Clinical Document Architecture
2.0.1-sd - release

Clinical Document Architecture, published by Health Level 7. This guide is not an authorized publication; it is the continuous build for version 2.0.1-sd built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/CDA-core-sd/ 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-sd
Active as of 2025-10-02 Computable Name: 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.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Template Content

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

This structure is derived from InfrastructureRoot

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 1..1 InfrastructureRoot XML Namespace: urn:hl7-org:v3
Base for all types and resources

Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... @classCode 1..1 cs Binding: ActClassProcedure (required)
Fixed Value: PROC
... @moodCode 1..1 cs Binding: x_DocumentProcedureMood (required)
... id 0..* II
... code 0..1 CD
... @negationInd 0..1 bl
... text 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
... 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)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Procedure.classCode Base required ActClassProcedure 📦2.0.0 THO v5.2
Procedure.moodCode Base required x_DocumentProcedureMood 📦2.0.0 THO v5.2
Procedure.statusCode Base required ActStatus 📦2.0.0 THO v5.2
Procedure.priorityCode Base example ActPriority 📦2.0.0 THO v5.2
Procedure.languageCode Base required All Languages 📦5.0.0 FHIR Std.
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 1..1 InfrastructureRoot XML Namespace: urn:hl7-org:v3
Base for all types and resources

Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... @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: ActClassProcedure (required)
Fixed Value: PROC
... @moodCode 1..1 cs Binding: x_DocumentProcedureMood (required)
... id 0..* II
... sdtcCategory 0..* CD XML Namespace: urn:hl7-org:sdtc
XML: category (urn:hl7-org:sdtc)
... code 0..1 CD
... @negationInd 0..1 bl
... text 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
... 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)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.nullFlavor Base required CDANullFlavor 📦2.0.1-sd This IG
Procedure.typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd This IG
Procedure.classCode Base required ActClassProcedure 📦2.0.0 THO v5.2
Procedure.moodCode Base required x_DocumentProcedureMood 📦2.0.0 THO v5.2
Procedure.statusCode Base required ActStatus 📦2.0.0 THO v5.2
Procedure.priorityCode Base example ActPriority 📦2.0.0 THO v5.2
Procedure.languageCode Base required All Languages 📦5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
II-1 error Procedure.typeId An II instance must have either a root or an nullFlavor. root.exists() or nullFlavor.exists()
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 1..1 InfrastructureRoot XML Namespace: urn:hl7-org:v3
Base for all types and resources

Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... @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: ActClassProcedure (required)
Fixed Value: PROC
... @moodCode 1..1 cs Binding: x_DocumentProcedureMood (required)
... id 0..* II
... sdtcCategory 0..* CD XML Namespace: urn:hl7-org:sdtc
XML: category (urn:hl7-org:sdtc)
... code 0..1 CD
... @negationInd 0..1 bl
... text 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
... 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)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.nullFlavor Base required CDANullFlavor 📦2.0.1-sd This IG
Procedure.typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd This IG
Procedure.classCode Base required ActClassProcedure 📦2.0.0 THO v5.2
Procedure.moodCode Base required x_DocumentProcedureMood 📦2.0.0 THO v5.2
Procedure.statusCode Base required ActStatus 📦2.0.0 THO v5.2
Procedure.priorityCode Base example ActPriority 📦2.0.0 THO v5.2
Procedure.languageCode Base required All Languages 📦5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
II-1 error Procedure.typeId An II instance must have either a root or an nullFlavor. root.exists() or nullFlavor.exists()

This structure is derived from InfrastructureRoot

Summary

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

Structures

This structure refers to these other structures:

Differential View

This structure is derived from InfrastructureRoot

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 1..1 InfrastructureRoot XML Namespace: urn:hl7-org:v3
Base for all types and resources

Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... @classCode 1..1 cs Binding: ActClassProcedure (required)
Fixed Value: PROC
... @moodCode 1..1 cs Binding: x_DocumentProcedureMood (required)
... id 0..* II
... code 0..1 CD
... @negationInd 0..1 bl
... text 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
... 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)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Procedure.classCode Base required ActClassProcedure 📦2.0.0 THO v5.2
Procedure.moodCode Base required x_DocumentProcedureMood 📦2.0.0 THO v5.2
Procedure.statusCode Base required ActStatus 📦2.0.0 THO v5.2
Procedure.priorityCode Base example ActPriority 📦2.0.0 THO v5.2
Procedure.languageCode Base required All Languages 📦5.0.0 FHIR Std.

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 1..1 InfrastructureRoot XML Namespace: urn:hl7-org:v3
Base for all types and resources

Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... @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: ActClassProcedure (required)
Fixed Value: PROC
... @moodCode 1..1 cs Binding: x_DocumentProcedureMood (required)
... id 0..* II
... sdtcCategory 0..* CD XML Namespace: urn:hl7-org:sdtc
XML: category (urn:hl7-org:sdtc)
... code 0..1 CD
... @negationInd 0..1 bl
... text 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
... 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)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.nullFlavor Base required CDANullFlavor 📦2.0.1-sd This IG
Procedure.typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd This IG
Procedure.classCode Base required ActClassProcedure 📦2.0.0 THO v5.2
Procedure.moodCode Base required x_DocumentProcedureMood 📦2.0.0 THO v5.2
Procedure.statusCode Base required ActStatus 📦2.0.0 THO v5.2
Procedure.priorityCode Base example ActPriority 📦2.0.0 THO v5.2
Procedure.languageCode Base required All Languages 📦5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
II-1 error Procedure.typeId An II instance must have either a root or an nullFlavor. root.exists() or nullFlavor.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 1..1 InfrastructureRoot XML Namespace: urn:hl7-org:v3
Base for all types and resources

Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... @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: ActClassProcedure (required)
Fixed Value: PROC
... @moodCode 1..1 cs Binding: x_DocumentProcedureMood (required)
... id 0..* II
... sdtcCategory 0..* CD XML Namespace: urn:hl7-org:sdtc
XML: category (urn:hl7-org:sdtc)
... code 0..1 CD
... @negationInd 0..1 bl
... text 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
... 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)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.nullFlavor Base required CDANullFlavor 📦2.0.1-sd This IG
Procedure.typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd This IG
Procedure.classCode Base required ActClassProcedure 📦2.0.0 THO v5.2
Procedure.moodCode Base required x_DocumentProcedureMood 📦2.0.0 THO v5.2
Procedure.statusCode Base required ActStatus 📦2.0.0 THO v5.2
Procedure.priorityCode Base example ActPriority 📦2.0.0 THO v5.2
Procedure.languageCode Base required All Languages 📦5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
II-1 error Procedure.typeId An II instance must have either a root or an nullFlavor. root.exists() or nullFlavor.exists()

This structure is derived from InfrastructureRoot

Summary

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

Structures

This structure refers to these other structures:

 

Other representations of profile: CSV, Excel