Consolidated CDA (C-CDA)
3.0.0 - STU3 United States of America flag

This page is part of the CCDA: Consolidated CDA Release (v3.0.0: CCDA 3.0) generated with FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version. For a full list of available versions, see the Directory of published versions

Logical Model: ProcedureActivityProcedure - Detailed Descriptions

Draft as of 2024-05-18

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)
ValidationInstance 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 areUnordered 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
    Short(USCDI) SDOH Interventions
    Comments

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

    Control1..?
    BindingThe codes SHOULD be taken from US Core Procedure Codes
    (preferred to http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code)
    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.nullFlavor
    Control0..0
    30. Procedure.statusCode.code
    Control1..?
    BindingThe codes SHALL be taken from ProcedureAct statusCode .
    (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.22)
    32. 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)
    34. Procedure.effectiveTime.value
    ShortIndicates historical procedure or an instance of a procedure where precision may be only a date or even a year.
    36. 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)
    38. 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

    40. 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 .
    (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.16866)
    42. 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
    44. 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 .
    (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.9)
    46. 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).

    48. 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())
    50. 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).

    52. Procedure.performer
    Comments

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

    54. 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())
    56. Procedure.performer.assignedEntity.id
    Comments

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

    58. 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)
    60. Procedure.performer.assignedEntity.telecom
    Comments

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

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

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

    64. 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))
    66. 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())
    68. Procedure.performer.assignedEntity.representedOrganization.id
    Comments

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

    70. Procedure.performer.assignedEntity.representedOrganization.name
    Comments

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

    72. Procedure.performer.assignedEntity.representedOrganization.telecom
    Comments

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

    Control1..?
    74. 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)
    76. 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)
    78. 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 areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ typeCode
    • 80. Procedure.participant:productInstance
      Slice NameproductInstance
      Shortparticipant
      Comments

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

      Control0..*
      82. Procedure.participant:productInstance.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
      84. Procedure.participant:productInstance.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)
      86. Procedure.participant:serviceDeliveryLocation
      Slice NameserviceDeliveryLocation
      Shortparticipant
      Control0..*
      88. Procedure.participant:serviceDeliveryLocation.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
      90. Procedure.participant:serviceDeliveryLocation.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)
      92. 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 areUnordered and Open, and can be differentiated using the following discriminators:
      • profile @ act
      • profile @ observation
      • profile @ substanceAdministration
      • exists @ encounter
      • 94. Procedure.entryRelationship:encounter
        Slice Nameencounter
        ShortentryRelationship
        Comments

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

        Control0..*
        96. Procedure.entryRelationship:encounter.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
        98. Procedure.entryRelationship:encounter.inversionInd
        Comments

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

        Control1..?
        Fixed Valuetrue
        100. Procedure.entryRelationship:encounter.encounter
        Comments

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

        Control1..?
        102. Procedure.entryRelationship:encounter.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).

        104. Procedure.entryRelationship:encounter.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
        106. Procedure.entryRelationship:encounter.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
        108. Procedure.entryRelationship:instruction
        Slice Nameinstruction
        ShortentryRelationship
        Comments

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

        Control0..1
        110. Procedure.entryRelationship:instruction.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
        112. Procedure.entryRelationship:instruction.inversionInd
        Comments

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

        Control1..?
        Fixed Valuetrue
        114. Procedure.entryRelationship:instruction.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)
        116. Procedure.entryRelationship:instruction.encounter
        Control0..0
        118. Procedure.entryRelationship:indication
        Slice Nameindication
        ShortentryRelationship
        Comments

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

        Control0..*
        120. Procedure.entryRelationship:indication.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
        122. Procedure.entryRelationship:indication.encounter
        Control0..0
        124. Procedure.entryRelationship:indication.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)
        126. Procedure.entryRelationship:medication
        Slice Namemedication
        ShortentryRelationship
        Comments

