType		0..1	cs	Binding: MediaType (example)
@representation		0..1	cs	Binding: CDABinaryDataEncoding (required)
xmlText		0..1	st	Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
reference	C	0..1	TEL	value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
thumbnail		0..1	ED
statusCode		1..1	CS	Binding: ActStatus (required)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@code		1..1	cs	Fixed Value: active
@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)
effectiveTime		0..1	IVL_TS	The effectiveTime in a planned procedure represents the time that the procedure should occur.
priorityCode		0..1	CE	Binding: ActPriority (example)
languageCode		0..1	CS	Binding: AllLanguages (required)
methodCode		0..*	CE	In a planned procedure the provider may suggest that a procedure should be performed using a particular method. MethodCode *SHALL NOT* conflict with the method inherent in Procedure/code.
approachSiteCode		0..*	CD
targetSiteCode		0..*	CD	The targetSiteCode is used to identify the part of the body of concern for the planned procedure. Binding: Body Site Value Set (required)
subject		0..1	Subject
specimen		0..*	Specimen
performer		0..*	Performer2	The clinician who is expected to perform the procedure could be identified using procedure/performer.
author		0..1	AuthorParticipation	The author in a planned procedure represents the clinician who is requesting or planning the procedure.
informant		0..*	Informant
participant		0..*	Participant2
Slices for entryRelationship		0..*	EntryRelationship	Slice: Unordered, Open by profile:act, profile:observation
entryRelationship:priorityPreference		0..*	EntryRelationship	The following entryRelationship represents the priority that a patient or a provider places on the procedure.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
@inversionInd		0..1	bl
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act		0..1	Act
encounter		0..1	Encounter
observation	C	1..1	PriorityPreference	Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value should-effectiveTime: SHOULD contain effectiveTime should-author: SHOULD contain author
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
entryRelationship:indication		0..*	EntryRelationship	The following entryRelationship represents the indication for the procedure.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: RSON
@inversionInd		0..1	bl
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act		0..1	Act
encounter		0..1	Encounter
observation	C	1..1	Indication	Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value should-effectiveTime: SHOULD contain effectiveTime indication-value: If the ID element does not reference a problem recorded elsewhere in the document, then observation/value must be populated with a coded entry.
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
entryRelationship:instruction		0..*	EntryRelationship	The following entryRelationship captures any instructions associated with the planned procedure.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: SUBJ
@inversionInd		1..1	bl	Fixed Value: true
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act		0..1	Act
encounter		0..1	Encounter
observation	C	1..1	InstructionObservation	Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
entryRelationship:coverage		0..*	EntryRelationship	The following entryRelationship represents the insurance coverage the patient may have for the procedure.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: COMP
@inversionInd		0..1	bl
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act	C	1..1	PlannedCoverage	Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value
encounter		0..1	Encounter
observation		0..1	Observation
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
entryRelationship:assessmentScale		0..*	EntryRelationship	When an Assessment Scale Observation is contained in a Procedure Template instance that is a Social Determinant of Health procedure, that Assessment scale **MAY** contain Assessment Scale observations that represent LOINC question and answer pairs from SDOH screening instruments.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: RSON
@inversionInd		0..1	bl
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act		0..1	Act
encounter		0..1	Encounter
observation	C	1..1	AssessmentScaleObservation	Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
entryRelationship:entryReference		0..*	EntryRelationship	When an Entry Reference Template is contained in a Procedure Template instance that is a Social Determinant of Health procedure, that Entry Reference **MAY** refer to Assessment Scale Observation in the same document that represent LOINC question and answer pairs from SDOH screening instruments.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: RSON
@inversionInd		0..1	bl
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act	C	1..1	EntryReference	Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value
encounter		0..1	Encounter
observation		0..1	Observation
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
reference		0..*	Reference
precondition		0..*	Precondition
sdtcPrecondition2		0..*	Precondition2	XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc)
sdtcInFulfillmentOf1		0..*	InFulfillmentOf1	XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Procedure.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.templateId:planned-proc.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.classCode	required	Fixed Value: PROC http://terminology.hl7.org/ValueSet/v3-ActClassProcedure
Procedure.moodCode	required	PlannedMoodCodeActEncounterProcedure http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.23 from https://vsac.nlm.nih.gov
Procedure.sdtcCategory	preferred	USCoreServiceRequestCategoryCodes http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category
Procedure.code	preferred	USCoreProcedureCodes http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code
Procedure.text.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.text.compression	required	CDACompressionAlgorithm http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
Procedure.text.integrityCheckAlgorithm	required	IntegrityCheckAlgorithm http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
Procedure.text.mediaType	example	MediaType http://terminology.hl7.org/ValueSet/v3-MediaType
Procedure.text.representation	required	BinaryDataEncoding http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
Procedure.statusCode	required	ActStatus http://terminology.hl7.org/ValueSet/v3-ActStatus
Procedure.statusCode.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.priorityCode	example	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority
Procedure.languageCode	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard
Procedure.targetSiteCode	required	BodySiteValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.9 from https://vsac.nlm.nih.gov
Procedure.entryRelationship:priorityPreference.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:priorityPreference.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:priorityPreference.typeCode	required	Fixed Value: REFR http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:indication.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:indication.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:indication.typeCode	required	Fixed Value: RSON http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:instruction.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:instruction.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:instruction.typeCode	required	Fixed Value: SUBJ http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:coverage.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:coverage.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:coverage.typeCode	required	Fixed Value: COMP http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:assessmentScale.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:assessmentScale.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:assessmentScale.typeCode	required	Fixed Value: RSON http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:entryReference.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:entryReference.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:entryReference.typeCode	required	Fixed Value: RSON http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship

Constraints

Id	Grade	Path(s)	Details	Requirements
II-1	error	Procedure.typeId, Procedure.entryRelationship:priorityPreference.typeId, Procedure.entryRelationship:indication.typeId, Procedure.entryRelationship:instruction.typeId, Procedure.entryRelationship:coverage.typeId, Procedure.entryRelationship:assessmentScale.typeId, Procedure.entryRelationship:entryReference.typeId	An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists()
indication-value	error	Procedure.entryRelationship:indication.observation	If the ID element does not reference a problem recorded elsewhere in the document, then observation/value must be populated with a coded entry. : value.exists() or (%resource.descendants().ofType(CDA.Observation).where(id.exists($this.root = %context.id.first().root and $this.extension ~ %context.id.first().extension) and value.exists()))
should-author	warning	Procedure	SHOULD contain author : author.exists()
should-author	warning	Procedure.entryRelationship:priorityPreference.observation	SHOULD contain author : author.exists()
should-effectiveTime	warning	Procedure	SHOULD contain effectiveTime : effectiveTime.exists()
should-effectiveTime	warning	Procedure.entryRelationship:priorityPreference.observation, Procedure.entryRelationship:indication.observation	SHOULD contain effectiveTime : effectiveTime.exists()
should-sdtcCategory	warning	Procedure	SHOULD contain sdtcCategory : sdtcCategory.exists()
should-text-ref-value	warning	Procedure	SHOULD contain text/reference/@value : text.reference.value.exists()
should-text-ref-value	warning	Procedure.entryRelationship:priorityPreference.observation, Procedure.entryRelationship:indication.observation, Procedure.entryRelationship:instruction.observation, Procedure.entryRelationship:coverage.act, Procedure.entryRelationship:assessmentScale.observation, Procedure.entryRelationship:entryReference.act	SHOULD contain text/reference/@value : text.reference.value.exists()
value-starts-octothorpe	error	Procedure.text.reference	If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#')

