Consolidated CDA Release 2.1 StructureDefinition Prototype Publication
2.1.0-draft1 - CI Build
United States of America
Consolidated CDA Release 2.1 StructureDefinition Prototype Publication
2.1.0-draft1 - CI Build
United States of America
This page is part of the CCDA: Consolidated CDA Release (v2.1.0-draft1: CCDA 2.1 Draft) based on FHIR v5.0.0. . For a full list of available versions, see the Directory of published versions 
| Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.14 | Version: 2.1.0-draft1 | |||
| Active as of 2023-01-16 | Computable Name: ProcedureActivityProcedure | |||
| Other Identifiers: id: urn:hl7ii:2.16.840.1.113883.10.20.22.4.14:2014-06-09 | ||||
The common notion of “procedure” is broader than that specified by the HL7 Version 3 Reference Information Model (RIM). Therefore procedure templates can be represented with various RIM classes: act (e.g., dressing change), observation (e.g., EEG), procedure (e.g., splenectomy).
This template represents procedures whose immediate and primary outcome (post-condition) is the alteration of the physical condition of the patient. Examples of these procedures are an appendectomy, hip replacement, and a creation of a gastrostomy.
This template can be used with a contained Product Instance template to represent a device in or on a patient. In this case, targetSiteCode is used to record the location of the device in or on the patient’s body. Equipment supplied to the patient (e.g., pumps, inhalers, wheelchairs) is represented by the Non-Medicinal Supply Activity (V2) template.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from CDAR2.Procedure
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Procedure | 1..1 | CDAR2.Procedure | Base for all types and resources | |
  classCode | 1..1 | code | ||
| moodCode | 1..1 | code | Required Pattern: EVN | |
  Slices for templateId | 0..* | II | Slice: Unordered, Open by value:root, value:extension | |
   templateId:primary | 1..1 | II | ||
  root | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.14 | |
  extension | 1..1 | string | Required Pattern: 2014-06-09 | |
| id | 1..* | II | ||
| code | C | 1..1 | CD | 1098-19207: This @code **SHOULD** be selected from LOINC (CodeSystem: 2.16.840.1.113883.6.1) or SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96), and **MAY** be selected from CPT-4 (CodeSystem: 2.16.840.1.113883.6.12) or ICD10 PCS (CodeSystem: 2.16.840.1.113883.6.4) or CDT-2 (Code System: 2.16.840.1.113883.6.13) (CONF:1098-19207). |
 originalText | 0..1 | ED | ||
| reference | 0..1 | TEL | ||
 value | C | 0..1 | uri | 1098-19206: This reference/@value **SHALL** begin with a '#' and **SHALL** point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:1098-19206). |
| statusCode | 1..1 | CS | ||
| code | 1..1 | string | Binding: ProcedureAct statusCode (required) | |
| effectiveTime | 0..1 | IVL_TS | ||
| priorityCode | 0..1 | CE | Binding: ActPriority (required) | |
| methodCode | C | 0..1 | CE | 1098-7890: MethodCode **SHALL NOT** conflict with the method inherent in Procedure / code (CONF:1098-7890). |
| 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) | |
| code | 1..1 | string | Binding: Body Site Value Set (required) | |
| specimen | C | 0..* | Specimen | 1098-16842: This specimen is for representing specimens obtained from a procedure (CONF:1098-16842). |
| specimenRole | 1..1 | SpecimenRole | ||
| id | C | 0..* | II | 1098-29744: 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:1098-29744). |
| Slices for performer | 0..* | Performer2 | Slice: Unordered, Open by value:assignedEntity | |
| performer:performer1 | 0..* | Performer2 | ||
 assignedEntity | 1..1 | AssignedEntity | ||
| id | 1..* | II | ||
| addr | 1..* | AD | ||
| telecom | 1..* | TEL | ||
| representedOrganization | 0..1 | Organization | ||
| id | 0..* | II | ||
| name | 0..* | ON | ||
| telecom | 1..1 | TEL | ||
| addr | 1..1 | AD | ||
| author | 0..* | AuthorParticipation | Base for all types and resources | |
| Slices for participant | 0..* | Participant2 | Slice: Unordered, Open by value:typeCode, profile:participantRole | |
 participant:product | 0..* | Participant2 | ||
 typeCode | 1..1 | code | Required Pattern: DEV | |
| participantRole | 1..1 | ProductInstance | Base for all types and resources | |
| participant:location | 0..* | Participant2 | ||
| typeCode | 1..1 | code | Required Pattern: LOC | |
| participantRole | 1..1 | ServiceDeliveryLocation | Base for all types and resources | |
| Slices for entryRelationship | 0..* | Element | Slice: Unordered, Open by profile:observation, profile:act, profile:substanceAdministration | |
| entryRelationship:encounter | 0..* | Element | ||
| typeCode | 1..1 | code | Required Pattern: COMP | |
| inversionInd | 1..1 | boolean | Required Pattern: true | |
| encounter | 1..1 | Encounter | ||
| classCode | 1..1 | code | Required Pattern: ENC | |
| moodCode | 1..1 | code | Required Pattern: EVN | |
| id | C | 1..1 | II | 1098-16843: Set the encounter ID to the ID of an encounter in another section to signify they are the same encounter (CONF:1098-16843). |
| entryRelationship:instruction | 0..1 | Element | ||
| typeCode | 1..1 | code | Required Pattern: SUBJ | |
| inversionInd | 1..1 | boolean | Required Pattern: true | |
| act | 1..1 | Instruction | Base for all types and resources | |
| entryRelationship:indication | 0..* | Element | ||
| typeCode | 1..1 | code | Required Pattern: RSON | |
| observation | 1..1 | Indication | Base for all types and resources | |
| entryRelationship:medication | 0..* | Element | ||
| typeCode | 1..1 | code | Required Pattern: COMP | |
| substanceAdministration | 1..1 | MedicationActivity | Base for all types and resources | |
| entryRelationship:reaction | 0..* | Element | ||
| typeCode | 1..1 | code | Required Pattern: COMP | |
| observation | 1..1 | ReactionObservation | Base for all types and resources | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Procedure.statusCode.code | required | ProcedureAct statusCode |
| Procedure.priorityCode | required | ActPriority |
| Procedure.targetSiteCode | required | Body Site Value Set |
| Procedure.targetSiteCode.code | required | Body Site Value Set |
| Id | Grade | Path(s) | Details | Requirements |
| 1098-7890 | error | Procedure.methodCode | MethodCode **SHALL NOT** conflict with the method inherent in Procedure / code (CONF:1098-7890). : | |
| 1098-16842 | error | Procedure.specimen | This specimen is for representing specimens obtained from a procedure (CONF:1098-16842). : | |
| 1098-16843 | warning | Procedure.entryRelationship:encounter.encounter.id | Set the encounter ID to the ID of an encounter in another section to signify they are the same encounter (CONF:1098-16843). : | |
| 1098-19206 | error | Procedure.code.originalText.reference.value | This reference/@value **SHALL** begin with a '#' and **SHALL** point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:1098-19206). : | |
| 1098-19207 | warning | Procedure.code | This @code **SHOULD** be selected from LOINC (CodeSystem: 2.16.840.1.113883.6.1) or SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96), and **MAY** be selected from CPT-4 (CodeSystem: 2.16.840.1.113883.6.12) or ICD10 PCS (CodeSystem: 2.16.840.1.113883.6.4) or CDT-2 (Code System: 2.16.840.1.113883.6.13) (CONF:1098-19207). : | |
| 1098-29744 | warning | Procedure.specimen.specimenRole.id | 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:1098-29744). : |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Procedure | 1..1 | CDAR2.Procedure | Base for all types and resources | |
 classCode | 1..1 | code | Binding: ActClassProcedure (required) Fixed Value: PROC | |
