Consolidated CDA (C-CDA), published by Health Level Seven. This guide is not an authorized publication; it is the continuous build for version 4.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/CDA-ccda/ and changes regularly. See the Directory of published versions
Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/SpecimenCollectionProcedure | Version: 4.0.0-ballot | |||
Draft as of 2024-12-19 | Computable Name: SpecimenCollectionProcedure | |||
Other Identifiers: urn:ietf:rfc:3986#Uniform Resource Identifier (URI)#urn:hl7ii:2.16.840.1.113883.10.20.22.4.415:2018-09-01 |
This template represents clinical information about the specimen including when it was collected, the type and source of specimen, as well as related observations regarding the specimen.
Usage:
Description of Template, Differentials, Snapshots and how the different presentations work.
This structure is derived from Procedure
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Procedure | C | 1..1 | Procedure | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, sdtcCategory, code, @negationInd, text, statusCode, effectiveTime, priorityCode, languageCode, methodCode, approachSiteCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, sdtcInFulfillmentOf1 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value should-effectiveTime: SHOULD contain effectiveTime should-targetSiteCode: SHOULD contain targetSiteCode |
Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root, value:extension | |
templateId:specimen-collection-proc | 1..1 | II | ||
@root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.415 | |
@extension | 1..1 | st | Required Pattern: 2018-09-01 | |
@moodCode | 1..1 | cs | Fixed Value: EVN | |
code | 1..1 | CD | Specimen collection (procedure) | |
@code | 1..1 | cs | Required Pattern: 17636008 | |
@codeSystem | 1..1 | oid, uuid, ruid | SNOMED CT Required Pattern: 2.16.840.1.113883.6.96 | |
text | 0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
reference | C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative |
targetSiteCode | 0..* | CD | 𝗨𝗦𝗖𝗗𝗜: Specimen Source Site Binding: Body Site Value Set (required) | |
Slices for entryRelationship | 1..* | EntryRelationship | Slice: Unordered, Open by profile:act, profile:observation | |
entryRelationship:specimenRef | 1..1 | EntryRelationship | References the specimen that is the subject of this procedure | |
@typeCode | 1..1 | cs | Fixed Value: SUBJ | |
act | 1..1 | EntryReference | Base for all types and resources | |
entryRelationship:condition | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: COMP | |
observation | 0..1 | SpecimenConditionObservation | 𝗨𝗦𝗖𝗗𝗜: Specimen Condition Acceptability | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Procedure.targetSiteCode | required | BodySiteValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.9 |
Id | Grade | Path(s) | Details | Requirements |
should-effectiveTime | warning | Procedure | SHOULD contain effectiveTime : effectiveTime.exists() | |
should-targetSiteCode | warning | Procedure | SHOULD contain targetSiteCode : targetSiteCode.exists() | |
should-text-ref-value | warning | Procedure | SHOULD contain text/reference/@value : text.reference.value.exists() | |
value-starts-octothorpe | error | Procedure.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#') |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Procedure | C | 1..1 | Procedure | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, sdtcCategory, code, @negationInd, text, statusCode, effectiveTime, priorityCode, languageCode, methodCode, approachSiteCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, sdtcInFulfillmentOf1 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value should-effectiveTime: SHOULD contain effectiveTime should-targetSiteCode: SHOULD contain targetSiteCode |
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
realmCode | 0..* | CS | ||
typeId | C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
@assigningAuthorityName | 0..1 | st | ||
@displayable | 0..1 | bl | ||
@root | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
@extension | 1..1 | st | ||
Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root, value:extension | |
templateId:specimen-collection-proc | 1..1 | II | ||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
@assigningAuthorityName | 0..1 | st | ||
@displayable | 0..1 | bl | ||
@root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.415 | |
@extension | 1..1 | st | Required Pattern: 2018-09-01 | |
@classCode | 1..1 | cs | Binding: ActClassProcedure (required) Fixed Value: PROC | |
@moodCode | 1..1 | cs | Binding: x_DocumentProcedureMood (required) Fixed Value: EVN | |
id | 0..* | II | ||
sdtcCategory | 0..* | CD | XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc) | |
code | 1..1 | CD | Specimen collection (procedure) | |
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
