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/ProcedureActivityProcedure | Version: 4.0.0-ballot | |||
Draft as of 2024-12-19 | Computable Name: ProcedureActivityProcedure | |||
Other Identifiers: urn:ietf:rfc:3986#Uniform Resource Identifier (URI)#urn:hl7ii:2.16.840.1.113883.10.20.22.4.14:2024-05-01 |
This template is used to represent the details of current and historical procedures performed on or 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.
Usage:
Description of Template, Differentials, Snapshots and how the different presentations work.
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 active-high-ts-after-document: If the procedure is active and contains a high effectiveTime, this time SHALL be after the ClinicalDocument/effectiveTime should-targetSiteCode: SHOULD contain targetSiteCode should-performer: SHOULD contain performer should-author: SHOULD contain author | ||||||
Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root, value:extension | |||||||
templateId:procedure | 1..1 | II | ||||||||
@root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.14 | |||||||
@extension | 1..1 | st | Required Pattern: 2024-05-01 | |||||||
@classCode | 1..1 | cs | ||||||||
@moodCode | 1..1 | cs | Fixed Value: EVN | |||||||
id | 1..* | II | ||||||||
code | C | 1..1 | CD | 𝗨𝗦𝗖𝗗𝗜: SDOH Interventions Binding: US Core Procedure Codes (preferred)
should-otext-ref-value: SHOULD contain originalText/reference/@value | ||||||
originalText | 0..1 | ED | SHOULD reference the portion of narrative corresponding to this code | |||||||
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 | ||||||
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 | ||||||||
@nullFlavor | 0..0 | |||||||||
@code | 1..1 | cs | Binding: ProcedureAct statusCode (required) | |||||||
effectiveTime | C | 1..1 | USRealmDateTimeInterval | 𝗨𝗦𝗖𝗗𝗜: Performance Time should-value: SHOULD contain value ts-value-before-document: Time value must be equal to or before ClinicalDocument/effectiveTime | ||||||
@value | 0..1 | ts | Indicates historical procedure or an instance of a procedure where precision may be only a date or even a year. | |||||||
low | C | 0..1 | IVXB_TS | Indicates when a procedure started ts-value-before-document: Time value must be equal to or before ClinicalDocument/effectiveTime | ||||||
high | 0..1 | IVXB_TS | Indicates when a procedure ended. If the statusCode='active', this must be after the ClinicalDcument/effectiveTime | |||||||
priorityCode | 0..1 | CE | Binding: ActPriority (required) | |||||||
methodCode | 0..1 | CE | MethodCode **SHALL NOT** conflict with the method inherent in Procedure / code (CONF:4515-7890). | |||||||
targetSiteCode | 0..* | CD | In the case of an implanted medical device, targetSiteCode is used to record the location of the device, in or on the patient's body. Binding: Body Site Value Set (required) | |||||||
specimen | 0..* | Specimen | This specimen is for representing specimens obtained from a procedure (CONF:4515-16842). | |||||||
specimenRole | C | 1..1 | SpecimenRole | should-id: SHOULD contain id | ||||||
id | 0..* | II | If you want to indicate that the Procedure and the Results are referring to the same specimen, the Procedure/specimen/specimenRole/id **SHOULD** be set to equal an Organizer/specimen/specimenRole/id (CONF:4515-29744). | |||||||
performer | 0..* | Performer2 | ||||||||
assignedEntity | C | 1..1 | AssignedEntity | should-assignedPerson: SHOULD contain assignedPerson should-representedOrganization: SHOULD contain representedOrganization | ||||||
id | 1..* | II | ||||||||
addr | 1..* | USRealmAddress | Base for all types and resources | |||||||
telecom | 1..* | TEL | ||||||||
assignedPerson | 0..1 | Person | ||||||||
name | 1..* | USRealmPersonNamePNUSFIELDED | Base for all types and resources | |||||||
representedOrganization | C | 0..1 | Organization | should-id: SHOULD contain id | ||||||
id | 0..* | II | ||||||||
name | 0..* | ON | ||||||||
telecom | 1..* | TEL | ||||||||
addr | 1..* | USRealmAddress | Base for all types and resources | |||||||
author | 0..* | AuthorParticipation | Base for all types and resources | |||||||
Slices for participant | 0..* | Participant2 | Slice: Unordered, Open by value:typeCode | |||||||
participant:productInstance | 0..* | Participant2 | participant | |||||||
@typeCode | 1..1 | cs | Fixed Value: DEV | |||||||
participantRole | 1..1 | ProductInstance | Base for all types and resources | |||||||
participant:serviceDeliveryLocation | 0..* | Participant2 | participant | |||||||
@typeCode | 1..1 | cs | Fixed Value: LOC | |||||||
participantRole | 1..1 | ServiceDeliveryLocation | Base for all types and resources | |||||||
Slices for entryRelationship | 0..* | EntryRelationship | Slice: Unordered, Open by profile:act, profile:observation, profile:substanceAdministration, exists:encounter | |||||||
entryRelationship:encounter | 0..* | EntryRelationship | entryRelationship | |||||||
@typeCode | 1..1 | cs | Fixed Value: COMP | |||||||
@inversionInd | 1..1 | bl | Fixed Value: true | |||||||
encounter | 1..1 | Encounter | ||||||||
@classCode | 1..1 | cs | ||||||||
@moodCode | 1..1 | cs | Fixed Value: EVN | |||||||
id | 1..1 | II | Set the encounter ID to the ID of an encounter in another section to signify they are the same encounter (CONF:4515-16843). | |||||||
entryRelationship:instruction | 0..1 | EntryRelationship | entryRelationship | |||||||
@typeCode | 1..1 | cs | Fixed Value: SUBJ | |||||||
@inversionInd | 1..1 | bl | Fixed Value: true | |||||||
encounter | 0..0 | |||||||||
observation | 1..1 | InstructionObservation | Base for all types and resources | |||||||
entryRelationship:indication | 0..* | EntryRelationship | entryRelationship | |||||||
@typeCode | 1..1 | cs | Fixed Value: RSON | |||||||
encounter | 0..0 | |||||||||
observation | 1..1 | Indication | Base for all types and resources | |||||||
entryRelationship:medication | 0..* | EntryRelationship | entryRelationship | |||||||
@typeCode | 1..1 | cs | Fixed Value: COMP | |||||||
encounter | 0..0 | |||||||||
substanceAdministration | 1..1 | MedicationActivity | Base for all types and resources | |||||||
entryRelationship:reaction | 0..* | EntryRelationship | entryRelationship | |||||||
@typeCode | 1..1 | cs | Fixed Value: COMP | |||||||
encounter | 0..0 | |||||||||
observation | 1..1 | ReactionObservation | Base for all types and resources | |||||||
entryRelationship:assessmentScaleObs | 0..* | EntryRelationship | When an Assessment Scale Observation is contained in a Procedure Template instance that is a Social Determinant of Health intervention 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 | |||||||
encounter | 0..0 | |||||||||
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 | |||||||
encounter | 0..0 | |||||||||
Documentation for this format |
Path | Conformance | ValueSet | URI |
Procedure.code | preferred | USCoreProcedureCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code | |
Procedure.statusCode.code | required | ProcedureActStatusCode http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.22 | |
Procedure.priorityCode | required | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
Procedure.targetSiteCode | required | BodySiteValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.9 |
Id | Grade | Path(s) | Details | Requirements |
active-high-ts-after-document | error | Procedure | If the procedure is active and contains a high effectiveTime, this time SHALL be after the ClinicalDocument/effectiveTime : (statusCode.code = 'active' and effectiveTime.high.value.exists()) implies effectiveTime.high.value > %resource.effectiveTime.value | |
should-assignedPerson | warning | Procedure.performer.assignedEntity | SHOULD contain assignedPerson : assignedPerson.exists() | |
should-author | warning | Procedure | SHOULD contain author : author.exists() | |
should-id | warning | Procedure.specimen.specimenRole, Procedure.performer.assignedEntity.representedOrganization | SHOULD contain id : id.exists() | |
should-otext-ref-value | warning | Procedure.code | SHOULD contain originalText/reference/@value : originalText.reference.value.exists() | |
should-performer | warning | Procedure | SHOULD contain performer : performer.exists() | |
should-representedOrganization | warning | Procedure.performer.assignedEntity | SHOULD contain representedOrganization : representedOrganization.exists() | |
should-targetSiteCode | warning | Procedure | SHOULD contain targetSiteCode : targetSiteCode.exists() | |
should-text-ref-value | warning | Procedure | SHOULD contain text/reference/@value : text.reference.value.exists() | |
should-value | warning | Procedure.effectiveTime | SHOULD contain value : value.exists() | |
ts-value-before-document | error | Procedure.effectiveTime, Procedure.effectiveTime.low | Time value must be equal to or before ClinicalDocument/effectiveTime : value.exists() implies value <= %resource.effectiveTime.value | |
value-starts-octothorpe | error | Procedure.code.originalText.reference, 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 active-high-ts-after-document: If the procedure is active and contains a high effectiveTime, this time SHALL be after the ClinicalDocument/effectiveTime should-targetSiteCode: SHOULD contain targetSiteCode should-performer: SHOULD contain performer 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:procedure | 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: 2.16.840.1.113883.10.20.22.4.14 | |||||||
@extension | 1..1 | st | Required Pattern: 2024-05-01 | |||||||
@classCode | 1..1 | cs | Binding: ActClassProcedure (required) Fixed Value: PROC | |||||||
@moodCode | 1..1 | cs | Binding: x_DocumentProcedureMood (required) Fixed Value: EVN | |||||||
id | 1..* | II | ||||||||
sdtcCategory | 0..* | CD | XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc) | |||||||
code | C | 1..1 | CD | 𝗨𝗦𝗖𝗗𝗜: SDOH Interventions Binding: US Core Procedure Codes (preferred)
should-otext-ref-value: SHOULD contain originalText/reference/@value | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@code | 0..1 | cs | ||||||||
@codeSystem | 0..1 | oid, uuid, ruid | ||||||||
@codeSystemName | 0..1 | st | ||||||||
@codeSystemVersion | 0..1 | st | ||||||||
@displayName | 0..1 | st | ||||||||
@sdtcValueSet | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |||||||
@sdtcValueSetVersion | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |||||||
originalText | 0..1 | ED | SHOULD reference the portion of narrative corresponding to this code | |||||||
@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 | ||||||||
qualifier | 0..* | CR | ||||||||
translation | 0..* | CD | ||||||||
@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) | |||||||
@code | 1..1 | cs | Binding: ProcedureAct statusCode (required) | |||||||
@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 | C | 1..1 | USRealmDateTimeInterval | 𝗨𝗦𝗖𝗗𝗜: Performance Time ivl-ts-center: Center cannot co-exist with low or high ivl-value-shall: If a time interval contains @value, then it shall be precise to at least the day. ivl-value-should: If a time interval contains @value, then it SHOULD contain a time component. should-value: SHOULD contain value ts-value-before-document: Time value must be equal to or before ClinicalDocument/effectiveTime | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | ts | Indicates historical procedure or an instance of a procedure where precision may be only a date or even a year. Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |||||||
@operator | 0..1 | cs | Binding: CDASetOperator (required) | |||||||
low | C | 0..1 | IVXB_TS | Indicates when a procedure started ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute ts-value-before-document: Time value must be equal to or before ClinicalDocument/effectiveTime | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |||||||
@inclusive | 0..1 | bl | ||||||||
center | 0..1 | TS | ||||||||
width | 0..1 | PQ | ||||||||
high | C | 0..1 | IVXB_TS | Indicates when a procedure ended. If the statusCode='active', this must be after the ClinicalDcument/effectiveTime ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |||||||
@inclusive | 0..1 | bl | ||||||||
priorityCode | 0..1 | CE | Binding: ActPriority (required) | |||||||
languageCode | 0..1 | CS | Binding: AllLanguages (required) | |||||||
methodCode | 0..1 | CE | MethodCode **SHALL NOT** conflict with the method inherent in Procedure / code (CONF:4515-7890). | |||||||
approachSiteCode | 0..* | CD | ||||||||
targetSiteCode | 0..* | CD | In the case of an implanted medical device, targetSiteCode is used to record the location of the device, in or on the patient's body. Binding: Body Site Value Set (required) | |||||||
subject | 0..1 | Subject | ||||||||
specimen | 0..* | Specimen | This specimen is for representing specimens obtained from a procedure (CONF:4515-16842). | |||||||
@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 | 0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: SPC | |||||||
specimenRole | C | 1..1 | SpecimenRole | should-id: SHOULD contain id | ||||||
@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 | ||||||||
@classCode | 0..1 | cs | Binding: RoleClassSpecimen (required) Fixed Value: SPEC | |||||||
id | 0..* | II | If you want to indicate that the Procedure and the Results are referring to the same specimen, the Procedure/specimen/specimenRole/id **SHOULD** be set to equal an Organizer/specimen/specimenRole/id (CONF:4515-29744). | |||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
specimenPlayingEntity | 0..1 | PlayingEntity | ||||||||
performer | 0..* | Performer2 | ||||||||
@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 | 0..1 | cs | Binding: ParticipationPhysicalPerformer (required) Fixed Value: PRF | |||||||
sdtcFunctionCode | 0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: functionCode (urn:hl7-org:sdtc) | |||||||
time | 0..1 | IVL_TS | ||||||||
modeCode | 0..1 | CE | ||||||||
assignedEntity | C | 1..1 | AssignedEntity | should-assignedPerson: SHOULD contain assignedPerson should-representedOrganization: SHOULD contain representedOrganization | ||||||
@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 | ||||||||
@classCode | 0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |||||||
id | 1..* | II | ||||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
code | 0..1 | CE | Binding: CDARoleCode (example) | |||||||
addr | C | 1..* | USRealmAddress | Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country | ||||||
telecom | 1..* | TEL | ||||||||
assignedPerson | 0..1 | Person | ||||||||
@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 | ||||||||
@classCode | 0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
name | C | 1..* | USRealmPersonNamePNUSFIELDED | Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). | ||||||
sdtcDesc | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |||||||
sdtcAsPatientRelationship | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |||||||
@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 | ||||||||
@classCode | 1..1 | cs | Fixed Value: PRS | |||||||
@determinerCode | 0..1 | cs | Fixed Value: INSTANCE | |||||||
code | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
representedOrganization | C | 0..1 | Organization | should-id: SHOULD contain id | ||||||
@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 | ||||||||
@classCode | 0..1 | cs | Binding: EntityClassOrganization (required) Fixed Value: ORG | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
id | 0..* | II | ||||||||
name | 0..* | ON | ||||||||
telecom | 1..* | TEL | ||||||||
addr | C | 1..* | USRealmAddress | Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country | ||||||
standardIndustryClassCode | 0..1 | CE | Binding: OrganizationIndustryClassNAICS (example) | |||||||
asOrganizationPartOf | 0..1 | OrganizationPartOf | ||||||||
sdtcPatient | 0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |||||||
id | 1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
author | 0..* | AuthorParticipation | Base for all types and resources | |||||||
informant | 0..* | Informant | ||||||||
Slices for participant | 0..* | Participant2 | Slice: Unordered, Open by value:typeCode | |||||||
participant:productInstance | 0..* | Participant2 | participant | |||||||
@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: CDAParticipationType (required) Fixed Value: DEV | |||||||
@contextControlCode | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |||||||
sdtcFunctionCode | 0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: functionCode (urn:hl7-org:sdtc) | |||||||
