Consolidated CDA
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This page is part of the CCDA: Consolidated CDA Release (v3.0.0-ballot: CCDA 3.0 Ballot 1) based on FHIR (HL7® FHIR® Standard) v5.0.0. . For a full list of available versions, see the Directory of published versions

Logical Model: ProcedureActivityProcedure - Detailed Descriptions

Draft as of 2023-12-21

Definitions for the ProcedureActivityProcedure logical model.

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

0. Procedure
Logical ContainerClinicalDocument (CDA Class)
ValidationInstances of this type are validated by templateId
XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
active-high-ts-after-document: If the procedure is active and contains a high effectiveTime, this time SHALL be after the ClinicalDocument/effectiveTime ((statusCode.code = 'active' and effectiveTime.high.value.exists()) implies effectiveTime.high.value > %resource.effectiveTime.value)
should-targetSiteCode: SHOULD contain targetSiteCode (targetSiteCode.exists())
should-performer: SHOULD contain performer (performer.exists())
should-author: SHOULD contain author (author.exists())
2. Procedure.templateId
Control1..?
SlicingThis element introduces a set of slices on Procedure.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ root
  • value @ extension
4. Procedure.templateId:procedure
Slice Nameprocedure
Control1..1
6. Procedure.templateId:procedure.root
Control1..?
Pattern Value2.16.840.1.113883.10.20.22.4.14
8. Procedure.templateId:procedure.extension
Control1..?
Pattern Value2024-05-01
10. Procedure.classCode
Comments

SHALL contain exactly one [1..1] @classCode="PROC" Procedure (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:4515-7652).

12. Procedure.moodCode
Comments

SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:4515-7653).

Fixed ValueEVN
14. Procedure.id
Comments

SHALL contain at least one [1..*] id (CONF:4515-7655).

Control1..?
16. Procedure.code
Comments

SHALL contain exactly one [1..1] code (CONF:4515-7656).

Control1..?
BindingThe codes SHOULD be taken from US Core Procedure Codes
Invariantsshould-otext-ref-value: SHOULD contain originalText/reference/@value (originalText.reference.value.exists())
18. Procedure.code.originalText
ShortSHOULD reference the portion of narrative corresponding to this code
20. Procedure.code.originalText.reference
Invariantsvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (value.exists() implies value.startsWith('#'))
22. Procedure.text
ShortSHOULD reference the portion of section narrative text corresponding to this entry
24. Procedure.text.reference
Invariantsvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (value.exists() implies value.startsWith('#'))
26. Procedure.statusCode
Comments

SHALL contain exactly one [1..1] statusCode (CONF:4515-7661).

Control1..?
28. Procedure.statusCode.code
Comments

This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ProcedureAct statusCode urn:oid:2.16.840.1.113883.11.20.9.22 STATIC 2014-04-23 (CONF:4515-32366).

Control1..?
BindingThe codes SHALL be taken from ProcedureAct statusCode
30. Procedure.effectiveTime
Short(USCDI) Performance Time
Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS(US Realm Date and Time - Interval)
Invariantsshould-value: SHOULD contain value (value.exists())
ts-value-before-document: Time value must be equal to or before ClinicalDocument/effectiveTime (value.exists() implies value <= %resource.effectiveTime.value)
32. Procedure.effectiveTime.value
ShortIndicates historical procedure or an instance of a procedure where precision may be only a date or even a year.
34. Procedure.effectiveTime.low
ShortIndicates when a procedure started
Comments

MAY contain zero or one [0..1] low

Invariantsts-value-before-document: Time value must be equal to or before ClinicalDocument/effectiveTime (value.exists() implies value <= %resource.effectiveTime.value)
36. Procedure.effectiveTime.high
ShortIndicates when a procedure ended. If the statusCode='active', this must be after the ClinicalDcument/effectiveTime
Comments

MAY contain zero or one [0..1] high

38. Procedure.priorityCode
Comments

MAY contain zero or one [0..1] priorityCode, which SHALL be selected from ValueSet ActPriority urn:oid:2.16.840.1.113883.1.11.16866 DYNAMIC (CONF:4515-7668).

BindingThe codes SHALL be taken from ActPriority
40. Procedure.methodCode
ShortMethodCode **SHALL NOT** conflict with the method inherent in Procedure / code (CONF:4515-7890).
Comments

MAY contain zero or one [0..1] methodCode (CONF:4515-7670).

Control0..1
42. Procedure.targetSiteCode
ShortIn the case of an implanted medical device, targetSiteCode is used to record the location of the device, in or on the patient's body.
Comments

SHOULD contain zero or more [0..*] targetSiteCode, which SHALL be selected from ValueSet Body Site Value Set urn:oid:2.16.840.1.113883.3.88.12.3221.8.9 DYNAMIC (CONF:4515-7683).

BindingThe codes SHALL be taken from Body Site Value Set
44. Procedure.specimen
ShortThis specimen is for representing specimens obtained from a procedure (CONF:4515-16842).
Comments

MAY contain zero or more [0..*] specimen (CONF:4515-7697).

46. Procedure.specimen.specimenRole
Comments

The specimen, if present, SHALL contain exactly one [1..1] specimenRole (CONF:4515-7704).

Invariantsshould-id: SHOULD contain id (id.exists())
48. Procedure.specimen.specimenRole.id
ShortIf 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:4515-29744).
Comments

This specimenRole SHOULD contain zero or more [0..*] id (CONF:4515-7716).

50. Procedure.performer
Comments

SHOULD contain zero or more [0..*] performer (CONF:4515-7718) such that it

52. Procedure.performer.assignedEntity
Comments

SHALL contain exactly one [1..1] assignedEntity (CONF:4515-7720).

Invariantsshould-assignedPerson: SHOULD contain assignedPerson (assignedPerson.exists())
should-representedOrganization: SHOULD contain representedOrganization (representedOrganization.exists())
54. Procedure.performer.assignedEntity.id
Comments

This assignedEntity SHALL contain at least one [1..*] id (CONF:4515-7722).

56. Procedure.performer.assignedEntity.addr
Comments

This assignedEntity SHALL contain at least one [1..*] addr (CONF:4515-7731).

Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
58. Procedure.performer.assignedEntity.telecom
Comments

This assignedEntity SHALL contain at least one [1..*] telecom (CONF:4515-7732).

Control1..?
60. Procedure.performer.assignedEntity.assignedPerson
Comments

This assignedEntity SHOULD contain zero or one [0..1] assignedPerson.

62. Procedure.performer.assignedEntity.assignedPerson.name
Comments

This assignedPerson SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED).

Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PN(US Realm Person Name (PN.US.FIELDED))
64. Procedure.performer.assignedEntity.representedOrganization
Comments

This assignedEntity SHOULD contain zero or one [0..1] representedOrganization (CONF:4515-7733).

Invariantsshould-id: SHOULD contain id (id.exists())
66. Procedure.performer.assignedEntity.representedOrganization.id
Comments

The representedOrganization, if present, SHOULD contain zero or more [0..*] id (CONF:4515-7734).

68. Procedure.performer.assignedEntity.representedOrganization.name
Comments

The representedOrganization, if present, MAY contain zero or more [0..*] name (CONF:4515-7735).

70. Procedure.performer.assignedEntity.representedOrganization.telecom
Comments

The representedOrganization, if present, SHALL contain at least one [1..*] telecom (CONF:4515-7737).

Control1..?
72. Procedure.performer.assignedEntity.representedOrganization.addr
Comments

The representedOrganization, if present, SHALL contain at least one [1..*] addr (CONF:4515-7736).

Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
74. Procedure.author
Comments

SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:4515-32479).

Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author(Author Participation)
76. Procedure.participant
Comments

MAY contain zero or more [0..*] participant (CONF:4515-7765) such that it

SlicingThis element introduces a set of slices on Procedure.participant. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ typeCode
78. Procedure.participant:participant1
Slice Nameparticipant1
Shortparticipant
Comments

MAY contain zero or more [0..*] participant (CONF:4515-7751) such that it

Control0..*
80. Procedure.participant:participant1.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="DEV" Device (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:4515-7752).

Fixed ValueDEV
82. Procedure.participant:participant1.participantRole
Comments

SHALL contain exactly one [1..1] Product Instance (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.37) (CONF:4515-15911).

Typehttp://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole(Product Instance)
84. Procedure.participant:participant2
Slice Nameparticipant2
Shortparticipant
Control0..*
86. Procedure.participant:participant2.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="LOC" Location (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:4515-7766).

Fixed ValueLOC
88. Procedure.participant:participant2.participantRole
Comments

SHALL contain exactly one [1..1] Service Delivery Location (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.32) (CONF:4515-15912).

Typehttp://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole(Service Delivery Location)
90. Procedure.entryRelationship
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:4515-32988) such that it

SlicingThis element introduces a set of slices on Procedure.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • profile @ act
  • profile @ observation
  • exists @ encounter
92. Procedure.entryRelationship:entryRelationship1
Slice NameentryRelationship1
ShortentryRelationship
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:4515-7768) such that it

Control0..*
94. Procedure.entryRelationship:entryRelationship1.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="COMP" Has Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:4515-7769).

Fixed ValueCOMP
96. Procedure.entryRelationship:entryRelationship1.inversionInd
Comments

SHALL contain exactly one [1..1] @inversionInd="true" true (CONF:4515-8009).

Control1..?
Fixed Valuetrue
98. Procedure.entryRelationship:entryRelationship1.encounter
Comments

SHALL contain exactly one [1..1] encounter (CONF:4515-7770).

Control1..?
100. Procedure.entryRelationship:entryRelationship1.encounter.classCode
Comments

This encounter SHALL contain exactly one [1..1] @classCode="ENC" Encounter (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:4515-7771).

102. Procedure.entryRelationship:entryRelationship1.encounter.moodCode
Comments

This encounter SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:4515-7772).

Fixed ValueEVN
104. Procedure.entryRelationship:entryRelationship1.encounter.id
ShortSet the encounter ID to the ID of an encounter in another section to signify they are the same encounter (CONF:4515-16843).
Comments

This encounter SHALL contain exactly one [1..1] id (CONF:4515-7773).

Control1..1
106. Procedure.entryRelationship:entryRelationship2
Slice NameentryRelationship2
ShortentryRelationship
Comments

MAY contain zero or one [0..1] entryRelationship (CONF:4515-7775) such that it

Control0..1
108. Procedure.entryRelationship:entryRelationship2.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:4515-7776).

Fixed ValueSUBJ
110. Procedure.entryRelationship:entryRelationship2.inversionInd
Comments

SHALL contain exactly one [1..1] @inversionInd="true" true (CONF:4515-7777).