@code | 1..1 | cs | Required Pattern: 17636008 | |
@codeSystem | 1..1 | oid, uuid, ruid | SNOMED CT Required Pattern: 2.16.840.1.113883.6.96 | |
@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 | ||
qualifier | 0..* | CR | ||
translation | 0..* | CD | ||
@negationInd | 0..1 | bl | ||
text | 0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
@compression | 0..1 | cs | Binding: CDACompressionAlgorithm (required) | |
@integrityCheck | 0..1 | bin | ||
@integrityCheckAlgorithm | 0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required) | |
@language | 0..1 | cs | ||
@mediaType | 0..1 | cs | Binding: MediaType (example) | |
@representation | 0..1 | cs | Binding: CDABinaryDataEncoding (required) | |
xmlText | 0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |
reference | C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative |
thumbnail | 0..1 | ED | ||
statusCode | 0..1 | CS | Binding: ActStatus (required) | |
effectiveTime | 0..1 | IVL_TS | ||
priorityCode | 0..1 | CE | Binding: ActPriority (example) | |
languageCode | 0..1 | CS | Binding: AllLanguages (required) | |
methodCode | 0..* | CE | ||
approachSiteCode | 0..* | CD | ||
targetSiteCode | 0..* | CD | 𝗨𝗦𝗖𝗗𝗜: Specimen Source Site Binding: Body Site Value Set (required) | |
subject | 0..1 | Subject | ||
specimen | 0..* | Specimen | ||
performer | 0..* | Performer2 | ||
author | 0..* | Author | ||
informant | 0..* | Informant | ||
participant | 0..* | Participant2 | ||
Slices for entryRelationship | 1..* | EntryRelationship | Slice: Unordered, Open by profile:act, profile:observation | |
entryRelationship:specimenRef | 1..1 | EntryRelationship | References the specimen that is the subject of this procedure | |
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
realmCode | 0..* | CS | ||
typeId | C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
@assigningAuthorityName | 0..1 | st | ||
@displayable | 0..1 | bl | ||
@root | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
@extension | 1..1 | st | ||
templateId | 0..* | II | ||
@typeCode | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: SUBJ | |
@inversionInd | 0..1 | bl | ||
@contextConductionInd | 0..1 | bl | ||
@negationInd | 0..1 | bl | ||
sequenceNumber | 0..1 | INT | ||
seperatableInd | 0..1 | BL | ||
act | C | 1..1 | EntryReference | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value |
encounter | 0..1 | Encounter | ||
observation | 0..1 | Observation | ||
observationMedia | 0..1 | ObservationMedia | ||
organizer | 0..1 | Organizer | ||
procedure | 0..1 | Procedure | ||
regionOfInterest | 0..1 | RegionOfInterest | ||
substanceAdministration | 0..1 | SubstanceAdministration | ||
supply | 0..1 | Supply | ||
entryRelationship:condition | 0..* | EntryRelationship | ||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
realmCode | 0..* | CS | ||
typeId | C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
@assigningAuthorityName | 0..1 | st | ||
@displayable | 0..1 | bl | ||
@root | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
@extension | 1..1 | st | ||
templateId | 0..* | II | ||
@typeCode | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: COMP | |
@inversionInd | 0..1 | bl | ||
@contextConductionInd | 0..1 | bl | ||
@negationInd | 0..1 | bl | ||
sequenceNumber | 0..1 | INT | ||
seperatableInd | 0..1 | BL | ||
act | 0..1 | Act | ||
encounter | 0..1 | Encounter | ||
observation | C | 0..1 | SpecimenConditionObservation | 𝗨𝗦𝗖𝗗𝗜: Specimen Condition Acceptability should-text-ref-value: SHOULD contain text/reference/@value |
observationMedia | 0..1 | ObservationMedia | ||
organizer | 0..1 | Organizer | ||
procedure | 0..1 | Procedure | ||
regionOfInterest | 0..1 | RegionOfInterest | ||
substanceAdministration | 0..1 | SubstanceAdministration | ||
supply | 0..1 | Supply | ||
reference | 0..* | Reference | ||
precondition | 0..* | Precondition | ||
sdtcPrecondition2 | 0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc) | |
sdtcInFulfillmentOf1 | 0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
Procedure.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.templateId:specimen-collection-proc.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.classCode | required | Fixed Value: PROChttp://terminology.hl7.org/ValueSet/v3-ActClassProcedure | |
Procedure.moodCode | required | Fixed Value: EVNhttp://terminology.hl7.org/ValueSet/v3-xDocumentProcedureMood | |
Procedure.code.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.text.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.text.compression | required | CDACompressionAlgorithmhttp://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm | |
Procedure.text.integrityCheckAlgorithm | required | IntegrityCheckAlgorithmhttp://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0 | |
Procedure.text.mediaType | example | MediaTypehttp://terminology.hl7.org/ValueSet/v3-MediaType | |