time | 0..1 | IVL_TS | ||||||||
awarenessCode | 0..1 | CE | ||||||||
participantRole | C | 1..1 | ProductInstance | Base for all types and resources role-choice: playingDevice and playingEntity are mutually exclusive | ||||||
participant:serviceDeliveryLocation | 0..* | Participant2 | participant | |||||||
@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: CDAParticipationType (required) Fixed Value: LOC | |||||||
@contextControlCode | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |||||||
sdtcFunctionCode | 0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: functionCode (urn:hl7-org:sdtc) | |||||||
time | 0..1 | IVL_TS | ||||||||
awarenessCode | 0..1 | CE | ||||||||
participantRole | C | 1..1 | ServiceDeliveryLocation | Base for all types and resources role-choice: playingDevice and playingEntity are mutually exclusive should-addr: SHOULD contain addr should-telecom: SHOULD contain telecom | ||||||
Slices for entryRelationship | 0..* | EntryRelationship | Slice: Unordered, Open by profile:act, profile:observation, profile:substanceAdministration, exists:encounter | |||||||
entryRelationship:encounter | 0..* | EntryRelationship | entryRelationship | |||||||
@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 | 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 | 1..1 | Encounter | ||||||||
@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 | ||||||||
@classCode | 1..1 | cs | Binding: CDAActClass (required) Fixed Value: ENC | |||||||
@moodCode | 1..1 | cs | Binding: XDocumentEncounterMood (2.0.0) (required) Fixed Value: EVN | |||||||
id | 1..1 | II | Set the encounter ID to the ID of an encounter in another section to signify they are the same encounter (CONF:4515-16843). | |||||||
code | 0..1 | CD | Binding: ActEncounterCode (example) | |||||||
text | 0..1 | ED | ||||||||
statusCode | 0..1 | CS | Binding: ActStatus (required) | |||||||
effectiveTime | 0..1 | IVL_TS | ||||||||
sdtcDischargeDispositionCode | 0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: dischargeDispositionCode (urn:hl7-org:sdtc) | |||||||
priorityCode | 0..1 | CE | Binding: ActPriority (example) | |||||||
subject | 0..1 | Subject | ||||||||
specimen | 0..* | Specimen | ||||||||
performer | 0..* | Performer2 | ||||||||
author | 0..* | Author | ||||||||
informant | 0..* | Informant | ||||||||
participant | 0..* | Participant2 | ||||||||
entryRelationship | 0..* | EntryRelationship | ||||||||
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) | |||||||
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:instruction | 0..1 | EntryRelationship | entryRelationship | |||||||
@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 | ||||||||
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:indication | 0..* | EntryRelationship | entryRelationship | |||||||
@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 | ||||||||
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:medication | 0..* | EntryRelationship | entryRelationship | |||||||
@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 | 0..1 | Act | ||||||||
observation | 0..1 | Observation | ||||||||
observationMedia | 0..1 | ObservationMedia | ||||||||
organizer | 0..1 | Organizer | ||||||||
procedure | 0..1 | Procedure | ||||||||
regionOfInterest | 0..1 | RegionOfInterest | ||||||||
substanceAdministration | C | 1..1 | MedicationActivity | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value 1098-7513: SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-7513) such that it **SHALL** contain exactly one [1..1] @xsi:type="PIVL_TS" or "EIVL_TS" (CONF:1098-28499). should-routeCode: SHOULD contain routeCode dose-unit-or-admin-unit: If doseQuantity/@unit is present, then administrationUnitCode SHALL NOT be present. should-author: SHOULD contain author | ||||||
supply | 0..1 | Supply | ||||||||
entryRelationship:reaction | 0..* | EntryRelationship | entryRelationship | |||||||
@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 | 0..1 | Act | ||||||||
observation | C | 1..1 | ReactionObservation | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value should-effectiveTime: SHOULD contain effectiveTime | ||||||
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:assessmentScaleObs | 0..* | EntryRelationship | When an Assessment Scale Observation is contained in a Procedure Template instance that is a Social Determinant of Health intervention 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 | ||||||||
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 | ||||||
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 |
Path | Conformance | ValueSet / Code | URI |
Procedure.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.templateId:procedure.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.classCode | required | Fixed Value: PROChttp://terminology.hl7.org/ValueSet/v3-ActClassProcedure | |
Procedure.moodCode | required | Fixed Value: EVNhttp://terminology.hl7.org/ValueSet/v3-xDocumentProcedureMood | |
Procedure.code | preferred | USCoreProcedureCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code | |
Procedure.code.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.code.originalText.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.code.originalText.compression | required | CDACompressionAlgorithmhttp://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm | |
Procedure.code.originalText.integrityCheckAlgorithm | required | IntegrityCheckAlgorithmhttp://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0 | |
Procedure.code.originalText.mediaType | example | MediaTypehttp://terminology.hl7.org/ValueSet/v3-MediaType | |
Procedure.code.originalText.representation | required | BinaryDataEncodinghttp://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding | |
Procedure.text.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.text.compression | required | CDACompressionAlgorithmhttp://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm | |
Procedure.text.integrityCheckAlgorithm | required | IntegrityCheckAlgorithmhttp://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0 | |
Procedure.text.mediaType | example | MediaTypehttp://terminology.hl7.org/ValueSet/v3-MediaType | |
Procedure.text.representation | required | BinaryDataEncodinghttp://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding | |
Procedure.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
Procedure.statusCode.code | required | ProcedureActStatusCode http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.22 | |
Procedure.effectiveTime.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.effectiveTime.operator | required | CDASetOperatorhttp://hl7.org/cda/stds/core/ValueSet/CDASetOperator | |
Procedure.effectiveTime.low.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.effectiveTime.high.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.priorityCode | required | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
Procedure.languageCode | required | AllLanguageshttp://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 | |
Procedure.specimen.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.specimen.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.specimen.typeCode | required | Fixed Value: SPChttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
Procedure.specimen.specimenRole.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.specimen.specimenRole.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.specimen.specimenRole.classCode | required | Fixed Value: SPEChttp://terminology.hl7.org/ValueSet/v3-RoleClassSpecimen | |
Procedure.performer.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.performer.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.performer.typeCode | required | Fixed Value: PRFhttp://terminology.hl7.org/ValueSet/v3-ParticipationPhysicalPerformer | |
Procedure.performer.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.performer.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.performer.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
Procedure.performer.assignedEntity.code | example | CDARoleCodehttp://hl7.org/cda/stds/core/ValueSet/CDARoleCode | |
Procedure.performer.assignedEntity.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.performer.assignedEntity.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.performer.assignedEntity.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
Procedure.performer.assignedEntity.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.performer.assignedEntity.representedOrganization.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.performer.assignedEntity.representedOrganization.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.performer.assignedEntity.representedOrganization.classCode | required | Fixed Value: ORGhttp://terminology.hl7.org/ValueSet/v3-EntityClassOrganization | |
Procedure.performer.assignedEntity.representedOrganization.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
Procedure.performer.assignedEntity.representedOrganization.standardIndustryClassCode | example | OrganizationIndustryClassNAICShttp://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS | |
Procedure.participant:productInstance.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.participant:productInstance.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.participant:productInstance.typeCode | required | Fixed Value: DEVhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
Procedure.participant:productInstance.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
Procedure.participant:serviceDeliveryLocation.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.participant:serviceDeliveryLocation.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.participant:serviceDeliveryLocation.typeCode | required | Fixed Value: LOChttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
Procedure.participant:serviceDeliveryLocation.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
Procedure.entryRelationship:encounter.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:encounter.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:encounter.typeCode | required | Fixed Value: COMPhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Procedure.entryRelationship:encounter.encounter.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:encounter.encounter.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:encounter.encounter.classCode | required | Fixed Value: ENChttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
Procedure.entryRelationship:encounter.encounter.moodCode | required | Fixed Value: EVNhttp://terminology.hl7.org/ValueSet/v3-xDocumentEncounterMood|2.0.0 | |
Procedure.entryRelationship:encounter.encounter.code | example | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | |
Procedure.entryRelationship:encounter.encounter.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
Procedure.entryRelationship:encounter.encounter.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
Procedure.entryRelationship:instruction.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:instruction.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:instruction.typeCode | required | Fixed Value: SUBJhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Procedure.entryRelationship:indication.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:indication.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:indication.typeCode | required | Fixed Value: RSONhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Procedure.entryRelationship:medication.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:medication.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:medication.typeCode | required | Fixed Value: COMPhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Procedure.entryRelationship:reaction.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:reaction.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:reaction.typeCode | required | Fixed Value: COMPhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Procedure.entryRelationship:assessmentScaleObs.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:assessmentScaleObs.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:assessmentScaleObs.typeCode | required | Fixed Value: RSONhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Procedure.entryRelationship:entryReference.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:entryReference.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:entryReference.typeCode | required | Fixed Value: RSONhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship |
Id | Grade | Path(s) | Details | Requirements |
1098-7513 | warning | Procedure.entryRelationship:medication.substanceAdministration | SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-7513) such that it **SHALL** contain exactly one [1..1] @xsi:type="PIVL_TS" or "EIVL_TS" (CONF:1098-28499). : effectiveTime.ofType(CDA.PIVL_TS).exists() or effectiveTime.ofType(CDA.EIVL_TS).exists() | |
81-7296 | error | Procedure.performer.assignedEntity.addr, Procedure.performer.assignedEntity.representedOrganization.addr | **SHALL NOT** have mixed content except for white space (CONF:81-7296) : item.xmlText.empty() | |
81-9371 | error | Procedure.performer.assignedEntity.assignedPerson.name | The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). : conformsTo('http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPatientNamePTNUSFIELDED') or item.xmlText.exists() | |
81-9372 | error | Procedure.performer.assignedEntity.assignedPerson.name | The string **SHALL NOT** contain name parts (CONF:81-9372). : item.xmlText.exists() implies (item.delimiter | item.family | item.given | item.prefix | item.suffix).empty() | |
81-10024 | error | Procedure.performer.assignedEntity.addr, Procedure.performer.assignedEntity.representedOrganization.addr | If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state')) | |
81-10025 | error | Procedure.performer.assignedEntity.addr, Procedure.performer.assignedEntity.representedOrganization.addr | If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?')) | |
II-1 | error | Procedure.typeId, Procedure.specimen.typeId, Procedure.specimen.specimenRole.typeId, Procedure.performer.typeId, Procedure.performer.assignedEntity.typeId, Procedure.performer.assignedEntity.assignedPerson.typeId, Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, Procedure.performer.assignedEntity.representedOrganization.typeId, Procedure.participant:productInstance.typeId, Procedure.participant:serviceDeliveryLocation.typeId, Procedure.entryRelationship:encounter.typeId, Procedure.entryRelationship:encounter.encounter.typeId, Procedure.entryRelationship:instruction.typeId, Procedure.entryRelationship:indication.typeId, Procedure.entryRelationship:medication.typeId, Procedure.entryRelationship:reaction.typeId, Procedure.entryRelationship:assessmentScaleObs.typeId, Procedure.entryRelationship:entryReference.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists() | |
active-high-ts-after-document | error | Procedure | If the procedure is active and contains a high effectiveTime, this time SHALL be after the ClinicalDocument/effectiveTime : (statusCode.code = 'active' and effectiveTime.high.value.exists()) implies effectiveTime.high.value > %resource.effectiveTime.value | |
dose-unit-or-admin-unit | error | Procedure.entryRelationship:medication.substanceAdministration | If doseQuantity/@unit is present, then administrationUnitCode SHALL NOT be present. : doseQuantity.unit.exists() implies administrationUnitCode.empty() | |
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 $this.extension ~ %context.id.first().extension) and value.exists())) | |
ivl-ts-center | error | Procedure.effectiveTime | Center cannot co-exist with low or high : center.empty() or (low.empty() and high.empty()) | |
ivl-value-shall | error | Procedure.effectiveTime | If a time interval contains @value, then it shall be precise to at least the day. : value.exists() implies value.toString().length() >= 10 | |
ivl-value-should | warning | Procedure.effectiveTime | If a time interval contains @value, then it SHOULD contain a time component. : value.exists() implies value.toString().length() > 10 | |
pn-no-ls | error | Procedure.performer.assignedEntity.assignedPerson.name | No PN name part may have a qualifier of LS. : (item.delimiter | item.family | item.given | item.prefix | item.suffix).where(qualifier.where($this = 'LS').exists()).empty() | |
role-choice | error | Procedure.participant:productInstance.participantRole, Procedure.participant:serviceDeliveryLocation.participantRole | playingDevice and playingEntity are mutually exclusive : (playingDevice | playingEntity).count() <= 1 | |
shall-city | error | Procedure.performer.assignedEntity.addr, Procedure.performer.assignedEntity.representedOrganization.addr | SHALL contain exactly one [1..1] city (CONF:81-7292). : nullFlavor.exists() or item.city.count() = 1 | |
shall-max-ad-parts | error | Procedure.performer.assignedEntity.addr, Procedure.performer.assignedEntity.representedOrganization.addr | SHALL have at most one of each: state, city, postalCode, and country : (item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1) | |
shall-streetAddressLine | error | Procedure.performer.assignedEntity.addr, Procedure.performer.assignedEntity.representedOrganization.addr | SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). : nullFlavor.exists() or (item.streetAddressLine.count() >= 1 and item.streetAddressLine.count() <= 4) | |
should-addr | warning | Procedure.participant:serviceDeliveryLocation.participantRole | SHOULD contain addr : addr.exists() | |
should-assignedPerson | warning | Procedure.performer.assignedEntity | SHOULD contain assignedPerson : assignedPerson.exists() | |
should-author | warning | Procedure | SHOULD contain author : author.exists() | |
should-author | warning | Procedure.entryRelationship:medication.substanceAdministration | SHOULD contain author : author.exists() | |
should-country | warning | Procedure.performer.assignedEntity.addr, Procedure.performer.assignedEntity.representedOrganization.addr | SHOULD contain country : nullFlavor.exists() or item.country.exists() | |
should-effectiveTime | warning | Procedure.entryRelationship:indication.observation, Procedure.entryRelationship:reaction.observation | SHOULD contain effectiveTime : effectiveTime.exists() | |
should-id | warning | Procedure.specimen.specimenRole, Procedure.performer.assignedEntity.representedOrganization | SHOULD contain id : id.exists() | |
should-otext-ref-value | warning | Procedure.code | SHOULD contain originalText/reference/@value : originalText.reference.value.exists() | |
should-performer | warning | Procedure | SHOULD contain performer : performer.exists() | |
should-representedOrganization | warning | Procedure.performer.assignedEntity | SHOULD contain representedOrganization : representedOrganization.exists() | |
should-routeCode | warning | Procedure.entryRelationship:medication.substanceAdministration | SHOULD contain routeCode : routeCode.exists() | |
should-targetSiteCode | warning | Procedure | SHOULD contain targetSiteCode : targetSiteCode.exists() | |
should-telecom | warning | Procedure.participant:serviceDeliveryLocation.participantRole | SHOULD contain telecom : telecom.exists() | |
should-text-ref-value | warning | Procedure | SHOULD contain text/reference/@value : text.reference.value.exists() | |
should-text-ref-value | warning | Procedure.entryRelationship:instruction.observation, Procedure.entryRelationship:indication.observation, Procedure.entryRelationship:medication.substanceAdministration, Procedure.entryRelationship:reaction.observation, Procedure.entryRelationship:assessmentScaleObs.observation, Procedure.entryRelationship:entryReference.act | SHOULD contain text/reference/@value : text.reference.value.exists() | |
should-use | warning | Procedure.performer.assignedEntity.addr, Procedure.performer.assignedEntity.representedOrganization.addr | SHOULD contain @use : nullFlavor.exists() or use.exists() | |
should-value | warning | Procedure.effectiveTime | SHOULD contain value : value.exists() | |
ts-shall-day | error | Procedure.effectiveTime.low, Procedure.effectiveTime.high | **SHALL** be precise to at least the day : nullFlavor.exists() or value.toString().length() >= 10 | |
ts-should-minute | warning | Procedure.effectiveTime.low, Procedure.effectiveTime.high | **SHOULD** be precise to at least the minute : nullFlavor.exists() or value.toString().length() > 10 | |
ts-value-before-document | error | Procedure.effectiveTime, Procedure.effectiveTime.low | Time value must be equal to or before ClinicalDocument/effectiveTime : value.exists() implies value <= %resource.effectiveTime.value | |
value-starts-octothorpe | error | Procedure.code.originalText.reference, 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 active-high-ts-after-document: If the procedure is active and contains a high effectiveTime, this time SHALL be after the ClinicalDocument/effectiveTime should-targetSiteCode: SHOULD contain targetSiteCode should-performer: SHOULD contain performer 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:procedure | 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: 2.16.840.1.113883.10.20.22.4.14 | |||||||
@extension | 1..1 | st | Required Pattern: 2024-05-01 | |||||||
@classCode | 1..1 | cs | Binding: ActClassProcedure (required) Fixed Value: PROC | |||||||
@moodCode | 1..1 | cs | Binding: x_DocumentProcedureMood (required) Fixed Value: EVN | |||||||
id | 1..* | II | ||||||||
sdtcCategory | 0..* | CD | XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc) | |||||||
code | C | 1..1 | CD | 𝗨𝗦𝗖𝗗𝗜: SDOH Interventions Binding: US Core Procedure Codes (preferred)
should-otext-ref-value: SHOULD contain originalText/reference/@value | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@code | 0..1 | cs | ||||||||
@codeSystem | 0..1 | oid, uuid, ruid | ||||||||
@codeSystemName | 0..1 | st | ||||||||
@codeSystemVersion | 0..1 | st | ||||||||
@displayName | 0..1 | st | ||||||||
@sdtcValueSet | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |||||||
@sdtcValueSetVersion | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |||||||
originalText | 0..1 | ED | SHOULD reference the portion of narrative corresponding to this code | |||||||
@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 | ||||||||
qualifier | 0..* | CR | ||||||||
translation | 0..* | CD | ||||||||
@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) | |||||||
@code | 1..1 | cs | Binding: ProcedureAct statusCode (required) | |||||||
@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 | C | 1..1 | USRealmDateTimeInterval | 𝗨𝗦𝗖𝗗𝗜: Performance Time ivl-ts-center: Center cannot co-exist with low or high ivl-value-shall: If a time interval contains @value, then it shall be precise to at least the day. ivl-value-should: If a time interval contains @value, then it SHOULD contain a time component. should-value: SHOULD contain value ts-value-before-document: Time value must be equal to or before ClinicalDocument/effectiveTime | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | ts | Indicates historical procedure or an instance of a procedure where precision may be only a date or even a year. Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |||||||
@operator | 0..1 | cs | Binding: CDASetOperator (required) | |||||||
low | C | 0..1 | IVXB_TS | Indicates when a procedure started ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute ts-value-before-document: Time value must be equal to or before ClinicalDocument/effectiveTime | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |||||||
@inclusive | 0..1 | bl | ||||||||
center | 0..1 | TS | ||||||||
width | 0..1 | PQ | ||||||||
high | C | 0..1 | IVXB_TS | Indicates when a procedure ended. If the statusCode='active', this must be after the ClinicalDcument/effectiveTime ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |||||||
@inclusive | 0..1 | bl | ||||||||
priorityCode | 0..1 | CE | Binding: ActPriority (required) | |||||||
languageCode | 0..1 | CS | Binding: AllLanguages (required) | |||||||
methodCode | 0..1 | CE | MethodCode **SHALL NOT** conflict with the method inherent in Procedure / code (CONF:4515-7890). | |||||||
approachSiteCode | 0..* | CD | ||||||||
targetSiteCode | 0..* | CD | In the case of an implanted medical device, targetSiteCode is used to record the location of the device, in or on the patient's body. Binding: Body Site Value Set (required) | |||||||
subject | 0..1 | Subject | ||||||||
specimen | 0..* | Specimen | This specimen is for representing specimens obtained from a procedure (CONF:4515-16842). | |||||||
@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 | 0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: SPC | |||||||
specimenRole | C | 1..1 | SpecimenRole | should-id: SHOULD contain id | ||||||
@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 | ||||||||
@classCode | 0..1 | cs | Binding: RoleClassSpecimen (required) Fixed Value: SPEC | |||||||
id | 0..* | II | If you want to indicate that the Procedure and the Results are referring to the same specimen, the Procedure/specimen/specimenRole/id **SHOULD** be set to equal an Organizer/specimen/specimenRole/id (CONF:4515-29744). | |||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
specimenPlayingEntity | 0..1 | PlayingEntity | ||||||||
performer | 0..* | Performer2 | ||||||||
@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 | 0..1 | cs | Binding: ParticipationPhysicalPerformer (required) Fixed Value: PRF | |||||||
sdtcFunctionCode | 0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: functionCode (urn:hl7-org:sdtc) | |||||||
time | 0..1 | IVL_TS | ||||||||
modeCode | 0..1 | CE | ||||||||
assignedEntity | C | 1..1 | AssignedEntity | should-assignedPerson: SHOULD contain assignedPerson should-representedOrganization: SHOULD contain representedOrganization | ||||||
@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 | ||||||||
@classCode | 0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |||||||
id | 1..* | II | ||||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
code | 0..1 | CE | Binding: CDARoleCode (example) | |||||||
addr | C | 1..* | USRealmAddress | Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country | ||||||
telecom | 1..* | TEL | ||||||||
assignedPerson | 0..1 | Person | ||||||||
@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 | ||||||||
@classCode | 0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
name | C | 1..* | USRealmPersonNamePNUSFIELDED | Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). | ||||||
sdtcDesc | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |||||||
sdtcAsPatientRelationship | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |||||||
@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 | ||||||||
@classCode | 1..1 | cs | Fixed Value: PRS | |||||||
@determinerCode | 0..1 | cs | Fixed Value: INSTANCE | |||||||
code | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
representedOrganization | C | 0..1 | Organization | should-id: SHOULD contain id | ||||||
@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 | ||||||||
@classCode | 0..1 | cs | Binding: EntityClassOrganization (required) Fixed Value: ORG | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
id | 0..* | II | ||||||||
name | 0..* | ON | ||||||||
telecom | 1..* | TEL | ||||||||
addr | C | 1..* | USRealmAddress | Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country | ||||||
standardIndustryClassCode | 0..1 | CE | Binding: OrganizationIndustryClassNAICS (example) | |||||||
asOrganizationPartOf | 0..1 | OrganizationPartOf | ||||||||
sdtcPatient | 0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |||||||
id | 1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
author | 0..* | AuthorParticipation | Base for all types and resources | |||||||
informant | 0..* | Informant | ||||||||
Slices for participant | 0..* | Participant2 | Slice: Unordered, Open by value:typeCode | |||||||
participant:productInstance | 0..* | Participant2 | participant | |||||||
@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: CDAParticipationType (required) Fixed Value: DEV | |||||||
@contextControlCode | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |||||||
sdtcFunctionCode | 0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: functionCode (urn:hl7-org:sdtc) | |||||||
time | 0..1 | IVL_TS | ||||||||
awarenessCode | 0..1 | CE | ||||||||
participantRole | C | 1..1 | ProductInstance | Base for all types and resources role-choice: playingDevice and playingEntity are mutually exclusive | ||||||
participant:serviceDeliveryLocation | 0..* | Participant2 | participant | |||||||
@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: CDAParticipationType (required) Fixed Value: LOC | |||||||
@contextControlCode | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |||||||
sdtcFunctionCode | 0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: functionCode (urn:hl7-org:sdtc) | |||||||
time | 0..1 | IVL_TS | ||||||||
awarenessCode | 0..1 | CE | ||||||||
participantRole | C | 1..1 | ServiceDeliveryLocation | Base for all types and resources role-choice: playingDevice and playingEntity are mutually exclusive should-addr: SHOULD contain addr should-telecom: SHOULD contain telecom | ||||||
Slices for entryRelationship | 0..* | EntryRelationship | Slice: Unordered, Open by profile:act, profile:observation, profile:substanceAdministration, exists:encounter | |||||||
entryRelationship:encounter | 0..* | EntryRelationship | entryRelationship | |||||||
@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 | 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 | 1..1 | Encounter | ||||||||
@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 | ||||||||
@classCode | 1..1 | cs | Binding: CDAActClass (required) Fixed Value: ENC | |||||||
@moodCode | 1..1 | cs | Binding: XDocumentEncounterMood (2.0.0) (required) Fixed Value: EVN | |||||||
id | 1..1 | II | Set the encounter ID to the ID of an encounter in another section to signify they are the same encounter (CONF:4515-16843). | |||||||
code | 0..1 | CD | Binding: ActEncounterCode (example) | |||||||
text | 0..1 | ED | ||||||||
statusCode | 0..1 | CS | Binding: ActStatus (required) | |||||||
effectiveTime | 0..1 | IVL_TS | ||||||||
sdtcDischargeDispositionCode | 0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: dischargeDispositionCode (urn:hl7-org:sdtc) | |||||||
priorityCode | 0..1 | CE | Binding: ActPriority (example) | |||||||
subject | 0..1 | Subject | ||||||||
specimen | 0..* | Specimen | ||||||||
performer | 0..* | Performer2 | ||||||||
author | 0..* | Author | ||||||||
informant | 0..* | Informant | ||||||||
participant | 0..* | Participant2 | ||||||||
entryRelationship | 0..* | EntryRelationship | ||||||||
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) | |||||||
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:instruction | 0..1 | EntryRelationship | entryRelationship | |||||||
@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 | ||||||||
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:indication | 0..* | EntryRelationship | entryRelationship | |||||||
@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 | ||||||||
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:medication | 0..* | EntryRelationship | entryRelationship | |||||||
@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 | 0..1 | Act | ||||||||
observation | 0..1 | Observation | ||||||||
observationMedia | 0..1 | ObservationMedia | ||||||||
organizer | 0..1 | Organizer | ||||||||
procedure | 0..1 | Procedure | ||||||||
regionOfInterest | 0..1 | RegionOfInterest | ||||||||
substanceAdministration | C | 1..1 | MedicationActivity | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value 1098-7513: SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-7513) such that it **SHALL** contain exactly one [1..1] @xsi:type="PIVL_TS" or "EIVL_TS" (CONF:1098-28499). should-routeCode: SHOULD contain routeCode dose-unit-or-admin-unit: If doseQuantity/@unit is present, then administrationUnitCode SHALL NOT be present. should-author: SHOULD contain author | ||||||
supply | 0..1 | Supply | ||||||||
entryRelationship:reaction | 0..* | EntryRelationship | entryRelationship | |||||||
@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 | 0..1 | Act | ||||||||
observation | C | 1..1 | ReactionObservation | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value should-effectiveTime: SHOULD contain effectiveTime | ||||||
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:assessmentScaleObs | 0..* | EntryRelationship | When an Assessment Scale Observation is contained in a Procedure Template instance that is a Social Determinant of Health intervention 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 | ||||||||
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 | ||||||
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 |
Path | Conformance | ValueSet / Code | URI |
Procedure.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.templateId:procedure.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.classCode | required | Fixed Value: PROChttp://terminology.hl7.org/ValueSet/v3-ActClassProcedure | |
Procedure.moodCode | required | Fixed Value: EVNhttp://terminology.hl7.org/ValueSet/v3-xDocumentProcedureMood | |
Procedure.code | preferred | USCoreProcedureCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code | |
Procedure.code.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.code.originalText.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.code.originalText.compression | required | CDACompressionAlgorithmhttp://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm | |
Procedure.code.originalText.integrityCheckAlgorithm | required | IntegrityCheckAlgorithmhttp://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0 | |
Procedure.code.originalText.mediaType | example | MediaTypehttp://terminology.hl7.org/ValueSet/v3-MediaType | |
Procedure.code.originalText.representation | required | BinaryDataEncodinghttp://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding | |
Procedure.text.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.text.compression | required | CDACompressionAlgorithmhttp://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm | |
Procedure.text.integrityCheckAlgorithm | required | IntegrityCheckAlgorithmhttp://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0 | |
Procedure.text.mediaType | example | MediaTypehttp://terminology.hl7.org/ValueSet/v3-MediaType | |
Procedure.text.representation | required | BinaryDataEncodinghttp://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding | |
Procedure.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
Procedure.statusCode.code | required | ProcedureActStatusCode http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.22 | |
Procedure.effectiveTime.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.effectiveTime.operator | required | CDASetOperatorhttp://hl7.org/cda/stds/core/ValueSet/CDASetOperator | |
Procedure.effectiveTime.low.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.effectiveTime.high.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.priorityCode | required | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
Procedure.languageCode | required | AllLanguageshttp://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 | |
Procedure.specimen.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.specimen.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.specimen.typeCode | required | Fixed Value: SPChttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
Procedure.specimen.specimenRole.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.specimen.specimenRole.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.specimen.specimenRole.classCode | required | Fixed Value: SPEChttp://terminology.hl7.org/ValueSet/v3-RoleClassSpecimen | |
Procedure.performer.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.performer.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.performer.typeCode | required | Fixed Value: PRFhttp://terminology.hl7.org/ValueSet/v3-ParticipationPhysicalPerformer | |
Procedure.performer.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.performer.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.performer.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
Procedure.performer.assignedEntity.code | example | CDARoleCodehttp://hl7.org/cda/stds/core/ValueSet/CDARoleCode | |
Procedure.performer.assignedEntity.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.performer.assignedEntity.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.performer.assignedEntity.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
Procedure.performer.assignedEntity.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.performer.assignedEntity.representedOrganization.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.performer.assignedEntity.representedOrganization.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.performer.assignedEntity.representedOrganization.classCode | required | Fixed Value: ORGhttp://terminology.hl7.org/ValueSet/v3-EntityClassOrganization | |
Procedure.performer.assignedEntity.representedOrganization.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
Procedure.performer.assignedEntity.representedOrganization.standardIndustryClassCode | example | OrganizationIndustryClassNAICShttp://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS | |
Procedure.participant:productInstance.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.participant:productInstance.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.participant:productInstance.typeCode | required | Fixed Value: DEVhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
Procedure.participant:productInstance.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
Procedure.participant:serviceDeliveryLocation.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.participant:serviceDeliveryLocation.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.participant:serviceDeliveryLocation.typeCode | required | Fixed Value: LOChttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
Procedure.participant:serviceDeliveryLocation.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
Procedure.entryRelationship:encounter.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:encounter.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:encounter.typeCode | required | Fixed Value: COMPhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Procedure.entryRelationship:encounter.encounter.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:encounter.encounter.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:encounter.encounter.classCode | required | Fixed Value: ENChttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
Procedure.entryRelationship:encounter.encounter.moodCode | required | Fixed Value: EVNhttp://terminology.hl7.org/ValueSet/v3-xDocumentEncounterMood|2.0.0 | |
Procedure.entryRelationship:encounter.encounter.code | example | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | |
Procedure.entryRelationship:encounter.encounter.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
Procedure.entryRelationship:encounter.encounter.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
Procedure.entryRelationship:instruction.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:instruction.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:instruction.typeCode | required | Fixed Value: SUBJhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Procedure.entryRelationship:indication.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:indication.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:indication.typeCode | required | Fixed Value: RSONhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Procedure.entryRelationship:medication.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:medication.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:medication.typeCode | required | Fixed Value: COMPhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Procedure.entryRelationship:reaction.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:reaction.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:reaction.typeCode | required | Fixed Value: COMPhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Procedure.entryRelationship:assessmentScaleObs.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:assessmentScaleObs.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:assessmentScaleObs.typeCode | required | Fixed Value: RSONhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Procedure.entryRelationship:entryReference.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:entryReference.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:entryReference.typeCode | required | Fixed Value: RSONhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship |
Id | Grade | Path(s) | Details | Requirements |
1098-7513 | warning | Procedure.entryRelationship:medication.substanceAdministration | SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-7513) such that it **SHALL** contain exactly one [1..1] @xsi:type="PIVL_TS" or "EIVL_TS" (CONF:1098-28499). : effectiveTime.ofType(CDA.PIVL_TS).exists() or effectiveTime.ofType(CDA.EIVL_TS).exists() | |
81-7296 | error | Procedure.performer.assignedEntity.addr, Procedure.performer.assignedEntity.representedOrganization.addr | **SHALL NOT** have mixed content except for white space (CONF:81-7296) : item.xmlText.empty() | |
81-9371 | error | Procedure.performer.assignedEntity.assignedPerson.name | The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). : conformsTo('http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPatientNamePTNUSFIELDED') or item.xmlText.exists() | |
81-9372 | error | Procedure.performer.assignedEntity.assignedPerson.name | The string **SHALL NOT** contain name parts (CONF:81-9372). : item.xmlText.exists() implies (item.delimiter | item.family | item.given | item.prefix | item.suffix).empty() | |
81-10024 | error | Procedure.performer.assignedEntity.addr, Procedure.performer.assignedEntity.representedOrganization.addr | If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state')) | |
81-10025 | error | Procedure.performer.assignedEntity.addr, Procedure.performer.assignedEntity.representedOrganization.addr | If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?')) | |
II-1 | error | Procedure.typeId, Procedure.specimen.typeId, Procedure.specimen.specimenRole.typeId, Procedure.performer.typeId, Procedure.performer.assignedEntity.typeId, Procedure.performer.assignedEntity.assignedPerson.typeId, Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, Procedure.performer.assignedEntity.representedOrganization.typeId, Procedure.participant:productInstance.typeId, Procedure.participant:serviceDeliveryLocation.typeId, Procedure.entryRelationship:encounter.typeId, Procedure.entryRelationship:encounter.encounter.typeId, Procedure.entryRelationship:instruction.typeId, Procedure.entryRelationship:indication.typeId, Procedure.entryRelationship:medication.typeId, Procedure.entryRelationship:reaction.typeId, Procedure.entryRelationship:assessmentScaleObs.typeId, Procedure.entryRelationship:entryReference.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists() | |
active-high-ts-after-document | error | Procedure | If the procedure is active and contains a high effectiveTime, this time SHALL be after the ClinicalDocument/effectiveTime : (statusCode.code = 'active' and effectiveTime.high.value.exists()) implies effectiveTime.high.value > %resource.effectiveTime.value | |
dose-unit-or-admin-unit | error | Procedure.entryRelationship:medication.substanceAdministration | If doseQuantity/@unit is present, then administrationUnitCode SHALL NOT be present. : doseQuantity.unit.exists() implies administrationUnitCode.empty() | |
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 $this.extension ~ %context.id.first().extension) and value.exists())) | |
ivl-ts-center | error | Procedure.effectiveTime | Center cannot co-exist with low or high : center.empty() or (low.empty() and high.empty()) | |
ivl-value-shall | error | Procedure.effectiveTime | If a time interval contains @value, then it shall be precise to at least the day. : value.exists() implies value.toString().length() >= 10 | |
ivl-value-should | warning | Procedure.effectiveTime | If a time interval contains @value, then it SHOULD contain a time component. : value.exists() implies value.toString().length() > 10 | |
pn-no-ls | error | Procedure.performer.assignedEntity.assignedPerson.name | No PN name part may have a qualifier of LS. : (item.delimiter | item.family | item.given | item.prefix | item.suffix).where(qualifier.where($this = 'LS').exists()).empty() | |
role-choice | error | Procedure.participant:productInstance.participantRole, Procedure.participant:serviceDeliveryLocation.participantRole | playingDevice and playingEntity are mutually exclusive : (playingDevice | playingEntity).count() <= 1 | |
shall-city | error | Procedure.performer.assignedEntity.addr, Procedure.performer.assignedEntity.representedOrganization.addr | SHALL contain exactly one [1..1] city (CONF:81-7292). : nullFlavor.exists() or item.city.count() = 1 | |
shall-max-ad-parts | error | Procedure.performer.assignedEntity.addr, Procedure.performer.assignedEntity.representedOrganization.addr | SHALL have at most one of each: state, city, postalCode, and country : (item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1) | |
shall-streetAddressLine | error | Procedure.performer.assignedEntity.addr, Procedure.performer.assignedEntity.representedOrganization.addr | SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). : nullFlavor.exists() or (item.streetAddressLine.count() >= 1 and item.streetAddressLine.count() <= 4) | |
should-addr | warning | Procedure.participant:serviceDeliveryLocation.participantRole | SHOULD contain addr : addr.exists() | |
should-assignedPerson | warning | Procedure.performer.assignedEntity | SHOULD contain assignedPerson : assignedPerson.exists() | |
should-author | warning | Procedure | SHOULD contain author : author.exists() | |
should-author | warning | Procedure.entryRelationship:medication.substanceAdministration | SHOULD contain author : author.exists() | |
should-country | warning | Procedure.performer.assignedEntity.addr, Procedure.performer.assignedEntity.representedOrganization.addr | SHOULD contain country : nullFlavor.exists() or item.country.exists() | |
should-effectiveTime | warning | Procedure.entryRelationship:indication.observation, Procedure.entryRelationship:reaction.observation | SHOULD contain effectiveTime : effectiveTime.exists() | |
should-id | warning | Procedure.specimen.specimenRole, Procedure.performer.assignedEntity.representedOrganization | SHOULD contain id : id.exists() | |
should-otext-ref-value | warning | Procedure.code | SHOULD contain originalText/reference/@value : originalText.reference.value.exists() | |
should-performer | warning | Procedure | SHOULD contain performer : performer.exists() | |
should-representedOrganization | warning | Procedure.performer.assignedEntity | SHOULD contain representedOrganization : representedOrganization.exists() | |
should-routeCode | warning | Procedure.entryRelationship:medication.substanceAdministration | SHOULD contain routeCode : routeCode.exists() | |
should-targetSiteCode | warning | Procedure | SHOULD contain targetSiteCode : targetSiteCode.exists() | |
should-telecom | warning | Procedure.participant:serviceDeliveryLocation.participantRole | SHOULD contain telecom : telecom.exists() | |
should-text-ref-value | warning | Procedure | SHOULD contain text/reference/@value : text.reference.value.exists() | |
should-text-ref-value | warning | Procedure.entryRelationship:instruction.observation, Procedure.entryRelationship:indication.observation, Procedure.entryRelationship:medication.substanceAdministration, Procedure.entryRelationship:reaction.observation, Procedure.entryRelationship:assessmentScaleObs.observation, Procedure.entryRelationship:entryReference.act | SHOULD contain text/reference/@value : text.reference.value.exists() | |
should-use | warning | Procedure.performer.assignedEntity.addr, Procedure.performer.assignedEntity.representedOrganization.addr | SHOULD contain @use : nullFlavor.exists() or use.exists() | |
should-value | warning | Procedure.effectiveTime | SHOULD contain value : value.exists() | |
ts-shall-day | error | Procedure.effectiveTime.low, Procedure.effectiveTime.high | **SHALL** be precise to at least the day : nullFlavor.exists() or value.toString().length() >= 10 | |
ts-should-minute | warning | Procedure.effectiveTime.low, Procedure.effectiveTime.high | **SHOULD** be precise to at least the minute : nullFlavor.exists() or value.toString().length() > 10 | |
ts-value-before-document | error | Procedure.effectiveTime, Procedure.effectiveTime.low | Time value must be equal to or before ClinicalDocument/effectiveTime : value.exists() implies value <= %resource.effectiveTime.value | |
value-starts-octothorpe | error | Procedure.code.originalText.reference, 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: 9 elements(15 nested mandatory elements)
Fixed: 13 elements
Prohibited: 7 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
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 active-high-ts-after-document: If the procedure is active and contains a high effectiveTime, this time SHALL be after the ClinicalDocument/effectiveTime should-targetSiteCode: SHOULD contain targetSiteCode should-performer: SHOULD contain performer should-author: SHOULD contain author | ||||||
Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root, value:extension | |||||||
templateId:procedure | 1..1 | II | ||||||||
@root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.14 | |||||||
@extension | 1..1 | st | Required Pattern: 2024-05-01 | |||||||
@classCode | 1..1 | cs | ||||||||
@moodCode | 1..1 | cs | Fixed Value: EVN | |||||||
id | 1..* | II | ||||||||
code | C | 1..1 | CD | 𝗨𝗦𝗖𝗗𝗜: SDOH Interventions Binding: US Core Procedure Codes (preferred)
should-otext-ref-value: SHOULD contain originalText/reference/@value | ||||||
originalText | 0..1 | ED | SHOULD reference the portion of narrative corresponding to this code | |||||||
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 | ||||||
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 | ||||||||
@nullFlavor | 0..0 | |||||||||
@code | 1..1 | cs | Binding: ProcedureAct statusCode (required) | |||||||
effectiveTime | C | 1..1 | USRealmDateTimeInterval | 𝗨𝗦𝗖𝗗𝗜: Performance Time should-value: SHOULD contain value ts-value-before-document: Time value must be equal to or before ClinicalDocument/effectiveTime | ||||||
@value | 0..1 | ts | Indicates historical procedure or an instance of a procedure where precision may be only a date or even a year. | |||||||
low | C | 0..1 | IVXB_TS | Indicates when a procedure started ts-value-before-document: Time value must be equal to or before ClinicalDocument/effectiveTime | ||||||
high | 0..1 | IVXB_TS | Indicates when a procedure ended. If the statusCode='active', this must be after the ClinicalDcument/effectiveTime | |||||||
priorityCode | 0..1 | CE | Binding: ActPriority (required) | |||||||
methodCode | 0..1 | CE | MethodCode **SHALL NOT** conflict with the method inherent in Procedure / code (CONF:4515-7890). | |||||||
targetSiteCode | 0..* | CD | In the case of an implanted medical device, targetSiteCode is used to record the location of the device, in or on the patient's body. Binding: Body Site Value Set (required) | |||||||
specimen | 0..* | Specimen | This specimen is for representing specimens obtained from a procedure (CONF:4515-16842). | |||||||
specimenRole | C | 1..1 | SpecimenRole | should-id: SHOULD contain id | ||||||
id | 0..* | II | If you want to indicate that the Procedure and the Results are referring to the same specimen, the Procedure/specimen/specimenRole/id **SHOULD** be set to equal an Organizer/specimen/specimenRole/id (CONF:4515-29744). | |||||||
performer | 0..* | Performer2 | ||||||||
assignedEntity | C | 1..1 | AssignedEntity | should-assignedPerson: SHOULD contain assignedPerson should-representedOrganization: SHOULD contain representedOrganization | ||||||
id | 1..* | II | ||||||||
addr | 1..* | USRealmAddress | Base for all types and resources | |||||||
telecom | 1..* | TEL | ||||||||
assignedPerson | 0..1 | Person | ||||||||
name | 1..* | USRealmPersonNamePNUSFIELDED | Base for all types and resources | |||||||
representedOrganization | C | 0..1 | Organization | should-id: SHOULD contain id | ||||||
id | 0..* | II | ||||||||
name | 0..* | ON | ||||||||
telecom | 1..* | TEL | ||||||||
addr | 1..* | USRealmAddress | Base for all types and resources | |||||||
author | 0..* | AuthorParticipation | Base for all types and resources | |||||||
Slices for participant | 0..* | Participant2 | Slice: Unordered, Open by value:typeCode | |||||||
participant:productInstance | 0..* | Participant2 | participant | |||||||
@typeCode | 1..1 | cs | Fixed Value: DEV | |||||||
participantRole | 1..1 | ProductInstance | Base for all types and resources | |||||||
participant:serviceDeliveryLocation | 0..* | Participant2 | participant | |||||||
@typeCode | 1..1 | cs | Fixed Value: LOC | |||||||
participantRole | 1..1 | ServiceDeliveryLocation | Base for all types and resources | |||||||
Slices for entryRelationship | 0..* | EntryRelationship | Slice: Unordered, Open by profile:act, profile:observation, profile:substanceAdministration, exists:encounter | |||||||
entryRelationship:encounter | 0..* | EntryRelationship | entryRelationship | |||||||
@typeCode | 1..1 | cs | Fixed Value: COMP | |||||||
@inversionInd | 1..1 | bl | Fixed Value: true | |||||||
encounter | 1..1 | Encounter | ||||||||
@classCode | 1..1 | cs | ||||||||
@moodCode | 1..1 | cs | Fixed Value: EVN | |||||||
id | 1..1 | II | Set the encounter ID to the ID of an encounter in another section to signify they are the same encounter (CONF:4515-16843). | |||||||
entryRelationship:instruction | 0..1 | EntryRelationship | entryRelationship | |||||||
@typeCode | 1..1 | cs | Fixed Value: SUBJ | |||||||
@inversionInd | 1..1 | bl | Fixed Value: true | |||||||
encounter | 0..0 | |||||||||
observation | 1..1 | InstructionObservation | Base for all types and resources | |||||||
entryRelationship:indication | 0..* | EntryRelationship | entryRelationship | |||||||
@typeCode | 1..1 | cs | Fixed Value: RSON | |||||||
encounter | 0..0 | |||||||||
observation | 1..1 | Indication | Base for all types and resources | |||||||
entryRelationship:medication | 0..* | EntryRelationship | entryRelationship | |||||||
@typeCode | 1..1 | cs | Fixed Value: COMP | |||||||
encounter | 0..0 | |||||||||
substanceAdministration | 1..1 | MedicationActivity | Base for all types and resources | |||||||
entryRelationship:reaction | 0..* | EntryRelationship | entryRelationship | |||||||
@typeCode | 1..1 | cs | Fixed Value: COMP | |||||||
encounter | 0..0 | |||||||||
observation | 1..1 | ReactionObservation | Base for all types and resources | |||||||
entryRelationship:assessmentScaleObs | 0..* | EntryRelationship | When an Assessment Scale Observation is contained in a Procedure Template instance that is a Social Determinant of Health intervention 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 | |||||||
encounter | 0..0 | |||||||||
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 | |||||||
encounter | 0..0 | |||||||||
Documentation for this format |
Path | Conformance | ValueSet | URI |
Procedure.code | preferred | USCoreProcedureCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code | |
Procedure.statusCode.code | required | ProcedureActStatusCode http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.22 | |
Procedure.priorityCode | required | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
Procedure.targetSiteCode | required | BodySiteValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.9 |
Id | Grade | Path(s) | Details | Requirements |
active-high-ts-after-document | error | Procedure | If the procedure is active and contains a high effectiveTime, this time SHALL be after the ClinicalDocument/effectiveTime : (statusCode.code = 'active' and effectiveTime.high.value.exists()) implies effectiveTime.high.value > %resource.effectiveTime.value | |
should-assignedPerson | warning | Procedure.performer.assignedEntity | SHOULD contain assignedPerson : assignedPerson.exists() | |
should-author | warning | Procedure | SHOULD contain author : author.exists() | |
should-id | warning | Procedure.specimen.specimenRole, Procedure.performer.assignedEntity.representedOrganization | SHOULD contain id : id.exists() | |
should-otext-ref-value | warning | Procedure.code | SHOULD contain originalText/reference/@value : originalText.reference.value.exists() | |
should-performer | warning | Procedure | SHOULD contain performer : performer.exists() | |
should-representedOrganization | warning | Procedure.performer.assignedEntity | SHOULD contain representedOrganization : representedOrganization.exists() | |
should-targetSiteCode | warning | Procedure | SHOULD contain targetSiteCode : targetSiteCode.exists() | |
should-text-ref-value | warning | Procedure | SHOULD contain text/reference/@value : text.reference.value.exists() | |
should-value | warning | Procedure.effectiveTime | SHOULD contain value : value.exists() | |
ts-value-before-document | error | Procedure.effectiveTime, Procedure.effectiveTime.low | Time value must be equal to or before ClinicalDocument/effectiveTime : value.exists() implies value <= %resource.effectiveTime.value | |
value-starts-octothorpe | error | Procedure.code.originalText.reference, 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 active-high-ts-after-document: If the procedure is active and contains a high effectiveTime, this time SHALL be after the ClinicalDocument/effectiveTime should-targetSiteCode: SHOULD contain targetSiteCode should-performer: SHOULD contain performer 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:procedure | 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: 2.16.840.1.113883.10.20.22.4.14 | |||||||
@extension | 1..1 | st | Required Pattern: 2024-05-01 | |||||||
@classCode | 1..1 | cs | Binding: ActClassProcedure (required) Fixed Value: PROC | |||||||
@moodCode | 1..1 | cs | Binding: x_DocumentProcedureMood (required) Fixed Value: EVN | |||||||
id | 1..* | II | ||||||||
sdtcCategory | 0..* | CD | XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc) | |||||||
code | C | 1..1 | CD | 𝗨𝗦𝗖𝗗𝗜: SDOH Interventions Binding: US Core Procedure Codes (preferred)
should-otext-ref-value: SHOULD contain originalText/reference/@value | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@code | 0..1 | cs | ||||||||
@codeSystem | 0..1 | oid, uuid, ruid | ||||||||
@codeSystemName | 0..1 | st | ||||||||
@codeSystemVersion | 0..1 | st | ||||||||
@displayName | 0..1 | st | ||||||||
@sdtcValueSet | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |||||||
@sdtcValueSetVersion | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |||||||
originalText | 0..1 | ED | SHOULD reference the portion of narrative corresponding to this code | |||||||
@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 | ||||||||
qualifier | 0..* | CR | ||||||||
translation | 0..* | CD | ||||||||
@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) | |||||||
@code | 1..1 | cs | Binding: ProcedureAct statusCode (required) | |||||||
@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 | C | 1..1 | USRealmDateTimeInterval | 𝗨𝗦𝗖𝗗𝗜: Performance Time ivl-ts-center: Center cannot co-exist with low or high ivl-value-shall: If a time interval contains @value, then it shall be precise to at least the day. ivl-value-should: If a time interval contains @value, then it SHOULD contain a time component. should-value: SHOULD contain value ts-value-before-document: Time value must be equal to or before ClinicalDocument/effectiveTime | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | ts | Indicates historical procedure or an instance of a procedure where precision may be only a date or even a year. Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |||||||
@operator | 0..1 | cs | Binding: CDASetOperator (required) | |||||||
low | C | 0..1 | IVXB_TS | Indicates when a procedure started ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute ts-value-before-document: Time value must be equal to or before ClinicalDocument/effectiveTime | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |||||||
@inclusive | 0..1 | bl | ||||||||
center | 0..1 | TS | ||||||||
width | 0..1 | PQ | ||||||||
high | C | 0..1 | IVXB_TS | Indicates when a procedure ended. If the statusCode='active', this must be after the ClinicalDcument/effectiveTime ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |||||||
@inclusive | 0..1 | bl | ||||||||
priorityCode | 0..1 | CE | Binding: ActPriority (required) | |||||||
languageCode | 0..1 | CS | Binding: AllLanguages (required) | |||||||
methodCode | 0..1 | CE | MethodCode **SHALL NOT** conflict with the method inherent in Procedure / code (CONF:4515-7890). | |||||||
approachSiteCode | 0..* | CD | ||||||||
targetSiteCode | 0..* | CD | In the case of an implanted medical device, targetSiteCode is used to record the location of the device, in or on the patient's body. Binding: Body Site Value Set (required) | |||||||
subject | 0..1 | Subject | ||||||||
specimen | 0..* | Specimen | This specimen is for representing specimens obtained from a procedure (CONF:4515-16842). | |||||||
@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 | 0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: SPC | |||||||
specimenRole | C | 1..1 | SpecimenRole | should-id: SHOULD contain id | ||||||
@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 | ||||||||
@classCode | 0..1 | cs | Binding: RoleClassSpecimen (required) Fixed Value: SPEC | |||||||
id | 0..* | II | If you want to indicate that the Procedure and the Results are referring to the same specimen, the Procedure/specimen/specimenRole/id **SHOULD** be set to equal an Organizer/specimen/specimenRole/id (CONF:4515-29744). | |||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
specimenPlayingEntity | 0..1 | PlayingEntity | ||||||||
performer | 0..* | Performer2 | ||||||||
@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 | 0..1 | cs | Binding: ParticipationPhysicalPerformer (required) Fixed Value: PRF | |||||||
sdtcFunctionCode | 0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: functionCode (urn:hl7-org:sdtc) | |||||||
time | 0..1 | IVL_TS | ||||||||
modeCode | 0..1 | CE | ||||||||
assignedEntity | C | 1..1 | AssignedEntity | should-assignedPerson: SHOULD contain assignedPerson should-representedOrganization: SHOULD contain representedOrganization | ||||||
@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 | ||||||||
@classCode | 0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |||||||
id | 1..* | II | ||||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
code | 0..1 | CE | Binding: CDARoleCode (example) | |||||||
addr | C | 1..* | USRealmAddress | Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country | ||||||
telecom | 1..* | TEL | ||||||||
assignedPerson | 0..1 | Person | ||||||||
@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 | ||||||||
@classCode | 0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
name | C | 1..* | USRealmPersonNamePNUSFIELDED | Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). | ||||||
sdtcDesc | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |||||||
sdtcAsPatientRelationship | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |||||||
@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 | ||||||||
@classCode | 1..1 | cs | Fixed Value: PRS | |||||||
@determinerCode | 0..1 | cs | Fixed Value: INSTANCE | |||||||
code | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
representedOrganization | C | 0..1 | Organization | should-id: SHOULD contain id | ||||||
@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 | ||||||||
@classCode | 0..1 | cs | Binding: EntityClassOrganization (required) Fixed Value: ORG | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
id | 0..* | II | ||||||||
name | 0..* | ON | ||||||||
telecom | 1..* | TEL | ||||||||
addr | C | 1..* | USRealmAddress | Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country | ||||||
standardIndustryClassCode | 0..1 | CE | Binding: OrganizationIndustryClassNAICS (example) | |||||||
asOrganizationPartOf | 0..1 | OrganizationPartOf | ||||||||
sdtcPatient | 0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |||||||
id | 1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
author | 0..* | AuthorParticipation | Base for all types and resources | |||||||
informant | 0..* | Informant | ||||||||
Slices for participant | 0..* | Participant2 | Slice: Unordered, Open by value:typeCode | |||||||
participant:productInstance | 0..* | Participant2 | participant | |||||||
@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: CDAParticipationType (required) Fixed Value: DEV | |||||||
@contextControlCode | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |||||||
sdtcFunctionCode | 0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: functionCode (urn:hl7-org:sdtc) | |||||||
time | 0..1 | IVL_TS | ||||||||
awarenessCode | 0..1 | CE | ||||||||
participantRole | C | 1..1 | ProductInstance | Base for all types and resources role-choice: playingDevice and playingEntity are mutually exclusive | ||||||
participant:serviceDeliveryLocation | 0..* | Participant2 | participant | |||||||
@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: CDAParticipationType (required) Fixed Value: LOC | |||||||
@contextControlCode | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |||||||
sdtcFunctionCode | 0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: functionCode (urn:hl7-org:sdtc) | |||||||
time | 0..1 | IVL_TS | ||||||||
awarenessCode | 0..1 | CE | ||||||||
participantRole | C | 1..1 | ServiceDeliveryLocation | Base for all types and resources role-choice: playingDevice and playingEntity are mutually exclusive should-addr: SHOULD contain addr should-telecom: SHOULD contain telecom | ||||||
Slices for entryRelationship | 0..* | EntryRelationship | Slice: Unordered, Open by profile:act, profile:observation, profile:substanceAdministration, exists:encounter | |||||||
entryRelationship:encounter | 0..* | EntryRelationship | entryRelationship | |||||||
@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 | 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 | 1..1 | Encounter | ||||||||
@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 | ||||||||
@classCode | 1..1 | cs | Binding: CDAActClass (required) Fixed Value: ENC | |||||||
@moodCode | 1..1 | cs | Binding: XDocumentEncounterMood (2.0.0) (required) Fixed Value: EVN | |||||||
id | 1..1 | II | Set the encounter ID to the ID of an encounter in another section to signify they are the same encounter (CONF:4515-16843). | |||||||
code | 0..1 | CD | Binding: ActEncounterCode (example) | |||||||
text | 0..1 | ED | ||||||||
statusCode | 0..1 | CS | Binding: ActStatus (required) | |||||||
effectiveTime | 0..1 | IVL_TS | ||||||||
sdtcDischargeDispositionCode | 0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: dischargeDispositionCode (urn:hl7-org:sdtc) | |||||||
priorityCode | 0..1 | CE | Binding: ActPriority (example) | |||||||
subject | 0..1 | Subject | ||||||||
specimen | 0..* | Specimen | ||||||||
performer | 0..* | Performer2 | ||||||||
author | 0..* | Author | ||||||||
informant | 0..* | Informant | ||||||||
participant | 0..* | Participant2 | ||||||||
entryRelationship | 0..* | EntryRelationship | ||||||||
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) | |||||||
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:instruction | 0..1 | EntryRelationship | entryRelationship | |||||||
@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 | ||||||||
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:indication | 0..* | EntryRelationship | entryRelationship | |||||||
@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 | ||||||||
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:medication | 0..* | EntryRelationship | entryRelationship | |||||||
@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 | 0..1 | Act | ||||||||
observation | 0..1 | Observation | ||||||||
observationMedia | 0..1 | ObservationMedia | ||||||||
organizer | 0..1 | Organizer | ||||||||
procedure | 0..1 | Procedure | ||||||||
regionOfInterest | 0..1 | RegionOfInterest | ||||||||
substanceAdministration | C | 1..1 | MedicationActivity | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value 1098-7513: SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-7513) such that it **SHALL** contain exactly one [1..1] @xsi:type="PIVL_TS" or "EIVL_TS" (CONF:1098-28499). should-routeCode: SHOULD contain routeCode dose-unit-or-admin-unit: If doseQuantity/@unit is present, then administrationUnitCode SHALL NOT be present. should-author: SHOULD contain author | ||||||
supply | 0..1 | Supply | ||||||||
entryRelationship:reaction | 0..* | EntryRelationship | entryRelationship | |||||||
@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 | 0..1 | Act | ||||||||
observation | C | 1..1 | ReactionObservation | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value should-effectiveTime: SHOULD contain effectiveTime | ||||||
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:assessmentScaleObs | 0..* | EntryRelationship | When an Assessment Scale Observation is contained in a Procedure Template instance that is a Social Determinant of Health intervention 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 | ||||||||
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 | ||||||
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 |
Path | Conformance | ValueSet / Code | URI |
Procedure.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.templateId:procedure.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.classCode | required | Fixed Value: PROChttp://terminology.hl7.org/ValueSet/v3-ActClassProcedure | |
Procedure.moodCode | required | Fixed Value: EVNhttp://terminology.hl7.org/ValueSet/v3-xDocumentProcedureMood | |
Procedure.code | preferred | USCoreProcedureCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code | |
Procedure.code.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.code.originalText.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.code.originalText.compression | required | CDACompressionAlgorithmhttp://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm | |
Procedure.code.originalText.integrityCheckAlgorithm | required | IntegrityCheckAlgorithmhttp://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0 | |
Procedure.code.originalText.mediaType | example | MediaTypehttp://terminology.hl7.org/ValueSet/v3-MediaType | |
Procedure.code.originalText.representation | required | BinaryDataEncodinghttp://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding | |
Procedure.text.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.text.compression | required | CDACompressionAlgorithmhttp://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm | |
Procedure.text.integrityCheckAlgorithm | required | IntegrityCheckAlgorithmhttp://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0 | |
Procedure.text.mediaType | example | MediaTypehttp://terminology.hl7.org/ValueSet/v3-MediaType | |
Procedure.text.representation | required | BinaryDataEncodinghttp://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding | |
Procedure.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
Procedure.statusCode.code | required | ProcedureActStatusCode http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.22 | |
Procedure.effectiveTime.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.effectiveTime.operator | required | CDASetOperatorhttp://hl7.org/cda/stds/core/ValueSet/CDASetOperator | |
Procedure.effectiveTime.low.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.effectiveTime.high.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.priorityCode | required | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
Procedure.languageCode | required | AllLanguageshttp://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 | |
Procedure.specimen.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.specimen.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.specimen.typeCode | required | Fixed Value: SPChttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
Procedure.specimen.specimenRole.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.specimen.specimenRole.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.specimen.specimenRole.classCode | required | Fixed Value: SPEChttp://terminology.hl7.org/ValueSet/v3-RoleClassSpecimen | |
Procedure.performer.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.performer.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.performer.typeCode | required | Fixed Value: PRFhttp://terminology.hl7.org/ValueSet/v3-ParticipationPhysicalPerformer | |
Procedure.performer.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.performer.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.performer.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
Procedure.performer.assignedEntity.code | example | CDARoleCodehttp://hl7.org/cda/stds/core/ValueSet/CDARoleCode | |
Procedure.performer.assignedEntity.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.performer.assignedEntity.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.performer.assignedEntity.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
Procedure.performer.assignedEntity.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.performer.assignedEntity.representedOrganization.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.performer.assignedEntity.representedOrganization.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.performer.assignedEntity.representedOrganization.classCode | required | Fixed Value: ORGhttp://terminology.hl7.org/ValueSet/v3-EntityClassOrganization | |
Procedure.performer.assignedEntity.representedOrganization.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
Procedure.performer.assignedEntity.representedOrganization.standardIndustryClassCode | example | OrganizationIndustryClassNAICShttp://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS | |
Procedure.participant:productInstance.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.participant:productInstance.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.participant:productInstance.typeCode | required | Fixed Value: DEVhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
Procedure.participant:productInstance.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
Procedure.participant:serviceDeliveryLocation.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.participant:serviceDeliveryLocation.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.participant:serviceDeliveryLocation.typeCode | required | Fixed Value: LOChttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
Procedure.participant:serviceDeliveryLocation.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
Procedure.entryRelationship:encounter.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:encounter.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:encounter.typeCode | required | Fixed Value: COMPhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Procedure.entryRelationship:encounter.encounter.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:encounter.encounter.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:encounter.encounter.classCode | required | Fixed Value: ENChttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
Procedure.entryRelationship:encounter.encounter.moodCode | required | Fixed Value: EVNhttp://terminology.hl7.org/ValueSet/v3-xDocumentEncounterMood|2.0.0 | |
Procedure.entryRelationship:encounter.encounter.code | example | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | |
Procedure.entryRelationship:encounter.encounter.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
Procedure.entryRelationship:encounter.encounter.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
Procedure.entryRelationship:instruction.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:instruction.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:instruction.typeCode | required | Fixed Value: SUBJhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Procedure.entryRelationship:indication.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:indication.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:indication.typeCode | required | Fixed Value: RSONhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Procedure.entryRelationship:medication.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:medication.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:medication.typeCode | required | Fixed Value: COMPhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Procedure.entryRelationship:reaction.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:reaction.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:reaction.typeCode | required | Fixed Value: COMPhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Procedure.entryRelationship:assessmentScaleObs.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:assessmentScaleObs.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:assessmentScaleObs.typeCode | required | Fixed Value: RSONhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Procedure.entryRelationship:entryReference.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:entryReference.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:entryReference.typeCode | required | Fixed Value: RSONhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship |
Id | Grade | Path(s) | Details | Requirements |
1098-7513 | warning | Procedure.entryRelationship:medication.substanceAdministration | SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-7513) such that it **SHALL** contain exactly one [1..1] @xsi:type="PIVL_TS" or "EIVL_TS" (CONF:1098-28499). : effectiveTime.ofType(CDA.PIVL_TS).exists() or effectiveTime.ofType(CDA.EIVL_TS).exists() | |
81-7296 | error | Procedure.performer.assignedEntity.addr, Procedure.performer.assignedEntity.representedOrganization.addr | **SHALL NOT** have mixed content except for white space (CONF:81-7296) : item.xmlText.empty() | |
81-9371 | error | Procedure.performer.assignedEntity.assignedPerson.name | The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). : conformsTo('http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPatientNamePTNUSFIELDED') or item.xmlText.exists() | |
81-9372 | error | Procedure.performer.assignedEntity.assignedPerson.name | The string **SHALL NOT** contain name parts (CONF:81-9372). : item.xmlText.exists() implies (item.delimiter | item.family | item.given | item.prefix | item.suffix).empty() | |
81-10024 | error | Procedure.performer.assignedEntity.addr, Procedure.performer.assignedEntity.representedOrganization.addr | If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state')) | |
81-10025 | error | Procedure.performer.assignedEntity.addr, Procedure.performer.assignedEntity.representedOrganization.addr | If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?')) | |
II-1 | error | Procedure.typeId, Procedure.specimen.typeId, Procedure.specimen.specimenRole.typeId, Procedure.performer.typeId, Procedure.performer.assignedEntity.typeId, Procedure.performer.assignedEntity.assignedPerson.typeId, Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, Procedure.performer.assignedEntity.representedOrganization.typeId, Procedure.participant:productInstance.typeId, Procedure.participant:serviceDeliveryLocation.typeId, Procedure.entryRelationship:encounter.typeId, Procedure.entryRelationship:encounter.encounter.typeId, Procedure.entryRelationship:instruction.typeId, Procedure.entryRelationship:indication.typeId, Procedure.entryRelationship:medication.typeId, Procedure.entryRelationship:reaction.typeId, Procedure.entryRelationship:assessmentScaleObs.typeId, Procedure.entryRelationship:entryReference.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists() | |
active-high-ts-after-document | error | Procedure | If the procedure is active and contains a high effectiveTime, this time SHALL be after the ClinicalDocument/effectiveTime : (statusCode.code = 'active' and effectiveTime.high.value.exists()) implies effectiveTime.high.value > %resource.effectiveTime.value | |
dose-unit-or-admin-unit | error | Procedure.entryRelationship:medication.substanceAdministration | If doseQuantity/@unit is present, then administrationUnitCode SHALL NOT be present. : doseQuantity.unit.exists() implies administrationUnitCode.empty() | |
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 $this.extension ~ %context.id.first().extension) and value.exists())) | |
ivl-ts-center | error | Procedure.effectiveTime | Center cannot co-exist with low or high : center.empty() or (low.empty() and high.empty()) | |
ivl-value-shall | error | Procedure.effectiveTime | If a time interval contains @value, then it shall be precise to at least the day. : value.exists() implies value.toString().length() >= 10 | |
ivl-value-should | warning | Procedure.effectiveTime | If a time interval contains @value, then it SHOULD contain a time component. : value.exists() implies value.toString().length() > 10 | |
pn-no-ls | error | Procedure.performer.assignedEntity.assignedPerson.name | No PN name part may have a qualifier of LS. : (item.delimiter | item.family | item.given | item.prefix | item.suffix).where(qualifier.where($this = 'LS').exists()).empty() | |
role-choice | error | Procedure.participant:productInstance.participantRole, Procedure.participant:serviceDeliveryLocation.participantRole | playingDevice and playingEntity are mutually exclusive : (playingDevice | playingEntity).count() <= 1 | |
shall-city | error | Procedure.performer.assignedEntity.addr, Procedure.performer.assignedEntity.representedOrganization.addr | SHALL contain exactly one [1..1] city (CONF:81-7292). : nullFlavor.exists() or item.city.count() = 1 | |
shall-max-ad-parts | error | Procedure.performer.assignedEntity.addr, Procedure.performer.assignedEntity.representedOrganization.addr | SHALL have at most one of each: state, city, postalCode, and country : (item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1) | |
shall-streetAddressLine | error | Procedure.performer.assignedEntity.addr, Procedure.performer.assignedEntity.representedOrganization.addr | SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). : nullFlavor.exists() or (item.streetAddressLine.count() >= 1 and item.streetAddressLine.count() <= 4) | |
should-addr | warning | Procedure.participant:serviceDeliveryLocation.participantRole | SHOULD contain addr : addr.exists() | |
should-assignedPerson | warning | Procedure.performer.assignedEntity | SHOULD contain assignedPerson : assignedPerson.exists() | |
should-author | warning | Procedure | SHOULD contain author : author.exists() | |
should-author | warning | Procedure.entryRelationship:medication.substanceAdministration | SHOULD contain author : author.exists() | |
should-country | warning | Procedure.performer.assignedEntity.addr, Procedure.performer.assignedEntity.representedOrganization.addr | SHOULD contain country : nullFlavor.exists() or item.country.exists() | |
should-effectiveTime | warning | Procedure.entryRelationship:indication.observation, Procedure.entryRelationship:reaction.observation | SHOULD contain effectiveTime : effectiveTime.exists() | |
should-id | warning | Procedure.specimen.specimenRole, Procedure.performer.assignedEntity.representedOrganization | SHOULD contain id : id.exists() | |
should-otext-ref-value | warning | Procedure.code | SHOULD contain originalText/reference/@value : originalText.reference.value.exists() | |
should-performer | warning | Procedure | SHOULD contain performer : performer.exists() | |
should-representedOrganization | warning | Procedure.performer.assignedEntity | SHOULD contain representedOrganization : representedOrganization.exists() | |
should-routeCode | warning | Procedure.entryRelationship:medication.substanceAdministration | SHOULD contain routeCode : routeCode.exists() | |
should-targetSiteCode | warning | Procedure | SHOULD contain targetSiteCode : targetSiteCode.exists() | |
should-telecom | warning | Procedure.participant:serviceDeliveryLocation.participantRole | SHOULD contain telecom : telecom.exists() | |
should-text-ref-value | warning | Procedure | SHOULD contain text/reference/@value : text.reference.value.exists() | |
should-text-ref-value | warning | Procedure.entryRelationship:instruction.observation, Procedure.entryRelationship:indication.observation, Procedure.entryRelationship:medication.substanceAdministration, Procedure.entryRelationship:reaction.observation, Procedure.entryRelationship:assessmentScaleObs.observation, Procedure.entryRelationship:entryReference.act | SHOULD contain text/reference/@value : text.reference.value.exists() | |
should-use | warning | Procedure.performer.assignedEntity.addr, Procedure.performer.assignedEntity.representedOrganization.addr | SHOULD contain @use : nullFlavor.exists() or use.exists() | |
should-value | warning | Procedure.effectiveTime | SHOULD contain value : value.exists() | |
ts-shall-day | error | Procedure.effectiveTime.low, Procedure.effectiveTime.high | **SHALL** be precise to at least the day : nullFlavor.exists() or value.toString().length() >= 10 | |
ts-should-minute | warning | Procedure.effectiveTime.low, Procedure.effectiveTime.high | **SHOULD** be precise to at least the minute : nullFlavor.exists() or value.toString().length() > 10 | |
ts-value-before-document | error | Procedure.effectiveTime, Procedure.effectiveTime.low | Time value must be equal to or before ClinicalDocument/effectiveTime : value.exists() implies value <= %resource.effectiveTime.value | |
value-starts-octothorpe | error | Procedure.code.originalText.reference, 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 active-high-ts-after-document: If the procedure is active and contains a high effectiveTime, this time SHALL be after the ClinicalDocument/effectiveTime should-targetSiteCode: SHOULD contain targetSiteCode should-performer: SHOULD contain performer 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:procedure | 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: 2.16.840.1.113883.10.20.22.4.14 | |||||||
@extension | 1..1 | st | Required Pattern: 2024-05-01 | |||||||
@classCode | 1..1 | cs | Binding: ActClassProcedure (required) Fixed Value: PROC | |||||||
@moodCode | 1..1 | cs | Binding: x_DocumentProcedureMood (required) Fixed Value: EVN | |||||||
id | 1..* | II | ||||||||
sdtcCategory | 0..* | CD | XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc) | |||||||
code | C | 1..1 | CD | 𝗨𝗦𝗖𝗗𝗜: SDOH Interventions Binding: US Core Procedure Codes (preferred)
should-otext-ref-value: SHOULD contain originalText/reference/@value | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@code | 0..1 | cs | ||||||||
@codeSystem | 0..1 | oid, uuid, ruid | ||||||||
@codeSystemName | 0..1 | st | ||||||||
@codeSystemVersion | 0..1 | st | ||||||||
@displayName | 0..1 | st | ||||||||
@sdtcValueSet | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |||||||
@sdtcValueSetVersion | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |||||||
originalText | 0..1 | ED | SHOULD reference the portion of narrative corresponding to this code | |||||||
@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 | ||||||||
qualifier | 0..* | CR | ||||||||
translation | 0..* | CD | ||||||||
@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) | |||||||
@code | 1..1 | cs | Binding: ProcedureAct statusCode (required) | |||||||
@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 | C | 1..1 | USRealmDateTimeInterval | 𝗨𝗦𝗖𝗗𝗜: Performance Time ivl-ts-center: Center cannot co-exist with low or high ivl-value-shall: If a time interval contains @value, then it shall be precise to at least the day. ivl-value-should: If a time interval contains @value, then it SHOULD contain a time component. should-value: SHOULD contain value ts-value-before-document: Time value must be equal to or before ClinicalDocument/effectiveTime | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | ts | Indicates historical procedure or an instance of a procedure where precision may be only a date or even a year. Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |||||||
@operator | 0..1 | cs | Binding: CDASetOperator (required) | |||||||
low | C | 0..1 | IVXB_TS | Indicates when a procedure started ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute ts-value-before-document: Time value must be equal to or before ClinicalDocument/effectiveTime | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |||||||
@inclusive | 0..1 | bl | ||||||||
center | 0..1 | TS | ||||||||
width | 0..1 | PQ | ||||||||
high | C | 0..1 | IVXB_TS | Indicates when a procedure ended. If the statusCode='active', this must be after the ClinicalDcument/effectiveTime ts-shall-day: **SHALL** be precise to at least the day ts-should-minute: **SHOULD** be precise to at least the minute | ||||||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |||||||
@value | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |||||||
@inclusive | 0..1 | bl | ||||||||
priorityCode | 0..1 | CE | Binding: ActPriority (required) | |||||||
languageCode | 0..1 | CS | Binding: AllLanguages (required) | |||||||
methodCode | 0..1 | CE | MethodCode **SHALL NOT** conflict with the method inherent in Procedure / code (CONF:4515-7890). | |||||||
approachSiteCode | 0..* | CD | ||||||||
targetSiteCode | 0..* | CD | In the case of an implanted medical device, targetSiteCode is used to record the location of the device, in or on the patient's body. Binding: Body Site Value Set (required) | |||||||
subject | 0..1 | Subject | ||||||||
specimen | 0..* | Specimen | This specimen is for representing specimens obtained from a procedure (CONF:4515-16842). | |||||||
@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 | 0..1 | cs | Binding: CDAParticipationType (required) Fixed Value: SPC | |||||||
specimenRole | C | 1..1 | SpecimenRole | should-id: SHOULD contain id | ||||||
@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 | ||||||||
@classCode | 0..1 | cs | Binding: RoleClassSpecimen (required) Fixed Value: SPEC | |||||||
id | 0..* | II | If you want to indicate that the Procedure and the Results are referring to the same specimen, the Procedure/specimen/specimenRole/id **SHOULD** be set to equal an Organizer/specimen/specimenRole/id (CONF:4515-29744). | |||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
specimenPlayingEntity | 0..1 | PlayingEntity | ||||||||
performer | 0..* | Performer2 | ||||||||
@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 | 0..1 | cs | Binding: ParticipationPhysicalPerformer (required) Fixed Value: PRF | |||||||
sdtcFunctionCode | 0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: functionCode (urn:hl7-org:sdtc) | |||||||
time | 0..1 | IVL_TS | ||||||||
modeCode | 0..1 | CE | ||||||||
assignedEntity | C | 1..1 | AssignedEntity | should-assignedPerson: SHOULD contain assignedPerson should-representedOrganization: SHOULD contain representedOrganization | ||||||
@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 | ||||||||
@classCode | 0..1 | cs | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |||||||
id | 1..* | II | ||||||||
sdtcIdentifiedBy | 0..* | IdentifiedBy | XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc) | |||||||
code | 0..1 | CE | Binding: CDARoleCode (example) | |||||||
addr | C | 1..* | USRealmAddress | Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country | ||||||
telecom | 1..* | TEL | ||||||||
assignedPerson | 0..1 | Person | ||||||||
@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 | ||||||||
@classCode | 0..1 | cs | Binding: EntityClassLivingSubject (required) Fixed Value: PSN | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
name | C | 1..* | USRealmPersonNamePNUSFIELDED | Base for all types and resources pn-no-ls: No PN name part may have a qualifier of LS. 81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). | ||||||
sdtcDesc | 0..1 | ED | XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc) | |||||||
sdtcAsPatientRelationship | 0..* | InfrastructureRoot | XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc) | |||||||
@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 | ||||||||
@classCode | 1..1 | cs | Fixed Value: PRS | |||||||
@determinerCode | 0..1 | cs | Fixed Value: INSTANCE | |||||||
code | 1..1 | CE | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
representedOrganization | C | 0..1 | Organization | should-id: SHOULD contain id | ||||||
@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 | ||||||||
@classCode | 0..1 | cs | Binding: EntityClassOrganization (required) Fixed Value: ORG | |||||||
@determinerCode | 0..1 | cs | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |||||||
id | 0..* | II | ||||||||
name | 0..* | ON | ||||||||
telecom | 1..* | TEL | ||||||||
addr | C | 1..* | USRealmAddress | Base for all types and resources shall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). should-use: SHOULD contain @use should-country: SHOULD contain country 81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) 81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). 81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country | ||||||
standardIndustryClassCode | 0..1 | CE | Binding: OrganizationIndustryClassNAICS (example) | |||||||
asOrganizationPartOf | 0..1 | OrganizationPartOf | ||||||||
sdtcPatient | 0..1 | Base | XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc) | |||||||
id | 1..1 | II | XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc | |||||||
author | 0..* | AuthorParticipation | Base for all types and resources | |||||||
informant | 0..* | Informant | ||||||||
Slices for participant | 0..* | Participant2 | Slice: Unordered, Open by value:typeCode | |||||||
participant:productInstance | 0..* | Participant2 | participant | |||||||
@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: CDAParticipationType (required) Fixed Value: DEV | |||||||
@contextControlCode | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |||||||
sdtcFunctionCode | 0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: functionCode (urn:hl7-org:sdtc) | |||||||
time | 0..1 | IVL_TS | ||||||||
awarenessCode | 0..1 | CE | ||||||||
participantRole | C | 1..1 | ProductInstance | Base for all types and resources role-choice: playingDevice and playingEntity are mutually exclusive | ||||||
participant:serviceDeliveryLocation | 0..* | Participant2 | participant | |||||||
@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: CDAParticipationType (required) Fixed Value: LOC | |||||||
@contextControlCode | 0..1 | cs | Binding: CDAContextControl (required) Fixed Value: OP | |||||||
sdtcFunctionCode | 0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: functionCode (urn:hl7-org:sdtc) | |||||||
time | 0..1 | IVL_TS | ||||||||
awarenessCode | 0..1 | CE | ||||||||
participantRole | C | 1..1 | ServiceDeliveryLocation | Base for all types and resources role-choice: playingDevice and playingEntity are mutually exclusive should-addr: SHOULD contain addr should-telecom: SHOULD contain telecom | ||||||
Slices for entryRelationship | 0..* | EntryRelationship | Slice: Unordered, Open by profile:act, profile:observation, profile:substanceAdministration, exists:encounter | |||||||
entryRelationship:encounter | 0..* | EntryRelationship | entryRelationship | |||||||
@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 | 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 | 1..1 | Encounter | ||||||||
@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 | ||||||||
@classCode | 1..1 | cs | Binding: CDAActClass (required) Fixed Value: ENC | |||||||
@moodCode | 1..1 | cs | Binding: XDocumentEncounterMood (2.0.0) (required) Fixed Value: EVN | |||||||
id | 1..1 | II | Set the encounter ID to the ID of an encounter in another section to signify they are the same encounter (CONF:4515-16843). | |||||||
code | 0..1 | CD | Binding: ActEncounterCode (example) | |||||||
text | 0..1 | ED | ||||||||
statusCode | 0..1 | CS | Binding: ActStatus (required) | |||||||
effectiveTime | 0..1 | IVL_TS | ||||||||
sdtcDischargeDispositionCode | 0..1 | CE | XML Namespace: urn:hl7-org:sdtc XML: dischargeDispositionCode (urn:hl7-org:sdtc) | |||||||
priorityCode | 0..1 | CE | Binding: ActPriority (example) | |||||||
subject | 0..1 | Subject | ||||||||
specimen | 0..* | Specimen | ||||||||
performer | 0..* | Performer2 | ||||||||
author | 0..* | Author | ||||||||
informant | 0..* | Informant | ||||||||
participant | 0..* | Participant2 | ||||||||
entryRelationship | 0..* | EntryRelationship | ||||||||
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) | |||||||
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:instruction | 0..1 | EntryRelationship | entryRelationship | |||||||
@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 | ||||||||
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:indication | 0..* | EntryRelationship | entryRelationship | |||||||
@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 | ||||||||
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:medication | 0..* | EntryRelationship | entryRelationship | |||||||
@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 | 0..1 | Act | ||||||||
observation | 0..1 | Observation | ||||||||
observationMedia | 0..1 | ObservationMedia | ||||||||
organizer | 0..1 | Organizer | ||||||||
procedure | 0..1 | Procedure | ||||||||
regionOfInterest | 0..1 | RegionOfInterest | ||||||||
substanceAdministration | C | 1..1 | MedicationActivity | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value 1098-7513: SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-7513) such that it **SHALL** contain exactly one [1..1] @xsi:type="PIVL_TS" or "EIVL_TS" (CONF:1098-28499). should-routeCode: SHOULD contain routeCode dose-unit-or-admin-unit: If doseQuantity/@unit is present, then administrationUnitCode SHALL NOT be present. should-author: SHOULD contain author | ||||||
supply | 0..1 | Supply | ||||||||
entryRelationship:reaction | 0..* | EntryRelationship | entryRelationship | |||||||
@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 | 0..1 | Act | ||||||||
observation | C | 1..1 | ReactionObservation | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value should-effectiveTime: SHOULD contain effectiveTime | ||||||
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:assessmentScaleObs | 0..* | EntryRelationship | When an Assessment Scale Observation is contained in a Procedure Template instance that is a Social Determinant of Health intervention 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 | ||||||||
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 | ||||||
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 |
Path | Conformance | ValueSet / Code | URI |
Procedure.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.templateId:procedure.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.classCode | required | Fixed Value: PROChttp://terminology.hl7.org/ValueSet/v3-ActClassProcedure | |
Procedure.moodCode | required | Fixed Value: EVNhttp://terminology.hl7.org/ValueSet/v3-xDocumentProcedureMood | |
Procedure.code | preferred | USCoreProcedureCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code | |
Procedure.code.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.code.originalText.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.code.originalText.compression | required | CDACompressionAlgorithmhttp://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm | |
Procedure.code.originalText.integrityCheckAlgorithm | required | IntegrityCheckAlgorithmhttp://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0 | |
Procedure.code.originalText.mediaType | example | MediaTypehttp://terminology.hl7.org/ValueSet/v3-MediaType | |
Procedure.code.originalText.representation | required | BinaryDataEncodinghttp://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding | |
Procedure.text.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.text.compression | required | CDACompressionAlgorithmhttp://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm | |
Procedure.text.integrityCheckAlgorithm | required | IntegrityCheckAlgorithmhttp://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0 | |
Procedure.text.mediaType | example | MediaTypehttp://terminology.hl7.org/ValueSet/v3-MediaType | |
Procedure.text.representation | required | BinaryDataEncodinghttp://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding | |
Procedure.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
Procedure.statusCode.code | required | ProcedureActStatusCode http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.22 | |
Procedure.effectiveTime.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.effectiveTime.operator | required | CDASetOperatorhttp://hl7.org/cda/stds/core/ValueSet/CDASetOperator | |
Procedure.effectiveTime.low.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.effectiveTime.high.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.priorityCode | required | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
Procedure.languageCode | required | AllLanguageshttp://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 | |
Procedure.specimen.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.specimen.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.specimen.typeCode | required | Fixed Value: SPChttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
Procedure.specimen.specimenRole.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.specimen.specimenRole.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.specimen.specimenRole.classCode | required | Fixed Value: SPEChttp://terminology.hl7.org/ValueSet/v3-RoleClassSpecimen | |
Procedure.performer.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.performer.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.performer.typeCode | required | Fixed Value: PRFhttp://terminology.hl7.org/ValueSet/v3-ParticipationPhysicalPerformer | |
Procedure.performer.assignedEntity.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.performer.assignedEntity.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.performer.assignedEntity.classCode | required | Fixed Value: ASSIGNEDhttp://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity | |
Procedure.performer.assignedEntity.code | example | CDARoleCodehttp://hl7.org/cda/stds/core/ValueSet/CDARoleCode | |
Procedure.performer.assignedEntity.assignedPerson.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.performer.assignedEntity.assignedPerson.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.performer.assignedEntity.assignedPerson.classCode | required | Fixed Value: PSNhttp://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject | |
Procedure.performer.assignedEntity.assignedPerson.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.performer.assignedEntity.representedOrganization.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.performer.assignedEntity.representedOrganization.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.performer.assignedEntity.representedOrganization.classCode | required | Fixed Value: ORGhttp://terminology.hl7.org/ValueSet/v3-EntityClassOrganization | |
Procedure.performer.assignedEntity.representedOrganization.determinerCode | required | Fixed Value: INSTANCEhttp://terminology.hl7.org/ValueSet/v3-EntityDeterminer | |
Procedure.performer.assignedEntity.representedOrganization.standardIndustryClassCode | example | OrganizationIndustryClassNAICShttp://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS | |
Procedure.participant:productInstance.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.participant:productInstance.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.participant:productInstance.typeCode | required | Fixed Value: DEVhttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
Procedure.participant:productInstance.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
Procedure.participant:serviceDeliveryLocation.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.participant:serviceDeliveryLocation.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.participant:serviceDeliveryLocation.typeCode | required | Fixed Value: LOChttp://hl7.org/cda/stds/core/ValueSet/CDAParticipationType | |
Procedure.participant:serviceDeliveryLocation.contextControlCode | required | Fixed Value: OPhttp://hl7.org/cda/stds/core/ValueSet/CDAContextControl | |
Procedure.entryRelationship:encounter.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:encounter.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:encounter.typeCode | required | Fixed Value: COMPhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Procedure.entryRelationship:encounter.encounter.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:encounter.encounter.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:encounter.encounter.classCode | required | Fixed Value: ENChttp://hl7.org/cda/stds/core/ValueSet/CDAActClass | |
Procedure.entryRelationship:encounter.encounter.moodCode | required | Fixed Value: EVNhttp://terminology.hl7.org/ValueSet/v3-xDocumentEncounterMood|2.0.0 | |
Procedure.entryRelationship:encounter.encounter.code | example | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | |
Procedure.entryRelationship:encounter.encounter.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
Procedure.entryRelationship:encounter.encounter.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
Procedure.entryRelationship:instruction.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:instruction.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:instruction.typeCode | required | Fixed Value: SUBJhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Procedure.entryRelationship:indication.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:indication.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:indication.typeCode | required | Fixed Value: RSONhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Procedure.entryRelationship:medication.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:medication.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:medication.typeCode | required | Fixed Value: COMPhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Procedure.entryRelationship:reaction.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:reaction.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:reaction.typeCode | required | Fixed Value: COMPhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Procedure.entryRelationship:assessmentScaleObs.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:assessmentScaleObs.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:assessmentScaleObs.typeCode | required | Fixed Value: RSONhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Procedure.entryRelationship:entryReference.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:entryReference.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:entryReference.typeCode | required | Fixed Value: RSONhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship |
Id | Grade | Path(s) | Details | Requirements |
1098-7513 | warning | Procedure.entryRelationship:medication.substanceAdministration | SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-7513) such that it **SHALL** contain exactly one [1..1] @xsi:type="PIVL_TS" or "EIVL_TS" (CONF:1098-28499). : effectiveTime.ofType(CDA.PIVL_TS).exists() or effectiveTime.ofType(CDA.EIVL_TS).exists() | |
81-7296 | error | Procedure.performer.assignedEntity.addr, Procedure.performer.assignedEntity.representedOrganization.addr | **SHALL NOT** have mixed content except for white space (CONF:81-7296) : item.xmlText.empty() | |
81-9371 | error | Procedure.performer.assignedEntity.assignedPerson.name | The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). : conformsTo('http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPatientNamePTNUSFIELDED') or item.xmlText.exists() | |
81-9372 | error | Procedure.performer.assignedEntity.assignedPerson.name | The string **SHALL NOT** contain name parts (CONF:81-9372). : item.xmlText.exists() implies (item.delimiter | item.family | item.given | item.prefix | item.suffix).empty() | |
81-10024 | error | Procedure.performer.assignedEntity.addr, Procedure.performer.assignedEntity.representedOrganization.addr | If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state')) | |
81-10025 | error | Procedure.performer.assignedEntity.addr, Procedure.performer.assignedEntity.representedOrganization.addr | If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). : nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?')) | |
II-1 | error | Procedure.typeId, Procedure.specimen.typeId, Procedure.specimen.specimenRole.typeId, Procedure.performer.typeId, Procedure.performer.assignedEntity.typeId, Procedure.performer.assignedEntity.assignedPerson.typeId, Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, Procedure.performer.assignedEntity.representedOrganization.typeId, Procedure.participant:productInstance.typeId, Procedure.participant:serviceDeliveryLocation.typeId, Procedure.entryRelationship:encounter.typeId, Procedure.entryRelationship:encounter.encounter.typeId, Procedure.entryRelationship:instruction.typeId, Procedure.entryRelationship:indication.typeId, Procedure.entryRelationship:medication.typeId, Procedure.entryRelationship:reaction.typeId, Procedure.entryRelationship:assessmentScaleObs.typeId, Procedure.entryRelationship:entryReference.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists() | |
active-high-ts-after-document | error | Procedure | If the procedure is active and contains a high effectiveTime, this time SHALL be after the ClinicalDocument/effectiveTime : (statusCode.code = 'active' and effectiveTime.high.value.exists()) implies effectiveTime.high.value > %resource.effectiveTime.value | |
dose-unit-or-admin-unit | error | Procedure.entryRelationship:medication.substanceAdministration | If doseQuantity/@unit is present, then administrationUnitCode SHALL NOT be present. : doseQuantity.unit.exists() implies administrationUnitCode.empty() | |
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 $this.extension ~ %context.id.first().extension) and value.exists())) | |
ivl-ts-center | error | Procedure.effectiveTime | Center cannot co-exist with low or high : center.empty() or (low.empty() and high.empty()) | |
ivl-value-shall | error | Procedure.effectiveTime | If a time interval contains @value, then it shall be precise to at least the day. : value.exists() implies value.toString().length() >= 10 | |
ivl-value-should | warning | Procedure.effectiveTime | If a time interval contains @value, then it SHOULD contain a time component. : value.exists() implies value.toString().length() > 10 | |
pn-no-ls | error | Procedure.performer.assignedEntity.assignedPerson.name | No PN name part may have a qualifier of LS. : (item.delimiter | item.family | item.given | item.prefix | item.suffix).where(qualifier.where($this = 'LS').exists()).empty() | |
role-choice | error | Procedure.participant:productInstance.participantRole, Procedure.participant:serviceDeliveryLocation.participantRole | playingDevice and playingEntity are mutually exclusive : (playingDevice | playingEntity).count() <= 1 | |
shall-city | error | Procedure.performer.assignedEntity.addr, Procedure.performer.assignedEntity.representedOrganization.addr | SHALL contain exactly one [1..1] city (CONF:81-7292). : nullFlavor.exists() or item.city.count() = 1 | |
shall-max-ad-parts | error | Procedure.performer.assignedEntity.addr, Procedure.performer.assignedEntity.representedOrganization.addr | SHALL have at most one of each: state, city, postalCode, and country : (item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1) | |
shall-streetAddressLine | error | Procedure.performer.assignedEntity.addr, Procedure.performer.assignedEntity.representedOrganization.addr | SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). : nullFlavor.exists() or (item.streetAddressLine.count() >= 1 and item.streetAddressLine.count() <= 4) | |
should-addr | warning | Procedure.participant:serviceDeliveryLocation.participantRole | SHOULD contain addr : addr.exists() | |
should-assignedPerson | warning | Procedure.performer.assignedEntity | SHOULD contain assignedPerson : assignedPerson.exists() | |
should-author | warning | Procedure | SHOULD contain author : author.exists() | |
should-author | warning | Procedure.entryRelationship:medication.substanceAdministration | SHOULD contain author : author.exists() | |
should-country | warning | Procedure.performer.assignedEntity.addr, Procedure.performer.assignedEntity.representedOrganization.addr | SHOULD contain country : nullFlavor.exists() or item.country.exists() | |
should-effectiveTime | warning | Procedure.entryRelationship:indication.observation, Procedure.entryRelationship:reaction.observation | SHOULD contain effectiveTime : effectiveTime.exists() | |
should-id | warning | Procedure.specimen.specimenRole, Procedure.performer.assignedEntity.representedOrganization | SHOULD contain id : id.exists() | |
should-otext-ref-value | warning | Procedure.code | SHOULD contain originalText/reference/@value : originalText.reference.value.exists() | |
should-performer | warning | Procedure | SHOULD contain performer : performer.exists() | |
should-representedOrganization | warning | Procedure.performer.assignedEntity | SHOULD contain representedOrganization : representedOrganization.exists() | |
should-routeCode | warning | Procedure.entryRelationship:medication.substanceAdministration | SHOULD contain routeCode : routeCode.exists() | |
should-targetSiteCode | warning | Procedure | SHOULD contain targetSiteCode : targetSiteCode.exists() | |
should-telecom | warning | Procedure.participant:serviceDeliveryLocation.participantRole | SHOULD contain telecom : telecom.exists() | |
should-text-ref-value | warning | Procedure | SHOULD contain text/reference/@value : text.reference.value.exists() | |
should-text-ref-value | warning | Procedure.entryRelationship:instruction.observation, Procedure.entryRelationship:indication.observation, Procedure.entryRelationship:medication.substanceAdministration, Procedure.entryRelationship:reaction.observation, Procedure.entryRelationship:assessmentScaleObs.observation, Procedure.entryRelationship:entryReference.act | SHOULD contain text/reference/@value : text.reference.value.exists() | |
should-use | warning | Procedure.performer.assignedEntity.addr, Procedure.performer.assignedEntity.representedOrganization.addr | SHOULD contain @use : nullFlavor.exists() or use.exists() | |
should-value | warning | Procedure.effectiveTime | SHOULD contain value : value.exists() | |
ts-shall-day | error | Procedure.effectiveTime.low, Procedure.effectiveTime.high | **SHALL** be precise to at least the day : nullFlavor.exists() or value.toString().length() >= 10 | |
ts-should-minute | warning | Procedure.effectiveTime.low, Procedure.effectiveTime.high | **SHOULD** be precise to at least the minute : nullFlavor.exists() or value.toString().length() > 10 | |
ts-value-before-document | error | Procedure.effectiveTime, Procedure.effectiveTime.low | Time value must be equal to or before ClinicalDocument/effectiveTime : value.exists() implies value <= %resource.effectiveTime.value | |
value-starts-octothorpe | error | Procedure.code.originalText.reference, 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: 9 elements(15 nested mandatory elements)
Fixed: 13 elements
Prohibited: 7 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices: