Clinical Document Architecture
2.0.1 - active

Clinical Document Architecture, published by Health Level 7. This is not an authorized publication; it is the continuous build for version 2.0.1). This version is based on the current content of https://github.com/HL7/CDA-core-2.0/ and changes regularly. See the Directory of published versions

Logical Model: Procedure (CDA Class)

Official URL: http://hl7.org/cda/stds/core/StructureDefinition/Procedure Version: 2.0.1
Active as of 2023-10-03 Computable Name: CDAR2.Procedure

A derivative of the RIM Procedure class, used for representing procedures. Procedure.negationInd, when set to “true”, is a positive assertion that the Procedure as a whole is negated. Some properties such as Procedure.id, Procedure.moodCode, and the participations are not affected. These properties always have the same meaning: i.e., the author remains the author of the negative Procedure. A procedure statement with negationInd is still a statement about the specific fact described by the Procedure. For instance, a negated “appendectomy performed” means that the author positively denies that there was ever an appendectomy performed, and that he takes the same responsibility for such statement and the same requirement to have evidence for such statement than if he had not used negation.

Usage:

Formal Views of Profile Content

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

This structure is derived from Base

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 1..1BaseXML Namespace: urn:hl7-org:v3
Base for all types and resources
... @classCode 1..1csBinding: ActClassProcedure (required)
Fixed Value: PROC
... @moodCode 1..1cs
... realmCode 0..*CS
... templateId 0..*II
... id 0..*II
... code 0..1CD
... @negationInd 0..1bl
... text 0..1ED
... statusCode 0..1CSBinding: ActStatus (required)
... effectiveTime 0..1IVL_TS
... priorityCode 0..1CEBinding: ActPriority (extensible)
... languageCode 0..1CSBinding: HumanLanguage (required)
... methodCode 0..*CE
... approachSiteCode 0..*CD
... targetSiteCode 0..*CD
... subject 0..1Subject
... specimen 0..*Specimen
... performer 0..*Performer2
... author 0..*Author
... informant 0..*Informant
... participant 0..*Participant2
... entryRelationship 0..*EntryRelationship
... reference 0..*Reference
... precondition 0..*Precondition

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet / Code
Procedure.classCoderequiredFixed Value: PROC
Procedure.statusCoderequiredActStatus
Procedure.priorityCodeextensibleActPriority
Procedure.languageCoderequiredHumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066)
NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 1..1BaseXML Namespace: urn:hl7-org:v3
Base for all types and resources
... @classCode 1..1csBinding: ActClassProcedure (required)
Fixed Value: PROC
... @moodCode 1..1cs
... realmCode 0..*CS
... templateId 0..*II
... id 0..*II
... code 0..1CD
... @negationInd 0..1bl
... text 0..1ED
... statusCode 0..1CSBinding: ActStatus (required)
... effectiveTime 0..1IVL_TS
... priorityCode 0..1CEBinding: ActPriority (extensible)
... languageCode 0..1CSBinding: HumanLanguage (required)
... methodCode 0..*CE
... approachSiteCode 0..*CD
... targetSiteCode 0..*CD
... subject 0..1Subject
... specimen 0..*Specimen
... performer 0..*Performer2
... author 0..*Author
... informant 0..*Informant
... participant 0..*Participant2
... entryRelationship 0..*EntryRelationship
... reference 0..*Reference
... precondition 0..*Precondition

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Procedure.classCoderequiredFixed Value: PROC
Procedure.statusCoderequiredActStatus
Procedure.priorityCodeextensibleActPriority
Procedure.languageCoderequiredHumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066)

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 1..1BaseXML Namespace: urn:hl7-org:v3
Base for all types and resources
... @classCode 1..1csBinding: ActClassProcedure (required)
Fixed Value: PROC
... @moodCode 1..1cs
... realmCode 0..*CS
... templateId 0..*II
... id 0..*II
... code 0..1CD
... @negationInd 0..1bl
... text 0..1ED
... statusCode 0..1CSBinding: ActStatus (required)
... effectiveTime 0..1IVL_TS
... priorityCode 0..1CEBinding: ActPriority (extensible)
... languageCode 0..1CSBinding: HumanLanguage (required)
... methodCode 0..*CE
... approachSiteCode 0..*CD
... targetSiteCode 0..*CD
... subject 0..1Subject
... specimen 0..*Specimen
... performer 0..*Performer2
... author 0..*Author
... informant 0..*Informant
... participant 0..*Participant2
... entryRelationship 0..*EntryRelationship
... reference 0..*Reference
... precondition 0..*Precondition