Procedure.text.representation | required | BinaryDataEncodinghttp://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding | |
Procedure.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
Procedure.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
Procedure.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard | |
Procedure.targetSiteCode | required | BodySiteValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.9 | |
Procedure.entryRelationship:specimenRef.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:specimenRef.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:specimenRef.typeCode | required | Fixed Value: SUBJhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Procedure.entryRelationship:condition.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:condition.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:condition.typeCode | required | Fixed Value: COMPhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship |
Id | Grade | Path(s) | Details | Requirements |
II-1 | error | Procedure.typeId, Procedure.entryRelationship:specimenRef.typeId, Procedure.entryRelationship:condition.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists() | |
should-effectiveTime | warning | Procedure | SHOULD contain effectiveTime : effectiveTime.exists() | |
should-targetSiteCode | warning | Procedure | SHOULD contain targetSiteCode : targetSiteCode.exists() | |
should-text-ref-value | warning | Procedure | SHOULD contain text/reference/@value : text.reference.value.exists() | |
should-text-ref-value | warning | Procedure.entryRelationship:specimenRef.act, Procedure.entryRelationship:condition.observation | SHOULD contain text/reference/@value : text.reference.value.exists() | |
value-starts-octothorpe | error | Procedure.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#') |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Procedure | C | 1..1 | Procedure | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, sdtcCategory, code, @negationInd, text, statusCode, effectiveTime, priorityCode, languageCode, methodCode, approachSiteCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, sdtcInFulfillmentOf1 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value should-effectiveTime: SHOULD contain effectiveTime should-targetSiteCode: SHOULD contain targetSiteCode |
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
realmCode | 0..* | CS | ||
typeId | C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
@assigningAuthorityName | 0..1 | st | ||
@displayable | 0..1 | bl | ||
@root | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
@extension | 1..1 | st | ||
Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root, value:extension | |
templateId:specimen-collection-proc | 1..1 | II | ||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
@assigningAuthorityName | 0..1 | st | ||
@displayable | 0..1 | bl | ||
@root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.415 | |
@extension | 1..1 | st | Required Pattern: 2018-09-01 | |
@classCode | 1..1 | cs | Binding: ActClassProcedure (required) Fixed Value: PROC | |
@moodCode | 1..1 | cs | Binding: x_DocumentProcedureMood (required) Fixed Value: EVN | |
id | 0..* | II | ||
sdtcCategory | 0..* | CD | XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc) | |
code | 1..1 | CD | Specimen collection (procedure) | |
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
@code | 1..1 | cs | Required Pattern: 17636008 | |
@codeSystem | 1..1 | oid, uuid, ruid | SNOMED CT Required Pattern: 2.16.840.1.113883.6.96 | |
@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 | ||
qualifier | 0..* | CR | ||
translation | 0..* | CD | ||
@negationInd | 0..1 | bl | ||
text | 0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
@compression | 0..1 | cs | Binding: CDACompressionAlgorithm (required) | |
@integrityCheck | 0..1 | bin | ||
@integrityCheckAlgorithm | 0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required) | |
@language | 0..1 | cs | ||
@mediaType | 0..1 | cs | Binding: MediaType (example) | |
@representation | 0..1 | cs | Binding: CDABinaryDataEncoding (required) | |
xmlText | 0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |
reference | C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative |
thumbnail | 0..1 | ED | ||
statusCode | 0..1 | CS | Binding: ActStatus (required) | |
effectiveTime | 0..1 | IVL_TS | ||
priorityCode | 0..1 | CE | Binding: ActPriority (example) | |
languageCode | 0..1 | CS | Binding: AllLanguages (required) | |
methodCode | 0..* | CE | ||
approachSiteCode | 0..* | CD | ||
targetSiteCode | 0..* | CD | 𝗨𝗦𝗖𝗗𝗜: Specimen Source Site Binding: Body Site Value Set (required) | |
subject | 0..1 | Subject | ||
specimen | 0..* | Specimen | ||
performer | 0..* | Performer2 | ||
author | 0..* | Author | ||
informant | 0..* | Informant | ||
participant | 0..* | Participant2 | ||
Slices for entryRelationship | 1..* | EntryRelationship | Slice: Unordered, Open by profile:act, profile:observation | |