Control1..?
Fixed Valuetrue
112. Procedure.entryRelationship:entryRelationship2.act
Comments

SHALL contain exactly one [1..1] Instruction (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.20:2014-06-09) (CONF:4515-31395).

Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Instruction)
114. Procedure.entryRelationship:entryRelationship3
Slice NameentryRelationship3
ShortentryRelationship
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:4515-7779) such that it

Control0..*
116. Procedure.entryRelationship:entryRelationship3.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="RSON" Has Reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:4515-7780).

Fixed ValueRSON
118. Procedure.entryRelationship:entryRelationship3.observation
Comments

SHALL contain exactly one [1..1] Indication (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.19:2014-06-09) (CONF:4515-15914).

Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Indication)
120. Procedure.entryRelationship:entryRelationship4
Slice NameentryRelationship4
ShortentryRelationship
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:4515-7886) such that it

Control0..*
122. Procedure.entryRelationship:entryRelationship4.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="COMP" Has Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:4515-7887).

Fixed ValueCOMP
124. Procedure.entryRelationship:entryRelationship4.substanceAdministration
Comments

SHALL contain exactly one [1..1] Medication Activity (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.16:2014-06-09) (CONF:4515-15915).

Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration(Medication Activity)
126. Procedure.entryRelationship:entryRelationship5
Slice NameentryRelationship5
ShortentryRelationship
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:4515-32473) such that it

Control0..*
128. Procedure.entryRelationship:entryRelationship5.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="COMP" Has Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-32474).

Fixed ValueCOMP
130. Procedure.entryRelationship:entryRelationship5.observation
Comments

SHALL contain exactly one [1..1] Reaction Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.9:2014-06-09) (CONF:4515-32475).

Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Reaction Observation)
132. Procedure.entryRelationship:entryRelationship6
Slice NameentryRelationship6
ShortWhen an Assessment Scale Observation is contained in a Procedure Template instance that is a Social Determinant of Health intervention procedure, that Assessment scale **MAY** contain Assessment Scale observations that represent LOINC question and answer pairs from SDOH screening instruments.
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:4515-32985) such that it

Control0..*
134. Procedure.entryRelationship:entryRelationship6.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="RSON" Has reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-32987).

Fixed ValueRSON
136. Procedure.entryRelationship:entryRelationship6.observation
Comments

SHALL contain exactly one [1..1] Assessment Scale Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.69) (CONF:4515-32986).

Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Assessment Scale Observation)
138. Procedure.entryRelationship:entryRelationship7
Slice NameentryRelationship7
ShortWhen an Entry Reference Template is contained in a Procedure Template instance that is a Social Determinant of Health procedure, that Entry Reference **MAY** refer to Assessment Scale Observation in the same document that represent LOINC question and answer pairs from SDOH screening instruments.
Control0..*
140. Procedure.entryRelationship:entryRelationship7.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="RSON" Has reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-32990).

Fixed ValueRSON
142. Procedure.entryRelationship:entryRelationship7.act
Comments

SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:4515-32989).

Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Entry Reference)

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

0. Procedure
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.


Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Control10..1*
Is Modifierfalse
Logical ContainerClinicalDocument (CDA Class)
ValidationInstances of this type are validated by templateId
XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
active-high-ts-after-document: If the procedure is active and contains a high effectiveTime, this time SHALL be after the ClinicalDocument/effectiveTime ((statusCode.code = 'active' and effectiveTime.high.value.exists()) implies effectiveTime.high.value > %resource.effectiveTime.value)
should-targetSiteCode: SHOULD contain targetSiteCode (targetSiteCode.exists())
should-performer: SHOULD contain performer (performer.exists())
should-author: SHOULD contain author (author.exists())
2. 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

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
SlicingThis element introduces a set of slices on Procedure.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ root
  • value @ extension
4. Procedure.templateId:procedure
Slice Nameprocedure
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

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
6. Procedure.templateId:procedure.root
Definition

A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Pattern Value2.16.840.1.113883.10.20.22.4.14
8. Procedure.templateId:procedure.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
Pattern Value2024-05-01
10. Procedure.classCode
Comments

SHALL contain exactly one [1..1] @classCode="PROC" Procedure (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:4515-7652).

Control1..1
BindingThe codes SHALL be taken from ActClassProcedure
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValuePROC
12. Procedure.moodCode
Comments

SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:4515-7653).

Control1..1
BindingThe codes SHALL be taken from x_DocumentProcedureMood
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueEVN
14. Procedure.id
Definition

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

ShortLogical id of this artifact
Comments

SHALL contain at least one [1..*] id (CONF:4515-7655).


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.

Control10..*1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IIid
Is Modifierfalse
16. 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").

ShortIdentification of the procedure
Comments

SHALL contain exactly one [1..1] code (CONF:4515-7656).

Control10..1
BindingThe codes SHOULD be taken from For example codes, see US Core Procedure Codeshttp://hl7.org/fhir/ValueSet/procedure-code
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CDCodeableConcept
Is Modifierfalse
Requirements

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

Alternate Namestype
Invariantsshould-otext-ref-value: SHOULD contain originalText/reference/@value (originalText.reference.value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. Procedure.code.originalText
Definition

The text or phrase used as the basis for the coding.

ShortSHOULD reference the portion of narrative corresponding to this code
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
LabelOriginal Text
20. Procedure.code.originalText.reference
Definition

A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
LabelReference
Invariantsvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (value.exists() implies value.startsWith('#'))
22. 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.

ShortSHOULD reference the portion of section narrative text corresponding to this entryText summary of the resource, for human interpretation
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.

Control0..1
This element is affected by the following invariants: dom-6
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EDNarrative
Is Modifierfalse
Alternate Namesnarrative, html, xhtml, display
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. Procedure.text.reference
Definition

A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
LabelReference
Invariantsvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (value.exists() implies value.startsWith('#'))
26. Procedure.statusCode
Comments

SHALL contain exactly one [1..1] statusCode (CONF:4515-7661).

Control1..1
BindingThe codes SHALL be taken from ActStatus
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
28. Procedure.statusCode.code
Definition

The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

Comments

This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ProcedureAct statusCode urn:oid:2.16.840.1.113883.11.20.9.22 STATIC 2014-04-23 (CONF:4515-32366).

Control1..1
BindingThe codes SHALL be taken from ProcedureAct statusCode
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode
30. Procedure.statusCode.codeSystem
Definition

Specifies the code system that defines the code.

Control0..0
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System
32. Procedure.statusCode.codeSystemName
Definition

The common name of the coding system.

Control0..0
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Name
34. Procedure.statusCode.codeSystemVersion
Definition

If applicable, a version descriptor defined specifically for the given code system.

Control0..0
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Version
36. Procedure.statusCode.displayName
Definition

A name or title for the code, under which the sending system shows the code value to its users.

Control0..0
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplay Name
38. Procedure.statusCode.originalText
Definition

The text or phrase used as the basis for the coding.

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
LabelOriginal Text
40. Procedure.statusCode.qualifier
Definition

Specifies additional codes that increase the specificity of the the primary code.

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
LabelQualifier
42. Procedure.statusCode.translation
Definition

A set of other concept descriptors that translate this concept descriptor into other code systems.

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
XML FormatThe type of this property is determined using the xsi:typeattribute.
LabelTranslation
44. Procedure.effectiveTime
Definition

A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.

Short(USCDI) Performance Time
Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS(US Realm Date and Time - Interval)
Is Modifierfalse
Invariantsivl-ts-center: Center cannot co-exist with low or high (center.empty() or (low.empty() and high.empty()))
ivl-value-shall: If a time interval contains @value, then it shall be precise to at least the day. (value.exists() implies value.toString().length() >= 10)
ivl-value-should: If a time interval contains @value, then it SHOULD contain a time component. (value.exists() implies value.toString().length() > 10)
should-value: SHOULD contain value (value.exists())
ts-value-before-document: Time value must be equal to or before ClinicalDocument/effectiveTime (value.exists() implies value <= %resource.effectiveTime.value)
46. Procedure.effectiveTime.value
Definition

A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.

ShortIndicates historical procedure or an instance of a procedure where precision may be only a date or even a year.
Control0..1
TypedateTime(ts: Point in Time)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Date FormatYYYYMMDDHHMMSS.UUUU[+|-ZZzz]
XML FormatIn the XML format, this property is represented as an attribute.
48. Procedure.effectiveTime.low
Definition

This is the low limit of the interval.

ShortIndicates when a procedure started
Comments

MAY contain zero or one [0..1] low

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
LabelLow Boundary
Invariantsts-shall-day: **SHALL** be precise to at least the day (nullFlavor.exists() or value.toString().length() >= 10)
ts-should-minute: **SHOULD** be precise to at least the minute (nullFlavor.exists() or value.toString().length() > 10)
ts-value-before-document: Time value must be equal to or before ClinicalDocument/effectiveTime (value.exists() implies value <= %resource.effectiveTime.value)
50. Procedure.effectiveTime.high
Definition

This is the high limit of the interval.

ShortIndicates when a procedure ended. If the statusCode='active', this must be after the ClinicalDcument/effectiveTime
Comments

MAY contain zero or one [0..1] high

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
LabelHigh Boundary
Invariantsts-shall-day: **SHALL** be precise to at least the day (nullFlavor.exists() or value.toString().length() >= 10)
ts-should-minute: **SHOULD** be precise to at least the minute (nullFlavor.exists() or value.toString().length() > 10)
52. Procedure.priorityCode
Comments

MAY contain zero or one [0..1] priorityCode, which SHALL be selected from ValueSet ActPriority urn:oid:2.16.840.1.113883.1.11.16866 DYNAMIC (CONF:4515-7668).

Control0..1
BindingThe codes SHALL be taken from ActPriority
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
54. Procedure.methodCode
Definition

Drawn from concept domain ProcedureMethod

ShortMethodCode **SHALL NOT** conflict with the method inherent in Procedure / code (CONF:4515-7890).
Comments

MAY contain zero or one [0..1] methodCode (CONF:4515-7670).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
56. Procedure.targetSiteCode
Definition

Drawn from concept domain ActSite

ShortIn the case of an implanted medical device, targetSiteCode is used to record the location of the device, in or on the patient's body.
Comments

SHOULD contain zero or more [0..*] targetSiteCode, which SHALL be selected from ValueSet Body Site Value Set urn:oid:2.16.840.1.113883.3.88.12.3221.8.9 DYNAMIC (CONF:4515-7683).

