Clinical Document Architecture V2.0.1
2.1.0-draft1 - 1st Draft

This page is part of the CDA: Clinical Document Architecture (v2.1.0-draft1: CDA 2.1 Draft) based on FHIR v5.0.0. . For a full list of available versions, see the Directory of published versions

Logical Model: CDAR2.Procedure - Detailed Descriptions

Active as of 2023-01-16

Definitions for the Procedure logical model.

Guidance on how to interpret the contents of this table can be found here.

1. Procedure
Control1..1
XML RepresentationIn the XML format, this property has the namespace urn:hl7-org:v3.
2. Procedure.classCode
Control1..1
BindingThe codes SHALL be taken from ActClassProcedure
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValuePROC
Fixed ValuePROC
3. Procedure.moodCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
4. Procedure.realmCode
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
5. Procedure.typeId
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
6. Procedure.templateId
Definition

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
7. Procedure.id
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
8. Procedure.code
Definition

Drawn from concept domain ActCode

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
9. Procedure.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
10. Procedure.text
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
11. Procedure.statusCode
Control0..1
BindingThe codes SHALL be taken from ActStatus
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
12. Procedure.effectiveTime
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
13. Procedure.priorityCode
Control0..1
BindingThe codes SHALL be taken from ActPriority; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
14. Procedure.languageCode
Control0..1
BindingThe codes SHALL be taken from HumanLanguage
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
15. Procedure.methodCode
Definition

Drawn from concept domain ProcedureMethod

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
16. Procedure.approachSiteCode
Definition

Drawn from concept domain ActSite

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
17. Procedure.targetSiteCode
Definition

Drawn from concept domain ActSite

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
18. Procedure.subject
Control0..1
TypeElement
19. Procedure.subject.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationTargetSubject
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueSBJ
Fixed ValueSBJ
20. Procedure.subject.contextControlCode
Control1..1
BindingThe codes SHALL be taken from ContextControl
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueOP
Fixed ValueOP
21. Procedure.subject.awarenessCode
Control0..1
BindingThe codes SHALL be taken from TargetAwareness; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
22. Procedure.subject.relatedSubject
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RelatedSubject
23. Procedure.specimen
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Specimen
24. Procedure.performer
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Performer2
25. Procedure.author
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Author
26. Procedure.informant
Control0..*
TypeElement
27. Procedure.informant.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationInformationGenerator
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueINF
Fixed ValueINF
28. Procedure.informant.contextControlCode
Control1..1
BindingThe codes SHALL be taken from ContextControl
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueOP
Fixed ValueOP
29. Procedure.informant.assignedEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AssignedEntity
30. Procedure.informant.relatedEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RelatedEntity
31. Procedure.participant
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Participant2
32. Procedure.entryRelationship
Control0..*
TypeElement
InvariantsDefined on this element
proc-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
33. Procedure.entryRelationship.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
34. Procedure.entryRelationship.inversionInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
35. Procedure.entryRelationship.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
36. Procedure.entryRelationship.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
37. Procedure.entryRelationship.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
38. Procedure.entryRelationship.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
39. Procedure.entryRelationship.observation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
40. Procedure.entryRelationship.regionOfInterest
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
41. Procedure.entryRelationship.observationMedia
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
42. Procedure.entryRelationship.substanceAdministration
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
43. Procedure.entryRelationship.supply
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
44. Procedure.entryRelationship.procedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
45. Procedure.entryRelationship.encounter
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
46. Procedure.entryRelationship.organizer
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
47. Procedure.entryRelationship.act
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
48. Procedure.reference
Control0..*
TypeElement
49. Procedure.reference.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
50. Procedure.reference.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
51. Procedure.reference.externalAct
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalAct
52. Procedure.reference.externalObservation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalObservation
53. Procedure.reference.externalProcedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure
54. Procedure.reference.externalDocument
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalDocument
55. Procedure.precondition
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Precondition

Guidance on how to interpret the contents of this table can be found here.

1. Procedure
Definition

Base definition for all types defined in FHIR type system.