entryRelationship:specimenRef | 1..1 | EntryRelationship | References the specimen that is the subject of this procedure | |
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
realmCode | 0..* | CS | ||
typeId | C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
@assigningAuthorityName | 0..1 | st | ||
@displayable | 0..1 | bl | ||
@root | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
@extension | 1..1 | st | ||
templateId | 0..* | II | ||
@typeCode | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: SUBJ | |
@inversionInd | 0..1 | bl | ||
@contextConductionInd | 0..1 | bl | ||
@negationInd | 0..1 | bl | ||
sequenceNumber | 0..1 | INT | ||
seperatableInd | 0..1 | BL | ||
act | C | 1..1 | EntryReference | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value |
encounter | 0..1 | Encounter | ||
observation | 0..1 | Observation | ||
observationMedia | 0..1 | ObservationMedia | ||
organizer | 0..1 | Organizer | ||
procedure | 0..1 | Procedure | ||
regionOfInterest | 0..1 | RegionOfInterest | ||
substanceAdministration | 0..1 | SubstanceAdministration | ||
supply | 0..1 | Supply | ||
entryRelationship:condition | 0..* | EntryRelationship | ||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
realmCode | 0..* | CS | ||
typeId | C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
@assigningAuthorityName | 0..1 | st | ||
@displayable | 0..1 | bl | ||
@root | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
@extension | 1..1 | st | ||
templateId | 0..* | II | ||
@typeCode | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: COMP | |
@inversionInd | 0..1 | bl | ||
@contextConductionInd | 0..1 | bl | ||
@negationInd | 0..1 | bl | ||
sequenceNumber | 0..1 | INT | ||
seperatableInd | 0..1 | BL | ||
act | 0..1 | Act | ||
encounter | 0..1 | Encounter | ||
observation | C | 0..1 | SpecimenConditionObservation | 𝗨𝗦𝗖𝗗𝗜: Specimen Condition Acceptability should-text-ref-value: SHOULD contain text/reference/@value |
observationMedia | 0..1 | ObservationMedia | ||
organizer | 0..1 | Organizer | ||
procedure | 0..1 | Procedure | ||
regionOfInterest | 0..1 | RegionOfInterest | ||
substanceAdministration | 0..1 | SubstanceAdministration | ||
supply | 0..1 | Supply | ||
reference | 0..* | Reference | ||
precondition | 0..* | Precondition | ||
sdtcPrecondition2 | 0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc) | |
sdtcInFulfillmentOf1 | 0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
Procedure.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.templateId:specimen-collection-proc.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.classCode | required | Fixed Value: PROChttp://terminology.hl7.org/ValueSet/v3-ActClassProcedure | |
Procedure.moodCode | required | Fixed Value: EVNhttp://terminology.hl7.org/ValueSet/v3-xDocumentProcedureMood | |
Procedure.code.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.text.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.text.compression | required | CDACompressionAlgorithmhttp://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm | |
Procedure.text.integrityCheckAlgorithm | required | IntegrityCheckAlgorithmhttp://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0 | |
Procedure.text.mediaType | example | MediaTypehttp://terminology.hl7.org/ValueSet/v3-MediaType | |
Procedure.text.representation | required | BinaryDataEncodinghttp://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding | |
Procedure.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
Procedure.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
Procedure.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard | |
Procedure.targetSiteCode | required | BodySiteValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.9 | |
Procedure.entryRelationship:specimenRef.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:specimenRef.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:specimenRef.typeCode | required | Fixed Value: SUBJhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Procedure.entryRelationship:condition.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:condition.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:condition.typeCode | required | Fixed Value: COMPhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship |
Id | Grade | Path(s) | Details | Requirements |
II-1 | error | Procedure.typeId, Procedure.entryRelationship:specimenRef.typeId, Procedure.entryRelationship:condition.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists() | |
should-effectiveTime | warning | Procedure | SHOULD contain effectiveTime : effectiveTime.exists() | |
should-targetSiteCode | warning | Procedure | SHOULD contain targetSiteCode : targetSiteCode.exists() | |
should-text-ref-value | warning | Procedure | SHOULD contain text/reference/@value : text.reference.value.exists() | |