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Procedure.classCoderequiredFixed Value: PROC
Procedure.statusCoderequiredActStatus
Procedure.priorityCodeextensibleActPriority
Procedure.languageCoderequiredHumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066)

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())

This structure is derived from Base

Summary

Mandatory: 0 element (2 nested mandatory elements)
Fixed Value: 1 element

Structures

This structure refers to these other structures:

Differential View

This structure is derived from Base

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 1..1BaseXML Namespace: urn:hl7-org:v3
Base for all types and resources
... @classCode 1..1csBinding: ActClassProcedure (required)
Fixed Value: PROC
... @moodCode 1..1cs
... realmCode 0..*CS
... templateId 0..*II
... id 0..*II
... code 0..1CD
... @negationInd 0..1bl
... text 0..1ED
... statusCode 0..1CSBinding: ActStatus (required)
... effectiveTime 0..1IVL_TS
... priorityCode 0..1CEBinding: ActPriority (extensible)
... languageCode 0..1CSBinding: HumanLanguage (required)
... methodCode 0..*CE
... approachSiteCode 0..*CD
... targetSiteCode 0..*CD
... subject 0..1Subject
... specimen 0..*Specimen
... performer 0..*Performer2
... author 0..*Author
... informant 0..*Informant
... participant 0..*Participant2
... entryRelationship 0..*EntryRelationship
... reference 0..*Reference
... precondition 0..*Precondition

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet / Code
Procedure.classCoderequiredFixed Value: PROC
Procedure.statusCoderequiredActStatus
Procedure.priorityCodeextensibleActPriority
Procedure.languageCoderequiredHumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066)

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 1..1BaseXML Namespace: urn:hl7-org:v3
Base for all types and resources
... @classCode 1..1csBinding: ActClassProcedure (required)
Fixed Value: PROC
... @moodCode 1..1cs
... realmCode 0..*CS
... templateId 0..*II
... id 0..*II
... code 0..1CD
... @negationInd 0..1bl
... text 0..1ED
... statusCode 0..1CSBinding: ActStatus (required)
... effectiveTime 0..1IVL_TS
... priorityCode 0..1CEBinding: ActPriority (extensible)
... languageCode 0..1CSBinding: HumanLanguage (required)
... methodCode 0..*CE
... approachSiteCode 0..*CD
... targetSiteCode 0..*CD
... subject 0..1Subject
... specimen 0..*Specimen
... performer 0..*Performer2
... author 0..*Author
... informant 0..*Informant
... participant 0..*Participant2
... entryRelationship 0..*EntryRelationship
... reference 0..*Reference
... precondition 0..*Precondition

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Procedure.classCoderequiredFixed Value: PROC
Procedure.statusCoderequiredActStatus
Procedure.priorityCodeextensibleActPriority
Procedure.languageCoderequiredHumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066)

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 1..1BaseXML Namespace: urn:hl7-org:v3
Base for all types and resources
... @classCode 1..1csBinding: ActClassProcedure (required)
Fixed Value: PROC
... @moodCode 1..1cs
... realmCode 0..*CS
... templateId 0..*II
... id 0..*II
... code 0..1CD
... @negationInd 0..1bl
... text 0..1ED
... statusCode 0..1CSBinding: ActStatus (required)
... effectiveTime 0..1IVL_TS
... priorityCode 0..1CEBinding: ActPriority (extensible)
... languageCode 0..1CSBinding: HumanLanguage (required)
... methodCode 0..*CE
... approachSiteCode 0..*CD
... targetSiteCode 0..*CD
... subject 0..1Subject
... specimen 0..*Specimen
... performer 0..*Performer2
... author 0..*Author
... informant 0..*Informant
... participant 0..*Participant2
... entryRelationship 0..*EntryRelationship
... reference 0..*Reference
... precondition 0..*Precondition

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Procedure.classCoderequiredFixed Value: PROC
Procedure.statusCoderequiredActStatus
Procedure.priorityCodeextensibleActPriority
Procedure.languageCoderequiredHumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066)

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())

This structure is derived from Base

Summary

Mandatory: 0 element (2 nested mandatory elements)
Fixed Value: 1 element

Structures

This structure refers to these other structures:

 

Other representations of profile: CSV, Excel