Control0..*
BindingThe codes SHALL be taken from Body Site Value Set
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
58. Procedure.specimen
ShortThis specimen is for representing specimens obtained from a procedure (CONF:4515-16842).
Comments

MAY contain zero or more [0..*] specimen (CONF:4515-7697).

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Specimen
60. Procedure.specimen.specimenRole
Comments

The specimen, if present, SHALL contain exactly one [1..1] specimenRole (CONF:4515-7704).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SpecimenRole
Invariantsshould-id: SHOULD contain id (id.exists())
62. Procedure.specimen.specimenRole.id
ShortIf 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:4515-29744).
Comments

This specimenRole SHOULD contain zero or more [0..*] id (CONF:4515-7716).

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
64. Procedure.performer
Definition

Indicates who or what performed the procedure and how they were involved.

ShortWho performed the procedure and what they did
Comments

SHOULD contain zero or more [0..*] performer (CONF:4515-7718) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2BackboneElement
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
prc-1: Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole (onBehalfOf.exists() and actor.resolve().exists() implies actor.resolve().where($this is Practitioner or $this is PractitionerRole).empty())
66. Procedure.performer.assignedEntity
Comments

SHALL contain exactly one [1..1] assignedEntity (CONF:4515-7720).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity
Invariantsshould-assignedPerson: SHOULD contain assignedPerson (assignedPerson.exists())
should-representedOrganization: SHOULD contain representedOrganization (representedOrganization.exists())
68. Procedure.performer.assignedEntity.id
Comments

This assignedEntity SHALL contain at least one [1..*] id (CONF:4515-7722).

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
70. Procedure.performer.assignedEntity.addr
Definition

Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.

ShortBase for all types and resources
Comments

This assignedEntity SHALL contain at least one [1..*] addr (CONF:4515-7731).

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
Is Modifierfalse
Invariantsshall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). (nullFlavor.exists() or item.city.count() = 1)
shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). (nullFlavor.exists() or (item.streetAddressLine.count() >= 1 and item.streetAddressLine.count() <= 4))
should-use: SHOULD contain @use (nullFlavor.exists() or use.exists())
should-country: SHOULD contain country (nullFlavor.exists() or item.country.exists())
81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) (item.xmlText.empty())
81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). (nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state')))
81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). (nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?')))
shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country ((item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1))
72. Procedure.performer.assignedEntity.telecom
Comments

This assignedEntity SHALL contain at least one [1..*] telecom (CONF:4515-7732).

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
74. Procedure.performer.assignedEntity.assignedPerson
Comments

This assignedEntity SHOULD contain zero or one [0..1] assignedPerson.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Person
76. Procedure.performer.assignedEntity.assignedPerson.name
Definition

A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are "Jim Bob Walton, Jr.", "Adam Everyman", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, "Jim", "Bob", "Walton", and "Jr.". PN differs from EN because the qualifier type cannot include LS (Legal Status).


A name associated with the person.

ShortBase for all types and resourcesA name associated with the person
Comments

This assignedPerson SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED).


Person may have multiple names with different uses or applicable periods.

Control10..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PNHumanName(US Realm Person Name (PN.US.FIELDED))
Is Modifierfalse
Requirements

Need to be able to track the person by multiple names. Examples are your official name and a partner name.

Invariantspn-no-ls: No PN name part may have a qualifier of LS. ((item.delimiter | item.family | item.given | item.prefix | item.suffix).where(qualifier.where($this = 'LS').exists()).empty())
81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). (conformsTo('http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPatientNamePTNUSFIELDED') or item.xmlText.exists())
81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). (item.xmlText.exists() implies (item.delimiter | item.family | item.given | item.prefix | item.suffix).empty())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
78. Procedure.performer.assignedEntity.representedOrganization
Comments

This assignedEntity SHOULD contain zero or one [0..1] representedOrganization (CONF:4515-7733).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organization
Invariantsshould-id: SHOULD contain id (id.exists())
80. Procedure.performer.assignedEntity.representedOrganization.id
Definition

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

ShortLogical id of this artifact
Comments

The representedOrganization, if present, SHOULD contain zero or more [0..*] id (CONF:4515-7734).


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.

Control0..*1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IIid
Is Modifierfalse
82. Procedure.performer.assignedEntity.representedOrganization.name
Definition

A name associated with the organization.

ShortName used for the organization
Comments

The representedOrganization, if present, MAY contain zero or more [0..*] name (CONF:4515-7735).


If the name of an organization changes, consider putting the old name in the alias column so that it can still be located through searches.

Control0..*1
This element is affected by the following invariants: org-1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ONstring
Is Modifierfalse
Requirements

Need to use the name as the label of the organization.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
84. Procedure.performer.assignedEntity.representedOrganization.telecom
Comments

The representedOrganization, if present, SHALL contain at least one [1..*] telecom (CONF:4515-7737).

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
86. Procedure.performer.assignedEntity.representedOrganization.addr
Definition

Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.

ShortBase for all types and resources
Comments

The representedOrganization, if present, SHALL contain at least one [1..*] addr (CONF:4515-7736).

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
Is Modifierfalse
Invariantsshall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). (nullFlavor.exists() or item.city.count() = 1)
shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). (nullFlavor.exists() or (item.streetAddressLine.count() >= 1 and item.streetAddressLine.count() <= 4))
should-use: SHOULD contain @use (nullFlavor.exists() or use.exists())
should-country: SHOULD contain country (nullFlavor.exists() or item.country.exists())
81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) (item.xmlText.empty())
81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). (nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state')))
81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). (nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?')))
shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country ((item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1))
88. Procedure.author
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:4515-32479).

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author(Author Participation)
Is Modifierfalse
90. Procedure.participant
Comments

MAY contain zero or more [0..*] participant (CONF:4515-7765) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
SlicingThis element introduces a set of slices on Procedure.participant. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ typeCode
92. Procedure.participant:participant1
Slice Nameparticipant1
Shortparticipant
Comments

MAY contain zero or more [0..*] participant (CONF:4515-7751) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
94. Procedure.participant:participant1.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="DEV" Device (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:4515-7752).

Control1..1
BindingThe codes SHALL be taken from ParticipationType
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueDEV
96. Procedure.participant:participant1.participantRole
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Product Instance (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.37) (CONF:4515-15911).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole(Product Instance)
Is Modifierfalse
Invariantsrole-choice: playingDevice and playingEntity are mutually exclusive ((playingDevice | playingEntity).count() <= 1)
98. Procedure.participant:participant2
Slice Nameparticipant2
Shortparticipant
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
100. Procedure.participant:participant2.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="LOC" Location (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:4515-7766).

Control1..1
BindingThe codes SHALL be taken from ParticipationType
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueLOC
102. Procedure.participant:participant2.participantRole
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Service Delivery Location (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.32) (CONF:4515-15912).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole(Service Delivery Location)
Is Modifierfalse
Invariantsrole-choice: playingDevice and playingEntity are mutually exclusive ((playingDevice | playingEntity).count() <= 1)
should-addr: SHOULD contain addr (addr.exists())
should-telecom: SHOULD contain telecom (telecom.exists())
104. Procedure.entryRelationship
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:4515-32988) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
SlicingThis element introduces a set of slices on Procedure.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • profile @ act
  • profile @ observation
  • exists @ encounter
106. Procedure.entryRelationship:entryRelationship1
Slice NameentryRelationship1
ShortentryRelationship
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:4515-7768) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
108. Procedure.entryRelationship:entryRelationship1.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="COMP" Has Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:4515-7769).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueCOMP
110. Procedure.entryRelationship:entryRelationship1.inversionInd
Definition

The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

Comments

SHALL contain exactly one [1..1] @inversionInd="true" true (CONF:4515-8009).

Control1..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed Valuetrue
112. Procedure.entryRelationship:entryRelationship1.encounter
Comments

SHALL contain exactly one [1..1] encounter (CONF:4515-7770).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
114. Procedure.entryRelationship:entryRelationship1.encounter.classCode
Comments

This encounter SHALL contain exactly one [1..1] @classCode="ENC" Encounter (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:4515-7771).

Control1..1
BindingThe codes SHALL be taken from ActClass (2.0.0)
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueENC
116. Procedure.entryRelationship:entryRelationship1.encounter.moodCode
Comments

This encounter SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:4515-7772).

Control1..1
BindingThe codes SHALL be taken from XDocumentEncounterMood (2.0.0)
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueEVN
118. Procedure.entryRelationship:entryRelationship1.encounter.id
Definition

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

ShortSet the encounter ID to the ID of an encounter in another section to signify they are the same encounter (CONF:4515-16843).Logical id of this artifact
Comments

This encounter SHALL contain exactly one [1..1] id (CONF:4515-7773).


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.

Control10..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IIid
Is Modifierfalse
120. Procedure.entryRelationship:entryRelationship2
Slice NameentryRelationship2
ShortentryRelationship
Comments

MAY contain zero or one [0..1] entryRelationship (CONF:4515-7775) such that it

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
122. Procedure.entryRelationship:entryRelationship2.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:4515-7776).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueSUBJ
124. Procedure.entryRelationship:entryRelationship2.inversionInd
Definition

The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

Comments

SHALL contain exactly one [1..1] @inversionInd="true" true (CONF:4515-7777).