should-text-ref-value | warning | Procedure.entryRelationship:specimenRef.act, Procedure.entryRelationship:condition.observation | SHOULD contain text/reference/@value : text.reference.value.exists() | |
value-starts-octothorpe | error | Procedure.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#') |
This structure is derived from Procedure
Summary
Mandatory: 10 elements
Fixed: 3 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from Procedure
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Procedure | C | 1..1 | Procedure | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, sdtcCategory, code, @negationInd, text, statusCode, effectiveTime, priorityCode, languageCode, methodCode, approachSiteCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, sdtcInFulfillmentOf1 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value should-effectiveTime: SHOULD contain effectiveTime should-targetSiteCode: SHOULD contain targetSiteCode |
Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root, value:extension | |
templateId:specimen-collection-proc | 1..1 | II | ||
@root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.415 | |
@extension | 1..1 | st | Required Pattern: 2018-09-01 | |
@moodCode | 1..1 | cs | Fixed Value: EVN | |
code | 1..1 | CD | Specimen collection (procedure) | |
@code | 1..1 | cs | Required Pattern: 17636008 | |
@codeSystem | 1..1 | oid, uuid, ruid | SNOMED CT Required Pattern: 2.16.840.1.113883.6.96 | |
text | 0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
reference | C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative |
targetSiteCode | 0..* | CD | 𝗨𝗦𝗖𝗗𝗜: Specimen Source Site Binding: Body Site Value Set (required) | |
Slices for entryRelationship | 1..* | EntryRelationship | Slice: Unordered, Open by profile:act, profile:observation | |
entryRelationship:specimenRef | 1..1 | EntryRelationship | References the specimen that is the subject of this procedure | |
@typeCode | 1..1 | cs | Fixed Value: SUBJ | |
act | 1..1 | EntryReference | Base for all types and resources | |
entryRelationship:condition | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: COMP | |
observation | 0..1 | SpecimenConditionObservation | 𝗨𝗦𝗖𝗗𝗜: Specimen Condition Acceptability | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Procedure.targetSiteCode | required | BodySiteValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.9 |
Id | Grade | Path(s) | Details | Requirements |
should-effectiveTime | warning | Procedure | SHOULD contain effectiveTime : effectiveTime.exists() | |
should-targetSiteCode | warning | Procedure | SHOULD contain targetSiteCode : targetSiteCode.exists() | |
should-text-ref-value | warning | Procedure | SHOULD contain text/reference/@value : text.reference.value.exists() | |
value-starts-octothorpe | error | Procedure.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#') |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Procedure | C | 1..1 | Procedure | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, sdtcCategory, code, @negationInd, text, statusCode, effectiveTime, priorityCode, languageCode, methodCode, approachSiteCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, sdtcInFulfillmentOf1 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value should-effectiveTime: SHOULD contain effectiveTime should-targetSiteCode: SHOULD contain targetSiteCode |
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
realmCode | 0..* | CS | ||
typeId | C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
@assigningAuthorityName | 0..1 | st | ||
@displayable | 0..1 | bl | ||
@root | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
@extension | 1..1 | st | ||
Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root, value:extension | |
templateId:specimen-collection-proc | 1..1 | II | ||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
@assigningAuthorityName | 0..1 | st | ||
@displayable | 0..1 | bl | ||
@root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.415 | |
@extension | 1..1 | st | Required Pattern: 2018-09-01 | |
@classCode | 1..1 | cs | Binding: ActClassProcedure (required) Fixed Value: PROC | |
@moodCode | 1..1 | cs | Binding: x_DocumentProcedureMood (required) Fixed Value: EVN | |
id | 0..* | II | ||
sdtcCategory | 0..* | CD | XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc) | |
code | 1..1 | CD | Specimen collection (procedure) | |
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
@code | 1..1 | cs | Required Pattern: 17636008 | |
@codeSystem | 1..1 | oid, uuid, ruid | SNOMED CT Required Pattern: 2.16.840.1.113883.6.96 | |
@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 | ||
qualifier | 0..* | CR | ||
translation | 0..* | CD | ||
@negationInd | 0..1 | bl | ||
text | 0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
@compression | 0..1 | cs | Binding: CDACompressionAlgorithm (required) | |
@integrityCheck | 0..1 | bin | ||