| moodCode | 1..1 | code | Required Pattern: EVN | |
| Slices for templateId | 0..* | II | Slice: Unordered, Open by value:root, value:extension | |
| templateId:primary | 1..1 | II | ||
| root | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.14 | |
| extension | 1..1 | string | Required Pattern: 2014-06-09 | |
| id | 1..* | II | ||
| code | C | 1..1 | CD | 1098-19207: This @code **SHOULD** be selected from LOINC (CodeSystem: 2.16.840.1.113883.6.1) or SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96), and **MAY** be selected from CPT-4 (CodeSystem: 2.16.840.1.113883.6.12) or ICD10 PCS (CodeSystem: 2.16.840.1.113883.6.4) or CDT-2 (Code System: 2.16.840.1.113883.6.13) (CONF:1098-19207). |
| originalText | 0..1 | ED | ||
| reference | 0..1 | TEL | ||
| value | C | 0..1 | uri | 1098-19206: This reference/@value **SHALL** begin with a '#' and **SHALL** point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:1098-19206). |
| statusCode | 1..1 | CS | Binding: ActStatus (required) | |
| code | 1..1 | string | Binding: ProcedureAct statusCode (required) | |
| effectiveTime | 0..1 | IVL_TS | ||
| priorityCode | 0..1 | CE | Binding: ActPriority (required) | |
| methodCode | C | 0..1 | CE | 1098-7890: MethodCode **SHALL NOT** conflict with the method inherent in Procedure / code (CONF:1098-7890). |
| 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) | |
| code | 1..1 | string | Binding: Body Site Value Set (required) | |
| specimen | C | 0..* | Specimen | 1098-16842: This specimen is for representing specimens obtained from a procedure (CONF:1098-16842). |
| typeCode | 1..1 | code | Binding: ParticipationTargetDirect (required) Fixed Value: SPC | |
| specimenRole | 1..1 | SpecimenRole | ||
| classCode | 1..1 | code | Binding: RoleClassSpecimen (required) Fixed Value: SPEC | |
| id | C | 0..* | II | 1098-29744: 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:1098-29744). |
| Slices for performer | 0..* | Performer2 | Slice: Unordered, Open by value:assignedEntity | |
| performer:performer1 | 0..* | Performer2 | ||
| assignedEntity | 1..1 | AssignedEntity | ||
| classCode | 1..1 | code | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
| id | 1..* | II | ||
| addr | 1..* | AD | ||
| telecom | 1..* | TEL | ||
| representedOrganization | 0..1 | Organization | ||
| classCode | 1..1 | code | Binding: EntityClassOrganization (required) Fixed Value: ORG | |
| determinerCode | 1..1 | code | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
| id | 0..* | II | ||
| name | 0..* | ON | ||
| telecom | 1..1 | TEL | ||
| addr | 1..1 | AD | ||
| author | 0..* | AuthorParticipation | Base for all types and resources | |
| Slices for participant | 0..* | Participant2 | Slice: Unordered, Open by value:typeCode, profile:participantRole | |
| participant:product | 0..* | Participant2 | ||
| typeCode | 1..1 | code | Binding: ParticipationType (required) Required Pattern: DEV | |
| participantRole | 1..1 | ProductInstance | Base for all types and resources | |
| participant:location | 0..* | Participant2 | ||
| typeCode | 1..1 | code | Binding: ParticipationType (required) Required Pattern: LOC | |
| participantRole | 1..1 | ServiceDeliveryLocation | Base for all types and resources | |
| Slices for entryRelationship | C | 0..* | Element | Slice: Unordered, Open by profile:observation, profile:act, profile:substanceAdministration |
| entryRelationship:All Slices | Content/Rules for all slices | |||
 typeCode | 1..1 | code | ||
 contextConductionInd | 1..1 | boolean | ||
| entryRelationship:encounter | C | 0..* | Element | |
| typeCode | 1..1 | code | Required Pattern: COMP | |
| inversionInd | 1..1 | boolean | Required Pattern: true | |
| contextConductionInd | 1..1 | boolean | ||
| encounter | 1..1 | Encounter | ||
| entryRelationship:instruction | C | 0..1 | Element | |
| typeCode | 1..1 | code | Required Pattern: SUBJ | |
| inversionInd | 1..1 | boolean | Required Pattern: true | |
| contextConductionInd | 1..1 | boolean | ||
| act | 1..1 | Instruction | Base for all types and resources | |
| entryRelationship:indication | C | 0..* | Element | |
| typeCode | 1..1 | code | Required Pattern: RSON | |
| contextConductionInd | 1..1 | boolean | ||
| observation | 1..1 | Indication | Base for all types and resources | |
| entryRelationship:medication | C | 0..* | Element | |
| typeCode | 1..1 | code | Required Pattern: COMP | |
| contextConductionInd | 1..1 | boolean | ||
| substanceAdministration | C | 1..1 | MedicationActivity | Base for all types and resources |
| entryRelationship:reaction | C | 0..* | Element | |
| typeCode | 1..1 | code | Required Pattern: COMP | |
| contextConductionInd | 1..1 | boolean | ||
| observation | 1..1 | ReactionObservation | Base for all types and resources | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Procedure.classCode | required | Fixed Value: PROC |
| Procedure.statusCode | required | ActStatus |
| Procedure.statusCode.code | required | ProcedureAct statusCode |
| Procedure.priorityCode | required | ActPriority |
| Procedure.targetSiteCode | required | Body Site Value Set |
| Procedure.targetSiteCode.code | required | Body Site Value Set |
| Procedure.specimen.typeCode | required | Fixed Value: SPC |
| Procedure.specimen.specimenRole.classCode | required | Fixed Value: SPEC |
| Procedure.performer:performer1.assignedEntity.classCode | required | Fixed Value: ASSIGNED |
| Procedure.performer:performer1.assignedEntity.representedOrganization.classCode | required | Fixed Value: ORG |
| Procedure.performer:performer1.assignedEntity.representedOrganization.determinerCode | required | Fixed Value: INSTANCE |
| Procedure.participant:product.typeCode | required | Pattern: DEV |
| Procedure.participant:location.typeCode | required | Pattern: LOC |
| Id | Grade | Path(s) | Details | Requirements |
| 1098-7890 | error | Procedure.methodCode | MethodCode **SHALL NOT** conflict with the method inherent in Procedure / code (CONF:1098-7890). : | |
| 1098-16842 | error | Procedure.specimen | This specimen is for representing specimens obtained from a procedure (CONF:1098-16842). : | |
| 1098-19206 | error | Procedure.code.originalText.reference.value | This reference/@value **SHALL** begin with a '#' and **SHALL** point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:1098-19206). : | |
| 1098-19207 | warning | Procedure.code | This @code **SHOULD** be selected from LOINC (CodeSystem: 2.16.840.1.113883.6.1) or SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96), and **MAY** be selected from CPT-4 (CodeSystem: 2.16.840.1.113883.6.12) or ICD10 PCS (CodeSystem: 2.16.840.1.113883.6.4) or CDT-2 (Code System: 2.16.840.1.113883.6.13) (CONF:1098-19207). : | |
| 1098-29744 | warning | Procedure.specimen.specimenRole.id | 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:1098-29744). : | |
| 1098-30800 | warning | Procedure.entryRelationship:medication.substanceAdministration | Medication Activity **SHOULD** include doseQuantity **OR** rateQuantity (CONF:1098-30800). : | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| proc-er-1 | error | Procedure.entryRelationship, Procedure.entryRelationship:encounter, Procedure.entryRelationship:instruction, Procedure.entryRelationship:indication, Procedure.entryRelationship:medication, Procedure.entryRelationship:reaction | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Procedure | 1..1 | CDAR2.Procedure | Base for all types and resources | |
| classCode | 1..1 | code | Binding: ActClassProcedure (required) Fixed Value: PROC | |
| moodCode | 1..1 | code | Required Pattern: EVN | |
