• Include these codes as defined in http://terminology.hl7.org/CodeSystem/v3-ActClass version 3.1.1

  Code	Display	Definition
  PROC	procedure	An Act whose immediate and primary outcome (post-condition) is the alteration of the physical condition of the subject. *Examples:* : Procedures may involve the disruption of some body surface (e.g. an incision in a surgical procedure), but they also include conservative procedures such as reduction of a luxated join, chiropractic treatment, massage, balneotherapy, acupuncture, shiatsu, etc. Outside of clinical medicine, procedures may be such things as alteration of environments (e.g. straightening rivers, draining swamps, building dams) or the repair or change of machinery etc.
  SBADM	substance administration	The act of introducing or otherwise applying a substance to the subject. *Discussion:* The effect of the substance is typically established on a biochemical basis, however, that is not a requirement. For example, radiotherapy can largely be described in the same way, especially if it is a systemic therapy such as radio-iodine. This class also includes the application of chemical treatments to an area. *Examples:* Chemotherapy protocol; Drug prescription; Vaccination record
  SBEXT	Substance Extraction	**Description:** The act of removing a substance from the subject.
  SPECCOLLECT	Specimen Collection	A procedure for obtaining a specimen from a source entity.

This value set expansion contains 4 concepts.