@integrityCheckAlgorithm | 0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required) | |
@language | 0..1 | cs | ||
@mediaType | 0..1 | cs | Binding: MediaType (example) | |
@representation | 0..1 | cs | Binding: CDABinaryDataEncoding (required) | |
xmlText | 0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |
reference | C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative |
thumbnail | 0..1 | ED | ||
statusCode | 0..1 | CS | Binding: ActStatus (required) | |
effectiveTime | 0..1 | IVL_TS | ||
priorityCode | 0..1 | CE | Binding: ActPriority (example) | |
languageCode | 0..1 | CS | Binding: AllLanguages (required) | |
methodCode | 0..* | CE | ||
approachSiteCode | 0..* | CD | ||
targetSiteCode | 0..* | CD | 𝗨𝗦𝗖𝗗𝗜: Specimen Source Site Binding: Body Site Value Set (required) | |
subject | 0..1 | Subject | ||
specimen | 0..* | Specimen | ||
performer | 0..* | Performer2 | ||
author | 0..* | Author | ||
informant | 0..* | Informant | ||
participant | 0..* | Participant2 | ||
Slices for entryRelationship | 1..* | EntryRelationship | Slice: Unordered, Open by profile:act, profile:observation | |
entryRelationship:specimenRef | 1..1 | EntryRelationship | References the specimen that is the subject of this procedure | |
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
realmCode | 0..* | CS | ||
typeId | C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
@assigningAuthorityName | 0..1 | st | ||
@displayable | 0..1 | bl | ||
@root | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
@extension | 1..1 | st | ||
templateId | 0..* | II | ||
@typeCode | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: SUBJ | |
@inversionInd | 0..1 | bl | ||
@contextConductionInd | 0..1 | bl | ||
@negationInd | 0..1 | bl | ||
sequenceNumber | 0..1 | INT | ||
seperatableInd | 0..1 | BL | ||
act | C | 1..1 | EntryReference | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value |
encounter | 0..1 | Encounter | ||
observation | 0..1 | Observation | ||
observationMedia | 0..1 | ObservationMedia | ||
organizer | 0..1 | Organizer | ||
procedure | 0..1 | Procedure | ||
regionOfInterest | 0..1 | RegionOfInterest | ||
substanceAdministration | 0..1 | SubstanceAdministration | ||
supply | 0..1 | Supply | ||
entryRelationship:condition | 0..* | EntryRelationship | ||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
realmCode | 0..* | CS | ||
typeId | C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
@assigningAuthorityName | 0..1 | st | ||
@displayable | 0..1 | bl | ||
@root | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
@extension | 1..1 | st | ||
templateId | 0..* | II | ||
@typeCode | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: COMP | |
@inversionInd | 0..1 | bl | ||
@contextConductionInd | 0..1 | bl | ||
@negationInd | 0..1 | bl | ||
sequenceNumber | 0..1 | INT | ||
seperatableInd | 0..1 | BL | ||
act | 0..1 | Act | ||
encounter | 0..1 | Encounter | ||
observation | C | 0..1 | SpecimenConditionObservation | 𝗨𝗦𝗖𝗗𝗜: Specimen Condition Acceptability should-text-ref-value: SHOULD contain text/reference/@value |
observationMedia | 0..1 | ObservationMedia | ||
organizer | 0..1 | Organizer | ||
procedure | 0..1 | Procedure | ||
regionOfInterest | 0..1 | RegionOfInterest | ||
substanceAdministration | 0..1 | SubstanceAdministration | ||
supply | 0..1 | Supply | ||
reference | 0..* | Reference | ||
precondition | 0..* | Precondition | ||
sdtcPrecondition2 | 0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc) | |
sdtcInFulfillmentOf1 | 0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
Procedure.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.templateId:specimen-collection-proc.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.classCode | required | Fixed Value: PROChttp://terminology.hl7.org/ValueSet/v3-ActClassProcedure | |
Procedure.moodCode | required | Fixed Value: EVNhttp://terminology.hl7.org/ValueSet/v3-xDocumentProcedureMood | |
Procedure.code.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.text.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.text.compression | required | CDACompressionAlgorithmhttp://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm | |
Procedure.text.integrityCheckAlgorithm | required | IntegrityCheckAlgorithmhttp://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0 | |
Procedure.text.mediaType | example | MediaTypehttp://terminology.hl7.org/ValueSet/v3-MediaType | |
Procedure.text.representation | required | BinaryDataEncodinghttp://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding | |
Procedure.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
Procedure.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
Procedure.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard | |
Procedure.targetSiteCode | required | BodySiteValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.9 | |