| realmCode | 0..* | CS | ||
| typeId | 0..1 | II | ||
| Slices for templateId | 0..* | II | Slice: Unordered, Open by value:root, value:extension | |
| templateId:primary | 1..1 | II | ||
| nullFlavor | 0..1 | code | Binding: NullFlavor (required) | |
| assigningAuthorityName | 0..1 | string | ||
| displayable | 0..1 | boolean | ||
| root | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.14 | |
| extension | 1..1 | string | Required Pattern: 2014-06-09 | |
| id | 1..* | II | ||
| code | C | 1..1 | CD | 1098-19207: This @code **SHOULD** be selected from LOINC (CodeSystem: 2.16.840.1.113883.6.1) or SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96), and **MAY** be selected from CPT-4 (CodeSystem: 2.16.840.1.113883.6.12) or ICD10 PCS (CodeSystem: 2.16.840.1.113883.6.4) or CDT-2 (Code System: 2.16.840.1.113883.6.13) (CONF:1098-19207). |
| nullFlavor | 0..1 | code | Binding: NullFlavor (required) | |
| code | 0..1 | string | ||
| codeSystem | 0..1 | string | ||
| codeSystemName | 0..1 | string | ||
| codeSystemVersion | 0..1 | string | ||
| displayName | 0..1 | string | ||
| sdtcValueSet | 0..1 | string | XML: valueSet (urn:hl7-org:sdtc) | |
| sdtcValueSetVersion | 0..1 | string | XML: valueSetVersion (urn:hl7-org:sdtc) | |
| originalText | 0..1 | ED | ||
| nullFlavor | 0..1 | code | Binding: NullFlavor (required) | |
| charset | 0..1 | code | ||
| compression | 0..1 | code | Binding: CompressionAlgorithm (required) | |
| integrityCheck | 0..1 | base64Binary | ||
| integrityCheckAlgorithm | 0..1 | code | Binding: IntegrityCheckAlgorithm (required) | |
| language | 0..1 | code | ||
| mediaType | 0..1 | code | ||
| representation | 0..1 | code | ||
 data[x] | 0..1 | |||
| dataString | string | |||
| dataBase64Binary | base64Binary | |||
| reference | 0..1 | TEL | ||
| nullFlavor | 0..1 | code | Binding: NullFlavor (required) | |
| value | C | 0..1 | uri | 1098-19206: This reference/@value **SHALL** begin with a '#' and **SHALL** point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:1098-19206). |
| useablePeriod | 0..* | |||
 useablePeriod | IVL_TS | |||
| useablePeriod | EIVL_TS | |||
| useablePeriod | PIVL_TS | |||
| useablePeriod | SXPR_TS | |||
| use | 0..* | code | Binding: AddressUse (required) | |
| thumbnail | 0..1 | ED | ||
| qualifier | 0..* | CR | ||
| translation | 0..* | CD | ||
| negationInd | 0..1 | boolean | ||
| text | 0..1 | ED | ||
| statusCode | 1..1 | CS | Binding: ActStatus (required) | |
| nullFlavor | 0..1 | code | Binding: NullFlavor (required) | |
| code | 1..1 | string | Binding: ProcedureAct statusCode (required) | |
| sdtcValueSet | 0..1 | string | XML: valueSet (urn:hl7-org:sdtc) | |
| sdtcValueSetVersion | 0..1 | string | XML: valueSetVersion (urn:hl7-org:sdtc) | |
| effectiveTime | 0..1 | IVL_TS | ||
| priorityCode | 0..1 | CE | Binding: ActPriority (required) | |
| languageCode | 0..1 | CS | Binding: HumanLanguage (required) | |
| methodCode | C | 0..1 | CE | 1098-7890: MethodCode **SHALL NOT** conflict with the method inherent in Procedure / code (CONF:1098-7890). |
| 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) | |
| nullFlavor | 0..1 | code | Binding: NullFlavor (required) | |
| code | 1..1 | string | Binding: Body Site Value Set (required) | |
| codeSystem | 0..1 | string | ||
| codeSystemName | 0..1 | string | ||
| codeSystemVersion | 0..1 | string | ||
| displayName | 0..1 | string | ||
| sdtcValueSet | 0..1 | string | XML: valueSet (urn:hl7-org:sdtc) | |
| sdtcValueSetVersion | 0..1 | string | XML: valueSetVersion (urn:hl7-org:sdtc) | |
| originalText | 0..1 | ED | ||
| qualifier | 0..* | CR | ||
| translation | 0..* | CD | ||
| subject | 0..1 | Element | ||
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| typeCode | 1..1 | code | Binding: ParticipationTargetSubject (required) Fixed Value: SBJ | |
| contextControlCode | 1..1 | code | Binding: ContextControl (required) Fixed Value: OP | |
| awarenessCode | 0..1 | CE | Binding: TargetAwareness (extensible) | |
| relatedSubject | 1..1 | RelatedSubject | ||
| specimen | C | 0..* | Specimen | 1098-16842: This specimen is for representing specimens obtained from a procedure (CONF:1098-16842). |
| nullFlavor | 0..1 | code | Binding: NullFlavor (required) | |
| realmCode | 0..* | CS | ||
| typeId | 0..1 | II | ||
| templateId | 0..* | II | ||
| typeCode | 1..1 | code | Binding: ParticipationTargetDirect (required) Fixed Value: SPC | |
| specimenRole | 1..1 | SpecimenRole | ||
| classCode | 1..1 | code | Binding: RoleClassSpecimen (required) Fixed Value: SPEC | |
| templateId | 0..* | II | ||
| id | C | 0..* | II | 1098-29744: 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:1098-29744). |
| sdtcIdentifiedBy | 0..* | IdentifiedBy | XML: identifiedBy (urn:hl7-org:sdtc) | |
| specimenPlayingEntity | 0..1 | PlayingEntity | ||
| Slices for performer | 0..* | Performer2 | Slice: Unordered, Open by value:assignedEntity | |
| performer:performer1 | 0..* | Performer2 | ||
| nullFlavor | 0..1 | code | Binding: NullFlavor (required) | |
| typeCode | 0..1 | cs | Binding: ParticipationPhysicalPerformer (required) Fixed Value: PRF | |
| realmCode | 0..* | CS | ||
| typeId | 0..1 | II | ||
| templateId | 0..* | II | ||
| functionCode | 0..1 | CE | XML Namespace: urn:hl7-org:sdtc | |
| time | 0..1 | IVL_TS | ||
| modeCode | 0..1 | CE | ||
| assignedEntity | 1..1 | AssignedEntity | ||
| classCode | 1..1 | code | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
| templateId | 0..* | II | ||
| id | 1..* | II | ||
| sdtcIdentifiedBy | 0..* | IdentifiedBy | XML: identifiedBy (urn:hl7-org:sdtc) | |
| code | 0..1 | CE | Binding: v3 Code System RoleCode (extensible) | |
| addr | 1..* | AD | ||
| telecom | 1..* | TEL | ||
| assignedPerson | 0..1 | Person | ||
| representedOrganization | 0..1 | Organization | ||
| classCode | 1..1 | code | Binding: EntityClassOrganization (required) Fixed Value: ORG | |
| determinerCode | 1..1 | code | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
| templateId | 0..* | II | ||
| id | 0..* | II | ||
| name | 0..* | ON | ||
| telecom | 1..1 | TEL | ||
| addr | 1..1 | AD | ||
| standardIndustryClassCode | 0..1 | CE | Binding: OrganizationIndustryClassNAICS (extensible) | |
| asOrganizationPartOf | 0..1 | OrganizationPartOf | ||
| author | 0..* | AuthorParticipation | Base for all types and resources | |
| informant | 0..* | Element | ||
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| typeCode | 1..1 | code | Binding: ParticipationInformationGenerator (required) Fixed Value: INF | |
| contextControlCode | 1..1 | code | Binding: ContextControl (required) Fixed Value: OP | |
| assignedEntity | 0..1 | AssignedEntity | ||
| relatedEntity | 0..1 | RelatedEntity | ||
| Slices for participant | 0..* | Participant2 | Slice: Unordered, Open by value:typeCode, profile:participantRole | |
| participant:product | 0..* | Participant2 | ||
| nullFlavor | 0..1 | code | Binding: NullFlavor (required) | |
| typeCode | 1..1 | code | Binding: ParticipationType (required) Required Pattern: DEV | |
| contextControlCode | 0..1 | code | Binding: ContextControl (required) Fixed Value: OP | |
| realmCode | 0..* | CS | ||
| typeId | 0..1 | II | ||
| templateId | 0..* | II | ||
| sdtcFunctionCode | 0..1 | CE | XML: functionCode (urn:hl7-org:sdtc) | |
| time | 0..1 | IVL_TS | ||
| awarenessCode | 0..1 | CE | ||
| participantRole | 1..1 | ProductInstance | Base for all types and resources | |
| participant:location | 0..* | Participant2 | ||
| nullFlavor | 0..1 | code | Binding: NullFlavor (required) | |
| typeCode | 1..1 | code | Binding: ParticipationType (required) Required Pattern: LOC | |