Name	Flags	Card.	Type	Description & Constraints
Procedure	C	1..1	Procedure	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, sdtcCategory, code, @negationInd, text, statusCode, effectiveTime, priorityCode, languageCode, methodCode, approachSiteCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, sdtcInFulfillmentOf1 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value should-sdtcCategory: SHOULD contain sdtcCategory should-effectiveTime: SHOULD contain effectiveTime should-author: SHOULD contain author
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
Slices for templateId		1..*	II	Slice: Unordered, Open by value:root, value:extension
templateId:planned-proc		1..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.4.41
@extension		1..1	st	Required Pattern: 2022-06-01
@classCode		1..1	cs	Binding: ActClassProcedure (required) Fixed Value: PROC
@moodCode		1..1	cs	Binding: Planned moodCode (Act/Encounter/Procedure) (required)
id		1..*	II
sdtcCategory		0..1	CD	XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc) Binding: US Core ServiceRequest Category Codes (preferred)
code		1..1	CD	𝗨𝗦𝗖𝗗𝗜: SDOH Interventions Binding: US Core Procedure Codes (preferred) Additional Bindings Purpose Documentation Social Determinants of Health Service Requests Preferred For Social Determinant of Planned Intervention Procedure Common LOINC Lab Codes Preferred Common Lab Tests Radiology Procedures (LOINC) Preferred Radiology Clinical Tests Preferred Clinical Test
@negationInd		0..1	bl
text		0..1	ED	SHOULD reference the portion of section narrative text corresponding to this entry
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@compression		0..1	cs	Binding: CDACompressionAlgorithm (required)
@integrityCheck		0..1	bin
@integrityCheckAlgorithm		0..1	cs	Binding: IntegrityCheckAlgorithm (2.0.0) (required)
@language		0..1	cs
@mediaType		0..1	cs	Binding: MediaType (example)
@representation		0..1	cs	Binding: CDABinaryDataEncoding (required)
xmlText		0..1	st	Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
reference	C	0..1	TEL	value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
thumbnail		0..1	ED
statusCode		1..1	CS	Binding: ActStatus (required)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@code		1..1	cs	Fixed Value: active
@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)
effectiveTime		0..1	IVL_TS	The effectiveTime in a planned procedure represents the time that the procedure should occur.
priorityCode		0..1	CE	Binding: ActPriority (example)
languageCode		0..1	CS	Binding: AllLanguages (required)
methodCode		0..*	CE	In a planned procedure the provider may suggest that a procedure should be performed using a particular method. MethodCode *SHALL NOT* conflict with the method inherent in Procedure/code.
approachSiteCode		0..*	CD
targetSiteCode		0..*	CD	The targetSiteCode is used to identify the part of the body of concern for the planned procedure. Binding: Body Site Value Set (required)
subject		0..1	Subject
specimen		0..*	Specimen
performer		0..*	Performer2	The clinician who is expected to perform the procedure could be identified using procedure/performer.
author		0..1	AuthorParticipation	The author in a planned procedure represents the clinician who is requesting or planning the procedure.
informant		0..*	Informant
participant		0..*	Participant2
Slices for entryRelationship		0..*	EntryRelationship	Slice: Unordered, Open by profile:act, profile:observation
entryRelationship:priorityPreference		0..*	EntryRelationship	The following entryRelationship represents the priority that a patient or a provider places on the procedure.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
@inversionInd		0..1	bl
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act		0..1	Act
encounter		0..1	Encounter
observation	C	1..1	PriorityPreference	Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value should-effectiveTime: SHOULD contain effectiveTime should-author: SHOULD contain author
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
entryRelationship:indication		0..*	EntryRelationship	The following entryRelationship represents the indication for the procedure.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: RSON
@inversionInd		0..1	bl
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act		0..1	Act
encounter		0..1	Encounter
observation	C	1..1	Indication	Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value should-effectiveTime: SHOULD contain effectiveTime indication-value: If the ID element does not reference a problem recorded elsewhere in the document, then observation/value must be populated with a coded entry.
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
entryRelationship:instruction		0..*	EntryRelationship	The following entryRelationship captures any instructions associated with the planned procedure.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: SUBJ
@inversionInd		1..1	bl	Fixed Value: true
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act		0..1	Act
encounter		0..1	Encounter
observation	C	1..1	InstructionObservation	Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
entryRelationship:coverage		0..*	EntryRelationship	The following entryRelationship represents the insurance coverage the patient may have for the procedure.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: COMP
@inversionInd		0..1	bl
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act	C	1..1	PlannedCoverage	Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value
encounter		0..1	Encounter
observation		0..1	Observation
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
entryRelationship:assessmentScale		0..*	EntryRelationship	When an Assessment Scale Observation is contained in a Procedure Template instance that is a Social Determinant of Health procedure, that Assessment scale **MAY** contain Assessment Scale observations that represent LOINC question and answer pairs from SDOH screening instruments.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: RSON
@inversionInd		0..1	bl
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act		0..1	Act
encounter		0..1	Encounter
observation	C	1..1	AssessmentScaleObservation	Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
entryRelationship:entryReference		0..*	EntryRelationship	When an Entry Reference Template is contained in a Procedure Template instance that is a Social Determinant of Health procedure, that Entry Reference **MAY** refer to Assessment Scale Observation in the same document that represent LOINC question and answer pairs from SDOH screening instruments.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: RSON
@inversionInd		0..1	bl
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act	C	1..1	EntryReference	Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value
encounter		0..1	Encounter
observation		0..1	Observation
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
reference		0..*	Reference
precondition		0..*	Precondition
sdtcPrecondition2		0..*	Precondition2	XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc)
sdtcInFulfillmentOf1		0..*	InFulfillmentOf1	XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Procedure.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.templateId:planned-proc.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.classCode	required	Fixed Value: PROC http://terminology.hl7.org/ValueSet/v3-ActClassProcedure
Procedure.moodCode	required	PlannedMoodCodeActEncounterProcedure http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.23 from https://vsac.nlm.nih.gov
Procedure.sdtcCategory	preferred	USCoreServiceRequestCategoryCodes http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category
Procedure.code	preferred	USCoreProcedureCodes http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code
Procedure.text.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.text.compression	required	CDACompressionAlgorithm http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
Procedure.text.integrityCheckAlgorithm	required	IntegrityCheckAlgorithm http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
Procedure.text.mediaType	example	MediaType http://terminology.hl7.org/ValueSet/v3-MediaType
Procedure.text.representation	required	BinaryDataEncoding http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
Procedure.statusCode	required	ActStatus http://terminology.hl7.org/ValueSet/v3-ActStatus
Procedure.statusCode.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.priorityCode	example	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority
Procedure.languageCode	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard
Procedure.targetSiteCode	required	BodySiteValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.9 from https://vsac.nlm.nih.gov
Procedure.entryRelationship:priorityPreference.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:priorityPreference.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:priorityPreference.typeCode	required	Fixed Value: REFR http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:indication.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:indication.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:indication.typeCode	required	Fixed Value: RSON http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:instruction.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:instruction.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:instruction.typeCode	required	Fixed Value: SUBJ http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:coverage.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:coverage.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:coverage.typeCode	required	Fixed Value: COMP http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:assessmentScale.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:assessmentScale.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:assessmentScale.typeCode	required	Fixed Value: RSON http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:entryReference.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:entryReference.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:entryReference.typeCode	required	Fixed Value: RSON http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship

Constraints

Id	Grade	Path(s)	Details	Requirements
II-1	error	Procedure.typeId, Procedure.entryRelationship:priorityPreference.typeId, Procedure.entryRelationship:indication.typeId, Procedure.entryRelationship:instruction.typeId, Procedure.entryRelationship:coverage.typeId, Procedure.entryRelationship:assessmentScale.typeId, Procedure.entryRelationship:entryReference.typeId	An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists()
indication-value	error	Procedure.entryRelationship:indication.observation	If the ID element does not reference a problem recorded elsewhere in the document, then observation/value must be populated with a coded entry. : value.exists() or (%resource.descendants().ofType(CDA.Observation).where(id.exists($this.root = %context.id.first().root and $this.extension ~ %context.id.first().extension) and value.exists()))
should-author	warning	Procedure	SHOULD contain author : author.exists()
should-author	warning	Procedure.entryRelationship:priorityPreference.observation	SHOULD contain author : author.exists()
should-effectiveTime	warning	Procedure	SHOULD contain effectiveTime : effectiveTime.exists()
should-effectiveTime	warning	Procedure.entryRelationship:priorityPreference.observation, Procedure.entryRelationship:indication.observation	SHOULD contain effectiveTime : effectiveTime.exists()
should-sdtcCategory	warning	Procedure	SHOULD contain sdtcCategory : sdtcCategory.exists()
should-text-ref-value	warning	Procedure	SHOULD contain text/reference/@value : text.reference.value.exists()
should-text-ref-value	warning	Procedure.entryRelationship:priorityPreference.observation, Procedure.entryRelationship:indication.observation, Procedure.entryRelationship:instruction.observation, Procedure.entryRelationship:coverage.act, Procedure.entryRelationship:assessmentScale.observation, Procedure.entryRelationship:entryReference.act	SHOULD contain text/reference/@value : text.reference.value.exists()
value-starts-octothorpe	error	Procedure.text.reference	If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#')