Procedure.entryRelationship:specimenRef.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:specimenRef.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:specimenRef.typeCode | required | Fixed Value: SUBJhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Procedure.entryRelationship:condition.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:condition.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:condition.typeCode | required | Fixed Value: COMPhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship |
Id | Grade | Path(s) | Details | Requirements |
II-1 | error | Procedure.typeId, Procedure.entryRelationship:specimenRef.typeId, Procedure.entryRelationship:condition.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists() | |
should-effectiveTime | warning | Procedure | SHOULD contain effectiveTime : effectiveTime.exists() | |
should-targetSiteCode | warning | Procedure | SHOULD contain targetSiteCode : targetSiteCode.exists() | |
should-text-ref-value | warning | Procedure | SHOULD contain text/reference/@value : text.reference.value.exists() | |
should-text-ref-value | warning | Procedure.entryRelationship:specimenRef.act, Procedure.entryRelationship:condition.observation | SHOULD contain text/reference/@value : text.reference.value.exists() | |
value-starts-octothorpe | error | Procedure.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#') |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Procedure | C | 1..1 | Procedure | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, sdtcCategory, code, @negationInd, text, statusCode, effectiveTime, priorityCode, languageCode, methodCode, approachSiteCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, sdtcInFulfillmentOf1 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value should-effectiveTime: SHOULD contain effectiveTime should-targetSiteCode: SHOULD contain targetSiteCode |
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
realmCode | 0..* | CS | ||
typeId | C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
@assigningAuthorityName | 0..1 | st | ||
@displayable | 0..1 | bl | ||
@root | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
@extension | 1..1 | st | ||
Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root, value:extension | |
templateId:specimen-collection-proc | 1..1 | II | ||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
@assigningAuthorityName | 0..1 | st | ||
@displayable | 0..1 | bl | ||
@root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.415 | |
@extension | 1..1 | st | Required Pattern: 2018-09-01 | |
@classCode | 1..1 | cs | Binding: ActClassProcedure (required) Fixed Value: PROC | |
@moodCode | 1..1 | cs | Binding: x_DocumentProcedureMood (required) Fixed Value: EVN | |
id | 0..* | II | ||
sdtcCategory | 0..* | CD | XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc) | |
code | 1..1 | CD | Specimen collection (procedure) | |
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
@code | 1..1 | cs | Required Pattern: 17636008 | |
@codeSystem | 1..1 | oid, uuid, ruid | SNOMED CT Required Pattern: 2.16.840.1.113883.6.96 | |
@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 | ||
qualifier | 0..* | CR | ||
translation | 0..* | CD | ||
@negationInd | 0..1 | bl | ||
text | 0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
@compression | 0..1 | cs | Binding: CDACompressionAlgorithm (required) | |
@integrityCheck | 0..1 | bin | ||
@integrityCheckAlgorithm | 0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required) | |
@language | 0..1 | cs | ||
@mediaType | 0..1 | cs | Binding: MediaType (example) | |
@representation | 0..1 | cs | Binding: CDABinaryDataEncoding (required) | |
xmlText | 0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |
reference | C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative |
thumbnail | 0..1 | ED | ||
statusCode | 0..1 | CS | Binding: ActStatus (required) | |
effectiveTime | 0..1 | IVL_TS | ||
priorityCode | 0..1 | CE | Binding: ActPriority (example) | |
languageCode | 0..1 | CS | Binding: AllLanguages (required) | |
methodCode | 0..* | CE | ||
approachSiteCode | 0..* | CD | ||
targetSiteCode | 0..* | CD | 𝗨𝗦𝗖𝗗𝗜: Specimen Source Site Binding: Body Site Value Set (required) | |
subject | 0..1 | Subject | ||
specimen | 0..* | Specimen | ||
performer | 0..* | Performer2 | ||
author | 0..* | Author | ||
informant | 0..* | Informant | ||
participant | 0..* | Participant2 | ||
Slices for entryRelationship | 1..* | EntryRelationship | Slice: Unordered, Open by profile:act, profile:observation | |
entryRelationship:specimenRef | 1..1 | EntryRelationship | References the specimen that is the subject of this procedure | |
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
realmCode | 0..* | CS | ||
typeId | C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
@assigningAuthorityName | 0..1 | st | ||
@displayable | 0..1 | bl | ||
@root | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
@extension | 1..1 | st | ||