| contextControlCode | 0..1 | code | Binding: ContextControl (required) Fixed Value: OP | |
| realmCode | 0..* | CS | ||
| typeId | 0..1 | II | ||
| templateId | 0..* | II | ||
| sdtcFunctionCode | 0..1 | CE | XML: functionCode (urn:hl7-org:sdtc) | |
| time | 0..1 | IVL_TS | ||
| awarenessCode | 0..1 | CE | ||
| participantRole | 1..1 | ServiceDeliveryLocation | Base for all types and resources | |
| Slices for entryRelationship | C | 0..* | Element | Slice: Unordered, Open by profile:observation, profile:act, profile:substanceAdministration |
| entryRelationship:All Slices | Content/Rules for all slices | |||
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| typeCode | 1..1 | code | ||
| inversionInd | 0..1 | boolean | ||
| contextConductionInd | 1..1 | boolean | ||
| sequenceNumber | 0..1 | INT | ||
| negationInd | 0..1 | boolean | ||
| seperatableInd | 0..1 | BL | ||
| (Choice of one) | 1..1 | |||
| observation | 0..1 | Observation | ||
| regionOfInterest | 0..1 | RegionOfInterest | ||
| observationMedia | 0..1 | ObservationMedia | ||
| substanceAdministration | 0..1 | SubstanceAdministration | ||
| supply | 0..1 | Supply | ||
| procedure | 0..1 | Procedure | ||
| encounter | 0..1 | Encounter | ||
| organizer | 0..1 | Organizer | ||
| act | 0..1 | Act | ||
| entryRelationship:encounter | C | 0..* | Element | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| typeCode | 1..1 | code | Required Pattern: COMP | |
| inversionInd | 1..1 | boolean | Required Pattern: true | |
| contextConductionInd | 1..1 | boolean | ||
| sequenceNumber | 0..1 | INT | ||
| negationInd | 0..1 | boolean | ||
| seperatableInd | 0..1 | BL | ||
| encounter | 1..1 | Encounter | ||
| entryRelationship:instruction | C | 0..1 | Element | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| typeCode | 1..1 | code | Required Pattern: SUBJ | |
| inversionInd | 1..1 | boolean | Required Pattern: true | |
| contextConductionInd | 1..1 | boolean | ||
| sequenceNumber | 0..1 | INT | ||
| negationInd | 0..1 | boolean | ||
| seperatableInd | 0..1 | BL | ||
| act | 1..1 | Instruction | Base for all types and resources | |
| entryRelationship:indication | C | 0..* | Element | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| typeCode | 1..1 | code | Required Pattern: RSON | |
| inversionInd | 0..1 | boolean | ||
| contextConductionInd | 1..1 | boolean | ||
| sequenceNumber | 0..1 | INT | ||
| negationInd | 0..1 | boolean | ||
| seperatableInd | 0..1 | BL | ||
| observation | 1..1 | Indication | Base for all types and resources | |
| entryRelationship:medication | C | 0..* | Element | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| typeCode | 1..1 | code | Required Pattern: COMP | |
| inversionInd | 0..1 | boolean | ||
| contextConductionInd | 1..1 | boolean | ||
| sequenceNumber | 0..1 | INT | ||
| negationInd | 0..1 | boolean | ||
| seperatableInd | 0..1 | BL | ||
| substanceAdministration | C | 1..1 | MedicationActivity | Base for all types and resources |
| entryRelationship:reaction | C | 0..* | Element | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| typeCode | 1..1 | code | Required Pattern: COMP | |
| inversionInd | 0..1 | boolean | ||
| contextConductionInd | 1..1 | boolean | ||
| sequenceNumber | 0..1 | INT | ||
| negationInd | 0..1 | boolean | ||
| seperatableInd | 0..1 | BL | ||
| observation | 1..1 | ReactionObservation | Base for all types and resources | |
| reference | 0..* | Element | ||
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| typeCode | 1..1 | code | ||
| seperatableInd | 0..1 | BL | ||
| externalAct | 0..1 | ExternalAct | ||
| externalObservation | 0..1 | ExternalObservation | ||
| externalProcedure | 0..1 | ExternalProcedure | ||
| externalDocument | 0..1 | ExternalDocument | ||
| precondition | 0..* | Precondition | ||
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Procedure.classCode | required | Fixed Value: PROC |
| Procedure.templateId:primary.nullFlavor | required | NullFlavor |
| Procedure.code.nullFlavor | required | NullFlavor |
| Procedure.code.originalText.nullFlavor | required | NullFlavor |
| Procedure.code.originalText.compression | required | CompressionAlgorithm |
| Procedure.code.originalText.integrityCheckAlgorithm | required | IntegrityCheckAlgorithm |
| Procedure.code.originalText.reference.nullFlavor | required | NullFlavor |
| Procedure.code.originalText.reference.use | required | AddressUse |
| Procedure.statusCode | required | ActStatus |
| Procedure.statusCode.nullFlavor | required | NullFlavor |
| Procedure.statusCode.code | required | ProcedureAct statusCode |
| Procedure.priorityCode | required | ActPriority |
| Procedure.languageCode | required | HumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066) |
| Procedure.targetSiteCode | required | Body Site Value Set |
| Procedure.targetSiteCode.nullFlavor | required | NullFlavor |
| Procedure.targetSiteCode.code | required | Body Site Value Set |
| Procedure.subject.typeCode | required | Fixed Value: SBJ |
| Procedure.subject.contextControlCode | required | Fixed Value: OP |
| Procedure.subject.awarenessCode | extensible | TargetAwareness |
| Procedure.specimen.nullFlavor | required | NullFlavor |
| Procedure.specimen.typeCode | required | Fixed Value: SPC |
| Procedure.specimen.specimenRole.classCode | required | Fixed Value: SPEC |
| Procedure.performer:performer1.nullFlavor | required | NullFlavor |
| Procedure.performer:performer1.typeCode | required | Fixed Value: PRF |
| Procedure.performer:performer1.assignedEntity.classCode | required | Fixed Value: ASSIGNED |
| Procedure.performer:performer1.assignedEntity.code | extensible | RoleCode |
| Procedure.performer:performer1.assignedEntity.representedOrganization.classCode | required | Fixed Value: ORG |
| Procedure.performer:performer1.assignedEntity.representedOrganization.determinerCode | required | Fixed Value: INSTANCE |
| Procedure.performer:performer1.assignedEntity.representedOrganization.standardIndustryClassCode | extensible | OrganizationIndustryClassNAICS |
| Procedure.informant.typeCode | required | Fixed Value: INF |
| Procedure.informant.contextControlCode | required | Fixed Value: OP |
| Procedure.participant:product.nullFlavor | required | NullFlavor |
| Procedure.participant:product.typeCode | required | Pattern: DEV |
| Procedure.participant:product.contextControlCode | required | Fixed Value: OP |
| Procedure.participant:location.nullFlavor | required | NullFlavor |
| Procedure.participant:location.typeCode | required | Pattern: LOC |
| Procedure.participant:location.contextControlCode | required | Fixed Value: OP |
| Id | Grade | Path(s) | Details | Requirements |
| 1098-7890 | error | Procedure.methodCode | MethodCode **SHALL NOT** conflict with the method inherent in Procedure / code (CONF:1098-7890). : | |
| 1098-16842 | error | Procedure.specimen | This specimen is for representing specimens obtained from a procedure (CONF:1098-16842). : | |
| 1098-19206 | error | Procedure.code.originalText.reference.value | This reference/@value **SHALL** begin with a '#' and **SHALL** point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:1098-19206). : | |
| 1098-19207 | warning | Procedure.code | This @code **SHOULD** be selected from LOINC (CodeSystem: 2.16.840.1.113883.6.1) or SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96), and **MAY** be selected from CPT-4 (CodeSystem: 2.16.840.1.113883.6.12) or ICD10 PCS (CodeSystem: 2.16.840.1.113883.6.4) or CDT-2 (Code System: 2.16.840.1.113883.6.13) (CONF:1098-19207). : | |
| 1098-29744 | warning | Procedure.specimen.specimenRole.id | 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:1098-29744). : | |