This structure is derived from Procedure

Summary

Mandatory: 8 elements(7 nested mandatory elements)
Fixed: 8 elements

Structures

This structure refers to these other structures:

• Author Participation (http://hl7.org/cda/us/ccda/StructureDefinition/AuthorParticipation)
• Priority Preference (http://hl7.org/cda/us/ccda/StructureDefinition/PriorityPreference)
• Indication (http://hl7.org/cda/us/ccda/StructureDefinition/Indication)
• Instruction Observation (http://hl7.org/cda/us/ccda/StructureDefinition/InstructionObservation)
• Planned Coverage (http://hl7.org/cda/us/ccda/StructureDefinition/PlannedCoverage)
• Assessment Scale Observation (http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentScaleObservation)
• Entry Reference (http://hl7.org/cda/us/ccda/StructureDefinition/EntryReference)

Slices

This structure defines the following Slices:

• The element 2 is sliced based on the values of Procedure.templateId
• The element 2 is sliced based on the values of Procedure.entryRelationship

Differential View

This structure is derived from Procedure

Name	Flags	Card.	Type	Description & Constraints
Procedure	C	1..1	Procedure	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, sdtcCategory, code, @negationInd, text, statusCode, effectiveTime, priorityCode, languageCode, methodCode, approachSiteCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, sdtcInFulfillmentOf1 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value should-sdtcCategory: SHOULD contain sdtcCategory should-effectiveTime: SHOULD contain effectiveTime should-author: SHOULD contain author
Slices for templateId		1..*	II	Slice: Unordered, Open by value:root, value:extension
templateId:planned-proc		1..1	II
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.4.41
@extension		1..1	st	Required Pattern: 2022-06-01
@classCode		1..1	cs
@moodCode		1..1	cs	Binding: Planned moodCode (Act/Encounter/Procedure) (required)
id		1..*	II
sdtcCategory		0..1	CD	Binding: US Core ServiceRequest Category Codes (preferred)
code		1..1	CD	𝗨𝗦𝗖𝗗𝗜: SDOH Interventions Binding: US Core Procedure Codes (preferred) Additional Bindings Purpose Documentation Social Determinants of Health Service Requests Preferred For Social Determinant of Planned Intervention Procedure Common LOINC Lab Codes Preferred Common Lab Tests Radiology Procedures (LOINC) Preferred Radiology Clinical Tests Preferred Clinical Test
text		0..1	ED	SHOULD reference the portion of section narrative text corresponding to this entry
reference	C	0..1	TEL	value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
statusCode		1..1	CS
@code		1..1	cs	Fixed Value: active
effectiveTime		0..1	IVL_TS	The effectiveTime in a planned procedure represents the time that the procedure should occur.
methodCode		0..*	CE	In a planned procedure the provider may suggest that a procedure should be performed using a particular method. MethodCode *SHALL NOT* conflict with the method inherent in Procedure/code.
targetSiteCode		0..*	CD	The targetSiteCode is used to identify the part of the body of concern for the planned procedure. Binding: Body Site Value Set (required)
performer		0..*	Performer2	The clinician who is expected to perform the procedure could be identified using procedure/performer.
author		0..1	AuthorParticipation	The author in a planned procedure represents the clinician who is requesting or planning the procedure.
Slices for entryRelationship		0..*	EntryRelationship	Slice: Unordered, Open by profile:act, profile:observation
entryRelationship:priorityPreference		0..*	EntryRelationship	The following entryRelationship represents the priority that a patient or a provider places on the procedure.
@typeCode		1..1	cs	Fixed Value: REFR
observation		1..1	PriorityPreference	Base for all types and resources
entryRelationship:indication		0..*	EntryRelationship	The following entryRelationship represents the indication for the procedure.
@typeCode		1..1	cs	Fixed Value: RSON
observation		1..1	Indication	Base for all types and resources
entryRelationship:instruction		0..*	EntryRelationship	The following entryRelationship captures any instructions associated with the planned procedure.
@typeCode		1..1	cs	Fixed Value: SUBJ
@inversionInd		1..1	bl	Fixed Value: true
observation		1..1	InstructionObservation	Base for all types and resources
entryRelationship:coverage		0..*	EntryRelationship	The following entryRelationship represents the insurance coverage the patient may have for the procedure.
@typeCode		1..1	cs	Fixed Value: COMP
act		1..1	PlannedCoverage	Base for all types and resources
entryRelationship:assessmentScale		0..*	EntryRelationship	When an Assessment Scale Observation is contained in a Procedure Template instance that is a Social Determinant of Health procedure, that Assessment scale **MAY** contain Assessment Scale observations that represent LOINC question and answer pairs from SDOH screening instruments.
@typeCode		1..1	cs	Fixed Value: RSON
observation		1..1	AssessmentScaleObservation	Base for all types and resources
entryRelationship:entryReference		0..*	EntryRelationship	When an Entry Reference Template is contained in a Procedure Template instance that is a Social Determinant of Health procedure, that Entry Reference **MAY** refer to Assessment Scale Observation in the same document that represent LOINC question and answer pairs from SDOH screening instruments.
@typeCode		1..1	cs	Fixed Value: RSON
act		1..1	EntryReference	Base for all types and resources
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Procedure.moodCode	required	PlannedMoodCodeActEncounterProcedure http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.23 from https://vsac.nlm.nih.gov
Procedure.sdtcCategory	preferred	USCoreServiceRequestCategoryCodes http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category
Procedure.code	preferred	USCoreProcedureCodes http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code
Procedure.targetSiteCode	required	BodySiteValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.9 from https://vsac.nlm.nih.gov

