Clinical Document Architecture
2.0.0-sd-snapshot1 - snapshot1

This page is part of the CDA: Clinical Document Architecture (v2.0.0-sd-snapshot1: CDA2 Draft) based on FHIR (HL7® FHIR® Standard) v5.0.0. . For a full list of available versions, see the Directory of published versions

Logical Model: Procedure (CDA Class)

Official URL: http://hl7.org/cda/stds/core/StructureDefinition/Procedure Version: 2.0.0-sd-snapshot1
Active as of 2023-12-16 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.

Usage:

Formal Views of Profile Content

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

This structure is derived from InfrastructureRoot

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 1..1InfrastructureRootXML Namespace: urn:hl7-org:v3
Elements defined in Ancestors: @nullFlavor, realmCode, typeId, templateId
Base for all types and resources
Instances of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... @classCode 1..1csBinding: ActClassProcedure (required)
Fixed Value: PROC
... @moodCode 1..1csBinding: x_DocumentProcedureMood (required)
... id 0..*II
... @negationInd 0..1bl
... text 0..1ED
... statusCode 0..1CSBinding: ActStatus (required)
... effectiveTime 0..1IVL_TS
... priorityCode 0..1CEBinding: ActPriority (example)
... languageCode 0..1CSBinding: AllLanguages (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
... sdtcPrecondition2 0..*Precondition2XML Namespace: urn:hl7-org:sdtc
XML: precondition2 (urn:hl7-org:sdtc)
... sdtcInFulfillmentOf1 0..*InFulfillmentOf1XML Namespace: urn:hl7-org:sdtc
XML: inFulfillmentOf1 (urn:hl7-org:sdtc)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet / Code
Procedure.classCoderequiredFixed Value: PROC
Procedure.moodCoderequiredXDocumentProcedureMood
Procedure.statusCoderequiredActStatus
Procedure.priorityCodeexampleActPriority
Procedure.languageCoderequiredAllLanguages
NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 1..1InfrastructureRootXML Namespace: urn:hl7-org:v3
Elements defined in Ancestors: @nullFlavor, realmCode, typeId, templateId
Base for all types and resources
Instances of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... @classCode 1..1csBinding: ActClassProcedure (required)
Fixed Value: PROC
... @moodCode 1..1csBinding: x_DocumentProcedureMood (required)
... id 0..*II
... @negationInd 0..1bl
... text 0..1ED
... statusCode 0..1CSBinding: ActStatus (required)
... effectiveTime 0..1IVL_TS
... priorityCode 0..1CEBinding: ActPriority (example)
... languageCode 0..1CSBinding: AllLanguages (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
... sdtcPrecondition2 0..*Precondition2XML Namespace: urn:hl7-org:sdtc
XML: precondition2 (urn:hl7-org:sdtc)
... sdtcInFulfillmentOf1 0..*InFulfillmentOf1XML Namespace: urn:hl7-org:sdtc
XML: inFulfillmentOf1 (urn:hl7-org:sdtc)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Procedure.classCoderequiredFixed Value: PROC
Procedure.moodCoderequiredXDocumentProcedureMood
Procedure.statusCoderequiredActStatus
Procedure.priorityCodeexampleActPriority
Procedure.languageCoderequiredAllLanguages
NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 1..1InfrastructureRootXML Namespace: urn:hl7-org:v3
Elements defined in Ancestors: @nullFlavor, realmCode, typeId, templateId
Base for all types and resources
Instances of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... @nullFlavor 0..1csBinding: CDANullFlavor (required)
... realmCode 0..*CS
... typeId 0..1II
.... @nullFlavor 0..1csBinding: CDANullFlavor (required)
.... @assigningAuthorityName 0..1st
.... @displayable 0..1bl
.... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
.... @extension 1..1st
... templateId 0..*II
... @classCode 1..1csBinding: ActClassProcedure (required)
Fixed Value: PROC
... @moodCode 1..1csBinding: x_DocumentProcedureMood (required)
... 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 (example)
... languageCode 0..1CSBinding: AllLanguages (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
... sdtcPrecondition2 0..*Precondition2XML Namespace: urn:hl7-org:sdtc
XML: precondition2 (urn:hl7-org:sdtc)
... sdtcInFulfillmentOf1 0..*InFulfillmentOf1XML Namespace: urn:hl7-org:sdtc
XML: inFulfillmentOf1 (urn:hl7-org:sdtc)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Procedure.nullFlavorrequiredCDANullFlavor
Procedure.typeId.nullFlavorrequiredCDANullFlavor
Procedure.classCoderequiredFixed Value: PROC
Procedure.moodCoderequiredXDocumentProcedureMood
Procedure.statusCoderequiredActStatus
Procedure.priorityCodeexampleActPriority
Procedure.languageCoderequiredAllLanguages

This structure is derived from InfrastructureRoot

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 InfrastructureRoot

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 1..1InfrastructureRootXML Namespace: urn:hl7-org:v3
Elements defined in Ancestors: @nullFlavor, realmCode, typeId, templateId
Base for all types and resources
Instances of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... @classCode 1..1csBinding: ActClassProcedure (required)
Fixed Value: PROC
... @moodCode 1..1csBinding: x_DocumentProcedureMood (required)
... id 0..*II
... @negationInd 0..1bl
... text 0..1ED
... statusCode 0..1CSBinding: ActStatus (required)
... effectiveTime 0..1IVL_TS
... priorityCode 0..1CEBinding: ActPriority (example)
... languageCode 0..1CSBinding: AllLanguages (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
... sdtcPrecondition2 0..*Precondition2XML Namespace: urn:hl7-org:sdtc
XML: precondition2 (urn:hl7-org:sdtc)
... sdtcInFulfillmentOf1 0..*InFulfillmentOf1XML Namespace: urn:hl7-org:sdtc
XML: inFulfillmentOf1 (urn:hl7-org:sdtc)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet / Code
Procedure.classCoderequiredFixed Value: PROC
Procedure.moodCoderequiredXDocumentProcedureMood
Procedure.statusCoderequiredActStatus
Procedure.priorityCodeexampleActPriority
Procedure.languageCoderequiredAllLanguages

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 1..1InfrastructureRootXML Namespace: urn:hl7-org:v3
Elements defined in Ancestors: @nullFlavor, realmCode, typeId, templateId
Base for all types and resources
Instances of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... @classCode 1..1csBinding: ActClassProcedure (required)
Fixed Value: PROC
... @moodCode 1..1csBinding: x_DocumentProcedureMood (required)
... id 0..*II
... @negationInd 0..1bl
... text 0..1ED
... statusCode 0..1CSBinding: ActStatus (required)
... effectiveTime 0..1IVL_TS
... priorityCode 0..1CEBinding: ActPriority (example)
... languageCode 0..1CSBinding: AllLanguages (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
... sdtcPrecondition2 0..*Precondition2XML Namespace: urn:hl7-org:sdtc
XML: precondition2 (urn:hl7-org:sdtc)
... sdtcInFulfillmentOf1 0..*InFulfillmentOf1XML Namespace: urn:hl7-org:sdtc
XML: inFulfillmentOf1 (urn:hl7-org:sdtc)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Procedure.classCoderequiredFixed Value: PROC
Procedure.moodCoderequiredXDocumentProcedureMood
Procedure.statusCoderequiredActStatus
Procedure.priorityCodeexampleActPriority
Procedure.languageCoderequiredAllLanguages

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 1..1InfrastructureRootXML Namespace: urn:hl7-org:v3
Elements defined in Ancestors: @nullFlavor, realmCode, typeId, templateId
Base for all types and resources
Instances of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... @nullFlavor 0..1csBinding: CDANullFlavor (required)
... realmCode 0..*CS
... typeId 0..1II
.... @nullFlavor 0..1csBinding: CDANullFlavor (required)
.... @assigningAuthorityName 0..1st
.... @displayable 0..1bl
.... @root 1..1oid, uuid, ruidFixed Value: 2.16.840.1.113883.1.3
.... @extension 1..1st
... templateId 0..*II
... @classCode 1..1csBinding: ActClassProcedure (required)
Fixed Value: PROC
... @moodCode 1..1csBinding: x_DocumentProcedureMood (required)
... 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 (example)
... languageCode 0..1CSBinding: AllLanguages (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
... sdtcPrecondition2 0..*Precondition2XML Namespace: urn:hl7-org:sdtc
XML: precondition2 (urn:hl7-org:sdtc)
... sdtcInFulfillmentOf1 0..*InFulfillmentOf1XML Namespace: urn:hl7-org:sdtc
XML: inFulfillmentOf1 (urn:hl7-org:sdtc)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Procedure.nullFlavorrequiredCDANullFlavor
Procedure.typeId.nullFlavorrequiredCDANullFlavor
Procedure.classCoderequiredFixed Value: PROC
Procedure.moodCoderequiredXDocumentProcedureMood
Procedure.statusCoderequiredActStatus
Procedure.priorityCodeexampleActPriority
Procedure.languageCoderequiredAllLanguages

This structure is derived from InfrastructureRoot

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