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

        Control0..*
        128. Procedure.entryRelationship:medication.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
        130. Procedure.entryRelationship:medication.encounter
        Control0..0
        132. Procedure.entryRelationship:medication.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)
        134. Procedure.entryRelationship:reaction
        Slice Namereaction
        ShortentryRelationship
        Comments

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

        Control0..*
        136. Procedure.entryRelationship:reaction.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
        138. Procedure.entryRelationship:reaction.encounter
        Control0..0
        140. Procedure.entryRelationship:reaction.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)
        142. Procedure.entryRelationship:assessmentScaleObs
        Slice NameassessmentScaleObs
        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..*
        144. Procedure.entryRelationship:assessmentScaleObs.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
        146. Procedure.entryRelationship:assessmentScaleObs.encounter
        Control0..0
        148. Procedure.entryRelationship:assessmentScaleObs.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)
        150. Procedure.entryRelationship:entryReference
        Slice NameentryReference
        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..*
        152. Procedure.entryRelationship:entryReference.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
        154. Procedure.entryRelationship:entryReference.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)
        156. Procedure.entryRelationship:entryReference.encounter
        Control0..0

        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)
        ValidationInstance 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 areUnordered 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
          (required to http://terminology.hl7.org/ValueSet/v3-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
          (required to http://terminology.hl7.org/ValueSet/v3-xDocumentProcedureMood)
          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").

          Short(USCDI) SDOH InterventionsIdentification 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
          (preferred to http://hl7.org/fhir/us/core/ValueSet/us-core-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
          (required to http://terminology.hl7.org/ValueSet/v3-ActStatus)
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
          28. 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..0
          BindingThe codes SHALL be taken from CDANullFlavor
          (required to http://hl7.org/cda/stds/core/ValueSet/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
          30. 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.

          Control1..1
          BindingThe codes SHALL be taken from ProcedureAct statusCode .
          (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.22)
          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
          32. 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
          34. 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
          36. 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
          38. 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
          40. 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
          42. 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
          44. 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
          46. 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)
          48. 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.
          50. 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)
          52. 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)
          54. 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 .
          (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.16866)
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
          56. 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
          58. 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 .
          (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.9)
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
          60. 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
          62. 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())
          64. 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
          66. 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())
          68. 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())
          70. 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
          72. 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))
          74. 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
          76. 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
          78. 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()))
          80. 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())
          82. 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
          84. 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()))
          86. 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
          88. 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))
          90. 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
          92. 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 areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ typeCode
          • 94. Procedure.participant:productInstance
            Slice NameproductInstance
            Shortparticipant
            Comments

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

            Control0..*
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
            96. Procedure.participant:productInstance.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 CDAParticipationType
            (required to http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType)
            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
            98. Procedure.participant:productInstance.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)
            100. Procedure.participant:serviceDeliveryLocation
            Slice NameserviceDeliveryLocation
            Shortparticipant
            Control0..*
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
            102. Procedure.participant:serviceDeliveryLocation.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 CDAParticipationType
            (required to http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType)
            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
            104. Procedure.participant:serviceDeliveryLocation.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())
            106. 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 areUnordered and Open, and can be differentiated using the following discriminators:
            • profile @ act
            • profile @ observation
            • profile @ substanceAdministration
            • exists @ encounter
            • 108. Procedure.entryRelationship:encounter
              Slice Nameencounter
              ShortentryRelationship
              Comments

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

              Control0..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
              110. Procedure.entryRelationship:encounter.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
              (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
              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
              112. Procedure.entryRelationship:encounter.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
              114. Procedure.entryRelationship:encounter.encounter
              Comments

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

              Control1..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
              116. Procedure.entryRelationship:encounter.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 CDAActClass
              (required to http://hl7.org/cda/stds/core/ValueSet/CDAActClass)
              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
              118. Procedure.entryRelationship:encounter.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)
              (required to http://terminology.hl7.org/ValueSet/v3-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
              120. Procedure.entryRelationship:encounter.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
              122. Procedure.entryRelationship:instruction
              Slice Nameinstruction
              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
              124. Procedure.entryRelationship:instruction.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
              (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
              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
              126. Procedure.entryRelationship:instruction.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
              128. Procedure.entryRelationship:instruction.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())
              130. Procedure.entryRelationship:instruction.encounter
              Control0..0
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
              132. Procedure.entryRelationship:indication
              Slice Nameindication
              ShortentryRelationship
              Comments

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

              Control0..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
              134. Procedure.entryRelationship:indication.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
              (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
              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
              136. Procedure.entryRelationship:indication.encounter
              Control0..0
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
              138. Procedure.entryRelationship:indication.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())
              indication-value: If the ID element does not reference a problem recorded elsewhere in the document, then observation/value must be populated with a coded entry. (value.exists() or (%resource.descendants().ofType(CDA.Observation).where(id.exists($this.root = %context.id.first().root and $this.extension ~ %context.id.first().extension) and value.exists())))
              140. Procedure.entryRelationship:medication
              Slice Namemedication
              ShortentryRelationship
              Comments

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

              Control0..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
              142. Procedure.entryRelationship:medication.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
              (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
              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:medication.encounter
              Control0..0
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
              146. Procedure.entryRelationship:medication.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())
              148. Procedure.entryRelationship:reaction
              Slice Namereaction
              ShortentryRelationship
              Comments

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

              Control0..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
              150. Procedure.entryRelationship:reaction.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
              (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
              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
              152. Procedure.entryRelationship:reaction.encounter
              Control0..0
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
              154. Procedure.entryRelationship:reaction.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())
              156. Procedure.entryRelationship:assessmentScaleObs
              Slice NameassessmentScaleObs
              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
              158. Procedure.entryRelationship:assessmentScaleObs.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
              (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
              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
              160. Procedure.entryRelationship:assessmentScaleObs.encounter
              Control0..0
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
              162. Procedure.entryRelationship:assessmentScaleObs.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())
              164. Procedure.entryRelationship:entryReference
              Slice NameentryReference
              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
              166. Procedure.entryRelationship:entryReference.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
              (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
              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
              168. Procedure.entryRelationship:entryReference.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())
              170. Procedure.entryRelationship:entryReference.encounter
              Control0..0
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter

              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)
              ValidationInstance 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
              (required to http://hl7.org/cda/stds/core/ValueSet/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
              (required to http://hl7.org/cda/stds/core/ValueSet/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 areUnordered 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
                (required to http://hl7.org/cda/stds/core/ValueSet/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
                (required to http://terminology.hl7.org/ValueSet/v3-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
                (required to http://terminology.hl7.org/ValueSet/v3-xDocumentProcedureMood)
                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

                Short(USCDI) SDOH Interventions
                Comments

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

                Control1..1
                BindingThe codes SHOULD be taken from US Core Procedure Codes
                (preferred to http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code)
                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
                (required to http://hl7.org/cda/stds/core/ValueSet/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
                (required to http://hl7.org/cda/stds/core/ValueSet/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 CDACompressionAlgorithm
                (required to http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm)
                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)
                (required to http://terminology.hl7.org/ValueSet/v3-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
                (example to http://terminology.hl7.org/ValueSet/v3-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 CDABinaryDataEncoding
                (required to http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding)
                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
                (required to http://hl7.org/cda/stds/core/ValueSet/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 CDACompressionAlgorithm
                (required to http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm)
                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)
                (required to http://terminology.hl7.org/ValueSet/v3-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
                (example to http://terminology.hl7.org/ValueSet/v3-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 CDABinaryDataEncoding
                (required to http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding)
                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
                (required to http://terminology.hl7.org/ValueSet/v3-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..0
                BindingThe codes SHALL be taken from CDANullFlavor
                (required to http://hl7.org/cda/stds/core/ValueSet/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.

                Control1..1
                BindingThe codes SHALL be taken from ProcedureAct statusCode .
                (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.22)
                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
                (required to http://hl7.org/cda/stds/core/ValueSet/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 CDASetOperator
                (required to http://hl7.org/cda/stds/core/ValueSet/CDASetOperator)
                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
                (required to http://hl7.org/cda/stds/core/ValueSet/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
                (required to http://hl7.org/cda/stds/core/ValueSet/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 .
                (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.16866)
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                160. Procedure.languageCode
                Control0..1
                BindingThe codes SHALL be taken from AllLanguages
                (required to http://hl7.org/fhir/ValueSet/all-languages)
                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 .
                (required to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.9)
                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
                (required to http://hl7.org/cda/stds/core/ValueSet/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
                (required to http://hl7.org/cda/stds/core/ValueSet/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 CDAParticipationType
                (required to http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType)
                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
                (required to http://hl7.org/cda/stds/core/ValueSet/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
                (required to http://hl7.org/cda/stds/core/ValueSet/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
                (required to http://terminology.hl7.org/ValueSet/v3-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
                (required to http://hl7.org/cda/stds/core/ValueSet/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
                (required to http://hl7.org/cda/stds/core/ValueSet/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
                (required to http://terminology.hl7.org/ValueSet/v3-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
                (required to http://hl7.org/cda/stds/core/ValueSet/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
                (required to http://hl7.org/cda/stds/core/ValueSet/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
                (required to http://terminology.hl7.org/ValueSet/v3-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 CDARoleCode
                (example to http://hl7.org/cda/stds/core/ValueSet/CDARoleCode)
                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
                (required to http://hl7.org/cda/stds/core/ValueSet/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
                (required to http://hl7.org/cda/stds/core/ValueSet/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
                (required to http://terminology.hl7.org/ValueSet/v3-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
                (required to http://terminology.hl7.org/ValueSet/v3-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
                (required to http://hl7.org/cda/stds/core/ValueSet/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
                (required to http://hl7.org/cda/stds/core/ValueSet/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
                (required to http://hl7.org/cda/stds/core/ValueSet/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
                (required to http://hl7.org/cda/stds/core/ValueSet/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
                (required to http://terminology.hl7.org/ValueSet/v3-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
                (required to http://terminology.hl7.org/ValueSet/v3-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
                (example to http://terminology.hl7.org/ValueSet/v3-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 areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ typeCode
                • 380. Procedure.participant:productInstance
                  Slice NameproductInstance
                  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:productInstance.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
                  (required to http://hl7.org/cda/stds/core/ValueSet/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:productInstance.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:productInstance.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:productInstance.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
                  (required to http://hl7.org/cda/stds/core/ValueSet/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:productInstance.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:productInstance.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:productInstance.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:productInstance.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:productInstance.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:productInstance.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 CDAParticipationType
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType)
                  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:productInstance.contextControlCode
                  Control0..1
                  BindingThe codes SHALL be taken from CDAContextControl
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDAContextControl)
                  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:productInstance.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:productInstance.time
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
                  408. Procedure.participant:productInstance.awarenessCode
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                  410. Procedure.participant:productInstance.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:serviceDeliveryLocation
                  Slice NameserviceDeliveryLocation
                  Shortparticipant
                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
                  414. Procedure.participant:serviceDeliveryLocation.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
                  (required to http://hl7.org/cda/stds/core/ValueSet/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:serviceDeliveryLocation.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:serviceDeliveryLocation.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:serviceDeliveryLocation.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
                  (required to http://hl7.org/cda/stds/core/ValueSet/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:serviceDeliveryLocation.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:serviceDeliveryLocation.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:serviceDeliveryLocation.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:serviceDeliveryLocation.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:serviceDeliveryLocation.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:serviceDeliveryLocation.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 CDAParticipationType
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType)
                  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:serviceDeliveryLocation.contextControlCode
                  Control0..1
                  BindingThe codes SHALL be taken from CDAContextControl
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDAContextControl)
                  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:serviceDeliveryLocation.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:serviceDeliveryLocation.time
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
                  440. Procedure.participant:serviceDeliveryLocation.awarenessCode
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                  442. Procedure.participant:serviceDeliveryLocation.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 areUnordered and Open, and can be differentiated using the following discriminators:
                  • profile @ act
                  • profile @ observation
                  • profile @ substanceAdministration
                  • exists @ encounter
                  • 446. Procedure.entryRelationship:encounter
                    Slice Nameencounter
                    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: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
                    (required to http://hl7.org/cda/stds/core/ValueSet/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: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
                    452. Procedure.entryRelationship: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
                    454. Procedure.entryRelationship: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
                    (required to http://hl7.org/cda/stds/core/ValueSet/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: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
                    458. Procedure.entryRelationship: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
                    460. Procedure.entryRelationship: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
                    462. Procedure.entryRelationship: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
                    464. Procedure.entryRelationship: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
                    466. Procedure.entryRelationship:encounter.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
                    (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                    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:encounter.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:encounter.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:encounter.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:encounter.sequenceNumber
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
                    476. Procedure.entryRelationship:encounter.seperatableInd
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
                    478. Procedure.entryRelationship:encounter.act
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
                    480. Procedure.entryRelationship:encounter.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:encounter.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
                    (required to http://hl7.org/cda/stds/core/ValueSet/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:encounter.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:encounter.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:encounter.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
                    (required to http://hl7.org/cda/stds/core/ValueSet/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:encounter.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:encounter.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:encounter.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:encounter.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:encounter.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:encounter.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 CDAActClass
                    (required to http://hl7.org/cda/stds/core/ValueSet/CDAActClass)
                    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:encounter.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)
                    (required to http://terminology.hl7.org/ValueSet/v3-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:encounter.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:encounter.encounter.code
                    Control0..1
                    BindingFor example codes, see ActEncounterCode
                    (example to http://terminology.hl7.org/ValueSet/v3-ActEncounterCode)
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                    508. Procedure.entryRelationship:encounter.encounter.text
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
                    510. Procedure.entryRelationship:encounter.encounter.statusCode
                    Control0..1
                    BindingThe codes SHALL be taken from ActStatus
                    (required to http://terminology.hl7.org/ValueSet/v3-ActStatus)
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                    512. Procedure.entryRelationship:encounter.encounter.effectiveTime
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
                    514. Procedure.entryRelationship:encounter.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:encounter.encounter.priorityCode
                    Control0..1
                    BindingFor example codes, see ActPriority
                    (example to http://terminology.hl7.org/ValueSet/v3-ActPriority)
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                    518. Procedure.entryRelationship:encounter.encounter.subject
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Subject
                    520. Procedure.entryRelationship:encounter.encounter.specimen
                    Control0..*
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Specimen
                    522. Procedure.entryRelationship:encounter.encounter.performer
                    Control0..*
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
                    524. Procedure.entryRelationship:encounter.encounter.author
                    Control0..*
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author
                    526. Procedure.entryRelationship:encounter.encounter.informant
                    Control0..*
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Informant
                    528. Procedure.entryRelationship:encounter.encounter.participant
                    Control0..*
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
                    530. Procedure.entryRelationship:encounter.encounter.entryRelationship
                    Control0..*
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
                    532. Procedure.entryRelationship:encounter.encounter.reference
                    Control0..*
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Reference
                    534. Procedure.entryRelationship:encounter.encounter.precondition
                    Control0..*
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition
                    536. Procedure.entryRelationship:encounter.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:encounter.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:encounter.observation
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
                    542. Procedure.entryRelationship:encounter.observationMedia
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                    544. Procedure.entryRelationship:encounter.organizer
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                    546. Procedure.entryRelationship:encounter.procedure
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                    548. Procedure.entryRelationship:encounter.regionOfInterest
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                    550. Procedure.entryRelationship:encounter.substanceAdministration
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                    552. Procedure.entryRelationship:encounter.supply
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
                    554. Procedure.entryRelationship:instruction
                    Slice Nameinstruction
                    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:instruction.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
                    (required to http://hl7.org/cda/stds/core/ValueSet/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:instruction.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:instruction.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:instruction.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
                    (required to http://hl7.org/cda/stds/core/ValueSet/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:instruction.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:instruction.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:instruction.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:instruction.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:instruction.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:instruction.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
                    (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                    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:instruction.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:instruction.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:instruction.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:instruction.sequenceNumber
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
                    584. Procedure.entryRelationship:instruction.seperatableInd
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
                    586. Procedure.entryRelationship:instruction.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:instruction.encounter
                    Control0..0
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
                    590. Procedure.entryRelationship:instruction.observation
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
                    592. Procedure.entryRelationship:instruction.observationMedia
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                    594. Procedure.entryRelationship:instruction.organizer
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                    596. Procedure.entryRelationship:instruction.procedure
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                    598. Procedure.entryRelationship:instruction.regionOfInterest
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                    600. Procedure.entryRelationship:instruction.substanceAdministration
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                    602. Procedure.entryRelationship:instruction.supply
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
                    604. Procedure.entryRelationship:indication
                    Slice Nameindication
                    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:indication.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
                    (required to http://hl7.org/cda/stds/core/ValueSet/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:indication.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:indication.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:indication.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
                    (required to http://hl7.org/cda/stds/core/ValueSet/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:indication.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:indication.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:indication.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:indication.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:indication.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:indication.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
                    (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                    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:indication.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:indication.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:indication.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:indication.sequenceNumber
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
                    634. Procedure.entryRelationship:indication.seperatableInd
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
                    636. Procedure.entryRelationship:indication.act
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
                    638. Procedure.entryRelationship:indication.encounter
                    Control0..0
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
                    640. Procedure.entryRelationship:indication.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())
                    indication-value: If the ID element does not reference a problem recorded elsewhere in the document, then observation/value must be populated with a coded entry. (value.exists() or (%resource.descendants().ofType(CDA.Observation).where(id.exists($this.root = %context.id.first().root and $this.extension ~ %context.id.first().extension) and value.exists())))
                    642. Procedure.entryRelationship:indication.observationMedia
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                    644. Procedure.entryRelationship:indication.organizer
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                    646. Procedure.entryRelationship:indication.procedure
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                    648. Procedure.entryRelationship:indication.regionOfInterest
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                    650. Procedure.entryRelationship:indication.substanceAdministration
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                    652. Procedure.entryRelationship:indication.supply
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
                    654. Procedure.entryRelationship:medication
                    Slice Namemedication
                    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:medication.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
                    (required to http://hl7.org/cda/stds/core/ValueSet/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:medication.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:medication.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:medication.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
                    (required to http://hl7.org/cda/stds/core/ValueSet/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:medication.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:medication.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:medication.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:medication.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:medication.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:medication.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
                    (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                    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:medication.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:medication.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:medication.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:medication.sequenceNumber
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
                    684. Procedure.entryRelationship:medication.seperatableInd
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
                    686. Procedure.entryRelationship:medication.act
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
                    688. Procedure.entryRelationship:medication.encounter
                    Control0..0
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
                    690. Procedure.entryRelationship:medication.observation
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
                    692. Procedure.entryRelationship:medication.observationMedia
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                    694. Procedure.entryRelationship:medication.organizer
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                    696. Procedure.entryRelationship:medication.procedure
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                    698. Procedure.entryRelationship:medication.regionOfInterest
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                    700. Procedure.entryRelationship:medication.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:medication.supply
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
                    704. Procedure.entryRelationship:reaction
                    Slice Namereaction
                    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:reaction.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
                    (required to http://hl7.org/cda/stds/core/ValueSet/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:reaction.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:reaction.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:reaction.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
                    (required to http://hl7.org/cda/stds/core/ValueSet/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:reaction.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:reaction.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:reaction.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:reaction.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:reaction.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:reaction.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
                    (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                    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:reaction.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:reaction.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:reaction.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:reaction.sequenceNumber
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
                    734. Procedure.entryRelationship:reaction.seperatableInd
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
                    736. Procedure.entryRelationship:reaction.act
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
                    738. Procedure.entryRelationship:reaction.encounter
                    Control0..0
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
                    740. Procedure.entryRelationship:reaction.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:reaction.observationMedia
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                    744. Procedure.entryRelationship:reaction.organizer
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                    746. Procedure.entryRelationship:reaction.procedure
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                    748. Procedure.entryRelationship:reaction.regionOfInterest
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                    750. Procedure.entryRelationship:reaction.substanceAdministration
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                    752. Procedure.entryRelationship:reaction.supply
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
                    754. Procedure.entryRelationship:assessmentScaleObs
                    Slice NameassessmentScaleObs
                    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:assessmentScaleObs.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
                    (required to http://hl7.org/cda/stds/core/ValueSet/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:assessmentScaleObs.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:assessmentScaleObs.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:assessmentScaleObs.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
                    (required to http://hl7.org/cda/stds/core/ValueSet/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:assessmentScaleObs.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:assessmentScaleObs.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:assessmentScaleObs.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:assessmentScaleObs.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:assessmentScaleObs.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:assessmentScaleObs.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
                    (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                    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:assessmentScaleObs.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:assessmentScaleObs.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:assessmentScaleObs.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:assessmentScaleObs.sequenceNumber
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
                    784. Procedure.entryRelationship:assessmentScaleObs.seperatableInd
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
                    786. Procedure.entryRelationship:assessmentScaleObs.act
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
                    788. Procedure.entryRelationship:assessmentScaleObs.encounter
                    Control0..0
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
                    790. Procedure.entryRelationship:assessmentScaleObs.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:assessmentScaleObs.observationMedia
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                    794. Procedure.entryRelationship:assessmentScaleObs.organizer
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                    796. Procedure.entryRelationship:assessmentScaleObs.procedure
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                    798. Procedure.entryRelationship:assessmentScaleObs.regionOfInterest
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                    800. Procedure.entryRelationship:assessmentScaleObs.substanceAdministration
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                    802. Procedure.entryRelationship:assessmentScaleObs.supply
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
                    804. Procedure.entryRelationship:entryReference
                    Slice NameentryReference
                    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:entryReference.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
                    (required to http://hl7.org/cda/stds/core/ValueSet/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:entryReference.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:entryReference.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:entryReference.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
                    (required to http://hl7.org/cda/stds/core/ValueSet/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:entryReference.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:entryReference.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:entryReference.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:entryReference.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:entryReference.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:entryReference.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
                    (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                    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:entryReference.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:entryReference.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:entryReference.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:entryReference.sequenceNumber
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
                    834. Procedure.entryRelationship:entryReference.seperatableInd
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
                    836. Procedure.entryRelationship:entryReference.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:entryReference.encounter
                    Control0..0
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
                    840. Procedure.entryRelationship:entryReference.observation
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
                    842. Procedure.entryRelationship:entryReference.observationMedia
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                    844. Procedure.entryRelationship:entryReference.organizer
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                    846. Procedure.entryRelationship:entryReference.procedure
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                    848. Procedure.entryRelationship:entryReference.regionOfInterest
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                    850. Procedure.entryRelationship:entryReference.substanceAdministration
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                    852. Procedure.entryRelationship:entryReference.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.