Constraints

Id	Grade	Path(s)	Details	Requirements
should-author	warning	Procedure	SHOULD contain author : author.exists()
should-effectiveTime	warning	Procedure	SHOULD contain effectiveTime : effectiveTime.exists()
should-sdtcCategory	warning	Procedure	SHOULD contain sdtcCategory : sdtcCategory.exists()
should-text-ref-value	warning	Procedure	SHOULD contain text/reference/@value : text.reference.value.exists()
value-starts-octothorpe	error	Procedure.text.reference	If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#')

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Procedure	C	1..1	Procedure	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, sdtcCategory, code, @negationInd, text, statusCode, effectiveTime, priorityCode, languageCode, methodCode, approachSiteCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, sdtcInFulfillmentOf1 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value should-sdtcCategory: SHOULD contain sdtcCategory should-effectiveTime: SHOULD contain effectiveTime should-author: SHOULD contain author
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
Slices for templateId		1..*	II	Slice: Unordered, Open by value:root, value:extension
templateId:planned-proc		1..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.4.41
@extension		1..1	st	Required Pattern: 2022-06-01
@classCode		1..1	cs	Binding: ActClassProcedure (required) Fixed Value: PROC
@moodCode		1..1	cs	Binding: Planned moodCode (Act/Encounter/Procedure) (required)
id		1..*	II
sdtcCategory		0..1	CD	XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc) Binding: US Core ServiceRequest Category Codes (preferred)
code		1..1	CD	𝗨𝗦𝗖𝗗𝗜: SDOH Interventions Binding: US Core Procedure Codes (preferred) Additional Bindings Purpose Documentation Social Determinants of Health Service Requests Preferred For Social Determinant of Planned Intervention Procedure Common LOINC Lab Codes Preferred Common Lab Tests Radiology Procedures (LOINC) Preferred Radiology Clinical Tests Preferred Clinical Test
@negationInd		0..1	bl
text		0..1	ED	SHOULD reference the portion of section narrative text corresponding to this entry
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@compression		0..1	cs	Binding: CDACompressionAlgorithm (required)
@integrityCheck		0..1	bin
@integrityCheckAlgorithm		0..1	cs	Binding: IntegrityCheckAlgorithm (2.0.0) (required)
@language		0..1	cs
@mediaType		0..1	cs	Binding: MediaType (example)
@representation		0..1	cs	Binding: CDABinaryDataEncoding (required)
xmlText		0..1	st	Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
reference	C	0..1	TEL	value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
thumbnail		0..1	ED
statusCode		1..1	CS	Binding: ActStatus (required)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@code		1..1	cs	Fixed Value: active
@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)
effectiveTime		0..1	IVL_TS	The effectiveTime in a planned procedure represents the time that the procedure should occur.
priorityCode		0..1	CE	Binding: ActPriority (example)
languageCode		0..1	CS	Binding: AllLanguages (required)
methodCode		0..*	CE	In a planned procedure the provider may suggest that a procedure should be performed using a particular method. MethodCode *SHALL NOT* conflict with the method inherent in Procedure/code.
approachSiteCode		0..*	CD
targetSiteCode		0..*	CD	The targetSiteCode is used to identify the part of the body of concern for the planned procedure. Binding: Body Site Value Set (required)
subject		0..1	Subject
specimen		0..*	Specimen
performer		0..*	Performer2	The clinician who is expected to perform the procedure could be identified using procedure/performer.
author		0..1	AuthorParticipation	The author in a planned procedure represents the clinician who is requesting or planning the procedure.
informant		0..*	Informant
participant		0..*	Participant2
Slices for entryRelationship		0..*	EntryRelationship	Slice: Unordered, Open by profile:act, profile:observation
entryRelationship:priorityPreference		0..*	EntryRelationship	The following entryRelationship represents the priority that a patient or a provider places on the procedure.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
@inversionInd		0..1	bl
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act		0..1	Act
encounter		0..1	Encounter
observation	C	1..1	PriorityPreference	Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value should-effectiveTime: SHOULD contain effectiveTime should-author: SHOULD contain author
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
entryRelationship:indication		0..*	EntryRelationship	The following entryRelationship represents the indication for the procedure.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: RSON
@inversionInd		0..1	bl
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act		0..1	Act
encounter		0..1	Encounter
observation	C	1..1	Indication	Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value should-effectiveTime: SHOULD contain effectiveTime indication-value: If the ID element does not reference a problem recorded elsewhere in the document, then observation/value must be populated with a coded entry.
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
entryRelationship:instruction		0..*	EntryRelationship	The following entryRelationship captures any instructions associated with the planned procedure.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: SUBJ
@inversionInd		1..1	bl	Fixed Value: true
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act		0..1	Act
encounter		0..1	Encounter
observation	C	1..1	InstructionObservation	Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
entryRelationship:coverage		0..*	EntryRelationship	The following entryRelationship represents the insurance coverage the patient may have for the procedure.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: COMP
@inversionInd		0..1	bl
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act	C	1..1	PlannedCoverage	Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value
encounter		0..1	Encounter
observation		0..1	Observation
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
entryRelationship:assessmentScale		0..*	EntryRelationship	When an Assessment Scale Observation is contained in a Procedure Template instance that is a Social Determinant of Health procedure, that Assessment scale **MAY** contain Assessment Scale observations that represent LOINC question and answer pairs from SDOH screening instruments.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: RSON