Control10..1*
XML RepresentationIn the XML format, this property has the namespace urn:hl7-org:v3.
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
2. Procedure.classCode
Control1..1
BindingThe codes SHALL be taken from ActClassProcedure
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValuePROC
Fixed ValuePROC
3. Procedure.moodCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
4. Procedure.realmCode
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
5. Procedure.typeId
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
6. Procedure.templateId
Definition

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
7. Procedure.id
Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Control0..*1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IIid
Comments

Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.

8. Procedure.code
Definition

Drawn from concept domain ActCode

The specific procedure that is performed. Use text if the exact nature of the procedure cannot be coded (e.g. "Laparoscopic Appendectomy").

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CDCodeableConcept
Requirements

0..1 to account for primarily narrative only resources.

Alternate Namestype
9. Procedure.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
10. Procedure.text
Definition

A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/EDNarrative
Alternate Namesnarrative, html, xhtml, display
Comments

Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

11. Procedure.statusCode
Control0..1
BindingThe codes SHALL be taken from ActStatus
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
12. Procedure.effectiveTime
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
13. Procedure.priorityCode
Control0..1
BindingThe codes SHALL be taken from ActPriority; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
14. Procedure.languageCode
Control0..1
BindingThe codes SHALL be taken from HumanLanguage
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
15. Procedure.methodCode
Definition

Drawn from concept domain ProcedureMethod

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
16. Procedure.approachSiteCode
Definition

Drawn from concept domain ActSite

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
17. Procedure.targetSiteCode
Definition

Drawn from concept domain ActSite

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
18. Procedure.subject
Definition

On whom or on what the procedure was performed. This is usually an individual human, but can also be performed on animals, groups of humans or animals, organizations or practitioners (for licensing), locations or devices (for safety inspections or regulatory authorizations). If the actual focus of the procedure is different from the subject, the focus element specifies the actual focus of the procedure.

Control01..1
TypeElementReference(Patient|Group|Device|Practitioner|Organization|Location)
Alternate Namespatient
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
19. Procedure.subject.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationTargetSubject
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueSBJ
Fixed ValueSBJ
20. Procedure.subject.contextControlCode
Control1..1
BindingThe codes SHALL be taken from ContextControl
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueOP
Fixed ValueOP
21. Procedure.subject.awarenessCode
Control0..1
BindingThe codes SHALL be taken from TargetAwareness; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
22. Procedure.subject.relatedSubject
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RelatedSubject
23. Procedure.specimen
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Specimen
24. Procedure.performer
Definition

Limited to "real" people rather than equipment.

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Performer2BackboneElement
25. Procedure.author
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Author
26. Procedure.informant
Control0..*
TypeElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
27. Procedure.informant.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationInformationGenerator
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueINF
Fixed ValueINF
28. Procedure.informant.contextControlCode
Control1..1
BindingThe codes SHALL be taken from ContextControl
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueOP
Fixed ValueOP
29. Procedure.informant.assignedEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AssignedEntity
30. Procedure.informant.relatedEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RelatedEntity
31. Procedure.participant
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Participant2
32. Procedure.entryRelationship
Control0..*
TypeElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
proc-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
33. Procedure.entryRelationship.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
34. Procedure.entryRelationship.inversionInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
35. Procedure.entryRelationship.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
36. Procedure.entryRelationship.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
37. Procedure.entryRelationship.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
38. Procedure.entryRelationship.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
39. Procedure.entryRelationship.observation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
40. Procedure.entryRelationship.regionOfInterest
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
41. Procedure.entryRelationship.observationMedia
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
42. Procedure.entryRelationship.substanceAdministration
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
43. Procedure.entryRelationship.supply
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
44. Procedure.entryRelationship.procedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
45. Procedure.entryRelationship.encounter
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
46. Procedure.entryRelationship.organizer
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
47. Procedure.entryRelationship.act
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
48. Procedure.reference
Control0..*
TypeElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
49. Procedure.reference.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
50. Procedure.reference.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
51. Procedure.reference.externalAct
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalAct
52. Procedure.reference.externalObservation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalObservation
53. Procedure.reference.externalProcedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure
54. Procedure.reference.externalDocument
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalDocument
55. Procedure.precondition
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Precondition

Guidance on how to interpret the contents of this table can be found here.

1. Procedure
Definition

Base definition for all types defined in FHIR type system.

Control1..1
XML RepresentationIn the XML format, this property has the namespace urn:hl7-org:v3.
2. Procedure.classCode
Control1..1
BindingThe codes SHALL be taken from ActClassProcedure
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValuePROC
Fixed ValuePROC
3. Procedure.moodCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
4. Procedure.realmCode
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
5. Procedure.typeId
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
6. Procedure.templateId
Definition

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
7. Procedure.id
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
8. Procedure.code
Definition

Drawn from concept domain ActCode

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
9. Procedure.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
10. Procedure.text
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
11. Procedure.statusCode
Control0..1
BindingThe codes SHALL be taken from ActStatus
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
12. Procedure.effectiveTime
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
13. Procedure.priorityCode
Control0..1
BindingThe codes SHALL be taken from ActPriority; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
14. Procedure.languageCode
Control0..1
BindingThe codes SHALL be taken from HumanLanguage
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
15. Procedure.methodCode
Definition

Drawn from concept domain ProcedureMethod

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
16. Procedure.approachSiteCode
Definition

Drawn from concept domain ActSite

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
17. Procedure.targetSiteCode
Definition

Drawn from concept domain ActSite

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
18. Procedure.subject
Control0..1
TypeElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
19. Procedure.subject.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
20. Procedure.subject.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Procedure.subject.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
21. Procedure.subject.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationTargetSubject
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueSBJ
Fixed ValueSBJ
22. Procedure.subject.contextControlCode
Control1..1
BindingThe codes SHALL be taken from ContextControl
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueOP
Fixed ValueOP
23. Procedure.subject.awarenessCode
Control0..1
BindingThe codes SHALL be taken from TargetAwareness; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
24. Procedure.subject.relatedSubject
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RelatedSubject
25. Procedure.specimen
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Specimen
26. Procedure.performer
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Performer2
27. Procedure.author
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Author
28. Procedure.informant
Control0..*
TypeElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
29. Procedure.informant.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
30. Procedure.informant.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Procedure.informant.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
31. Procedure.informant.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationInformationGenerator
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueINF
Fixed ValueINF
32. Procedure.informant.contextControlCode
Control1..1
BindingThe codes SHALL be taken from ContextControl
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
Default ValueOP
Fixed ValueOP
33. Procedure.informant.assignedEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AssignedEntity
34. Procedure.informant.relatedEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RelatedEntity
35. Procedure.participant
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Participant2
36. Procedure.entryRelationship
Control0..*
TypeElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
proc-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
37. Procedure.entryRelationship.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
38. Procedure.entryRelationship.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Procedure.entryRelationship.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
39. Procedure.entryRelationship.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
40. Procedure.entryRelationship.inversionInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
41. Procedure.entryRelationship.contextConductionInd
Control1..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
Default Valuetrue
42. Procedure.entryRelationship.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
43. Procedure.entryRelationship.negationInd
Control0..1
Typeboolean
XML RepresentationIn the XML format, this property is represented as an attribute.
44. Procedure.entryRelationship.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
45. Procedure.entryRelationship.observation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
46. Procedure.entryRelationship.regionOfInterest
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
47. Procedure.entryRelationship.observationMedia
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
48. Procedure.entryRelationship.substanceAdministration
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
49. Procedure.entryRelationship.supply
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
50. Procedure.entryRelationship.procedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
51. Procedure.entryRelationship.encounter
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
52. Procedure.entryRelationship.organizer
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
53. Procedure.entryRelationship.act
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
54. Procedure.reference
Control0..*
TypeElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
55. Procedure.reference.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
56. Procedure.reference.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Procedure.reference.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
57. Procedure.reference.typeCode
Control1..1
Typecode
XML RepresentationIn the XML format, this property is represented as an attribute.
58. Procedure.reference.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
59. Procedure.reference.externalAct
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalAct
60. Procedure.reference.externalObservation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalObservation
61. Procedure.reference.externalProcedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure
62. Procedure.reference.externalDocument
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalDocument
63. Procedure.precondition
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Precondition