Control1..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed Valuetrue
126. Procedure.entryRelationship:entryRelationship2.act
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Instruction (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.20:2014-06-09) (CONF:4515-31395).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Instruction)
Is Modifierfalse
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
128. Procedure.entryRelationship:entryRelationship3
Slice NameentryRelationship3
ShortentryRelationship
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:4515-7779) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
130. Procedure.entryRelationship:entryRelationship3.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="RSON" Has Reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:4515-7780).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueRSON
132. Procedure.entryRelationship:entryRelationship3.observation
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Indication (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.19:2014-06-09) (CONF:4515-15914).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Indication)
Is Modifierfalse
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
should-effectiveTime: SHOULD contain effectiveTime (effectiveTime.exists())
134. Procedure.entryRelationship:entryRelationship4
Slice NameentryRelationship4
ShortentryRelationship
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:4515-7886) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
136. Procedure.entryRelationship:entryRelationship4.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="COMP" Has Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:4515-7887).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueCOMP
138. Procedure.entryRelationship:entryRelationship4.substanceAdministration
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Medication Activity (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.16:2014-06-09) (CONF:4515-15915).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration(Medication Activity)
Is Modifierfalse
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
1098-7513: SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-7513) such that it **SHALL** contain exactly one [1..1] @xsi:type="PIVL_TS" or "EIVL_TS" (CONF:1098-28499). (effectiveTime.ofType(CDA.PIVL_TS).exists() or effectiveTime.ofType(CDA.EIVL_TS).exists())
should-routeCode: SHOULD contain routeCode (routeCode.exists())
dose-unit-or-admin-unit: If doseQuantity/@unit is present, then administrationUnitCode SHALL NOT be present. (doseQuantity.unit.exists() implies administrationUnitCode.empty())
should-author: SHOULD contain author (author.exists())
140. Procedure.entryRelationship:entryRelationship5
Slice NameentryRelationship5
ShortentryRelationship
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:4515-32473) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
142. Procedure.entryRelationship:entryRelationship5.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="COMP" Has Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-32474).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueCOMP
144. Procedure.entryRelationship:entryRelationship5.observation
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Reaction Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.9:2014-06-09) (CONF:4515-32475).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Reaction Observation)
Is Modifierfalse
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
should-effectiveTime: SHOULD contain effectiveTime (effectiveTime.exists())
146. Procedure.entryRelationship:entryRelationship6
Slice NameentryRelationship6
ShortWhen an Assessment Scale Observation is contained in a Procedure Template instance that is a Social Determinant of Health intervention procedure, that Assessment scale **MAY** contain Assessment Scale observations that represent LOINC question and answer pairs from SDOH screening instruments.
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:4515-32985) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
148. Procedure.entryRelationship:entryRelationship6.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="RSON" Has reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-32987).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueRSON
150. Procedure.entryRelationship:entryRelationship6.observation
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Assessment Scale Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.69) (CONF:4515-32986).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Assessment Scale Observation)
Is Modifierfalse
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
152. Procedure.entryRelationship:entryRelationship7
Slice NameentryRelationship7
ShortWhen an Entry Reference Template is contained in a Procedure Template instance that is a Social Determinant of Health procedure, that Entry Reference **MAY** refer to Assessment Scale Observation in the same document that represent LOINC question and answer pairs from SDOH screening instruments.
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
154. Procedure.entryRelationship:entryRelationship7.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="RSON" Has reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-32990).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueRSON
156. Procedure.entryRelationship:entryRelationship7.act
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:4515-32989).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Entry Reference)
Is Modifierfalse
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())

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

0. Procedure
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Control1..1
Is Modifierfalse
Logical ContainerClinicalDocument (CDA Class)
ValidationInstances of this type are validated by templateId
XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
active-high-ts-after-document: If the procedure is active and contains a high effectiveTime, this time SHALL be after the ClinicalDocument/effectiveTime ((statusCode.code = 'active' and effectiveTime.high.value.exists()) implies effectiveTime.high.value > %resource.effectiveTime.value)
should-targetSiteCode: SHOULD contain targetSiteCode (targetSiteCode.exists())
should-performer: SHOULD contain performer (performer.exists())
should-author: SHOULD contain author (author.exists())
2. Procedure.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
4. Procedure.realmCode
Definition

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
6. Procedure.typeId
Definition

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
8. Procedure.typeId.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
10. Procedure.typeId.assigningAuthorityName
Definition

A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
12. Procedure.typeId.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
14. Procedure.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
16. Procedure.typeId.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
18. 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

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
SlicingThis element introduces a set of slices on Procedure.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ root
  • value @ extension
20. Procedure.templateId:procedure
Slice Nameprocedure
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

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
22. Procedure.templateId:procedure.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
24. Procedure.templateId:procedure.assigningAuthorityName
Definition

A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
26. Procedure.templateId:procedure.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
28. Procedure.templateId:procedure.root
Definition

A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Pattern Value2.16.840.1.113883.10.20.22.4.14
30. Procedure.templateId:procedure.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
Pattern Value2024-05-01
32. Procedure.classCode
Comments

SHALL contain exactly one [1..1] @classCode="PROC" Procedure (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:4515-7652).

Control1..1
BindingThe codes SHALL be taken from ActClassProcedure
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValuePROC
34. Procedure.moodCode
Comments

SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:4515-7653).

Control1..1
BindingThe codes SHALL be taken from x_DocumentProcedureMood
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueEVN
36. Procedure.id
Comments

SHALL contain at least one [1..*] id (CONF:4515-7655).

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
38. Procedure.code
Definition

Drawn from concept domain ActCode

Comments

SHALL contain exactly one [1..1] code (CONF:4515-7656).

Control1..1
BindingThe codes SHOULD be taken from US Core Procedure Codes
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
Invariantsshould-otext-ref-value: SHOULD contain originalText/reference/@value (originalText.reference.value.exists())
40. Procedure.code.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
42. Procedure.code.code
Definition

The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

Control0..1
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode
44. Procedure.code.codeSystem
Definition

Specifies the code system that defines the code.

Control0..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System
46. Procedure.code.codeSystemName
Definition

The common name of the coding system.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Name
48. Procedure.code.codeSystemVersion
Definition

If applicable, a version descriptor defined specifically for the given code system.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Version
50. Procedure.code.displayName
Definition

A name or title for the code, under which the sending system shows the code value to its users.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplay Name
52. Procedure.code.sdtcValueSet
Definition

The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.

Control0..1
Typestring(oid: ISO Object Identifier)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSet.
54. Procedure.code.sdtcValueSetVersion
Definition

The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSetVersion.
56. Procedure.code.originalText
Definition

The text or phrase used as the basis for the coding.

ShortSHOULD reference the portion of narrative corresponding to this code
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
LabelOriginal Text
58. Procedure.code.originalText.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
60. Procedure.code.originalText.compression
Definition

Indicates whether the raw byte data is compressed, and what compression algorithm was used.

Control0..1
BindingThe codes SHALL be taken from CompressionAlgorithm
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCompression
62. Procedure.code.originalText.integrityCheck
Definition

The integrity check is a short binary value representing a cryptographically strong checksum that is calculated over the binary data. The purpose of this property, when communicated with a reference is for anyone to validate later whether the reference still resolved to the same data that the reference resolved to when the encapsulated data value with reference was created.

Control0..1
Typebase64Binary(bin: Binary Data)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelIntegrity Check
64. Procedure.code.originalText.integrityCheckAlgorithm
Definition

Specifies the algorithm used to compute the integrityCheck value. The cryptographically strong checksum algorithm Secure Hash Algorithm-1 (SHA-1) is currently the industry standard. It has superseded the MD5 algorithm only a couple of years ago, when certain flaws in the security of MD5 were discovered. Currently the SHA-1 hash algorithm is the default choice for the integrity check algorithm. Note that SHA-256 is also entering widespread usage.

Control0..1
BindingThe codes SHALL be taken from IntegrityCheckAlgorithm (2.0.0)
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelIntegrity Check Algorithm
66. Procedure.code.originalText.language
Definition

For character based information the language property specifies the human language of the text.

Control0..1
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelLanguage
68. Procedure.code.originalText.mediaType
Definition

Identifies the type of the encapsulated data and identifies a method to interpret or render the data.

Control0..1
BindingFor example codes, see MediaType
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelMedia Type
70. Procedure.code.originalText.representation
Control0..1
BindingThe codes SHALL be taken from Binary Data Encoding Value Set
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
72. Procedure.code.originalText.xmlText
Definition

Data that is primarily intended for human interpretation or for further machine processing is outside the scope of HL7. This includes unformatted or formatted written language, multimedia data, or structured information as defined by a different standard (e.g., XML-signatures.)

ShortAllows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
Comments

This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as unadorned text.
74. Procedure.code.originalText.reference
Definition

A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
LabelReference
Invariantsvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (value.exists() implies value.startsWith('#'))
76. Procedure.code.originalText.thumbnail
Definition

An abbreviated rendition of the full data. A thumbnail requires significantly fewer resources than the full data, while still maintaining some distinctive similarity with the full data. A thumbnail is typically used with by-reference encapsulated data. It allows a user to select data more efficiently before actually downloading through the reference.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
LabelThumbnail
78. Procedure.code.qualifier
Definition

Specifies additional codes that increase the specificity of the the primary code.

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
LabelQualifier
80. Procedure.code.translation
Definition

A set of other concept descriptors that translate this concept descriptor into other code systems.

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
XML FormatThe type of this property is determined using the xsi:typeattribute.
LabelTranslation
82. Procedure.negationInd
Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
84. Procedure.text
ShortSHOULD reference the portion of section narrative text corresponding to this entry
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
86. Procedure.text.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
88. Procedure.text.compression
Definition

Indicates whether the raw byte data is compressed, and what compression algorithm was used.

Control0..1
BindingThe codes SHALL be taken from CompressionAlgorithm
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCompression
90. Procedure.text.integrityCheck
Definition

The integrity check is a short binary value representing a cryptographically strong checksum that is calculated over the binary data. The purpose of this property, when communicated with a reference is for anyone to validate later whether the reference still resolved to the same data that the reference resolved to when the encapsulated data value with reference was created.

Control0..1
Typebase64Binary(bin: Binary Data)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelIntegrity Check
92. Procedure.text.integrityCheckAlgorithm
Definition

Specifies the algorithm used to compute the integrityCheck value. The cryptographically strong checksum algorithm Secure Hash Algorithm-1 (SHA-1) is currently the industry standard. It has superseded the MD5 algorithm only a couple of years ago, when certain flaws in the security of MD5 were discovered. Currently the SHA-1 hash algorithm is the default choice for the integrity check algorithm. Note that SHA-256 is also entering widespread usage.

Control0..1
BindingThe codes SHALL be taken from IntegrityCheckAlgorithm (2.0.0)
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelIntegrity Check Algorithm
94. Procedure.text.language
Definition

For character based information the language property specifies the human language of the text.

Control0..1
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelLanguage
96. Procedure.text.mediaType
Definition

Identifies the type of the encapsulated data and identifies a method to interpret or render the data.

Control0..1
BindingFor example codes, see MediaType
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelMedia Type
98. Procedure.text.representation
Control0..1
BindingThe codes SHALL be taken from Binary Data Encoding Value Set
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
100. Procedure.text.xmlText
Definition

Data that is primarily intended for human interpretation or for further machine processing is outside the scope of HL7. This includes unformatted or formatted written language, multimedia data, or structured information as defined by a different standard (e.g., XML-signatures.)

ShortAllows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
Comments

This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as unadorned text.
102. Procedure.text.reference
Definition

A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
LabelReference
Invariantsvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (value.exists() implies value.startsWith('#'))
104. Procedure.text.thumbnail
Definition

An abbreviated rendition of the full data. A thumbnail requires significantly fewer resources than the full data, while still maintaining some distinctive similarity with the full data. A thumbnail is typically used with by-reference encapsulated data. It allows a user to select data more efficiently before actually downloading through the reference.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
LabelThumbnail
106. Procedure.statusCode
Comments

SHALL contain exactly one [1..1] statusCode (CONF:4515-7661).

Control1..1
BindingThe codes SHALL be taken from ActStatus
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
108. Procedure.statusCode.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
110. Procedure.statusCode.code
Definition

The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

Comments

This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ProcedureAct statusCode urn:oid:2.16.840.1.113883.11.20.9.22 STATIC 2014-04-23 (CONF:4515-32366).

Control1..1
BindingThe codes SHALL be taken from ProcedureAct statusCode
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode
112. Procedure.statusCode.codeSystem
Definition

Specifies the code system that defines the code.

Control0..0
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System
114. Procedure.statusCode.codeSystemName
Definition

The common name of the coding system.

Control0..0
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Name
116. Procedure.statusCode.codeSystemVersion
Definition

If applicable, a version descriptor defined specifically for the given code system.

Control0..0
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelCode System Version
118. Procedure.statusCode.displayName
Definition

A name or title for the code, under which the sending system shows the code value to its users.

Control0..0
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplay Name
120. Procedure.statusCode.sdtcValueSet
Definition

The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.

Control0..1
Typestring(oid: ISO Object Identifier)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSet.
122. Procedure.statusCode.sdtcValueSetVersion
Definition

The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSetVersion.
124. Procedure.statusCode.originalText
Definition

The text or phrase used as the basis for the coding.

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
LabelOriginal Text
126. Procedure.statusCode.qualifier
Definition

Specifies additional codes that increase the specificity of the the primary code.

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
LabelQualifier
128. Procedure.statusCode.translation
Definition

A set of other concept descriptors that translate this concept descriptor into other code systems.

Control0..0
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
XML FormatThe type of this property is determined using the xsi:typeattribute.
LabelTranslation
130. Procedure.effectiveTime
Definition

A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.

Short(USCDI) Performance Time
Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS(US Realm Date and Time - Interval)
Is Modifierfalse
Invariantsivl-ts-center: Center cannot co-exist with low or high (center.empty() or (low.empty() and high.empty()))
ivl-value-shall: If a time interval contains @value, then it shall be precise to at least the day. (value.exists() implies value.toString().length() >= 10)
ivl-value-should: If a time interval contains @value, then it SHOULD contain a time component. (value.exists() implies value.toString().length() > 10)
should-value: SHOULD contain value (value.exists())
ts-value-before-document: Time value must be equal to or before ClinicalDocument/effectiveTime (value.exists() implies value <= %resource.effectiveTime.value)
132. Procedure.effectiveTime.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
134. Procedure.effectiveTime.value
Definition

A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.

ShortIndicates historical procedure or an instance of a procedure where precision may be only a date or even a year.
Control0..1
TypedateTime(ts: Point in Time)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Date FormatYYYYMMDDHHMMSS.UUUU[+|-ZZzz]
XML FormatIn the XML format, this property is represented as an attribute.
136. Procedure.effectiveTime.operator
Definition

A code specifying whether the set component is included (union) or excluded (set-difference) from the set, or other set operations with the current set component and the set as constructed from the representation stream up to the current point.

Control0..1
BindingThe codes SHALL be taken from SetOperator
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default ValueI
138. Procedure.effectiveTime.low
Definition

This is the low limit of the interval.

ShortIndicates when a procedure started
Comments

MAY contain zero or one [0..1] low

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
LabelLow Boundary
Invariantsts-shall-day: **SHALL** be precise to at least the day (nullFlavor.exists() or value.toString().length() >= 10)
ts-should-minute: **SHOULD** be precise to at least the minute (nullFlavor.exists() or value.toString().length() > 10)
ts-value-before-document: Time value must be equal to or before ClinicalDocument/effectiveTime (value.exists() implies value <= %resource.effectiveTime.value)
140. Procedure.effectiveTime.low.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
142. Procedure.effectiveTime.low.value
Definition

A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.

Control0..1
TypedateTime(ts: Point in Time)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Date FormatYYYYMMDDHHMMSS.UUUU[+|-ZZzz]
XML FormatIn the XML format, this property is represented as an attribute.
144. Procedure.effectiveTime.low.inclusive
Definition

Specifies whether the limit is included in the interval (interval is closed) or excluded from the interval (interval is open).

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default Valuetrue
146. Procedure.effectiveTime.center
Definition

The arithmetic mean of the interval (low plus high divided by 2). The purpose of distinguishing the center as a semantic property is for conversions of intervals from and to point values.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TS
LabelCentral Value
148. Procedure.effectiveTime.width
Definition

The difference between high and low boundary. The purpose of distinguishing a width property is to handle all cases of incomplete information symmetrically. In any interval representation only two of the three properties high, low, and width need to be stated and the third can be derived.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PQ
LabelWidth
150. Procedure.effectiveTime.high
Definition

This is the high limit of the interval.

ShortIndicates when a procedure ended. If the statusCode='active', this must be after the ClinicalDcument/effectiveTime
Comments

MAY contain zero or one [0..1] high

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
LabelHigh Boundary
Invariantsts-shall-day: **SHALL** be precise to at least the day (nullFlavor.exists() or value.toString().length() >= 10)
ts-should-minute: **SHOULD** be precise to at least the minute (nullFlavor.exists() or value.toString().length() > 10)
152. Procedure.effectiveTime.high.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
154. Procedure.effectiveTime.high.value
Definition

A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.

Control0..1
TypedateTime(ts: Point in Time)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Date FormatYYYYMMDDHHMMSS.UUUU[+|-ZZzz]
XML FormatIn the XML format, this property is represented as an attribute.
156. Procedure.effectiveTime.high.inclusive
Definition

Specifies whether the limit is included in the interval (interval is closed) or excluded from the interval (interval is open).

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default Valuetrue
158. Procedure.priorityCode
Comments

MAY contain zero or one [0..1] priorityCode, which SHALL be selected from ValueSet ActPriority urn:oid:2.16.840.1.113883.1.11.16866 DYNAMIC (CONF:4515-7668).

Control0..1
BindingThe codes SHALL be taken from ActPriority
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
160. Procedure.languageCode
Control0..1
BindingThe codes SHALL be taken from AllLanguages
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
162. Procedure.methodCode
Definition

Drawn from concept domain ProcedureMethod

ShortMethodCode **SHALL NOT** conflict with the method inherent in Procedure / code (CONF:4515-7890).
Comments

MAY contain zero or one [0..1] methodCode (CONF:4515-7670).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
164. Procedure.approachSiteCode
Definition

Drawn from concept domain ActSite

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
166. Procedure.targetSiteCode
Definition

Drawn from concept domain ActSite

ShortIn the case of an implanted medical device, targetSiteCode is used to record the location of the device, in or on the patient's body.
Comments

SHOULD contain zero or more [0..*] targetSiteCode, which SHALL be selected from ValueSet Body Site Value Set urn:oid:2.16.840.1.113883.3.88.12.3221.8.9 DYNAMIC (CONF:4515-7683).

Control0..*
BindingThe codes SHALL be taken from Body Site Value Set
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
168. Procedure.subject
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Subject
170. Procedure.specimen
ShortThis specimen is for representing specimens obtained from a procedure (CONF:4515-16842).
Comments

MAY contain zero or more [0..*] specimen (CONF:4515-7697).

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Specimen
172. Procedure.specimen.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
174. Procedure.specimen.realmCode
Definition

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
176. Procedure.specimen.typeId
Definition

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
178. Procedure.specimen.typeId.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
180. Procedure.specimen.typeId.assigningAuthorityName
Definition

A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
182. Procedure.specimen.typeId.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
184. Procedure.specimen.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
186. Procedure.specimen.typeId.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
188. Procedure.specimen.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/cda/stds/core/StructureDefinition/II
190. Procedure.specimen.typeCode
Control0..1
BindingThe codes SHALL be taken from ParticipationType
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueSPC
192. Procedure.specimen.specimenRole
Comments

The specimen, if present, SHALL contain exactly one [1..1] specimenRole (CONF:4515-7704).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SpecimenRole
Invariantsshould-id: SHOULD contain id (id.exists())
194. Procedure.specimen.specimenRole.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
196. Procedure.specimen.specimenRole.realmCode
Definition

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
198. Procedure.specimen.specimenRole.typeId
Definition

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
200. Procedure.specimen.specimenRole.typeId.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
202. Procedure.specimen.specimenRole.typeId.assigningAuthorityName
Definition

A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
204. Procedure.specimen.specimenRole.typeId.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
206. Procedure.specimen.specimenRole.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
208. Procedure.specimen.specimenRole.typeId.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
210. Procedure.specimen.specimenRole.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/cda/stds/core/StructureDefinition/II
212. Procedure.specimen.specimenRole.classCode
Control0..1
BindingThe codes SHALL be taken from RoleClassSpecimen
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueSPEC
214. Procedure.specimen.specimenRole.id
ShortIf 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:4515-29744).
Comments

This specimenRole SHOULD contain zero or more [0..*] id (CONF:4515-7716).

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
216. Procedure.specimen.specimenRole.sdtcIdentifiedBy
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameidentifiedBy.
218. Procedure.specimen.specimenRole.specimenPlayingEntity
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PlayingEntity
220. Procedure.performer
Comments

SHOULD contain zero or more [0..*] performer (CONF:4515-7718) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
222. Procedure.performer.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
224. Procedure.performer.realmCode
Definition

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
226. Procedure.performer.typeId
Definition

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
228. Procedure.performer.typeId.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
230. Procedure.performer.typeId.assigningAuthorityName
Definition

A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
232. Procedure.performer.typeId.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
234. Procedure.performer.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
236. Procedure.performer.typeId.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
238. Procedure.performer.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/cda/stds/core/StructureDefinition/II
240. Procedure.performer.typeCode
Control0..1
BindingThe codes SHALL be taken from ParticipationPhysicalPerformer
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValuePRF
242. Procedure.performer.sdtcFunctionCode
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namefunctionCode.
244. Procedure.performer.time
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
246. Procedure.performer.modeCode
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
248. Procedure.performer.assignedEntity
Comments

SHALL contain exactly one [1..1] assignedEntity (CONF:4515-7720).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/AssignedEntity
Invariantsshould-assignedPerson: SHOULD contain assignedPerson (assignedPerson.exists())
should-representedOrganization: SHOULD contain representedOrganization (representedOrganization.exists())
250. Procedure.performer.assignedEntity.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
252. Procedure.performer.assignedEntity.realmCode
Definition

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
254. Procedure.performer.assignedEntity.typeId
Definition

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
256. Procedure.performer.assignedEntity.typeId.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
258. Procedure.performer.assignedEntity.typeId.assigningAuthorityName
Definition

A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
260. Procedure.performer.assignedEntity.typeId.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
262. Procedure.performer.assignedEntity.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
264. Procedure.performer.assignedEntity.typeId.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
266. Procedure.performer.assignedEntity.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/cda/stds/core/StructureDefinition/II
268. Procedure.performer.assignedEntity.classCode
Control0..1
BindingThe codes SHALL be taken from RoleClassAssignedEntity
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueASSIGNED
270. Procedure.performer.assignedEntity.id
Comments

This assignedEntity SHALL contain at least one [1..*] id (CONF:4515-7722).

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
272. Procedure.performer.assignedEntity.sdtcIdentifiedBy
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameidentifiedBy.
274. Procedure.performer.assignedEntity.code
Control0..1
BindingFor example codes, see v3 Code System RoleCode
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
276. Procedure.performer.assignedEntity.addr
Definition

Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.

ShortBase for all types and resources
Comments

This assignedEntity SHALL contain at least one [1..*] addr (CONF:4515-7731).

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
Is Modifierfalse
Invariantsshall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). (nullFlavor.exists() or item.city.count() = 1)
shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). (nullFlavor.exists() or (item.streetAddressLine.count() >= 1 and item.streetAddressLine.count() <= 4))
should-use: SHOULD contain @use (nullFlavor.exists() or use.exists())
should-country: SHOULD contain country (nullFlavor.exists() or item.country.exists())
81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) (item.xmlText.empty())
81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). (nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state')))
81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). (nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?')))
shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country ((item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1))
278. Procedure.performer.assignedEntity.telecom
Comments

This assignedEntity SHALL contain at least one [1..*] telecom (CONF:4515-7732).

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
280. Procedure.performer.assignedEntity.assignedPerson
Comments

This assignedEntity SHOULD contain zero or one [0..1] assignedPerson.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Person
282. Procedure.performer.assignedEntity.assignedPerson.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
284. Procedure.performer.assignedEntity.assignedPerson.realmCode
Definition

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
286. Procedure.performer.assignedEntity.assignedPerson.typeId
Definition

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
288. Procedure.performer.assignedEntity.assignedPerson.typeId.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
290. Procedure.performer.assignedEntity.assignedPerson.typeId.assigningAuthorityName
Definition

A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
292. Procedure.performer.assignedEntity.assignedPerson.typeId.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
294. Procedure.performer.assignedEntity.assignedPerson.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
296. Procedure.performer.assignedEntity.assignedPerson.typeId.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
298. Procedure.performer.assignedEntity.assignedPerson.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/cda/stds/core/StructureDefinition/II
300. Procedure.performer.assignedEntity.assignedPerson.classCode
Control0..1
BindingThe codes SHALL be taken from EntityClassLivingSubject
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValuePSN
302. Procedure.performer.assignedEntity.assignedPerson.determinerCode
Control0..1
BindingThe codes SHALL be taken from EntityDeterminer
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueINSTANCE
304. Procedure.performer.assignedEntity.assignedPerson.name
Definition

A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are "Jim Bob Walton, Jr.", "Adam Everyman", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, "Jim", "Bob", "Walton", and "Jr.". PN differs from EN because the qualifier type cannot include LS (Legal Status).

ShortBase for all types and resources
Comments

This assignedPerson SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED).

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/PN(US Realm Person Name (PN.US.FIELDED))
Is Modifierfalse
Invariantspn-no-ls: No PN name part may have a qualifier of LS. ((item.delimiter | item.family | item.given | item.prefix | item.suffix).where(qualifier.where($this = 'LS').exists()).empty())
81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). (conformsTo('http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPatientNamePTNUSFIELDED') or item.xmlText.exists())
81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). (item.xmlText.exists() implies (item.delimiter | item.family | item.given | item.prefix | item.suffix).empty())
306. Procedure.performer.assignedEntity.assignedPerson.sdtcDesc
Definition

The desc extension allows multimedia depictions of patients, healthcare providers, or other individuals to be included in a CDA document.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namedesc.
308. Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship
Definition

Each participant role other than an informant/relatedEntity may have zero or more relationship roles with the patient. Each of these roles can be expressed with an asPatientRelationship element which further describes the type of role using a code element.

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameasPatientRelationship.
310. Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
312. Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.realmCode
Definition

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
314. Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId
Definition

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
316. Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
318. Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.assigningAuthorityName
Definition

A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
320. Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
322. Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
324. Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
326. Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.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/cda/stds/core/StructureDefinition/II
328. Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.classCode
Control1..1
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValuePRS
330. Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.determinerCode
Control0..1
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueINSTANCE
332. Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.code
Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.
334. Procedure.performer.assignedEntity.representedOrganization
Comments

This assignedEntity SHOULD contain zero or one [0..1] representedOrganization (CONF:4515-7733).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organization
Invariantsshould-id: SHOULD contain id (id.exists())
336. Procedure.performer.assignedEntity.representedOrganization.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
338. Procedure.performer.assignedEntity.representedOrganization.realmCode
Definition

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
340. Procedure.performer.assignedEntity.representedOrganization.typeId
Definition

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
342. Procedure.performer.assignedEntity.representedOrganization.typeId.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
344. Procedure.performer.assignedEntity.representedOrganization.typeId.assigningAuthorityName
Definition

A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
346. Procedure.performer.assignedEntity.representedOrganization.typeId.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
348. Procedure.performer.assignedEntity.representedOrganization.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
350. Procedure.performer.assignedEntity.representedOrganization.typeId.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
352. Procedure.performer.assignedEntity.representedOrganization.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/cda/stds/core/StructureDefinition/II
354. Procedure.performer.assignedEntity.representedOrganization.classCode
Control0..1
BindingThe codes SHALL be taken from EntityClassOrganization
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueORG
356. Procedure.performer.assignedEntity.representedOrganization.determinerCode
Control0..1
BindingThe codes SHALL be taken from EntityDeterminer
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueINSTANCE
358. Procedure.performer.assignedEntity.representedOrganization.id
Comments

The representedOrganization, if present, SHOULD contain zero or more [0..*] id (CONF:4515-7734).

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
360. Procedure.performer.assignedEntity.representedOrganization.name
Comments

The representedOrganization, if present, MAY contain zero or more [0..*] name (CONF:4515-7735).

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ON
362. Procedure.performer.assignedEntity.representedOrganization.telecom
Comments

The representedOrganization, if present, SHALL contain at least one [1..*] telecom (CONF:4515-7737).

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
364. Procedure.performer.assignedEntity.representedOrganization.addr
Definition

Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc.

ShortBase for all types and resources
Comments

The representedOrganization, if present, SHALL contain at least one [1..*] addr (CONF:4515-7736).

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address)
Is Modifierfalse
Invariantsshall-city: SHALL contain exactly one [1..1] city (CONF:81-7292). (nullFlavor.exists() or item.city.count() = 1)
shall-streetAddressLine: SHALL contain at least one and not more than 4 streetAddressLine (CONF:81-7291). (nullFlavor.exists() or (item.streetAddressLine.count() >= 1 and item.streetAddressLine.count() <= 4))
should-use: SHOULD contain @use (nullFlavor.exists() or use.exists())
should-country: SHOULD contain country (nullFlavor.exists() or item.country.exists())
81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296) (item.xmlText.empty())
81-10024: If the country is US, the state element is required and SHALL be selected from ValueSet StateValueSet but SHOULD have @nullFlavor if the state is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the state MAY be present but MAY be bound to different vocabularies (CONF:81-10024). (nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.state.exists(nullFlavor.exists() or xmlText.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state')))
81-10025: If the country is US, the postalCode element is required but SHOULD have @nullFlavor if the postalCode is unknown. If country is not specified, it's assumed to be US. If country is something other than US, the postalCode MAY be present but MAY be bound to different vocabularies (CONF:81-10025). (nullFlavor.exists() or (item.country.exists() and item.country.xmlText != 'US' and item.country.xmlText != 'USA') or item.postalCode.exists(nullFlavor.exists() or xmlText.matches('[0-9]{5}(-[0-9]{4})?')))
shall-max-ad-parts: SHALL have at most one of each: state, city, postalCode, and country ((item.state.empty() or item.state.count() = 1) and (item.city.empty() or item.city.count() = 1) and (item.postalCode.empty() or item.postalCode.count() = 1) and (item.country.empty() or item.country.count() = 1))
366. Procedure.performer.assignedEntity.representedOrganization.standardIndustryClassCode
Control0..1
BindingFor example codes, see OrganizationIndustryClassNAICS
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
368. Procedure.performer.assignedEntity.representedOrganization.asOrganizationPartOf
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/OrganizationPartOf
370. Procedure.performer.assignedEntity.sdtcPatient
Control0..1
Typehttp://hl7.org/fhir/StructureDefinition/Base
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namepatient.
372. Procedure.performer.assignedEntity.sdtcPatient.id
Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.
374. Procedure.author
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:4515-32479).

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author(Author Participation)
Is Modifierfalse
376. Procedure.informant
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Informant
378. Procedure.participant
Comments

MAY contain zero or more [0..*] participant (CONF:4515-7765) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
SlicingThis element introduces a set of slices on Procedure.participant. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ typeCode
380. Procedure.participant:participant1
Slice Nameparticipant1
Shortparticipant
Comments

MAY contain zero or more [0..*] participant (CONF:4515-7751) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
382. Procedure.participant:participant1.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
384. Procedure.participant:participant1.realmCode
Definition

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
386. Procedure.participant:participant1.typeId
Definition

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
388. Procedure.participant:participant1.typeId.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
390. Procedure.participant:participant1.typeId.assigningAuthorityName
Definition

A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
392. Procedure.participant:participant1.typeId.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
394. Procedure.participant:participant1.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
396. Procedure.participant:participant1.typeId.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
398. Procedure.participant:participant1.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/cda/stds/core/StructureDefinition/II
400. Procedure.participant:participant1.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="DEV" Device (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:4515-7752).

Control1..1
BindingThe codes SHALL be taken from ParticipationType
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueDEV
402. Procedure.participant:participant1.contextControlCode
Control0..1
BindingThe codes SHALL be taken from ContextControl
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueOP
404. Procedure.participant:participant1.sdtcFunctionCode
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namefunctionCode.
406. Procedure.participant:participant1.time
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
408. Procedure.participant:participant1.awarenessCode
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
410. Procedure.participant:participant1.participantRole
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Product Instance (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.37) (CONF:4515-15911).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole(Product Instance)
Is Modifierfalse
Invariantsrole-choice: playingDevice and playingEntity are mutually exclusive ((playingDevice | playingEntity).count() <= 1)
412. Procedure.participant:participant2
Slice Nameparticipant2
Shortparticipant
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
414. Procedure.participant:participant2.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
416. Procedure.participant:participant2.realmCode
Definition

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
418. Procedure.participant:participant2.typeId
Definition

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
420. Procedure.participant:participant2.typeId.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
422. Procedure.participant:participant2.typeId.assigningAuthorityName
Definition

A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
424. Procedure.participant:participant2.typeId.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
426. Procedure.participant:participant2.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
428. Procedure.participant:participant2.typeId.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
430. Procedure.participant:participant2.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/cda/stds/core/StructureDefinition/II
432. Procedure.participant:participant2.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="LOC" Location (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:4515-7766).

Control1..1
BindingThe codes SHALL be taken from ParticipationType
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueLOC
434. Procedure.participant:participant2.contextControlCode
Control0..1
BindingThe codes SHALL be taken from ContextControl
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueOP
436. Procedure.participant:participant2.sdtcFunctionCode
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namefunctionCode.
438. Procedure.participant:participant2.time
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
440. Procedure.participant:participant2.awarenessCode
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
442. Procedure.participant:participant2.participantRole
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Service Delivery Location (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.32) (CONF:4515-15912).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole(Service Delivery Location)
Is Modifierfalse
Invariantsrole-choice: playingDevice and playingEntity are mutually exclusive ((playingDevice | playingEntity).count() <= 1)
should-addr: SHOULD contain addr (addr.exists())
should-telecom: SHOULD contain telecom (telecom.exists())
444. Procedure.entryRelationship
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:4515-32988) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
SlicingThis element introduces a set of slices on Procedure.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • profile @ act
  • profile @ observation
  • exists @ encounter
446. Procedure.entryRelationship:entryRelationship1
Slice NameentryRelationship1
ShortentryRelationship
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:4515-7768) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
448. Procedure.entryRelationship:entryRelationship1.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
450. Procedure.entryRelationship:entryRelationship1.realmCode
Definition

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
452. Procedure.entryRelationship:entryRelationship1.typeId
Definition

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
454. Procedure.entryRelationship:entryRelationship1.typeId.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
456. Procedure.entryRelationship:entryRelationship1.typeId.assigningAuthorityName
Definition

A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
458. Procedure.entryRelationship:entryRelationship1.typeId.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
460. Procedure.entryRelationship:entryRelationship1.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
462. Procedure.entryRelationship:entryRelationship1.typeId.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
464. Procedure.entryRelationship:entryRelationship1.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/cda/stds/core/StructureDefinition/II
466. Procedure.entryRelationship:entryRelationship1.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="COMP" Has Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:4515-7769).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueCOMP
468. Procedure.entryRelationship:entryRelationship1.inversionInd
Definition

The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

Comments

SHALL contain exactly one [1..1] @inversionInd="true" true (CONF:4515-8009).

Control1..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed Valuetrue
470. Procedure.entryRelationship:entryRelationship1.contextConductionInd
Definition

The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default Valuetrue
472. Procedure.entryRelationship:entryRelationship1.negationInd
Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
474. Procedure.entryRelationship:entryRelationship1.sequenceNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
476. Procedure.entryRelationship:entryRelationship1.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
478. Procedure.entryRelationship:entryRelationship1.act
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
480. Procedure.entryRelationship:entryRelationship1.encounter
Comments

SHALL contain exactly one [1..1] encounter (CONF:4515-7770).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
482. Procedure.entryRelationship:entryRelationship1.encounter.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
484. Procedure.entryRelationship:entryRelationship1.encounter.realmCode
Definition

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
486. Procedure.entryRelationship:entryRelationship1.encounter.typeId
Definition

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
488. Procedure.entryRelationship:entryRelationship1.encounter.typeId.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
490. Procedure.entryRelationship:entryRelationship1.encounter.typeId.assigningAuthorityName
Definition

A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
492. Procedure.entryRelationship:entryRelationship1.encounter.typeId.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
494. Procedure.entryRelationship:entryRelationship1.encounter.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
496. Procedure.entryRelationship:entryRelationship1.encounter.typeId.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
498. Procedure.entryRelationship:entryRelationship1.encounter.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/cda/stds/core/StructureDefinition/II
500. Procedure.entryRelationship:entryRelationship1.encounter.classCode
Comments

This encounter SHALL contain exactly one [1..1] @classCode="ENC" Encounter (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:4515-7771).

Control1..1
BindingThe codes SHALL be taken from ActClass (2.0.0)
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueENC
502. Procedure.entryRelationship:entryRelationship1.encounter.moodCode
Comments

This encounter SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:4515-7772).

Control1..1
BindingThe codes SHALL be taken from XDocumentEncounterMood (2.0.0)
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueEVN
504. Procedure.entryRelationship:entryRelationship1.encounter.id
ShortSet the encounter ID to the ID of an encounter in another section to signify they are the same encounter (CONF:4515-16843).
Comments

This encounter SHALL contain exactly one [1..1] id (CONF:4515-7773).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
506. Procedure.entryRelationship:entryRelationship1.encounter.code
Control0..1
BindingFor example codes, see ActEncounterCode
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
508. Procedure.entryRelationship:entryRelationship1.encounter.text
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
510. Procedure.entryRelationship:entryRelationship1.encounter.statusCode
Control0..1
BindingThe codes SHALL be taken from ActStatus
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
512. Procedure.entryRelationship:entryRelationship1.encounter.effectiveTime
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
514. Procedure.entryRelationship:entryRelationship1.encounter.sdtcDischargeDispositionCode
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namedischargeDispositionCode.
516. Procedure.entryRelationship:entryRelationship1.encounter.priorityCode
Control0..1
BindingFor example codes, see ActPriority
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
518. Procedure.entryRelationship:entryRelationship1.encounter.subject
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Subject
520. Procedure.entryRelationship:entryRelationship1.encounter.specimen
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Specimen
522. Procedure.entryRelationship:entryRelationship1.encounter.performer
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
524. Procedure.entryRelationship:entryRelationship1.encounter.author
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author
526. Procedure.entryRelationship:entryRelationship1.encounter.informant
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Informant
528. Procedure.entryRelationship:entryRelationship1.encounter.participant
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
530. Procedure.entryRelationship:entryRelationship1.encounter.entryRelationship
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
532. Procedure.entryRelationship:entryRelationship1.encounter.reference
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Reference
534. Procedure.entryRelationship:entryRelationship1.encounter.precondition
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition
536. Procedure.entryRelationship:entryRelationship1.encounter.sdtcPrecondition2
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition2
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameprecondition2.
538. Procedure.entryRelationship:entryRelationship1.encounter.sdtcInFulfillmentOf1
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameinFulfillmentOf1.
540. Procedure.entryRelationship:entryRelationship1.observation
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
542. Procedure.entryRelationship:entryRelationship1.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
544. Procedure.entryRelationship:entryRelationship1.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
546. Procedure.entryRelationship:entryRelationship1.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
548. Procedure.entryRelationship:entryRelationship1.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
550. Procedure.entryRelationship:entryRelationship1.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
552. Procedure.entryRelationship:entryRelationship1.supply
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
554. Procedure.entryRelationship:entryRelationship2
Slice NameentryRelationship2
ShortentryRelationship
Comments

MAY contain zero or one [0..1] entryRelationship (CONF:4515-7775) such that it

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
556. Procedure.entryRelationship:entryRelationship2.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
558. Procedure.entryRelationship:entryRelationship2.realmCode
Definition

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
560. Procedure.entryRelationship:entryRelationship2.typeId
Definition

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
562. Procedure.entryRelationship:entryRelationship2.typeId.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
564. Procedure.entryRelationship:entryRelationship2.typeId.assigningAuthorityName
Definition

A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
566. Procedure.entryRelationship:entryRelationship2.typeId.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
568. Procedure.entryRelationship:entryRelationship2.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
570. Procedure.entryRelationship:entryRelationship2.typeId.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
572. Procedure.entryRelationship:entryRelationship2.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/cda/stds/core/StructureDefinition/II
574. Procedure.entryRelationship:entryRelationship2.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:4515-7776).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueSUBJ
576. Procedure.entryRelationship:entryRelationship2.inversionInd
Definition

The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

Comments

SHALL contain exactly one [1..1] @inversionInd="true" true (CONF:4515-7777).

Control1..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed Valuetrue
578. Procedure.entryRelationship:entryRelationship2.contextConductionInd
Definition

The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default Valuetrue
580. Procedure.entryRelationship:entryRelationship2.negationInd
Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
582. Procedure.entryRelationship:entryRelationship2.sequenceNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
584. Procedure.entryRelationship:entryRelationship2.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
586. Procedure.entryRelationship:entryRelationship2.act
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Instruction (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.20:2014-06-09) (CONF:4515-31395).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Instruction)
Is Modifierfalse
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
588. Procedure.entryRelationship:entryRelationship2.encounter
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
590. Procedure.entryRelationship:entryRelationship2.observation
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
592. Procedure.entryRelationship:entryRelationship2.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
594. Procedure.entryRelationship:entryRelationship2.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
596. Procedure.entryRelationship:entryRelationship2.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
598. Procedure.entryRelationship:entryRelationship2.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
600. Procedure.entryRelationship:entryRelationship2.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
602. Procedure.entryRelationship:entryRelationship2.supply
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
604. Procedure.entryRelationship:entryRelationship3
Slice NameentryRelationship3
ShortentryRelationship
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:4515-7779) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
606. Procedure.entryRelationship:entryRelationship3.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
608. Procedure.entryRelationship:entryRelationship3.realmCode
Definition

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
610. Procedure.entryRelationship:entryRelationship3.typeId
Definition

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
612. Procedure.entryRelationship:entryRelationship3.typeId.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
614. Procedure.entryRelationship:entryRelationship3.typeId.assigningAuthorityName
Definition

A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
616. Procedure.entryRelationship:entryRelationship3.typeId.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
618. Procedure.entryRelationship:entryRelationship3.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
620. Procedure.entryRelationship:entryRelationship3.typeId.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
622. Procedure.entryRelationship:entryRelationship3.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/cda/stds/core/StructureDefinition/II
624. Procedure.entryRelationship:entryRelationship3.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="RSON" Has Reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:4515-7780).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueRSON
626. Procedure.entryRelationship:entryRelationship3.inversionInd
Definition

The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
628. Procedure.entryRelationship:entryRelationship3.contextConductionInd
Definition

The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default Valuetrue
630. Procedure.entryRelationship:entryRelationship3.negationInd
Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
632. Procedure.entryRelationship:entryRelationship3.sequenceNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
634. Procedure.entryRelationship:entryRelationship3.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
636. Procedure.entryRelationship:entryRelationship3.act
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
638. Procedure.entryRelationship:entryRelationship3.encounter
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
640. Procedure.entryRelationship:entryRelationship3.observation
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Indication (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.19:2014-06-09) (CONF:4515-15914).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Indication)
Is Modifierfalse
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
should-effectiveTime: SHOULD contain effectiveTime (effectiveTime.exists())
642. Procedure.entryRelationship:entryRelationship3.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
644. Procedure.entryRelationship:entryRelationship3.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
646. Procedure.entryRelationship:entryRelationship3.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
648. Procedure.entryRelationship:entryRelationship3.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
650. Procedure.entryRelationship:entryRelationship3.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
652. Procedure.entryRelationship:entryRelationship3.supply
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
654. Procedure.entryRelationship:entryRelationship4
Slice NameentryRelationship4
ShortentryRelationship
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:4515-7886) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
656. Procedure.entryRelationship:entryRelationship4.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
658. Procedure.entryRelationship:entryRelationship4.realmCode
Definition

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
660. Procedure.entryRelationship:entryRelationship4.typeId
Definition

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
662. Procedure.entryRelationship:entryRelationship4.typeId.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
664. Procedure.entryRelationship:entryRelationship4.typeId.assigningAuthorityName
Definition

A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
666. Procedure.entryRelationship:entryRelationship4.typeId.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
668. Procedure.entryRelationship:entryRelationship4.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
670. Procedure.entryRelationship:entryRelationship4.typeId.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
672. Procedure.entryRelationship:entryRelationship4.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/cda/stds/core/StructureDefinition/II
674. Procedure.entryRelationship:entryRelationship4.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="COMP" Has Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:4515-7887).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueCOMP
676. Procedure.entryRelationship:entryRelationship4.inversionInd
Definition

The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
678. Procedure.entryRelationship:entryRelationship4.contextConductionInd
Definition

The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default Valuetrue
680. Procedure.entryRelationship:entryRelationship4.negationInd
Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
682. Procedure.entryRelationship:entryRelationship4.sequenceNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
684. Procedure.entryRelationship:entryRelationship4.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
686. Procedure.entryRelationship:entryRelationship4.act
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
688. Procedure.entryRelationship:entryRelationship4.encounter
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
690. Procedure.entryRelationship:entryRelationship4.observation
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
692. Procedure.entryRelationship:entryRelationship4.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
694. Procedure.entryRelationship:entryRelationship4.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
696. Procedure.entryRelationship:entryRelationship4.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
698. Procedure.entryRelationship:entryRelationship4.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
700. Procedure.entryRelationship:entryRelationship4.substanceAdministration
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Medication Activity (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.16:2014-06-09) (CONF:4515-15915).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration(Medication Activity)
Is Modifierfalse
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
1098-7513: SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-7513) such that it **SHALL** contain exactly one [1..1] @xsi:type="PIVL_TS" or "EIVL_TS" (CONF:1098-28499). (effectiveTime.ofType(CDA.PIVL_TS).exists() or effectiveTime.ofType(CDA.EIVL_TS).exists())
should-routeCode: SHOULD contain routeCode (routeCode.exists())
dose-unit-or-admin-unit: If doseQuantity/@unit is present, then administrationUnitCode SHALL NOT be present. (doseQuantity.unit.exists() implies administrationUnitCode.empty())
should-author: SHOULD contain author (author.exists())
702. Procedure.entryRelationship:entryRelationship4.supply
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
704. Procedure.entryRelationship:entryRelationship5
Slice NameentryRelationship5
ShortentryRelationship
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:4515-32473) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
706. Procedure.entryRelationship:entryRelationship5.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
708. Procedure.entryRelationship:entryRelationship5.realmCode
Definition

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
710. Procedure.entryRelationship:entryRelationship5.typeId
Definition

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
712. Procedure.entryRelationship:entryRelationship5.typeId.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
714. Procedure.entryRelationship:entryRelationship5.typeId.assigningAuthorityName
Definition

A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
716. Procedure.entryRelationship:entryRelationship5.typeId.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
718. Procedure.entryRelationship:entryRelationship5.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
720. Procedure.entryRelationship:entryRelationship5.typeId.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
722. Procedure.entryRelationship:entryRelationship5.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/cda/stds/core/StructureDefinition/II
724. Procedure.entryRelationship:entryRelationship5.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="COMP" Has Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-32474).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueCOMP
726. Procedure.entryRelationship:entryRelationship5.inversionInd
Definition

The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
728. Procedure.entryRelationship:entryRelationship5.contextConductionInd
Definition

The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default Valuetrue
730. Procedure.entryRelationship:entryRelationship5.negationInd
Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
732. Procedure.entryRelationship:entryRelationship5.sequenceNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
734. Procedure.entryRelationship:entryRelationship5.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
736. Procedure.entryRelationship:entryRelationship5.act
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
738. Procedure.entryRelationship:entryRelationship5.encounter
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
740. Procedure.entryRelationship:entryRelationship5.observation
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Reaction Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.9:2014-06-09) (CONF:4515-32475).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Reaction Observation)
Is Modifierfalse
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
should-effectiveTime: SHOULD contain effectiveTime (effectiveTime.exists())
742. Procedure.entryRelationship:entryRelationship5.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
744. Procedure.entryRelationship:entryRelationship5.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
746. Procedure.entryRelationship:entryRelationship5.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
748. Procedure.entryRelationship:entryRelationship5.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
750. Procedure.entryRelationship:entryRelationship5.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
752. Procedure.entryRelationship:entryRelationship5.supply
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
754. Procedure.entryRelationship:entryRelationship6
Slice NameentryRelationship6
ShortWhen an Assessment Scale Observation is contained in a Procedure Template instance that is a Social Determinant of Health intervention procedure, that Assessment scale **MAY** contain Assessment Scale observations that represent LOINC question and answer pairs from SDOH screening instruments.
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:4515-32985) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
756. Procedure.entryRelationship:entryRelationship6.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
758. Procedure.entryRelationship:entryRelationship6.realmCode
Definition

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
760. Procedure.entryRelationship:entryRelationship6.typeId
Definition

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
762. Procedure.entryRelationship:entryRelationship6.typeId.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
764. Procedure.entryRelationship:entryRelationship6.typeId.assigningAuthorityName
Definition

A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
766. Procedure.entryRelationship:entryRelationship6.typeId.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
768. Procedure.entryRelationship:entryRelationship6.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
770. Procedure.entryRelationship:entryRelationship6.typeId.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
772. Procedure.entryRelationship:entryRelationship6.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/cda/stds/core/StructureDefinition/II
774. Procedure.entryRelationship:entryRelationship6.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="RSON" Has reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-32987).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueRSON
776. Procedure.entryRelationship:entryRelationship6.inversionInd
Definition

The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
778. Procedure.entryRelationship:entryRelationship6.contextConductionInd
Definition

The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default Valuetrue
780. Procedure.entryRelationship:entryRelationship6.negationInd
Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
782. Procedure.entryRelationship:entryRelationship6.sequenceNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
784. Procedure.entryRelationship:entryRelationship6.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
786. Procedure.entryRelationship:entryRelationship6.act
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
788. Procedure.entryRelationship:entryRelationship6.encounter
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
790. Procedure.entryRelationship:entryRelationship6.observation
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Assessment Scale Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.69) (CONF:4515-32986).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Assessment Scale Observation)
Is Modifierfalse
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
792. Procedure.entryRelationship:entryRelationship6.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
794. Procedure.entryRelationship:entryRelationship6.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
796. Procedure.entryRelationship:entryRelationship6.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
798. Procedure.entryRelationship:entryRelationship6.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
800. Procedure.entryRelationship:entryRelationship6.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
802. Procedure.entryRelationship:entryRelationship6.supply
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
804. Procedure.entryRelationship:entryRelationship7
Slice NameentryRelationship7
ShortWhen an Entry Reference Template is contained in a Procedure Template instance that is a Social Determinant of Health procedure, that Entry Reference **MAY** refer to Assessment Scale Observation in the same document that represent LOINC question and answer pairs from SDOH screening instruments.
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
806. Procedure.entryRelationship:entryRelationship7.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
808. Procedure.entryRelationship:entryRelationship7.realmCode
Definition

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
810. Procedure.entryRelationship:entryRelationship7.typeId
Definition

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
812. Procedure.entryRelationship:entryRelationship7.typeId.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
814. Procedure.entryRelationship:entryRelationship7.typeId.assigningAuthorityName
Definition

A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
816. Procedure.entryRelationship:entryRelationship7.typeId.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
818. Procedure.entryRelationship:entryRelationship7.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
820. Procedure.entryRelationship:entryRelationship7.typeId.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
822. Procedure.entryRelationship:entryRelationship7.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/cda/stds/core/StructureDefinition/II
824. Procedure.entryRelationship:entryRelationship7.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="RSON" Has reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-32990).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueRSON
826. Procedure.entryRelationship:entryRelationship7.inversionInd
Definition

The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
828. Procedure.entryRelationship:entryRelationship7.contextConductionInd
Definition

The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default Valuetrue
830. Procedure.entryRelationship:entryRelationship7.negationInd
Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
832. Procedure.entryRelationship:entryRelationship7.sequenceNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
834. Procedure.entryRelationship:entryRelationship7.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
836. Procedure.entryRelationship:entryRelationship7.act
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:4515-32989).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Entry Reference)
Is Modifierfalse
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
838. Procedure.entryRelationship:entryRelationship7.encounter
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
840. Procedure.entryRelationship:entryRelationship7.observation
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
842. Procedure.entryRelationship:entryRelationship7.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
844. Procedure.entryRelationship:entryRelationship7.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
846. Procedure.entryRelationship:entryRelationship7.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
848. Procedure.entryRelationship:entryRelationship7.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
850. Procedure.entryRelationship:entryRelationship7.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
852. Procedure.entryRelationship:entryRelationship7.supply
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
854. Procedure.reference
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Reference
856. Procedure.precondition
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition
858. Procedure.sdtcPrecondition2
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition2
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameprecondition2.
860. Procedure.sdtcInFulfillmentOf1
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1
XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameinFulfillmentOf1.