@inversionInd		0..1	bl
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act		0..1	Act
encounter		0..1	Encounter
observation	C	1..1	AssessmentScaleObservation	Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
entryRelationship:entryReference		0..*	EntryRelationship	When an Entry Reference Template is contained in a Procedure Template instance that is a Social Determinant of Health procedure, that Entry Reference **MAY** refer to Assessment Scale Observation in the same document that represent LOINC question and answer pairs from SDOH screening instruments.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: RSON
@inversionInd		0..1	bl
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act	C	1..1	EntryReference	Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value
encounter		0..1	Encounter
observation		0..1	Observation
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
reference		0..*	Reference
precondition		0..*	Precondition
sdtcPrecondition2		0..*	Precondition2	XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc)
sdtcInFulfillmentOf1		0..*	InFulfillmentOf1	XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Procedure.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.templateId:planned-proc.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.classCode	required	Fixed Value: PROC http://terminology.hl7.org/ValueSet/v3-ActClassProcedure
Procedure.moodCode	required	PlannedMoodCodeActEncounterProcedure http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.23 from https://vsac.nlm.nih.gov
Procedure.sdtcCategory	preferred	USCoreServiceRequestCategoryCodes http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category
Procedure.code	preferred	USCoreProcedureCodes http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code
Procedure.text.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.text.compression	required	CDACompressionAlgorithm http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
Procedure.text.integrityCheckAlgorithm	required	IntegrityCheckAlgorithm http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
Procedure.text.mediaType	example	MediaType http://terminology.hl7.org/ValueSet/v3-MediaType
Procedure.text.representation	required	BinaryDataEncoding http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
Procedure.statusCode	required	ActStatus http://terminology.hl7.org/ValueSet/v3-ActStatus
Procedure.statusCode.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.priorityCode	example	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority
Procedure.languageCode	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard
Procedure.targetSiteCode	required	BodySiteValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.9 from https://vsac.nlm.nih.gov
Procedure.entryRelationship:priorityPreference.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:priorityPreference.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:priorityPreference.typeCode	required	Fixed Value: REFR http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:indication.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:indication.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:indication.typeCode	required	Fixed Value: RSON http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:instruction.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:instruction.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:instruction.typeCode	required	Fixed Value: SUBJ http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:coverage.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:coverage.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:coverage.typeCode	required	Fixed Value: COMP http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:assessmentScale.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:assessmentScale.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:assessmentScale.typeCode	required	Fixed Value: RSON http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:entryReference.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:entryReference.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:entryReference.typeCode	required	Fixed Value: RSON http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship

Constraints

Id	Grade	Path(s)	Details	Requirements
II-1	error	Procedure.typeId, Procedure.entryRelationship:priorityPreference.typeId, Procedure.entryRelationship:indication.typeId, Procedure.entryRelationship:instruction.typeId, Procedure.entryRelationship:coverage.typeId, Procedure.entryRelationship:assessmentScale.typeId, Procedure.entryRelationship:entryReference.typeId	An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists()
indication-value	error	Procedure.entryRelationship:indication.observation	If the ID element does not reference a problem recorded elsewhere in the document, then observation/value must be populated with a coded entry. : value.exists() or (%resource.descendants().ofType(CDA.Observation).where(id.exists($this.root = %context.id.first().root and $this.extension ~ %context.id.first().extension) and value.exists()))
should-author	warning	Procedure	SHOULD contain author : author.exists()
should-author	warning	Procedure.entryRelationship:priorityPreference.observation	SHOULD contain author : author.exists()
should-effectiveTime	warning	Procedure	SHOULD contain effectiveTime : effectiveTime.exists()
should-effectiveTime	warning	Procedure.entryRelationship:priorityPreference.observation, Procedure.entryRelationship:indication.observation	SHOULD contain effectiveTime : effectiveTime.exists()
should-sdtcCategory	warning	Procedure	SHOULD contain sdtcCategory : sdtcCategory.exists()
should-text-ref-value	warning	Procedure	SHOULD contain text/reference/@value : text.reference.value.exists()
should-text-ref-value	warning	Procedure.entryRelationship:priorityPreference.observation, Procedure.entryRelationship:indication.observation, Procedure.entryRelationship:instruction.observation, Procedure.entryRelationship:coverage.act, Procedure.entryRelationship:assessmentScale.observation, Procedure.entryRelationship:entryReference.act	SHOULD contain text/reference/@value : text.reference.value.exists()
value-starts-octothorpe	error	Procedure.text.reference	If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#')

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Procedure	C	1..1	Procedure	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, sdtcCategory, code, @negationInd, text, statusCode, effectiveTime, priorityCode, languageCode, methodCode, approachSiteCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, sdtcInFulfillmentOf1 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value should-sdtcCategory: SHOULD contain sdtcCategory should-effectiveTime: SHOULD contain effectiveTime should-author: SHOULD contain author
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
Slices for templateId		1..*	II	Slice: Unordered, Open by value:root, value:extension
templateId:planned-proc		1..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.4.41
@extension		1..1	st	Required Pattern: 2022-06-01
@classCode		1..1	cs	Binding: ActClassProcedure (required) Fixed Value: PROC
@moodCode		1..1	cs	Binding: Planned moodCode (Act/Encounter/Procedure) (required)
id		1..*	II
sdtcCategory		0..1	CD	XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc) Binding: US Core ServiceRequest Category Codes (preferred)
code		1..1	CD	𝗨𝗦𝗖𝗗𝗜: SDOH Interventions Binding: US Core Procedure Codes (preferred) Additional Bindings Purpose Documentation Social Determinants of Health Service Requests Preferred For Social Determinant of Planned Intervention Procedure Common LOINC Lab Codes Preferred Common Lab Tests Radiology Procedures (LOINC) Preferred Radiology Clinical Tests Preferred Clinical Test
@negationInd		0..1	bl
text		0..1	ED	SHOULD reference the portion of section narrative text corresponding to this entry
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@compression		0..1	cs	Binding: CDACompressionAlgorithm (required)
@integrityCheck		0..1	bin
@integrityCheckAlgorithm		0..1	cs	Binding: IntegrityCheckAlgorithm (2.0.0) (required)
@language		0..1	cs
@mediaType		0..1	cs	Binding: MediaType (example)
@representation		0..1	cs	Binding: CDABinaryDataEncoding (required)
xmlText		0..1	st	Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
reference	C	0..1	TEL	value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
thumbnail		0..1	ED
statusCode		1..1	CS	Binding: ActStatus (required)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@code		1..1	cs	Fixed Value: active
@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)
effectiveTime		0..1	IVL_TS	The effectiveTime in a planned procedure represents the time that the procedure should occur.
priorityCode		0..1	CE	Binding: ActPriority (example)
languageCode		0..1	CS	Binding: AllLanguages (required)
methodCode		0..*	CE	In a planned procedure the provider may suggest that a procedure should be performed using a particular method. MethodCode *SHALL NOT* conflict with the method inherent in Procedure/code.
approachSiteCode		0..*	CD
targetSiteCode		0..*	CD	The targetSiteCode is used to identify the part of the body of concern for the planned procedure. Binding: Body Site Value Set (required)
subject		0..1	Subject
specimen		0..*	Specimen
performer		0..*	Performer2	The clinician who is expected to perform the procedure could be identified using procedure/performer.
author		0..1	AuthorParticipation	The author in a planned procedure represents the clinician who is requesting or planning the procedure.
informant		0..*	Informant
participant		0..*	Participant2
Slices for entryRelationship		0..*	EntryRelationship	Slice: Unordered, Open by profile:act, profile:observation
entryRelationship:priorityPreference		0..*	EntryRelationship	The following entryRelationship represents the priority that a patient or a provider places on the procedure.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR
@inversionInd		0..1	bl
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act		0..1	Act
encounter		0..1	Encounter
observation	C	1..1	PriorityPreference	Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value should-effectiveTime: SHOULD contain effectiveTime should-author: SHOULD contain author
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
entryRelationship:indication		0..*	EntryRelationship	The following entryRelationship represents the indication for the procedure.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: RSON
@inversionInd		0..1	bl
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act		0..1	Act
encounter		0..1	Encounter
observation	C	1..1	Indication	Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value should-effectiveTime: SHOULD contain effectiveTime indication-value: If the ID element does not reference a problem recorded elsewhere in the document, then observation/value must be populated with a coded entry.
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
entryRelationship:instruction		0..*	EntryRelationship	The following entryRelationship captures any instructions associated with the planned procedure.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: SUBJ
@inversionInd		1..1	bl	Fixed Value: true
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act		0..1	Act
encounter		0..1	Encounter
observation	C	1..1	InstructionObservation	Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
entryRelationship:coverage		0..*	EntryRelationship	The following entryRelationship represents the insurance coverage the patient may have for the procedure.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: COMP
@inversionInd		0..1	bl
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act	C	1..1	PlannedCoverage	Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value
encounter		0..1	Encounter
observation		0..1	Observation
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
entryRelationship:assessmentScale		0..*	EntryRelationship	When an Assessment Scale Observation is contained in a Procedure Template instance that is a Social Determinant of Health procedure, that Assessment scale **MAY** contain Assessment Scale observations that represent LOINC question and answer pairs from SDOH screening instruments.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: RSON
@inversionInd		0..1	bl
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act		0..1	Act
encounter		0..1	Encounter
observation	C	1..1	AssessmentScaleObservation	Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
entryRelationship:entryReference		0..*	EntryRelationship	When an Entry Reference Template is contained in a Procedure Template instance that is a Social Determinant of Health procedure, that Entry Reference **MAY** refer to Assessment Scale Observation in the same document that represent LOINC question and answer pairs from SDOH screening instruments.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: RSON
@inversionInd		0..1	bl
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act	C	1..1	EntryReference	Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value
encounter		0..1	Encounter
observation		0..1	Observation
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
reference		0..*	Reference
precondition		0..*	Precondition
sdtcPrecondition2		0..*	Precondition2	XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc)
sdtcInFulfillmentOf1		0..*	InFulfillmentOf1	XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Procedure.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.templateId:planned-proc.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.classCode	required	Fixed Value: PROC http://terminology.hl7.org/ValueSet/v3-ActClassProcedure
Procedure.moodCode	required	PlannedMoodCodeActEncounterProcedure http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.23 from https://vsac.nlm.nih.gov
Procedure.sdtcCategory	preferred	USCoreServiceRequestCategoryCodes http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category
Procedure.code	preferred	USCoreProcedureCodes http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code
Procedure.text.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.text.compression	required	CDACompressionAlgorithm http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
Procedure.text.integrityCheckAlgorithm	required	IntegrityCheckAlgorithm http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
Procedure.text.mediaType	example	MediaType http://terminology.hl7.org/ValueSet/v3-MediaType
Procedure.text.representation	required	BinaryDataEncoding http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
Procedure.statusCode	required	ActStatus http://terminology.hl7.org/ValueSet/v3-ActStatus
Procedure.statusCode.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.priorityCode	example	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority
Procedure.languageCode	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard
Procedure.targetSiteCode	required	BodySiteValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.9 from https://vsac.nlm.nih.gov
Procedure.entryRelationship:priorityPreference.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:priorityPreference.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:priorityPreference.typeCode	required	Fixed Value: REFR http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:indication.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:indication.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:indication.typeCode	required	Fixed Value: RSON http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:instruction.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:instruction.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:instruction.typeCode	required	Fixed Value: SUBJ http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:coverage.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:coverage.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:coverage.typeCode	required	Fixed Value: COMP http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:assessmentScale.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:assessmentScale.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:assessmentScale.typeCode	required	Fixed Value: RSON http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:entryReference.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:entryReference.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:entryReference.typeCode	required	Fixed Value: RSON http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship

Constraints

Id	Grade	Path(s)	Details	Requirements
II-1	error	Procedure.typeId, Procedure.entryRelationship:priorityPreference.typeId, Procedure.entryRelationship:indication.typeId, Procedure.entryRelationship:instruction.typeId, Procedure.entryRelationship:coverage.typeId, Procedure.entryRelationship:assessmentScale.typeId, Procedure.entryRelationship:entryReference.typeId	An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists()
indication-value	error	Procedure.entryRelationship:indication.observation	If the ID element does not reference a problem recorded elsewhere in the document, then observation/value must be populated with a coded entry. : value.exists() or (%resource.descendants().ofType(CDA.Observation).where(id.exists($this.root = %context.id.first().root and $this.extension ~ %context.id.first().extension) and value.exists()))
should-author	warning	Procedure	SHOULD contain author : author.exists()
should-author	warning	Procedure.entryRelationship:priorityPreference.observation	SHOULD contain author : author.exists()
should-effectiveTime	warning	Procedure	SHOULD contain effectiveTime : effectiveTime.exists()
should-effectiveTime	warning	Procedure.entryRelationship:priorityPreference.observation, Procedure.entryRelationship:indication.observation	SHOULD contain effectiveTime : effectiveTime.exists()
should-sdtcCategory	warning	Procedure	SHOULD contain sdtcCategory : sdtcCategory.exists()
should-text-ref-value	warning	Procedure	SHOULD contain text/reference/@value : text.reference.value.exists()
should-text-ref-value	warning	Procedure.entryRelationship:priorityPreference.observation, Procedure.entryRelationship:indication.observation, Procedure.entryRelationship:instruction.observation, Procedure.entryRelationship:coverage.act, Procedure.entryRelationship:assessmentScale.observation, Procedure.entryRelationship:entryReference.act	SHOULD contain text/reference/@value : text.reference.value.exists()
value-starts-octothorpe	error	Procedure.text.reference	If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#')

This structure is derived from Procedure

Summary

Mandatory: 8 elements(7 nested mandatory elements)
Fixed: 8 elements

Structures

This structure refers to these other structures:

• Author Participation (http://hl7.org/cda/us/ccda/StructureDefinition/AuthorParticipation)
• Priority Preference (http://hl7.org/cda/us/ccda/StructureDefinition/PriorityPreference)
• Indication (http://hl7.org/cda/us/ccda/StructureDefinition/Indication)
• Instruction Observation (http://hl7.org/cda/us/ccda/StructureDefinition/InstructionObservation)
• Planned Coverage (http://hl7.org/cda/us/ccda/StructureDefinition/PlannedCoverage)
• Assessment Scale Observation (http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentScaleObservation)
• Entry Reference (http://hl7.org/cda/us/ccda/StructureDefinition/EntryReference)

Slices

This structure defines the following Slices:

• The element 2 is sliced based on the values of Procedure.templateId
• The element 2 is sliced based on the values of Procedure.entryRelationship