| 1098-30800 | warning | Procedure.entryRelationship:medication.substanceAdministration | Medication Activity **SHOULD** include doseQuantity **OR** rateQuantity (CONF:1098-30800). : | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| proc-er-1 | error | Procedure.entryRelationship, Procedure.entryRelationship:encounter, Procedure.entryRelationship:instruction, Procedure.entryRelationship:indication, Procedure.entryRelationship:medication, Procedure.entryRelationship:reaction | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
This structure is derived from CDAR2.Procedure
Differential View
This structure is derived from CDAR2.Procedure
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Procedure | 1..1 | CDAR2.Procedure | Base for all types and resources | |
| classCode | 1..1 | code | ||
| moodCode | 1..1 | code | Required Pattern: EVN | |
| Slices for templateId | 0..* | II | Slice: Unordered, Open by value:root, value:extension | |
| templateId:primary | 1..1 | II | ||
| root | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.14 | |
| extension | 1..1 | string | Required Pattern: 2014-06-09 | |
| id | 1..* | II | ||
| code | C | 1..1 | CD | 1098-19207: This @code **SHOULD** be selected from LOINC (CodeSystem: 2.16.840.1.113883.6.1) or SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96), and **MAY** be selected from CPT-4 (CodeSystem: 2.16.840.1.113883.6.12) or ICD10 PCS (CodeSystem: 2.16.840.1.113883.6.4) or CDT-2 (Code System: 2.16.840.1.113883.6.13) (CONF:1098-19207). |
| originalText | 0..1 | ED | ||
| reference | 0..1 | TEL | ||
| value | C | 0..1 | uri | 1098-19206: This reference/@value **SHALL** begin with a '#' and **SHALL** point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:1098-19206). |
| statusCode | 1..1 | CS | ||
| code | 1..1 | string | Binding: ProcedureAct statusCode (required) | |
| effectiveTime | 0..1 | IVL_TS | ||
| priorityCode | 0..1 | CE | Binding: ActPriority (required) | |
| methodCode | C | 0..1 | CE | 1098-7890: MethodCode **SHALL NOT** conflict with the method inherent in Procedure / code (CONF:1098-7890). |
| 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) | |
| code | 1..1 | string | Binding: Body Site Value Set (required) | |
| specimen | C | 0..* | Specimen | 1098-16842: This specimen is for representing specimens obtained from a procedure (CONF:1098-16842). |
| specimenRole | 1..1 | SpecimenRole | ||
| id | C | 0..* | II | 1098-29744: 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:1098-29744). |
| Slices for performer | 0..* | Performer2 | Slice: Unordered, Open by value:assignedEntity | |
| performer:performer1 | 0..* | Performer2 | ||
| assignedEntity | 1..1 | AssignedEntity | ||
| id | 1..* | II | ||
| addr | 1..* | AD | ||
| telecom | 1..* | TEL | ||
| representedOrganization | 0..1 | Organization | ||
| id | 0..* | II | ||
| name | 0..* | ON | ||
| telecom | 1..1 | TEL | ||
| addr | 1..1 | AD | ||
| author | 0..* | AuthorParticipation | Base for all types and resources | |
| Slices for participant | 0..* | Participant2 | Slice: Unordered, Open by value:typeCode, profile:participantRole | |
| participant:product | 0..* | Participant2 | ||
| typeCode | 1..1 | code | Required Pattern: DEV | |
| participantRole | 1..1 | ProductInstance | Base for all types and resources | |
| participant:location | 0..* | Participant2 | ||
| typeCode | 1..1 | code | Required Pattern: LOC | |
| participantRole | 1..1 | ServiceDeliveryLocation | Base for all types and resources | |
| Slices for entryRelationship | 0..* | Element | Slice: Unordered, Open by profile:observation, profile:act, profile:substanceAdministration | |
| entryRelationship:encounter | 0..* | Element | ||
| typeCode | 1..1 | code | Required Pattern: COMP | |
| inversionInd | 1..1 | boolean | Required Pattern: true | |
| encounter | 1..1 | Encounter | ||
| classCode | 1..1 | code | Required Pattern: ENC | |
| moodCode | 1..1 | code | Required Pattern: EVN | |
| id | C | 1..1 | II | 1098-16843: Set the encounter ID to the ID of an encounter in another section to signify they are the same encounter (CONF:1098-16843). |
| entryRelationship:instruction | 0..1 | Element | ||
| typeCode | 1..1 | code | Required Pattern: SUBJ | |
| inversionInd | 1..1 | boolean | Required Pattern: true | |
| act | 1..1 | Instruction | Base for all types and resources | |
| entryRelationship:indication | 0..* | Element | ||
| typeCode | 1..1 | code | Required Pattern: RSON | |
| observation | 1..1 | Indication | Base for all types and resources | |
| entryRelationship:medication | 0..* | Element | ||
| typeCode | 1..1 | code | Required Pattern: COMP | |
| substanceAdministration | 1..1 | MedicationActivity | Base for all types and resources | |
| entryRelationship:reaction | 0..* | Element | ||
| typeCode | 1..1 | code | Required Pattern: COMP | |
| observation | 1..1 | ReactionObservation | Base for all types and resources | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Procedure.statusCode.code | required | ProcedureAct statusCode |
| Procedure.priorityCode | required | ActPriority |
| Procedure.targetSiteCode | required | Body Site Value Set |
| Procedure.targetSiteCode.code | required | Body Site Value Set |
| Id | Grade | Path(s) | Details | Requirements |
| 1098-7890 | error | Procedure.methodCode | MethodCode **SHALL NOT** conflict with the method inherent in Procedure / code (CONF:1098-7890). : | |
| 1098-16842 | error | Procedure.specimen | This specimen is for representing specimens obtained from a procedure (CONF:1098-16842). : | |
| 1098-16843 | warning | Procedure.entryRelationship:encounter.encounter.id | Set the encounter ID to the ID of an encounter in another section to signify they are the same encounter (CONF:1098-16843). : | |
| 1098-19206 | error | Procedure.code.originalText.reference.value | This reference/@value **SHALL** begin with a '#' and **SHALL** point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:1098-19206). : | |
| 1098-19207 | warning | Procedure.code | This @code **SHOULD** be selected from LOINC (CodeSystem: 2.16.840.1.113883.6.1) or SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96), and **MAY** be selected from CPT-4 (CodeSystem: 2.16.840.1.113883.6.12) or ICD10 PCS (CodeSystem: 2.16.840.1.113883.6.4) or CDT-2 (Code System: 2.16.840.1.113883.6.13) (CONF:1098-19207). : | |
| 1098-29744 | warning | Procedure.specimen.specimenRole.id | 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:1098-29744). : |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Procedure | 1..1 | CDAR2.Procedure | Base for all types and resources | |
| classCode | 1..1 | code | Binding: ActClassProcedure (required) Fixed Value: PROC | |
| moodCode | 1..1 | code | Required Pattern: EVN | |
| Slices for templateId | 0..* | II | Slice: Unordered, Open by value:root, value:extension | |
| templateId:primary | 1..1 | II | ||
| root | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.14 | |
| extension | 1..1 | string | Required Pattern: 2014-06-09 | |
| id | 1..* | II | ||
| code | C | 1..1 | CD | 1098-19207: This @code **SHOULD** be selected from LOINC (CodeSystem: 2.16.840.1.113883.6.1) or SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96), and **MAY** be selected from CPT-4 (CodeSystem: 2.16.840.1.113883.6.12) or ICD10 PCS (CodeSystem: 2.16.840.1.113883.6.4) or CDT-2 (Code System: 2.16.840.1.113883.6.13) (CONF:1098-19207). |
| originalText | 0..1 | ED | ||
| reference | 0..1 | TEL | ||
| value | C | 0..1 | uri | 1098-19206: This reference/@value **SHALL** begin with a '#' and **SHALL** point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:1098-19206). |
| statusCode | 1..1 | CS | Binding: ActStatus (required) | |
| code | 1..1 | string | Binding: ProcedureAct statusCode (required) | |
| effectiveTime | 0..1 | IVL_TS | ||
| priorityCode | 0..1 | CE | Binding: ActPriority (required) | |
| methodCode | C | 0..1 | CE | 1098-7890: MethodCode **SHALL NOT** conflict with the method inherent in Procedure / code (CONF:1098-7890). |
| 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) | |
| code | 1..1 | string | Binding: Body Site Value Set (required) | |
| specimen | C | 0..* | Specimen | 1098-16842: This specimen is for representing specimens obtained from a procedure (CONF:1098-16842). |
| typeCode | 1..1 | code | Binding: ParticipationTargetDirect (required) Fixed Value: SPC | |
| specimenRole | 1..1 | SpecimenRole | ||
| classCode | 1..1 | code | Binding: RoleClassSpecimen (required) Fixed Value: SPEC | |
| id | C | 0..* | II | 1098-29744: 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:1098-29744). |
| Slices for performer | 0..* | Performer2 | Slice: Unordered, Open by value:assignedEntity | |
| performer:performer1 | 0..* | Performer2 | ||
| assignedEntity | 1..1 | AssignedEntity | ||
| classCode | 1..1 | code | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
| id | 1..* | II | ||
| addr | 1..* | AD | ||
| telecom | 1..* | TEL | ||
| representedOrganization | 0..1 | Organization | ||
| classCode | 1..1 | code | Binding: EntityClassOrganization (required) Fixed Value: ORG | |
| determinerCode | 1..1 | code | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
| id | 0..* | II | ||
| name | 0..* | ON | ||
| telecom | 1..1 | TEL | ||
| addr | 1..1 | AD | ||
| author | 0..* | AuthorParticipation | Base for all types and resources | |
| Slices for participant | 0..* | Participant2 | Slice: Unordered, Open by value:typeCode, profile:participantRole | |
| participant:product | 0..* | Participant2 | ||
| typeCode | 1..1 | code | Binding: ParticipationType (required) Required Pattern: DEV | |
| participantRole | 1..1 | ProductInstance | Base for all types and resources | |
| participant:location | 0..* | Participant2 | ||
| typeCode | 1..1 | code | Binding: ParticipationType (required) Required Pattern: LOC | |
| participantRole | 1..1 | ServiceDeliveryLocation | Base for all types and resources | |
| Slices for entryRelationship | C | 0..* | Element | Slice: Unordered, Open by profile:observation, profile:act, profile:substanceAdministration |
| entryRelationship:All Slices | Content/Rules for all slices | |||
| typeCode | 1..1 | code | ||
| contextConductionInd | 1..1 | boolean | ||
| entryRelationship:encounter | C | 0..* | Element | |
| typeCode | 1..1 | code | Required Pattern: COMP | |
| inversionInd | 1..1 | boolean | Required Pattern: true | |
| contextConductionInd | 1..1 | boolean | ||
| encounter | 1..1 | Encounter | ||
| entryRelationship:instruction | C | 0..1 | Element | |
| typeCode | 1..1 | code | Required Pattern: SUBJ | |
| inversionInd | 1..1 | boolean | Required Pattern: true | |
| contextConductionInd | 1..1 | boolean | ||
| act | 1..1 | Instruction | Base for all types and resources | |
| entryRelationship:indication | C | 0..* | Element | |
| typeCode | 1..1 | code | Required Pattern: RSON | |
| contextConductionInd | 1..1 | boolean | ||
| observation | 1..1 | Indication | Base for all types and resources | |
| entryRelationship:medication | C | 0..* | Element | |
| typeCode | 1..1 | code | Required Pattern: COMP | |
| contextConductionInd | 1..1 | boolean | ||
| substanceAdministration | C | 1..1 | MedicationActivity | Base for all types and resources |
| entryRelationship:reaction | C | 0..* | Element | |
| typeCode | 1..1 | code | Required Pattern: COMP | |
| contextConductionInd | 1..1 | boolean | ||
| observation | 1..1 | ReactionObservation | Base for all types and resources | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Procedure.classCode | required | Fixed Value: PROC |
| Procedure.statusCode | required | ActStatus |
| Procedure.statusCode.code | required | ProcedureAct statusCode |
| Procedure.priorityCode | required | ActPriority |
| Procedure.targetSiteCode | required | Body Site Value Set |
| Procedure.targetSiteCode.code | required | Body Site Value Set |
| Procedure.specimen.typeCode | required | Fixed Value: SPC |
| Procedure.specimen.specimenRole.classCode | required | Fixed Value: SPEC |
| Procedure.performer:performer1.assignedEntity.classCode | required | Fixed Value: ASSIGNED |
| Procedure.performer:performer1.assignedEntity.representedOrganization.classCode | required | Fixed Value: ORG |
| Procedure.performer:performer1.assignedEntity.representedOrganization.determinerCode | required | Fixed Value: INSTANCE |
| Procedure.participant:product.typeCode | required | Pattern: DEV |
| Procedure.participant:location.typeCode | required | Pattern: LOC |
| Id | Grade | Path(s) | Details | Requirements |
| 1098-7890 | error | Procedure.methodCode | MethodCode **SHALL NOT** conflict with the method inherent in Procedure / code (CONF:1098-7890). : | |
| 1098-16842 | error | Procedure.specimen | This specimen is for representing specimens obtained from a procedure (CONF:1098-16842). : | |
| 1098-19206 | error | Procedure.code.originalText.reference.value | This reference/@value **SHALL** begin with a '#' and **SHALL** point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:1098-19206). : | |
| 1098-19207 | warning | Procedure.code | This @code **SHOULD** be selected from LOINC (CodeSystem: 2.16.840.1.113883.6.1) or SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96), and **MAY** be selected from CPT-4 (CodeSystem: 2.16.840.1.113883.6.12) or ICD10 PCS (CodeSystem: 2.16.840.1.113883.6.4) or CDT-2 (Code System: 2.16.840.1.113883.6.13) (CONF:1098-19207). : | |
| 1098-29744 | warning | Procedure.specimen.specimenRole.id | 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:1098-29744). : | |
| 1098-30800 | warning | Procedure.entryRelationship:medication.substanceAdministration | Medication Activity **SHOULD** include doseQuantity **OR** rateQuantity (CONF:1098-30800). : | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| proc-er-1 | error | Procedure.entryRelationship, Procedure.entryRelationship:encounter, Procedure.entryRelationship:instruction, Procedure.entryRelationship:indication, Procedure.entryRelationship:medication, Procedure.entryRelationship:reaction | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Procedure | 1..1 | CDAR2.Procedure | Base for all types and resources | |
| classCode | 1..1 | code | Binding: ActClassProcedure (required) Fixed Value: PROC | |
| moodCode | 1..1 | code | Required Pattern: EVN | |
| realmCode | 0..* | CS | ||
| typeId | 0..1 | II | ||
| Slices for templateId | 0..* | II | Slice: Unordered, Open by value:root, value:extension | |
| templateId:primary | 1..1 | II | ||
| nullFlavor | 0..1 | code | Binding: NullFlavor (required) | |
| assigningAuthorityName | 0..1 | string | ||
| displayable | 0..1 | boolean | ||
| root | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.14 | |
| extension | 1..1 | string | Required Pattern: 2014-06-09 | |
| id | 1..* | II | ||
| code | C | 1..1 | CD | 1098-19207: This @code **SHOULD** be selected from LOINC (CodeSystem: 2.16.840.1.113883.6.1) or SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96), and **MAY** be selected from CPT-4 (CodeSystem: 2.16.840.1.113883.6.12) or ICD10 PCS (CodeSystem: 2.16.840.1.113883.6.4) or CDT-2 (Code System: 2.16.840.1.113883.6.13) (CONF:1098-19207). |
| nullFlavor | 0..1 | code | Binding: NullFlavor (required) | |
| code | 0..1 | string | ||