templateId | 0..* | II | ||
@typeCode | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: SUBJ | |
@inversionInd | 0..1 | bl | ||
@contextConductionInd | 0..1 | bl | ||
@negationInd | 0..1 | bl | ||
sequenceNumber | 0..1 | INT | ||
seperatableInd | 0..1 | BL | ||
act | C | 1..1 | EntryReference | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value |
encounter | 0..1 | Encounter | ||
observation | 0..1 | Observation | ||
observationMedia | 0..1 | ObservationMedia | ||
organizer | 0..1 | Organizer | ||
procedure | 0..1 | Procedure | ||
regionOfInterest | 0..1 | RegionOfInterest | ||
substanceAdministration | 0..1 | SubstanceAdministration | ||
supply | 0..1 | Supply | ||
entryRelationship:condition | 0..* | EntryRelationship | ||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
realmCode | 0..* | CS | ||
typeId | C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
@assigningAuthorityName | 0..1 | st | ||
@displayable | 0..1 | bl | ||
@root | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
@extension | 1..1 | st | ||
templateId | 0..* | II | ||
@typeCode | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: COMP | |
@inversionInd | 0..1 | bl | ||
@contextConductionInd | 0..1 | bl | ||
@negationInd | 0..1 | bl | ||
sequenceNumber | 0..1 | INT | ||
seperatableInd | 0..1 | BL | ||
act | 0..1 | Act | ||
encounter | 0..1 | Encounter | ||
observation | C | 0..1 | SpecimenConditionObservation | 𝗨𝗦𝗖𝗗𝗜: Specimen Condition Acceptability should-text-ref-value: SHOULD contain text/reference/@value |
observationMedia | 0..1 | ObservationMedia | ||
organizer | 0..1 | Organizer | ||
procedure | 0..1 | Procedure | ||
regionOfInterest | 0..1 | RegionOfInterest | ||
substanceAdministration | 0..1 | SubstanceAdministration | ||
supply | 0..1 | Supply | ||
reference | 0..* | Reference | ||
precondition | 0..* | Precondition | ||
sdtcPrecondition2 | 0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc) | |
sdtcInFulfillmentOf1 | 0..* | InFulfillmentOf1 | XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
Procedure.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.templateId:specimen-collection-proc.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.classCode | required | Fixed Value: PROChttp://terminology.hl7.org/ValueSet/v3-ActClassProcedure | |
Procedure.moodCode | required | Fixed Value: EVNhttp://terminology.hl7.org/ValueSet/v3-xDocumentProcedureMood | |
Procedure.code.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.text.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.text.compression | required | CDACompressionAlgorithmhttp://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm | |
Procedure.text.integrityCheckAlgorithm | required | IntegrityCheckAlgorithmhttp://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0 | |
Procedure.text.mediaType | example | MediaTypehttp://terminology.hl7.org/ValueSet/v3-MediaType | |
Procedure.text.representation | required | BinaryDataEncodinghttp://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding | |
Procedure.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
Procedure.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
Procedure.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard | |
Procedure.targetSiteCode | required | BodySiteValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.9 | |
Procedure.entryRelationship:specimenRef.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:specimenRef.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:specimenRef.typeCode | required | Fixed Value: SUBJhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Procedure.entryRelationship:condition.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:condition.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Procedure.entryRelationship:condition.typeCode | required | Fixed Value: COMPhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship |
Id | Grade | Path(s) | Details | Requirements |
II-1 | error | Procedure.typeId, Procedure.entryRelationship:specimenRef.typeId, Procedure.entryRelationship:condition.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists() | |
should-effectiveTime | warning | Procedure | SHOULD contain effectiveTime : effectiveTime.exists() | |
should-targetSiteCode | warning | Procedure | SHOULD contain targetSiteCode : targetSiteCode.exists() | |
should-text-ref-value | warning | Procedure | SHOULD contain text/reference/@value : text.reference.value.exists() | |
should-text-ref-value | warning | Procedure.entryRelationship:specimenRef.act, Procedure.entryRelationship:condition.observation | SHOULD contain text/reference/@value : text.reference.value.exists() | |
value-starts-octothorpe | error | Procedure.text.reference | If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#') |
This structure is derived from Procedure
Summary
Mandatory: 10 elements
Fixed: 3 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices: