Consolidated CDA (C-CDA)
4.0.0 - STU4 United States of America flag

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 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

Logical Model: Procedure Activity Procedure

Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/ProcedureActivityProcedure Version: 4.0.0
Draft as of 2025-06-05 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.

Templates Used

Although open templates may contain any valid CDA content, the following templates are specifically called out by this template:

Optional EntryRelationships: AssessmentScaleObservation, EntryReference, Indication, InstructionObservation, MedicationActivity, ReactionObservation

Usages:

Formal Views of Template Content

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

This structure is derived from Procedure

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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)
Constraints: should-text-ref-value, active-high-ts-after-document, should-targetSiteCode, should-performer, should-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
... code C 1..1 CD 𝗨𝗦𝗖𝗗𝗜: SDOH Interventions
Binding: US Core Procedure Codes (preferred)
Additional BindingsPurposeDocumentation
Social Determinants of Health Procedures . Preferred
For Social Determinant of Health Interventions

Constraints: should-otext-ref-value
.... originalText 0..1 ED SHOULD reference the portion of narrative corresponding to this code
..... reference C 0..1 TEL Constraints: value-starts-octothorpe
... text 0..1 ED SHOULD reference the portion of section narrative text corresponding to this entry
.... reference C 0..1 TEL Constraints: value-starts-octothorpe
... statusCode 1..1 CS
.... @nullFlavor 0..0
.... @code 1..1 cs Binding: ProcedureAct statusCode . (required)
... effectiveTime C 1..1 USRealmDateTimeInterval 𝗨𝗦𝗖𝗗𝗜: Performance Time
Constraints: should-value, ts-value-before-document
.... @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
Constraints: ts-value-before-document
.... 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 Constraints: should-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 Constraints: should-assignedPerson, should-representedOrganization
..... id 1..* II
..... addr 1..* USRealmAddress
..... telecom 1..* TEL
..... assignedPerson 0..1 Person
...... name 1..* USRealmPersonNamePNUSFIELDED
..... representedOrganization C 0..1 Organization Constraints: should-id
...... id 0..* II
...... name 0..* ON
...... telecom 1..* TEL
...... addr 1..* USRealmAddress
... author 0..* AuthorParticipation
... 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
.... participant:serviceDeliveryLocation 0..* Participant2 participant
..... @typeCode 1..1 cs Fixed Value: LOC
..... participantRole 1..1 ServiceDeliveryLocation
... 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
.... entryRelationship:indication 0..* EntryRelationship entryRelationship
..... @typeCode 1..1 cs Fixed Value: RSON
..... encounter 0..0
..... observation 1..1 Indication
.... entryRelationship:medication 0..* EntryRelationship entryRelationship
..... @typeCode 1..1 cs Fixed Value: COMP
..... encounter 0..0
..... substanceAdministration 1..1 MedicationActivity
.... entryRelationship:reaction 0..* EntryRelationship entryRelationship
..... @typeCode 1..1 cs Fixed Value: COMP
..... encounter 0..0
..... observation 1..1 ReactionObservation
.... 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
.... 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
..... encounter 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Procedure.codepreferredUSCoreProcedureCodes
http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code
Procedure.statusCode.coderequiredProcedureActStatusCode .
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.22
Procedure.priorityCoderequiredActPriority
http://terminology.hl7.org/ValueSet/v3-ActPriority
Procedure.targetSiteCoderequiredBodySiteValueSet .
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.9

Constraints

IdGradePath(s)DetailsRequirements
active-high-ts-after-documenterrorProcedureIf 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-assignedPersonwarningProcedure.performer.assignedEntitySHOULD contain assignedPerson
: assignedPerson.exists()
should-authorwarningProcedureSHOULD contain author
: author.exists()
should-idwarningProcedure.specimen.specimenRole, Procedure.performer.assignedEntity.representedOrganizationSHOULD contain id
: id.exists()
should-otext-ref-valuewarningProcedure.codeSHOULD contain originalText/reference/@value
: originalText.reference.value.exists()
should-performerwarningProcedureSHOULD contain performer
: performer.exists()
should-representedOrganizationwarningProcedure.performer.assignedEntitySHOULD contain representedOrganization
: representedOrganization.exists()
should-targetSiteCodewarningProcedureSHOULD contain targetSiteCode
: targetSiteCode.exists()
should-text-ref-valuewarningProcedureSHOULD contain text/reference/@value
: text.reference.value.exists()
should-valuewarningProcedure.effectiveTimeSHOULD contain value
: value.exists()
ts-value-before-documenterrorProcedure.effectiveTime, Procedure.effectiveTime.lowTime value must be equal to or before ClinicalDocument/effectiveTime
: value.exists() implies value <= %resource.effectiveTime.value
value-starts-octothorpeerrorProcedure.code.originalText.reference, Procedure.text.referenceIf reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
: value.exists() implies value.startsWith('#')
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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)
Constraints: should-text-ref-value, active-high-ts-after-document, should-targetSiteCode, should-performer, should-author
... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
... realmCode 0..* CS
... typeId C 0..1 II Constraints: II-1
.... @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)
Additional BindingsPurposeDocumentation
Social Determinants of Health Procedures . Preferred
For Social Determinant of Health Interventions

Constraints: should-otext-ref-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 Constraints: value-starts-octothorpe
..... 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 Constraints: value-starts-octothorpe
.... 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
Constraints: should-value, ts-value-before-document
.... @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
Constraints: ts-shall-day, ts-should-minute, ts-value-before-document
..... @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
Constraints: ts-shall-day, ts-should-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 Constraints: II-1
..... @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 Constraints: should-id
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... realmCode 0..* CS
..... typeId C 0..1 II Constraints: II-1
...... @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 Constraints: II-1
..... @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 Constraints: should-assignedPerson, should-representedOrganization
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... realmCode 0..* CS
..... typeId C 0..1 II Constraints: II-1
...... @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 1..* USRealmAddress
..... telecom 1..* TEL
..... assignedPerson 0..1 Person
...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
...... realmCode 0..* CS
...... typeId C 0..1 II Constraints: II-1
....... @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 1..* USRealmPersonNamePNUSFIELDED
...... 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 Constraints: II-1
........ @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 Constraints: should-id
...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
...... realmCode 0..* CS
...... typeId C 0..1 II Constraints: II-1
....... @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 1..* USRealmAddress
...... 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
... 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 Constraints: II-1
...... @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 1..1 ProductInstance
.... participant:serviceDeliveryLocation 0..* Participant2 participant
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... realmCode 0..* CS
..... typeId C 0..1 II Constraints: II-1
...... @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 1..1 ServiceDeliveryLocation
... 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 Constraints: II-1
...... @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 Constraints: II-1
....... @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 Constraints: II-1
...... @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 1..1 InstructionObservation
..... 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 Constraints: II-1
...... @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 1..1 Indication
..... 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 Constraints: II-1
...... @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 1..1 MedicationActivity
..... supply 0..1 Supply
.... entryRelationship:reaction 0..* EntryRelationship entryRelationship
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... realmCode 0..* CS
..... typeId C 0..1 II Constraints: II-1
...... @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 1..1 ReactionObservation
..... 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 Constraints: II-1
...... @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 1..1 AssessmentScaleObservation
..... 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 Constraints: II-1
...... @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 1..1 EntryReference
..... 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)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Procedure.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.templateId:procedure.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.classCoderequiredFixed Value: PROC
http://terminology.hl7.org/ValueSet/v3-ActClassProcedure
Procedure.moodCoderequiredFixed Value: EVN
http://terminology.hl7.org/ValueSet/v3-xDocumentProcedureMood
Procedure.codepreferredUSCoreProcedureCodes
http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code
Procedure.code.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.code.originalText.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.code.originalText.compressionrequiredCDACompressionAlgorithm
http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
Procedure.code.originalText.integrityCheckAlgorithmrequiredIntegrityCheckAlgorithm
http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
Procedure.code.originalText.mediaTypeexampleMediaType
http://terminology.hl7.org/ValueSet/v3-MediaType
Procedure.code.originalText.representationrequiredBinaryDataEncoding
http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
Procedure.text.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.text.compressionrequiredCDACompressionAlgorithm
http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
Procedure.text.integrityCheckAlgorithmrequiredIntegrityCheckAlgorithm
http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
Procedure.text.mediaTypeexampleMediaType
http://terminology.hl7.org/ValueSet/v3-MediaType
Procedure.text.representationrequiredBinaryDataEncoding
http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
Procedure.statusCoderequiredActStatus
http://terminology.hl7.org/ValueSet/v3-ActStatus
Procedure.statusCode.coderequiredProcedureActStatusCode .
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.22
Procedure.effectiveTime.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.effectiveTime.operatorrequiredCDASetOperator
http://hl7.org/cda/stds/core/ValueSet/CDASetOperator
Procedure.effectiveTime.low.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.effectiveTime.high.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.priorityCoderequiredActPriority
http://terminology.hl7.org/ValueSet/v3-ActPriority
Procedure.languageCoderequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages
From the FHIR Standard
Procedure.targetSiteCoderequiredBodySiteValueSet .
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.9
Procedure.specimen.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.specimen.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.specimen.typeCoderequiredFixed Value: SPC
http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
Procedure.specimen.specimenRole.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.specimen.specimenRole.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.specimen.specimenRole.classCoderequiredFixed Value: SPEC
http://terminology.hl7.org/ValueSet/v3-RoleClassSpecimen
Procedure.performer.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.typeCoderequiredFixed Value: PRF
http://terminology.hl7.org/ValueSet/v3-ParticipationPhysicalPerformer
Procedure.performer.assignedEntity.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.classCoderequiredFixed Value: ASSIGNED
http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
Procedure.performer.assignedEntity.codeexampleCDARoleCode
http://hl7.org/cda/stds/core/ValueSet/CDARoleCode
Procedure.performer.assignedEntity.assignedPerson.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.assignedPerson.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.assignedPerson.classCoderequiredFixed Value: PSN
http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
Procedure.performer.assignedEntity.assignedPerson.determinerCoderequiredFixed Value: INSTANCE
http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.representedOrganization.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.representedOrganization.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.representedOrganization.classCoderequiredFixed Value: ORG
http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization
Procedure.performer.assignedEntity.representedOrganization.determinerCoderequiredFixed Value: INSTANCE
http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
Procedure.performer.assignedEntity.representedOrganization.standardIndustryClassCodeexampleOrganizationIndustryClassNAICS
http://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS
Procedure.participant:productInstance.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.participant:productInstance.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.participant:productInstance.typeCoderequiredFixed Value: DEV
http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
Procedure.participant:productInstance.contextControlCoderequiredFixed Value: OP
http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
Procedure.participant:serviceDeliveryLocation.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.participant:serviceDeliveryLocation.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.participant:serviceDeliveryLocation.typeCoderequiredFixed Value: LOC
http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
Procedure.participant:serviceDeliveryLocation.contextControlCoderequiredFixed Value: OP
http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
Procedure.entryRelationship:encounter.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:encounter.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:encounter.typeCoderequiredFixed Value: COMP
http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:encounter.encounter.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:encounter.encounter.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:encounter.encounter.classCoderequiredFixed Value: ENC
http://hl7.org/cda/stds/core/ValueSet/CDAActClass
Procedure.entryRelationship:encounter.encounter.moodCoderequiredFixed Value: EVN
http://terminology.hl7.org/ValueSet/v3-xDocumentEncounterMood|2.0.0
Procedure.entryRelationship:encounter.encounter.codeexampleActEncounterCode
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Procedure.entryRelationship:encounter.encounter.statusCoderequiredActStatus
http://terminology.hl7.org/ValueSet/v3-ActStatus
Procedure.entryRelationship:encounter.encounter.priorityCodeexampleActPriority
http://terminology.hl7.org/ValueSet/v3-ActPriority
Procedure.entryRelationship:instruction.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:instruction.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:instruction.typeCoderequiredFixed Value: SUBJ
http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:indication.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:indication.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:indication.typeCoderequiredFixed Value: RSON
http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:medication.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:medication.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:medication.typeCoderequiredFixed Value: COMP
http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:reaction.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:reaction.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:reaction.typeCoderequiredFixed Value: COMP
http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:assessmentScaleObs.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:assessmentScaleObs.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:assessmentScaleObs.typeCoderequiredFixed Value: RSON
http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:entryReference.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:entryReference.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:entryReference.typeCoderequiredFixed Value: RSON
http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship

Constraints

IdGradePath(s)DetailsRequirements
II-1errorProcedure.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.typeIdAn II instance must have either a root or an nullFlavor.
: root.exists() or nullFlavor.exists()
active-high-ts-after-documenterrorProcedureIf 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-assignedPersonwarningProcedure.performer.assignedEntitySHOULD contain assignedPerson
: assignedPerson.exists()
should-authorwarningProcedureSHOULD contain author
: author.exists()
should-idwarningProcedure.specimen.specimenRole, Procedure.performer.assignedEntity.representedOrganizationSHOULD contain id
: id.exists()
should-otext-ref-valuewarningProcedure.codeSHOULD contain originalText/reference/@value
: originalText.reference.value.exists()
should-performerwarningProcedureSHOULD contain performer
: performer.exists()
should-representedOrganizationwarningProcedure.performer.assignedEntitySHOULD contain representedOrganization
: representedOrganization.exists()
should-targetSiteCodewarningProcedureSHOULD contain targetSiteCode
: targetSiteCode.exists()
should-text-ref-valuewarningProcedureSHOULD contain text/reference/@value
: text.reference.value.exists()
should-valuewarningProcedure.effectiveTimeSHOULD contain value
: value.exists()
ts-shall-dayerrorProcedure.effectiveTime.low, Procedure.effectiveTime.high**SHALL** be precise to at least the day
: nullFlavor.exists() or value.toString().length() >= 10
ts-should-minutewarningProcedure.effectiveTime.low, Procedure.effectiveTime.high**SHOULD** be precise to at least the minute
: nullFlavor.exists() or value.toString().length() > 10
ts-value-before-documenterrorProcedure.effectiveTime, Procedure.effectiveTime.lowTime value must be equal to or before ClinicalDocument/effectiveTime
: value.exists() implies value <= %resource.effectiveTime.value
value-starts-octothorpeerrorProcedure.code.originalText.reference, Procedure.text.referenceIf reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
: value.exists() implies value.startsWith('#')
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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)
Constraints: should-text-ref-value, active-high-ts-after-document, should-targetSiteCode, should-performer, should-author
... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
... realmCode 0..* CS
... typeId C 0..1 II Constraints: II-1
.... @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)
Additional BindingsPurposeDocumentation
Social Determinants of Health Procedures . Preferred
For Social Determinant of Health Interventions

Constraints: should-otext-ref-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 Constraints: value-starts-octothorpe
..... 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 Constraints: value-starts-octothorpe
.... 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
Constraints: should-value, ts-value-before-document
.... @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
Constraints: ts-shall-day, ts-should-minute, ts-value-before-document
..... @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
Constraints: ts-shall-day, ts-should-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 Constraints: II-1
..... @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 Constraints: should-id
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... realmCode 0..* CS
..... typeId C 0..1 II Constraints: II-1
...... @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 Constraints: II-1
..... @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 Constraints: should-assignedPerson, should-representedOrganization
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... realmCode 0..* CS
..... typeId C 0..1 II Constraints: II-1
...... @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 1..* USRealmAddress
..... telecom 1..* TEL
..... assignedPerson 0..1 Person
...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
...... realmCode 0..* CS
...... typeId C 0..1 II Constraints: II-1
....... @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 1..* USRealmPersonNamePNUSFIELDED
...... 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 Constraints: II-1
........ @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 Constraints: should-id
...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
...... realmCode 0..* CS
...... typeId C 0..1 II Constraints: II-1
....... @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 1..* USRealmAddress
...... 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
... 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 Constraints: II-1
...... @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 1..1 ProductInstance
.... participant:serviceDeliveryLocation 0..* Participant2 participant
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... realmCode 0..* CS
..... typeId C 0..1 II Constraints: II-1
...... @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 1..1 ServiceDeliveryLocation
... 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 Constraints: II-1
...... @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 Constraints: II-1
....... @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 Constraints: II-1
...... @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 1..1 InstructionObservation
..... 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 Constraints: II-1
...... @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 1..1 Indication
..... 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 Constraints: II-1
...... @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 1..1 MedicationActivity
..... supply 0..1 Supply
.... entryRelationship:reaction 0..* EntryRelationship entryRelationship
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... realmCode 0..* CS
..... typeId C 0..1 II Constraints: II-1
...... @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 1..1 ReactionObservation
..... 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 Constraints: II-1
...... @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 1..1 AssessmentScaleObservation
..... 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 Constraints: II-1
...... @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 1..1 EntryReference
..... 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)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Procedure.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.templateId:procedure.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.classCoderequiredFixed Value: PROC
http://terminology.hl7.org/ValueSet/v3-ActClassProcedure
Procedure.moodCoderequiredFixed Value: EVN
http://terminology.hl7.org/ValueSet/v3-xDocumentProcedureMood
Procedure.codepreferredUSCoreProcedureCodes
http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code
Procedure.code.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.code.originalText.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.code.originalText.compressionrequiredCDACompressionAlgorithm
http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
Procedure.code.originalText.integrityCheckAlgorithmrequiredIntegrityCheckAlgorithm
http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
Procedure.code.originalText.mediaTypeexampleMediaType
http://terminology.hl7.org/ValueSet/v3-MediaType
Procedure.code.originalText.representationrequiredBinaryDataEncoding
http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
Procedure.text.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.text.compressionrequiredCDACompressionAlgorithm
http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
Procedure.text.integrityCheckAlgorithmrequiredIntegrityCheckAlgorithm
http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
Procedure.text.mediaTypeexampleMediaType
http://terminology.hl7.org/ValueSet/v3-MediaType
Procedure.text.representationrequiredBinaryDataEncoding
http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
Procedure.statusCoderequiredActStatus
http://terminology.hl7.org/ValueSet/v3-ActStatus
Procedure.statusCode.coderequiredProcedureActStatusCode .
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.22
Procedure.effectiveTime.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.effectiveTime.operatorrequiredCDASetOperator
http://hl7.org/cda/stds/core/ValueSet/CDASetOperator
Procedure.effectiveTime.low.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.effectiveTime.high.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.priorityCoderequiredActPriority
http://terminology.hl7.org/ValueSet/v3-ActPriority
Procedure.languageCoderequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages
From the FHIR Standard
Procedure.targetSiteCoderequiredBodySiteValueSet .
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.9
Procedure.specimen.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.specimen.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.specimen.typeCoderequiredFixed Value: SPC
http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
Procedure.specimen.specimenRole.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.specimen.specimenRole.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.specimen.specimenRole.classCoderequiredFixed Value: SPEC
http://terminology.hl7.org/ValueSet/v3-RoleClassSpecimen
Procedure.performer.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.typeCoderequiredFixed Value: PRF
http://terminology.hl7.org/ValueSet/v3-ParticipationPhysicalPerformer
Procedure.performer.assignedEntity.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.classCoderequiredFixed Value: ASSIGNED
http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
Procedure.performer.assignedEntity.codeexampleCDARoleCode
http://hl7.org/cda/stds/core/ValueSet/CDARoleCode
Procedure.performer.assignedEntity.assignedPerson.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.assignedPerson.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.assignedPerson.classCoderequiredFixed Value: PSN
http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
Procedure.performer.assignedEntity.assignedPerson.determinerCoderequiredFixed Value: INSTANCE
http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.representedOrganization.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.representedOrganization.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.representedOrganization.classCoderequiredFixed Value: ORG
http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization
Procedure.performer.assignedEntity.representedOrganization.determinerCoderequiredFixed Value: INSTANCE
http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
Procedure.performer.assignedEntity.representedOrganization.standardIndustryClassCodeexampleOrganizationIndustryClassNAICS
http://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS
Procedure.participant:productInstance.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.participant:productInstance.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.participant:productInstance.typeCoderequiredFixed Value: DEV
http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
Procedure.participant:productInstance.contextControlCoderequiredFixed Value: OP
http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
Procedure.participant:serviceDeliveryLocation.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.participant:serviceDeliveryLocation.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.participant:serviceDeliveryLocation.typeCoderequiredFixed Value: LOC
http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
Procedure.participant:serviceDeliveryLocation.contextControlCoderequiredFixed Value: OP
http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
Procedure.entryRelationship:encounter.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:encounter.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:encounter.typeCoderequiredFixed Value: COMP
http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:encounter.encounter.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:encounter.encounter.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:encounter.encounter.classCoderequiredFixed Value: ENC
http://hl7.org/cda/stds/core/ValueSet/CDAActClass
Procedure.entryRelationship:encounter.encounter.moodCoderequiredFixed Value: EVN
http://terminology.hl7.org/ValueSet/v3-xDocumentEncounterMood|2.0.0
Procedure.entryRelationship:encounter.encounter.codeexampleActEncounterCode
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Procedure.entryRelationship:encounter.encounter.statusCoderequiredActStatus
http://terminology.hl7.org/ValueSet/v3-ActStatus
Procedure.entryRelationship:encounter.encounter.priorityCodeexampleActPriority
http://terminology.hl7.org/ValueSet/v3-ActPriority
Procedure.entryRelationship:instruction.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:instruction.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:instruction.typeCoderequiredFixed Value: SUBJ
http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:indication.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:indication.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:indication.typeCoderequiredFixed Value: RSON
http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:medication.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:medication.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:medication.typeCoderequiredFixed Value: COMP
http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:reaction.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:reaction.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:reaction.typeCoderequiredFixed Value: COMP
http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:assessmentScaleObs.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:assessmentScaleObs.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:assessmentScaleObs.typeCoderequiredFixed Value: RSON
http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:entryReference.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:entryReference.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:entryReference.typeCoderequiredFixed Value: RSON
http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship

Constraints

IdGradePath(s)DetailsRequirements
II-1errorProcedure.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.typeIdAn II instance must have either a root or an nullFlavor.
: root.exists() or nullFlavor.exists()
active-high-ts-after-documenterrorProcedureIf 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-assignedPersonwarningProcedure.performer.assignedEntitySHOULD contain assignedPerson
: assignedPerson.exists()
should-authorwarningProcedureSHOULD contain author
: author.exists()
should-idwarningProcedure.specimen.specimenRole, Procedure.performer.assignedEntity.representedOrganizationSHOULD contain id
: id.exists()
should-otext-ref-valuewarningProcedure.codeSHOULD contain originalText/reference/@value
: originalText.reference.value.exists()
should-performerwarningProcedureSHOULD contain performer
: performer.exists()
should-representedOrganizationwarningProcedure.performer.assignedEntitySHOULD contain representedOrganization
: representedOrganization.exists()
should-targetSiteCodewarningProcedureSHOULD contain targetSiteCode
: targetSiteCode.exists()
should-text-ref-valuewarningProcedureSHOULD contain text/reference/@value
: text.reference.value.exists()
should-valuewarningProcedure.effectiveTimeSHOULD contain value
: value.exists()
ts-shall-dayerrorProcedure.effectiveTime.low, Procedure.effectiveTime.high**SHALL** be precise to at least the day
: nullFlavor.exists() or value.toString().length() >= 10
ts-should-minutewarningProcedure.effectiveTime.low, Procedure.effectiveTime.high**SHOULD** be precise to at least the minute
: nullFlavor.exists() or value.toString().length() > 10
ts-value-before-documenterrorProcedure.effectiveTime, Procedure.effectiveTime.lowTime value must be equal to or before ClinicalDocument/effectiveTime
: value.exists() implies value <= %resource.effectiveTime.value
value-starts-octothorpeerrorProcedure.code.originalText.reference, Procedure.text.referenceIf 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:

  • The element 2 is sliced based on the values of Procedure.templateId
  • The element 1 is sliced based on the value of Procedure.participant
  • The element 4 is sliced based on the values of Procedure.entryRelationship

Differential View

This structure is derived from Procedure

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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)
Constraints: should-text-ref-value, active-high-ts-after-document, should-targetSiteCode, should-performer, should-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
... code C 1..1 CD 𝗨𝗦𝗖𝗗𝗜: SDOH Interventions
Binding: US Core Procedure Codes (preferred)
Additional BindingsPurposeDocumentation
Social Determinants of Health Procedures . Preferred
For Social Determinant of Health Interventions

Constraints: should-otext-ref-value
.... originalText 0..1 ED SHOULD reference the portion of narrative corresponding to this code
..... reference C 0..1 TEL Constraints: value-starts-octothorpe
... text 0..1 ED SHOULD reference the portion of section narrative text corresponding to this entry
.... reference C 0..1 TEL Constraints: value-starts-octothorpe
... statusCode 1..1 CS
.... @nullFlavor 0..0
.... @code 1..1 cs Binding: ProcedureAct statusCode . (required)
... effectiveTime C 1..1 USRealmDateTimeInterval 𝗨𝗦𝗖𝗗𝗜: Performance Time
Constraints: should-value, ts-value-before-document
.... @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
Constraints: ts-value-before-document
.... 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 Constraints: should-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 Constraints: should-assignedPerson, should-representedOrganization
..... id 1..* II
..... addr 1..* USRealmAddress
..... telecom 1..* TEL
..... assignedPerson 0..1 Person
...... name 1..* USRealmPersonNamePNUSFIELDED
..... representedOrganization C 0..1 Organization Constraints: should-id
...... id 0..* II
...... name 0..* ON
...... telecom 1..* TEL
...... addr 1..* USRealmAddress
... author 0..* AuthorParticipation
... 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
.... participant:serviceDeliveryLocation 0..* Participant2 participant
..... @typeCode 1..1 cs Fixed Value: LOC
..... participantRole 1..1 ServiceDeliveryLocation
... 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
.... entryRelationship:indication 0..* EntryRelationship entryRelationship
..... @typeCode 1..1 cs Fixed Value: RSON
..... encounter 0..0
..... observation 1..1 Indication
.... entryRelationship:medication 0..* EntryRelationship entryRelationship
..... @typeCode 1..1 cs Fixed Value: COMP
..... encounter 0..0
..... substanceAdministration 1..1 MedicationActivity
.... entryRelationship:reaction 0..* EntryRelationship entryRelationship
..... @typeCode 1..1 cs Fixed Value: COMP
..... encounter 0..0
..... observation 1..1 ReactionObservation
.... 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
.... 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
..... encounter 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Procedure.codepreferredUSCoreProcedureCodes
http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code
Procedure.statusCode.coderequiredProcedureActStatusCode .
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.22
Procedure.priorityCoderequiredActPriority
http://terminology.hl7.org/ValueSet/v3-ActPriority
Procedure.targetSiteCoderequiredBodySiteValueSet .
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.9

Constraints

IdGradePath(s)DetailsRequirements
active-high-ts-after-documenterrorProcedureIf 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-assignedPersonwarningProcedure.performer.assignedEntitySHOULD contain assignedPerson
: assignedPerson.exists()
should-authorwarningProcedureSHOULD contain author
: author.exists()
should-idwarningProcedure.specimen.specimenRole, Procedure.performer.assignedEntity.representedOrganizationSHOULD contain id
: id.exists()
should-otext-ref-valuewarningProcedure.codeSHOULD contain originalText/reference/@value
: originalText.reference.value.exists()
should-performerwarningProcedureSHOULD contain performer
: performer.exists()
should-representedOrganizationwarningProcedure.performer.assignedEntitySHOULD contain representedOrganization
: representedOrganization.exists()
should-targetSiteCodewarningProcedureSHOULD contain targetSiteCode
: targetSiteCode.exists()
should-text-ref-valuewarningProcedureSHOULD contain text/reference/@value
: text.reference.value.exists()
should-valuewarningProcedure.effectiveTimeSHOULD contain value
: value.exists()
ts-value-before-documenterrorProcedure.effectiveTime, Procedure.effectiveTime.lowTime value must be equal to or before ClinicalDocument/effectiveTime
: value.exists() implies value <= %resource.effectiveTime.value
value-starts-octothorpeerrorProcedure.code.originalText.reference, Procedure.text.referenceIf reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
: value.exists() implies value.startsWith('#')

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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)
Constraints: should-text-ref-value, active-high-ts-after-document, should-targetSiteCode, should-performer, should-author
... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
... realmCode 0..* CS
... typeId C 0..1 II Constraints: II-1
.... @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)
Additional BindingsPurposeDocumentation
Social Determinants of Health Procedures . Preferred
For Social Determinant of Health Interventions

Constraints: should-otext-ref-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 Constraints: value-starts-octothorpe
..... 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 Constraints: value-starts-octothorpe
.... 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
Constraints: should-value, ts-value-before-document
.... @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
Constraints: ts-shall-day, ts-should-minute, ts-value-before-document
..... @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
Constraints: ts-shall-day, ts-should-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 Constraints: II-1
..... @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 Constraints: should-id
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... realmCode 0..* CS
..... typeId C 0..1 II Constraints: II-1
...... @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 Constraints: II-1
..... @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 Constraints: should-assignedPerson, should-representedOrganization
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... realmCode 0..* CS
..... typeId C 0..1 II Constraints: II-1
...... @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 1..* USRealmAddress
..... telecom 1..* TEL
..... assignedPerson 0..1 Person
...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
...... realmCode 0..* CS
...... typeId C 0..1 II Constraints: II-1
....... @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 1..* USRealmPersonNamePNUSFIELDED
...... 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 Constraints: II-1
........ @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 Constraints: should-id
...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
...... realmCode 0..* CS
...... typeId C 0..1 II Constraints: II-1
....... @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 1..* USRealmAddress
...... 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
... 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 Constraints: II-1
...... @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 1..1 ProductInstance
.... participant:serviceDeliveryLocation 0..* Participant2 participant
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... realmCode 0..* CS
..... typeId C 0..1 II Constraints: II-1
...... @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 1..1 ServiceDeliveryLocation
... 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 Constraints: II-1
...... @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 Constraints: II-1
....... @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 Constraints: II-1
...... @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 1..1 InstructionObservation
..... 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 Constraints: II-1
...... @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 1..1 Indication
..... 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 Constraints: II-1
...... @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 1..1 MedicationActivity
..... supply 0..1 Supply
.... entryRelationship:reaction 0..* EntryRelationship entryRelationship
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... realmCode 0..* CS
..... typeId C 0..1 II Constraints: II-1
...... @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 1..1 ReactionObservation
..... 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 Constraints: II-1
...... @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 1..1 AssessmentScaleObservation
..... 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 Constraints: II-1
...... @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 1..1 EntryReference
..... 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)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Procedure.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.templateId:procedure.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.classCoderequiredFixed Value: PROC
http://terminology.hl7.org/ValueSet/v3-ActClassProcedure
Procedure.moodCoderequiredFixed Value: EVN
http://terminology.hl7.org/ValueSet/v3-xDocumentProcedureMood
Procedure.codepreferredUSCoreProcedureCodes
http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code
Procedure.code.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.code.originalText.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.code.originalText.compressionrequiredCDACompressionAlgorithm
http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
Procedure.code.originalText.integrityCheckAlgorithmrequiredIntegrityCheckAlgorithm
http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
Procedure.code.originalText.mediaTypeexampleMediaType
http://terminology.hl7.org/ValueSet/v3-MediaType
Procedure.code.originalText.representationrequiredBinaryDataEncoding
http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
Procedure.text.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.text.compressionrequiredCDACompressionAlgorithm
http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
Procedure.text.integrityCheckAlgorithmrequiredIntegrityCheckAlgorithm
http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
Procedure.text.mediaTypeexampleMediaType
http://terminology.hl7.org/ValueSet/v3-MediaType
Procedure.text.representationrequiredBinaryDataEncoding
http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
Procedure.statusCoderequiredActStatus
http://terminology.hl7.org/ValueSet/v3-ActStatus
Procedure.statusCode.coderequiredProcedureActStatusCode .
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.22
Procedure.effectiveTime.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.effectiveTime.operatorrequiredCDASetOperator
http://hl7.org/cda/stds/core/ValueSet/CDASetOperator
Procedure.effectiveTime.low.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.effectiveTime.high.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.priorityCoderequiredActPriority
http://terminology.hl7.org/ValueSet/v3-ActPriority
Procedure.languageCoderequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages
From the FHIR Standard
Procedure.targetSiteCoderequiredBodySiteValueSet .
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.9
Procedure.specimen.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.specimen.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.specimen.typeCoderequiredFixed Value: SPC
http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
Procedure.specimen.specimenRole.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.specimen.specimenRole.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.specimen.specimenRole.classCoderequiredFixed Value: SPEC
http://terminology.hl7.org/ValueSet/v3-RoleClassSpecimen
Procedure.performer.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.typeCoderequiredFixed Value: PRF
http://terminology.hl7.org/ValueSet/v3-ParticipationPhysicalPerformer
Procedure.performer.assignedEntity.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.classCoderequiredFixed Value: ASSIGNED
http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
Procedure.performer.assignedEntity.codeexampleCDARoleCode
http://hl7.org/cda/stds/core/ValueSet/CDARoleCode
Procedure.performer.assignedEntity.assignedPerson.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.assignedPerson.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.assignedPerson.classCoderequiredFixed Value: PSN
http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
Procedure.performer.assignedEntity.assignedPerson.determinerCoderequiredFixed Value: INSTANCE
http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.representedOrganization.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.representedOrganization.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.representedOrganization.classCoderequiredFixed Value: ORG
http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization
Procedure.performer.assignedEntity.representedOrganization.determinerCoderequiredFixed Value: INSTANCE
http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
Procedure.performer.assignedEntity.representedOrganization.standardIndustryClassCodeexampleOrganizationIndustryClassNAICS
http://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS
Procedure.participant:productInstance.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.participant:productInstance.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.participant:productInstance.typeCoderequiredFixed Value: DEV
http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
Procedure.participant:productInstance.contextControlCoderequiredFixed Value: OP
http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
Procedure.participant:serviceDeliveryLocation.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.participant:serviceDeliveryLocation.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.participant:serviceDeliveryLocation.typeCoderequiredFixed Value: LOC
http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
Procedure.participant:serviceDeliveryLocation.contextControlCoderequiredFixed Value: OP
http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
Procedure.entryRelationship:encounter.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:encounter.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:encounter.typeCoderequiredFixed Value: COMP
http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:encounter.encounter.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:encounter.encounter.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:encounter.encounter.classCoderequiredFixed Value: ENC
http://hl7.org/cda/stds/core/ValueSet/CDAActClass
Procedure.entryRelationship:encounter.encounter.moodCoderequiredFixed Value: EVN
http://terminology.hl7.org/ValueSet/v3-xDocumentEncounterMood|2.0.0
Procedure.entryRelationship:encounter.encounter.codeexampleActEncounterCode
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Procedure.entryRelationship:encounter.encounter.statusCoderequiredActStatus
http://terminology.hl7.org/ValueSet/v3-ActStatus
Procedure.entryRelationship:encounter.encounter.priorityCodeexampleActPriority
http://terminology.hl7.org/ValueSet/v3-ActPriority
Procedure.entryRelationship:instruction.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:instruction.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:instruction.typeCoderequiredFixed Value: SUBJ
http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:indication.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:indication.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:indication.typeCoderequiredFixed Value: RSON
http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:medication.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:medication.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:medication.typeCoderequiredFixed Value: COMP
http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:reaction.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:reaction.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:reaction.typeCoderequiredFixed Value: COMP
http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:assessmentScaleObs.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:assessmentScaleObs.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:assessmentScaleObs.typeCoderequiredFixed Value: RSON
http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:entryReference.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:entryReference.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:entryReference.typeCoderequiredFixed Value: RSON
http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship

Constraints

IdGradePath(s)DetailsRequirements
II-1errorProcedure.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.typeIdAn II instance must have either a root or an nullFlavor.
: root.exists() or nullFlavor.exists()
active-high-ts-after-documenterrorProcedureIf 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-assignedPersonwarningProcedure.performer.assignedEntitySHOULD contain assignedPerson
: assignedPerson.exists()
should-authorwarningProcedureSHOULD contain author
: author.exists()
should-idwarningProcedure.specimen.specimenRole, Procedure.performer.assignedEntity.representedOrganizationSHOULD contain id
: id.exists()
should-otext-ref-valuewarningProcedure.codeSHOULD contain originalText/reference/@value
: originalText.reference.value.exists()
should-performerwarningProcedureSHOULD contain performer
: performer.exists()
should-representedOrganizationwarningProcedure.performer.assignedEntitySHOULD contain representedOrganization
: representedOrganization.exists()
should-targetSiteCodewarningProcedureSHOULD contain targetSiteCode
: targetSiteCode.exists()
should-text-ref-valuewarningProcedureSHOULD contain text/reference/@value
: text.reference.value.exists()
should-valuewarningProcedure.effectiveTimeSHOULD contain value
: value.exists()
ts-shall-dayerrorProcedure.effectiveTime.low, Procedure.effectiveTime.high**SHALL** be precise to at least the day
: nullFlavor.exists() or value.toString().length() >= 10
ts-should-minutewarningProcedure.effectiveTime.low, Procedure.effectiveTime.high**SHOULD** be precise to at least the minute
: nullFlavor.exists() or value.toString().length() > 10
ts-value-before-documenterrorProcedure.effectiveTime, Procedure.effectiveTime.lowTime value must be equal to or before ClinicalDocument/effectiveTime
: value.exists() implies value <= %resource.effectiveTime.value
value-starts-octothorpeerrorProcedure.code.originalText.reference, Procedure.text.referenceIf reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
: value.exists() implies value.startsWith('#')

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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)
Constraints: should-text-ref-value, active-high-ts-after-document, should-targetSiteCode, should-performer, should-author
... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
... realmCode 0..* CS
... typeId C 0..1 II Constraints: II-1
.... @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)
Additional BindingsPurposeDocumentation
Social Determinants of Health Procedures . Preferred
For Social Determinant of Health Interventions

