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
Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/PreoperativeDiagnosisSection | Version: 4.0.0-ballot | |||
Draft as of 2024-12-19 | Computable Name: PreoperativeDiagnosisSection | |||
Other Identifiers: urn:ietf:rfc:3986#Uniform Resource Identifier (URI)#urn:hl7ii:2.16.840.1.113883.10.20.22.2.34:2015-08-01 |
The Preoperative Diagnosis Section records the surgical diagnoses assigned to the patient before the surgical procedure which are the reason for the surgery. The preoperative diagnosis is, in the surgeon's opinion, the diagnosis that will be confirmed during surgery.
Usage:
Description of Template, Differentials, Snapshots and how the different presentations work.
This structure is derived from Section
Name | Flags | Card. | Type | Description & Constraints![]() |
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C | 1..1 | Section | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @ID, @classCode, @moodCode, id, code, title, text, confidentialityCode, languageCode, subject, author, informant, entry, component Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-preop-dx: SHOULD contain Preoperative Diagnosis |
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1..* | II | Slice: Unordered, Open by value:root, value:extension | |
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1..1 | II | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.2.34 | |
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1..1 | st | Required Pattern: 2015-08-01 | |
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1..1 | CE | Surgical operation note preoperative diagnosis Narrative | |
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1..1 | cs | Required Pattern: 10219-4 | |
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
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1..1 | ST | ||
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1..1 | xhtml | ||
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0..* | Entry | Slice: Unordered, Open by profile:act | |
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0..1 | Entry | ||
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1..1 | PreoperativeDiagnosis | Base for all types and resources | |
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Id | Grade | Path(s) | Details | Requirements |
should-preop-dx | warning | Section | SHOULD contain Preoperative Diagnosis : entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/PreoperativeDiagnosis')) |
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
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C | 1..1 | Section | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @ID, @classCode, @moodCode, id, code, title, text, confidentialityCode, languageCode, subject, author, informant, entry, component Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-preop-dx: SHOULD contain Preoperative Diagnosis |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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1..* | II | Slice: Unordered, Open by value:root, value:extension | |
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1..1 | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.2.34 | |
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1..1 | st | Required Pattern: 2015-08-01 | |
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0..1 | xs:ID | ||
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0..1 | cs | Binding: ActClassRecordOrganizer (required) Fixed Value: DOCSECT | |
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0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
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0..1 | II | ||
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1..1 | CE | Surgical operation note preoperative diagnosis Narrative | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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1..1 | cs | Required Pattern: 10219-4 | |
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CD | ||
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1..1 | ST | ||
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1..1 | xhtml | ||
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0..1 | CE | ||
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0..1 | CS | Binding: AllLanguages (required) | |
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0..1 | Subject | ||
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0..* | Author | ||
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0..* | Informant | ||
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0..* | Entry | Slice: Unordered, Open by profile:act | |
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0..1 | Entry | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: x_ActRelationshipEntry (required) | |
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0..1 | bl | Fixed Value: true | |
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C | 1..1 | PreoperativeDiagnosis | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value |
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0..1 | Encounter | ||
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0..1 | Observation | ||
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0..1 | ObservationMedia | ||
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0..1 | Organizer | ||
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0..1 | Procedure | ||
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0..1 | RegionOfInterest | ||
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0..1 | SubstanceAdministration | ||
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0..1 | Supply | ||
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0..* | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | Section | ||
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Path | Conformance | ValueSet / Code | URI |
Section.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.templateId:section.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.classCode | required | Fixed Value: DOCSECThttp://terminology.hl7.org/ValueSet/v3-ActClassRecordOrganizer | |
Section.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
Section.code.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard | |
Section.entry:preopDiagnosis.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.entry:preopDiagnosis.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.entry:preopDiagnosis.typeCode | required | XActRelationshipEntryhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntry | |
Section.component.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.component.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor |
Id | Grade | Path(s) | Details | Requirements |
II-1 | error | Section.typeId, Section.entry:preopDiagnosis.typeId, Section.component.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists() | |
should-preop-dx | warning | Section | SHOULD contain Preoperative Diagnosis : entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/PreoperativeDiagnosis')) | |
should-text-ref-value | warning | Section.entry:preopDiagnosis.act | SHOULD contain text/reference/@value : text.reference.value.exists() |
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
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C | 1..1 | Section | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @ID, @classCode, @moodCode, id, code, title, text, confidentialityCode, languageCode, subject, author, informant, entry, component Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-preop-dx: SHOULD contain Preoperative Diagnosis |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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1..* | II | Slice: Unordered, Open by value:root, value:extension | |
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1..1 | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.2.34 | |
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1..1 | st | Required Pattern: 2015-08-01 | |
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0..1 | xs:ID | ||
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0..1 | cs | Binding: ActClassRecordOrganizer (required) Fixed Value: DOCSECT | |
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0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
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0..1 | II | ||
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1..1 | CE | Surgical operation note preoperative diagnosis Narrative | |
![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() |
1..1 | cs | Required Pattern: 10219-4 | |
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CD | ||
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1..1 | ST | ||
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1..1 | xhtml | ||
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0..1 | CE | ||
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0..1 | CS | Binding: AllLanguages (required) | |
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0..1 | Subject | ||
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0..* | Author | ||
![]() ![]() ![]() |
0..* | Informant | ||
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0..* | Entry | Slice: Unordered, Open by profile:act | |
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0..1 | Entry | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: x_ActRelationshipEntry (required) | |
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0..1 | bl | Fixed Value: true | |
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C | 1..1 | PreoperativeDiagnosis | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value |
![]() ![]() ![]() ![]() ![]() |
0..1 | Encounter | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | Observation | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | ObservationMedia | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | Organizer | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | Procedure | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | RegionOfInterest | ||
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0..1 | SubstanceAdministration | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | Supply | ||
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0..* | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | Section | ||
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Path | Conformance | ValueSet / Code | URI |
Section.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.templateId:section.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.classCode | required | Fixed Value: DOCSECThttp://terminology.hl7.org/ValueSet/v3-ActClassRecordOrganizer | |
Section.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
Section.code.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard | |
Section.entry:preopDiagnosis.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.entry:preopDiagnosis.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.entry:preopDiagnosis.typeCode | required | XActRelationshipEntryhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntry | |
Section.component.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.component.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor |
Id | Grade | Path(s) | Details | Requirements |
II-1 | error | Section.typeId, Section.entry:preopDiagnosis.typeId, Section.component.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists() | |
should-preop-dx | warning | Section | SHOULD contain Preoperative Diagnosis : entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/PreoperativeDiagnosis')) | |
should-text-ref-value | warning | Section.entry:preopDiagnosis.act | SHOULD contain text/reference/@value : text.reference.value.exists() |
This structure is derived from Section
Summary
Mandatory: 9 elements(1 nested mandatory element)
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from Section
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
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C | 1..1 | Section | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @ID, @classCode, @moodCode, id, code, title, text, confidentialityCode, languageCode, subject, author, informant, entry, component Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-preop-dx: SHOULD contain Preoperative Diagnosis |
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1..* | II | Slice: Unordered, Open by value:root, value:extension | |
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1..1 | II | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.2.34 | |