| codeSystem | 0..1 | string | ||
| codeSystemName | 0..1 | string | ||
| codeSystemVersion | 0..1 | string | ||
| displayName | 0..1 | string | ||
| sdtcValueSet | 0..1 | string | XML: valueSet (urn:hl7-org:sdtc) | |
| sdtcValueSetVersion | 0..1 | string | XML: valueSetVersion (urn:hl7-org:sdtc) | |
| originalText | 0..1 | ED | ||
| nullFlavor | 0..1 | code | Binding: NullFlavor (required) | |
| charset | 0..1 | code | ||
| compression | 0..1 | code | Binding: CompressionAlgorithm (required) | |
| integrityCheck | 0..1 | base64Binary | ||
| integrityCheckAlgorithm | 0..1 | code | Binding: IntegrityCheckAlgorithm (required) | |
| language | 0..1 | code | ||
| mediaType | 0..1 | code | ||
| representation | 0..1 | code | ||
| data[x] | 0..1 | |||
| dataString | string | |||
| dataBase64Binary | base64Binary | |||
| reference | 0..1 | TEL | ||
| nullFlavor | 0..1 | code | Binding: NullFlavor (required) | |
| value | C | 0..1 | uri | 1098-19206: This reference/@value **SHALL** begin with a '#' and **SHALL** point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:1098-19206). |
| useablePeriod | 0..* | |||
| useablePeriod | IVL_TS | |||
| useablePeriod | EIVL_TS | |||
| useablePeriod | PIVL_TS | |||
| useablePeriod | SXPR_TS | |||
| use | 0..* | code | Binding: AddressUse (required) | |
| thumbnail | 0..1 | ED | ||
| qualifier | 0..* | CR | ||
| translation | 0..* | CD | ||
| negationInd | 0..1 | boolean | ||
| text | 0..1 | ED | ||
| statusCode | 1..1 | CS | Binding: ActStatus (required) | |
| nullFlavor | 0..1 | code | Binding: NullFlavor (required) | |
| code | 1..1 | string | Binding: ProcedureAct statusCode (required) | |
| sdtcValueSet | 0..1 | string | XML: valueSet (urn:hl7-org:sdtc) | |
| sdtcValueSetVersion | 0..1 | string | XML: valueSetVersion (urn:hl7-org:sdtc) | |
| effectiveTime | 0..1 | IVL_TS | ||
| priorityCode | 0..1 | CE | Binding: ActPriority (required) | |
| languageCode | 0..1 | CS | Binding: HumanLanguage (required) | |
| methodCode | C | 0..1 | CE | 1098-7890: MethodCode **SHALL NOT** conflict with the method inherent in Procedure / code (CONF:1098-7890). |
| 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) | |
| nullFlavor | 0..1 | code | Binding: NullFlavor (required) | |
| code | 1..1 | string | Binding: Body Site Value Set (required) | |
| codeSystem | 0..1 | string | ||
| codeSystemName | 0..1 | string | ||
| codeSystemVersion | 0..1 | string | ||
| displayName | 0..1 | string | ||
| sdtcValueSet | 0..1 | string | XML: valueSet (urn:hl7-org:sdtc) | |
| sdtcValueSetVersion | 0..1 | string | XML: valueSetVersion (urn:hl7-org:sdtc) | |
| originalText | 0..1 | ED | ||
| qualifier | 0..* | CR | ||
| translation | 0..* | CD | ||
| subject | 0..1 | Element | ||
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| typeCode | 1..1 | code | Binding: ParticipationTargetSubject (required) Fixed Value: SBJ | |
| contextControlCode | 1..1 | code | Binding: ContextControl (required) Fixed Value: OP | |
| awarenessCode | 0..1 | CE | Binding: TargetAwareness (extensible) | |
| relatedSubject | 1..1 | RelatedSubject | ||
| specimen | C | 0..* | Specimen | 1098-16842: This specimen is for representing specimens obtained from a procedure (CONF:1098-16842). |
| nullFlavor | 0..1 | code | Binding: NullFlavor (required) | |
| realmCode | 0..* | CS | ||
| typeId | 0..1 | II | ||
| templateId | 0..* | II | ||
| typeCode | 1..1 | code | Binding: ParticipationTargetDirect (required) Fixed Value: SPC | |
| specimenRole | 1..1 | SpecimenRole | ||
| classCode | 1..1 | code | Binding: RoleClassSpecimen (required) Fixed Value: SPEC | |
| templateId | 0..* | II | ||
| id | C | 0..* | II | 1098-29744: 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:1098-29744). |
| sdtcIdentifiedBy | 0..* | IdentifiedBy | XML: identifiedBy (urn:hl7-org:sdtc) | |
| specimenPlayingEntity | 0..1 | PlayingEntity | ||
| Slices for performer | 0..* | Performer2 | Slice: Unordered, Open by value:assignedEntity | |
| performer:performer1 | 0..* | Performer2 | ||
| nullFlavor | 0..1 | code | Binding: NullFlavor (required) | |
| typeCode | 0..1 | cs | Binding: ParticipationPhysicalPerformer (required) Fixed Value: PRF | |
| realmCode | 0..* | CS | ||
| typeId | 0..1 | II | ||
| templateId | 0..* | II | ||
| functionCode | 0..1 | CE | XML Namespace: urn:hl7-org:sdtc | |
| time | 0..1 | IVL_TS | ||
| modeCode | 0..1 | CE | ||
| assignedEntity | 1..1 | AssignedEntity | ||
| classCode | 1..1 | code | Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED | |
| templateId | 0..* | II | ||
| id | 1..* | II | ||
| sdtcIdentifiedBy | 0..* | IdentifiedBy | XML: identifiedBy (urn:hl7-org:sdtc) | |
| code | 0..1 | CE | Binding: v3 Code System RoleCode (extensible) | |
| addr | 1..* | AD | ||
| telecom | 1..* | TEL | ||
| assignedPerson | 0..1 | Person | ||
| representedOrganization | 0..1 | Organization | ||
| classCode | 1..1 | code | Binding: EntityClassOrganization (required) Fixed Value: ORG | |
| determinerCode | 1..1 | code | Binding: EntityDeterminer (required) Fixed Value: INSTANCE | |
| templateId | 0..* | II | ||
| id | 0..* | II | ||
| name | 0..* | ON | ||
| telecom | 1..1 | TEL | ||
| addr | 1..1 | AD | ||
| standardIndustryClassCode | 0..1 | CE | Binding: OrganizationIndustryClassNAICS (extensible) | |
| asOrganizationPartOf | 0..1 | OrganizationPartOf | ||
| author | 0..* | AuthorParticipation | Base for all types and resources | |
| informant | 0..* | Element | ||
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| typeCode | 1..1 | code | Binding: ParticipationInformationGenerator (required) Fixed Value: INF | |
| contextControlCode | 1..1 | code | Binding: ContextControl (required) Fixed Value: OP | |
| assignedEntity | 0..1 | AssignedEntity | ||
| relatedEntity | 0..1 | RelatedEntity | ||
| Slices for participant | 0..* | Participant2 | Slice: Unordered, Open by value:typeCode, profile:participantRole | |
| participant:product | 0..* | Participant2 | ||
| nullFlavor | 0..1 | code | Binding: NullFlavor (required) | |
| typeCode | 1..1 | code | Binding: ParticipationType (required) Required Pattern: DEV | |
| contextControlCode | 0..1 | code | Binding: ContextControl (required) Fixed Value: OP | |
| realmCode | 0..* | CS | ||
| typeId | 0..1 | II | ||
| templateId | 0..* | II | ||
| sdtcFunctionCode | 0..1 | CE | XML: functionCode (urn:hl7-org:sdtc) | |
| time | 0..1 | IVL_TS | ||
| awarenessCode | 0..1 | CE | ||
| participantRole | 1..1 | ProductInstance | Base for all types and resources | |
| participant:location | 0..* | Participant2 | ||
| nullFlavor | 0..1 | code | Binding: NullFlavor (required) | |
| typeCode | 1..1 | code | Binding: ParticipationType (required) Required Pattern: LOC | |
| contextControlCode | 0..1 | code | Binding: ContextControl (required) Fixed Value: OP | |
| realmCode | 0..* | CS | ||
| typeId | 0..1 | II | ||
| templateId | 0..* | II | ||
| sdtcFunctionCode | 0..1 | CE | XML: functionCode (urn:hl7-org:sdtc) | |
| time | 0..1 | IVL_TS | ||
| awarenessCode | 0..1 | CE | ||
| participantRole | 1..1 | ServiceDeliveryLocation | Base for all types and resources | |
| Slices for entryRelationship | C | 0..* | Element | Slice: Unordered, Open by profile:observation, profile:act, profile:substanceAdministration |
| entryRelationship:All Slices | Content/Rules for all slices | |||
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| typeCode | 1..1 | code | ||
| inversionInd | 0..1 | boolean | ||
| contextConductionInd | 1..1 | boolean | ||
| sequenceNumber | 0..1 | INT | ||
| negationInd | 0..1 | boolean | ||
| seperatableInd | 0..1 | BL | ||
| (Choice of one) | 1..1 | |||
| observation | 0..1 | Observation | ||
| regionOfInterest | 0..1 | RegionOfInterest | ||
| observationMedia | 0..1 | ObservationMedia | ||
| substanceAdministration | 0..1 | SubstanceAdministration | ||
| supply | 0..1 | Supply | ||
| procedure | 0..1 | Procedure | ||
| encounter | 0..1 | Encounter | ||
| organizer | 0..1 | Organizer | ||
| act | 0..1 | Act | ||
| entryRelationship:encounter | C | 0..* | Element | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| typeCode | 1..1 | code | Required Pattern: COMP | |
| inversionInd | 1..1 | boolean | Required Pattern: true | |
| contextConductionInd | 1..1 | boolean | ||
| sequenceNumber | 0..1 | INT | ||
| negationInd | 0..1 | boolean | ||
| seperatableInd | 0..1 | BL | ||
| encounter | 1..1 | Encounter | ||
| entryRelationship:instruction | C | 0..1 | Element | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| typeCode | 1..1 | code | Required Pattern: SUBJ | |
| inversionInd | 1..1 | boolean | Required Pattern: true | |
| contextConductionInd | 1..1 | boolean | ||
| sequenceNumber | 0..1 | INT | ||
| negationInd | 0..1 | boolean | ||
| seperatableInd | 0..1 | BL | ||
| act | 1..1 | Instruction | Base for all types and resources | |
| entryRelationship:indication | C | 0..* | Element | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| typeCode | 1..1 | code | Required Pattern: RSON | |
| inversionInd | 0..1 | boolean | ||
| contextConductionInd | 1..1 | boolean | ||
| sequenceNumber | 0..1 | INT | ||
| negationInd | 0..1 | boolean | ||
| seperatableInd | 0..1 | BL | ||
| observation | 1..1 | Indication | Base for all types and resources | |
| entryRelationship:medication | C | 0..* | Element | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| typeCode | 1..1 | code | Required Pattern: COMP | |
| inversionInd | 0..1 | boolean | ||
| contextConductionInd | 1..1 | boolean | ||
| sequenceNumber | 0..1 | INT | ||
| negationInd | 0..1 | boolean | ||
| seperatableInd | 0..1 | BL | ||
| substanceAdministration | C | 1..1 | MedicationActivity | Base for all types and resources |
| entryRelationship:reaction | C | 0..* | Element | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| typeCode | 1..1 | code | Required Pattern: COMP | |
| inversionInd | 0..1 | boolean | ||
| contextConductionInd | 1..1 | boolean | ||
| sequenceNumber | 0..1 | INT | ||
| negationInd | 0..1 | boolean | ||
| seperatableInd | 0..1 | BL | ||
| observation | 1..1 | ReactionObservation | Base for all types and resources | |
| reference | 0..* | Element | ||
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| typeCode | 1..1 | code | ||
| seperatableInd | 0..1 | BL | ||
| externalAct | 0..1 | ExternalAct | ||
| externalObservation | 0..1 | ExternalObservation | ||
| externalProcedure | 0..1 | ExternalProcedure | ||
| externalDocument | 0..1 | ExternalDocument | ||
| precondition | 0..* | Precondition | ||
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Procedure.classCode | required | Fixed Value: PROC |
| Procedure.templateId:primary.nullFlavor | required | NullFlavor |
| Procedure.code.nullFlavor | required | NullFlavor |
| Procedure.code.originalText.nullFlavor | required | NullFlavor |
| Procedure.code.originalText.compression | required | CompressionAlgorithm |
| Procedure.code.originalText.integrityCheckAlgorithm | required | IntegrityCheckAlgorithm |
| Procedure.code.originalText.reference.nullFlavor | required | NullFlavor |
| Procedure.code.originalText.reference.use | required | AddressUse |
| Procedure.statusCode | required | ActStatus |
| Procedure.statusCode.nullFlavor | required | NullFlavor |
| Procedure.statusCode.code | required | ProcedureAct statusCode |
| Procedure.priorityCode | required | ActPriority |
| Procedure.languageCode | required | HumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066) |
| Procedure.targetSiteCode | required | Body Site Value Set |
| Procedure.targetSiteCode.nullFlavor | required | NullFlavor |
| Procedure.targetSiteCode.code | required | Body Site Value Set |
| Procedure.subject.typeCode | required | Fixed Value: SBJ |
| Procedure.subject.contextControlCode | required | Fixed Value: OP |
| Procedure.subject.awarenessCode | extensible | TargetAwareness |
| Procedure.specimen.nullFlavor | required | NullFlavor |
| Procedure.specimen.typeCode | required | Fixed Value: SPC |
| Procedure.specimen.specimenRole.classCode | required | Fixed Value: SPEC |
| Procedure.performer:performer1.nullFlavor | required | NullFlavor |
| Procedure.performer:performer1.typeCode | required | Fixed Value: PRF |
| Procedure.performer:performer1.assignedEntity.classCode | required | Fixed Value: ASSIGNED |
| Procedure.performer:performer1.assignedEntity.code | extensible | RoleCode |
| Procedure.performer:performer1.assignedEntity.representedOrganization.classCode | required | Fixed Value: ORG |
| Procedure.performer:performer1.assignedEntity.representedOrganization.determinerCode | required | Fixed Value: INSTANCE |
| Procedure.performer:performer1.assignedEntity.representedOrganization.standardIndustryClassCode | extensible | OrganizationIndustryClassNAICS |
| Procedure.informant.typeCode | required | Fixed Value: INF |
| Procedure.informant.contextControlCode | required | Fixed Value: OP |
| Procedure.participant:product.nullFlavor | required | NullFlavor |
| Procedure.participant:product.typeCode | required | Pattern: DEV |
| Procedure.participant:product.contextControlCode | required | Fixed Value: OP |
| Procedure.participant:location.nullFlavor | required | NullFlavor |
| Procedure.participant:location.typeCode | required | Pattern: LOC |
| Procedure.participant:location.contextControlCode | required | Fixed Value: OP |
| Id | Grade | Path(s) | Details | Requirements |
| 1098-7890 | error | Procedure.methodCode | MethodCode **SHALL NOT** conflict with the method inherent in Procedure / code (CONF:1098-7890). : | |
| 1098-16842 | error | Procedure.specimen | This specimen is for representing specimens obtained from a procedure (CONF:1098-16842). : | |
| 1098-19206 | error | Procedure.code.originalText.reference.value | This reference/@value **SHALL** begin with a '#' and **SHALL** point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:1098-19206). : | |
| 1098-19207 | warning | Procedure.code | This @code **SHOULD** be selected from LOINC (CodeSystem: 2.16.840.1.113883.6.1) or SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96), and **MAY** be selected from CPT-4 (CodeSystem: 2.16.840.1.113883.6.12) or ICD10 PCS (CodeSystem: 2.16.840.1.113883.6.4) or CDT-2 (Code System: 2.16.840.1.113883.6.13) (CONF:1098-19207). : | |
| 1098-29744 | warning | Procedure.specimen.specimenRole.id | 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:1098-29744). : | |
| 1098-30800 | warning | Procedure.entryRelationship:medication.substanceAdministration | Medication Activity **SHOULD** include doseQuantity **OR** rateQuantity (CONF:1098-30800). : | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| proc-er-1 | error | Procedure.entryRelationship, Procedure.entryRelationship:encounter, Procedure.entryRelationship:instruction, Procedure.entryRelationship:indication, Procedure.entryRelationship:medication, Procedure.entryRelationship:reaction | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
This structure is derived from CDAR2.Procedure
Cannot invoke "org.hl7.fhir.r5.model.ElementDefinition.getPath()" because "match" is null
Other representations of profile: CSV, Excel, Schematron
IG © 2019+ Health Level Seven. Package hl7.cda.us.ccda#2.1.0-draft1 based on FHIR 5.0.0-snapshot3. Generated 2023-01-16
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