Constraints: should-otext-ref-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 Constraints: value-starts-octothorpe
..... 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 Constraints: value-starts-octothorpe
.... 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
Constraints: should-value, ts-value-before-document
.... @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
Constraints: ts-shall-day, ts-should-minute, ts-value-before-document
..... @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
Constraints: ts-shall-day, ts-should-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 Constraints: II-1
..... @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 Constraints: should-id
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... realmCode 0..* CS
..... typeId C 0..1 II Constraints: II-1
...... @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 Constraints: II-1
..... @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 Constraints: should-assignedPerson, should-representedOrganization
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... realmCode 0..* CS
..... typeId C 0..1 II Constraints: II-1
...... @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 1..* USRealmAddress
..... telecom 1..* TEL
..... assignedPerson 0..1 Person
...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
...... realmCode 0..* CS
...... typeId C 0..1 II Constraints: II-1
....... @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 1..* USRealmPersonNamePNUSFIELDED
...... 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 Constraints: II-1
........ @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 Constraints: should-id
...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
...... realmCode 0..* CS
...... typeId C 0..1 II Constraints: II-1
....... @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 1..* USRealmAddress
...... 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
... 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 Constraints: II-1
...... @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 1..1 ProductInstance
.... participant:serviceDeliveryLocation 0..* Participant2 participant
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... realmCode 0..* CS
..... typeId C 0..1 II Constraints: II-1
...... @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 1..1 ServiceDeliveryLocation
... 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 Constraints: II-1
...... @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 Constraints: II-1
....... @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 Constraints: II-1
...... @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 1..1 InstructionObservation
..... 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 Constraints: II-1
...... @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 1..1 Indication
..... 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 Constraints: II-1
...... @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 1..1 MedicationActivity
..... supply 0..1 Supply
.... entryRelationship:reaction 0..* EntryRelationship entryRelationship
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... realmCode 0..* CS
..... typeId C 0..1 II Constraints: II-1
...... @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 1..1 ReactionObservation
..... 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 Constraints: II-1
...... @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 1..1 AssessmentScaleObservation
..... 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 Constraints: II-1
...... @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 1..1 EntryReference
..... 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)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Procedure.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.templateId:procedure.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.classCoderequiredFixed Value: PROC
http://terminology.hl7.org/ValueSet/v3-ActClassProcedure
Procedure.moodCoderequiredFixed Value: EVN
http://terminology.hl7.org/ValueSet/v3-xDocumentProcedureMood
Procedure.codepreferredUSCoreProcedureCodes
http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code
Procedure.code.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.code.originalText.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.code.originalText.compressionrequiredCDACompressionAlgorithm
http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
Procedure.code.originalText.integrityCheckAlgorithmrequiredIntegrityCheckAlgorithm
http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
Procedure.code.originalText.mediaTypeexampleMediaType
http://terminology.hl7.org/ValueSet/v3-MediaType
Procedure.code.originalText.representationrequiredBinaryDataEncoding
http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
Procedure.text.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.text.compressionrequiredCDACompressionAlgorithm
http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
Procedure.text.integrityCheckAlgorithmrequiredIntegrityCheckAlgorithm
http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
Procedure.text.mediaTypeexampleMediaType
http://terminology.hl7.org/ValueSet/v3-MediaType
Procedure.text.representationrequiredBinaryDataEncoding
http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
Procedure.statusCoderequiredActStatus
http://terminology.hl7.org/ValueSet/v3-ActStatus
Procedure.statusCode.coderequiredProcedureActStatusCode .
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.22
Procedure.effectiveTime.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.effectiveTime.operatorrequiredCDASetOperator
http://hl7.org/cda/stds/core/ValueSet/CDASetOperator
Procedure.effectiveTime.low.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.effectiveTime.high.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.priorityCoderequiredActPriority
http://terminology.hl7.org/ValueSet/v3-ActPriority
Procedure.languageCoderequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages
From the FHIR Standard
Procedure.targetSiteCoderequiredBodySiteValueSet .
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.9
Procedure.specimen.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.specimen.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.specimen.typeCoderequiredFixed Value: SPC
http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
Procedure.specimen.specimenRole.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.specimen.specimenRole.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.specimen.specimenRole.classCoderequiredFixed Value: SPEC
http://terminology.hl7.org/ValueSet/v3-RoleClassSpecimen
Procedure.performer.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.typeCoderequiredFixed Value: PRF
http://terminology.hl7.org/ValueSet/v3-ParticipationPhysicalPerformer
Procedure.performer.assignedEntity.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.classCoderequiredFixed Value: ASSIGNED
http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
Procedure.performer.assignedEntity.codeexampleCDARoleCode
http://hl7.org/cda/stds/core/ValueSet/CDARoleCode
Procedure.performer.assignedEntity.assignedPerson.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.assignedPerson.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.assignedPerson.classCoderequiredFixed Value: PSN
http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
Procedure.performer.assignedEntity.assignedPerson.determinerCoderequiredFixed Value: INSTANCE
http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.representedOrganization.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.representedOrganization.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.representedOrganization.classCoderequiredFixed Value: ORG
http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization
Procedure.performer.assignedEntity.representedOrganization.determinerCoderequiredFixed Value: INSTANCE
http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
Procedure.performer.assignedEntity.representedOrganization.standardIndustryClassCodeexampleOrganizationIndustryClassNAICS
http://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS
Procedure.participant:productInstance.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.participant:productInstance.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.participant:productInstance.typeCoderequiredFixed Value: DEV
http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
Procedure.participant:productInstance.contextControlCoderequiredFixed Value: OP
http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
Procedure.participant:serviceDeliveryLocation.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.participant:serviceDeliveryLocation.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.participant:serviceDeliveryLocation.typeCoderequiredFixed Value: LOC
http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
Procedure.participant:serviceDeliveryLocation.contextControlCoderequiredFixed Value: OP
http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
Procedure.entryRelationship:encounter.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:encounter.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:encounter.typeCoderequiredFixed Value: COMP
http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:encounter.encounter.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:encounter.encounter.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:encounter.encounter.classCoderequiredFixed Value: ENC
http://hl7.org/cda/stds/core/ValueSet/CDAActClass
Procedure.entryRelationship:encounter.encounter.moodCoderequiredFixed Value: EVN
http://terminology.hl7.org/ValueSet/v3-xDocumentEncounterMood|2.0.0
Procedure.entryRelationship:encounter.encounter.codeexampleActEncounterCode
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Procedure.entryRelationship:encounter.encounter.statusCoderequiredActStatus
http://terminology.hl7.org/ValueSet/v3-ActStatus
Procedure.entryRelationship:encounter.encounter.priorityCodeexampleActPriority
http://terminology.hl7.org/ValueSet/v3-ActPriority
Procedure.entryRelationship:instruction.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:instruction.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:instruction.typeCoderequiredFixed Value: SUBJ
http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:indication.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:indication.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:indication.typeCoderequiredFixed Value: RSON
http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:medication.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:medication.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:medication.typeCoderequiredFixed Value: COMP
http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:reaction.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:reaction.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:reaction.typeCoderequiredFixed Value: COMP
http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:assessmentScaleObs.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:assessmentScaleObs.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:assessmentScaleObs.typeCoderequiredFixed Value: RSON
http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:entryReference.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:entryReference.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:entryReference.typeCoderequiredFixed Value: RSON
http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship

Constraints

IdGradePath(s)DetailsRequirements
II-1errorProcedure.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.typeIdAn II instance must have either a root or an nullFlavor.
: root.exists() or nullFlavor.exists()
active-high-ts-after-documenterrorProcedureIf 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-assignedPersonwarningProcedure.performer.assignedEntitySHOULD contain assignedPerson
: assignedPerson.exists()
should-authorwarningProcedureSHOULD contain author
: author.exists()
should-idwarningProcedure.specimen.specimenRole, Procedure.performer.assignedEntity.representedOrganizationSHOULD contain id
: id.exists()
should-otext-ref-valuewarningProcedure.codeSHOULD contain originalText/reference/@value
: originalText.reference.value.exists()
should-performerwarningProcedureSHOULD contain performer
: performer.exists()
should-representedOrganizationwarningProcedure.performer.assignedEntitySHOULD contain representedOrganization
: representedOrganization.exists()
should-targetSiteCodewarningProcedureSHOULD contain targetSiteCode
: targetSiteCode.exists()
should-text-ref-valuewarningProcedureSHOULD contain text/reference/@value
: text.reference.value.exists()
should-valuewarningProcedure.effectiveTimeSHOULD contain value
: value.exists()
ts-shall-dayerrorProcedure.effectiveTime.low, Procedure.effectiveTime.high**SHALL** be precise to at least the day
: nullFlavor.exists() or value.toString().length() >= 10
ts-should-minutewarningProcedure.effectiveTime.low, Procedure.effectiveTime.high**SHOULD** be precise to at least the minute
: nullFlavor.exists() or value.toString().length() > 10
ts-value-before-documenterrorProcedure.effectiveTime, Procedure.effectiveTime.lowTime value must be equal to or before ClinicalDocument/effectiveTime
: value.exists() implies value <= %resource.effectiveTime.value
value-starts-octothorpeerrorProcedure.code.originalText.reference, Procedure.text.referenceIf 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:

  • The element 2 is sliced based on the values of Procedure.templateId
  • The element 1 is sliced based on the value of Procedure.participant
  • The element 4 is sliced based on the values of Procedure.entryRelationship

 

Other representations of profile: CSV, Excel