![]() ![]() ![]() ![]() ![]() |
1..1 | st | Required Pattern: 2015-08-01 | |
![]() ![]() ![]() |
1..1 | CE | Surgical operation note preoperative diagnosis Narrative | |
![]() ![]() ![]() ![]() |
1..1 | cs | Required Pattern: 10219-4 | |
![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
![]() ![]() ![]() |
1..1 | ST | ||
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1..1 | xhtml | ||
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0..* | Entry | Slice: Unordered, Open by profile:act | |
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0..1 | Entry | ||
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1..1 | PreoperativeDiagnosis | Base for all types and resources | |
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Id | Grade | Path(s) | Details | Requirements |
should-preop-dx | warning | Section | SHOULD contain Preoperative Diagnosis : entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/PreoperativeDiagnosis')) |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
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C | 1..1 | Section | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @ID, @classCode, @moodCode, id, code, title, text, confidentialityCode, languageCode, subject, author, informant, entry, component Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-preop-dx: SHOULD contain Preoperative Diagnosis |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() |
0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() |
1..1 | st | ||
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1..* | II | Slice: Unordered, Open by value:root, value:extension | |
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1..1 | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.2.34 | |
![]() ![]() ![]() ![]() ![]() |
1..1 | st | Required Pattern: 2015-08-01 | |
![]() ![]() ![]() |
0..1 | xs:ID | ||
![]() ![]() ![]() |
0..1 | cs | Binding: ActClassRecordOrganizer (required) Fixed Value: DOCSECT | |
![]() ![]() ![]() |
0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
![]() ![]() ![]() |
0..1 | II | ||
![]() ![]() ![]() |
1..1 | CE | Surgical operation note preoperative diagnosis Narrative | |
![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() |
1..1 | cs | Required Pattern: 10219-4 | |
![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() |
0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
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0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
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0..1 | ED | ||
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0..* | CD | ||
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1..1 | ST | ||
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1..1 | xhtml | ||
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0..1 | CE | ||
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0..1 | CS | Binding: AllLanguages (required) | |
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0..1 | Subject | ||
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0..* | Author | ||
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0..* | Informant | ||
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0..* | Entry | Slice: Unordered, Open by profile:act | |
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0..1 | Entry | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Binding: x_ActRelationshipEntry (required) | |
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0..1 | bl | Fixed Value: true | |
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C | 1..1 | PreoperativeDiagnosis | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value |
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0..1 | Encounter | ||
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0..1 | Observation | ||
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0..1 | ObservationMedia | ||
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0..1 | Organizer | ||
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0..1 | Procedure | ||
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0..1 | RegionOfInterest | ||
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0..1 | SubstanceAdministration | ||
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0..1 | Supply | ||
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0..* | InfrastructureRoot | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | Section | ||
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Path | Conformance | ValueSet / Code | URI |
Section.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.templateId:section.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.classCode | required | Fixed Value: DOCSECThttp://terminology.hl7.org/ValueSet/v3-ActClassRecordOrganizer | |
Section.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
Section.code.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard | |
Section.entry:preopDiagnosis.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.entry:preopDiagnosis.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.entry:preopDiagnosis.typeCode | required | XActRelationshipEntryhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntry | |
Section.component.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.component.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor |
Id | Grade | Path(s) | Details | Requirements |
II-1 | error | Section.typeId, Section.entry:preopDiagnosis.typeId, Section.component.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists() | |
should-preop-dx | warning | Section | SHOULD contain Preoperative Diagnosis : entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/PreoperativeDiagnosis')) | |
should-text-ref-value | warning | Section.entry:preopDiagnosis.act | SHOULD contain text/reference/@value : text.reference.value.exists() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
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C | 1..1 | Section | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @ID, @classCode, @moodCode, id, code, title, text, confidentialityCode, languageCode, subject, author, informant, entry, component Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-preop-dx: SHOULD contain Preoperative Diagnosis |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..* | CS | ||
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C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
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0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() |
0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
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1..1 | st | ||
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1..* | II | Slice: Unordered, Open by value:root, value:extension | |
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1..1 | II | ||
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0..1 | cs | Binding: CDANullFlavor (required) | |
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0..1 | st | ||
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0..1 | bl | ||
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.2.34 | |
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1..1 | st | Required Pattern: 2015-08-01 | |
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0..1 | xs:ID | ||
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0..1 | cs | Binding: ActClassRecordOrganizer (required) Fixed Value: DOCSECT | |
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0..1 | cs | Binding: CDAActMood (required) Fixed Value: EVN | |
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0..1 | II | ||
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1..1 | CE | Surgical operation note preoperative diagnosis Narrative | |
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0..1 | cs | Binding: CDANullFlavor (required) | |
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1..1 | cs | Required Pattern: 10219-4 | |
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1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.6.1 | |
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0..1 | st | ||
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0..1 | st | ||
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0..1 | st | ||
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0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() |
0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
![]() ![]() ![]() ![]() |
0..1 | ED | ||
![]() ![]() ![]() ![]() |
0..* | CD | ||
![]() ![]() ![]() |
1..1 | ST | ||
![]() ![]() ![]() |
1..1 | xhtml | ||
![]() ![]() ![]() |
0..1 | CE | ||
![]() ![]() ![]() |
0..1 | CS | Binding: AllLanguages (required) | |
![]() ![]() ![]() |
0..1 | Subject | ||
![]() ![]() ![]() |
0..* | Author | ||
![]() ![]() ![]() |
0..* | Informant | ||
![]() ![]() ![]() |
0..* | Entry | Slice: Unordered, Open by profile:act | |
![]() ![]() ![]() ![]() |
0..1 | Entry | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() ![]() |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
![]() ![]() ![]() ![]() ![]() |
0..* | II | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: x_ActRelationshipEntry (required) | |
![]() ![]() ![]() ![]() ![]() |
0..1 | bl | Fixed Value: true | |
![]() ![]() ![]() ![]() ![]() |
C | 1..1 | PreoperativeDiagnosis | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value |
![]() ![]() ![]() ![]() ![]() |
0..1 | Encounter | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | Observation | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | ObservationMedia | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | Organizer | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | Procedure | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | RegionOfInterest | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | SubstanceAdministration | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | Supply | ||
![]() ![]() ![]() |
0..* | InfrastructureRoot | ||
![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() |
0..* | CS | ||
![]() ![]() ![]() ![]() |
C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
![]() ![]() ![]() ![]() ![]() |
0..1 | cs | Binding: CDANullFlavor (required) | |
![]() ![]() ![]() ![]() ![]() |
0..1 | st | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | bl | ||
![]() ![]() ![]() ![]() ![]() |
1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
![]() ![]() ![]() ![]() ![]() |
1..1 | st | ||
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0..* | II | ||
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0..1 | cs | Fixed Value: COMP | |
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0..1 | bl | Fixed Value: true | |
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1..1 | Section | ||
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Path | Conformance | ValueSet / Code | URI |
Section.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.templateId:section.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.classCode | required | Fixed Value: DOCSECThttp://terminology.hl7.org/ValueSet/v3-ActClassRecordOrganizer | |
Section.moodCode | required | Fixed Value: EVNhttp://hl7.org/cda/stds/core/ValueSet/CDAActMood | |
Section.code.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard | |
Section.entry:preopDiagnosis.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.entry:preopDiagnosis.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.entry:preopDiagnosis.typeCode | required | XActRelationshipEntryhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntry | |
Section.component.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Section.component.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor |
Id | Grade | Path(s) | Details | Requirements |
II-1 | error | Section.typeId, Section.entry:preopDiagnosis.typeId, Section.component.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists() | |
should-preop-dx | warning | Section | SHOULD contain Preoperative Diagnosis : entry.where(act.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/PreoperativeDiagnosis')) | |
should-text-ref-value | warning | Section.entry:preopDiagnosis.act | SHOULD contain text/reference/@value : text.reference.value.exists() |
This structure is derived from Section
Summary
Mandatory: 9 elements(1 nested mandatory element)
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
IG © 2019+ Health Level Seven. Package hl7.cda.us.ccda#4.0.0-ballot based on FHIR 5.0.0. Generated 2024-12-19
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