This page is part of the CCDA: Consolidated CDA Release (v4.0.0: CCDA 4.0) 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

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON

Logical Model: Procedure Activity Procedure

This template is used to represent the details of current and historical procedures performed on or for a patient. A procedure is an activity that is performed on, with, or for a patient as part of the provision of care. Examples include surgical procedures, diagnostic procedures, endoscopic procedures, biopsies, counseling, physiotherapy, personal support services, adult day care services, non-emergency transportation, home modification, exercise, etc. Procedures may be performed by a healthcare professional, a service provider, a friend or relative or in some cases by the patient themselves.

Templates Used

Although open templates may contain any valid CDA content, the following templates are specifically called out by this template:

Optional EntryRelationships: AssessmentScaleObservation, EntryReference, Indication, InstructionObservation, MedicationActivity, ReactionObservation

Usages:

• Use this Logical Model Profile: Anesthesia Section, Intervention Act, Medical Equipment Organizer, Medical Equipment Section... Show 2 more, Procedures Section and Reaction Observation

Formal Views of Template Content

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

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Procedure

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure	C	1..1	Procedure	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, sdtcCategory, code, @negationInd, text, statusCode, effectiveTime, priorityCode, languageCode, methodCode, approachSiteCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, sdtcInFulfillmentOf1 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: should-text-ref-value, active-high-ts-after-document, should-targetSiteCode, should-performer, should-author
Slices for templateId		1..*	II	Slice: Unordered, Open by value:root, value:extension
templateId:procedure		1..1	II
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.4.14
@extension		1..1	st	Required Pattern: 2024-05-01
@classCode		1..1	cs
@moodCode		1..1	cs	Fixed Value: EVN
id		1..*	II
code	C	1..1	CD	𝗨𝗦𝗖𝗗𝗜: SDOH Interventions Binding: US Core Procedure Codes (preferred) Additional Bindings Purpose Documentation Social Determinants of Health Procedures Preferred For Social Determinant of Health Interventions Constraints: should-otext-ref-value
originalText		0..1	ED	SHOULD reference the portion of narrative corresponding to this code
reference	C	0..1	TEL	Constraints: value-starts-octothorpe
text		0..1	ED	SHOULD reference the portion of section narrative text corresponding to this entry
reference	C	0..1	TEL	Constraints: value-starts-octothorpe
statusCode		1..1	CS
@nullFlavor		0..0
@code		1..1	cs	Binding: ProcedureAct statusCode (required)
effectiveTime	C	1..1	USRealmDateTimeInterval	𝗨𝗦𝗖𝗗𝗜: Performance Time Constraints: should-value, ts-value-before-document
@value		0..1	ts	Indicates historical procedure or an instance of a procedure where precision may be only a date or even a year.
low	C	0..1	IVXB_TS	Indicates when a procedure started Constraints: ts-value-before-document
high		0..1	IVXB_TS	Indicates when a procedure ended. If the statusCode='active', this must be after the ClinicalDcument/effectiveTime
priorityCode		0..1	CE	Binding: ActPriority (required)
methodCode		0..1	CE	MethodCode **SHALL NOT** conflict with the method inherent in Procedure / code (CONF:4515-7890).
targetSiteCode		0..*	CD	In the case of an implanted medical device, targetSiteCode is used to record the location of the device, in or on the patient's body. Binding: Body Site Value Set (required)
specimen		0..*	Specimen	This specimen is for representing specimens obtained from a procedure (CONF:4515-16842).
specimenRole	C	1..1	SpecimenRole	Constraints: should-id
id		0..*	II	If 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).
performer		0..*	Performer2
assignedEntity	C	1..1	AssignedEntity	Constraints: should-assignedPerson, should-representedOrganization
id		1..*	II
addr		1..*	USRealmAddress
telecom		1..*	TEL
assignedPerson		0..1	Person
name		1..*	USRealmPersonNamePNUSFIELDED
representedOrganization	C	0..1	Organization	Constraints: should-id
id		0..*	II
name		0..*	ON
telecom		1..*	TEL
addr		1..*	USRealmAddress
author		0..*	AuthorParticipation
Slices for participant		0..*	Participant2	Slice: Unordered, Open by value:typeCode
participant:productInstance		0..*	Participant2	participant
@typeCode		1..1	cs	Fixed Value: DEV
participantRole		1..1	ProductInstance
participant:serviceDeliveryLocation		0..*	Participant2	participant
@typeCode		1..1	cs	Fixed Value: LOC
participantRole		1..1	ServiceDeliveryLocation
Slices for entryRelationship		0..*	EntryRelationship	Slice: Unordered, Open by profile:act, profile:observation, profile:substanceAdministration, exists:encounter
entryRelationship:encounter		0..*	EntryRelationship	entryRelationship
@typeCode		1..1	cs	Fixed Value: COMP
@inversionInd		1..1	bl	Fixed Value: true
encounter		1..1	Encounter
@classCode		1..1	cs
@moodCode		1..1	cs	Fixed Value: EVN
id		1..1	II	Set the encounter ID to the ID of an encounter in another section to signify they are the same encounter (CONF:4515-16843).
entryRelationship:instruction		0..1	EntryRelationship	entryRelationship
@typeCode		1..1	cs	Fixed Value: SUBJ
@inversionInd		1..1	bl	Fixed Value: true
encounter		0..0
observation		1..1	InstructionObservation
entryRelationship:indication		0..*	EntryRelationship	entryRelationship
@typeCode		1..1	cs	Fixed Value: RSON
encounter		0..0
observation		1..1	Indication
entryRelationship:medication		0..*	EntryRelationship	entryRelationship
@typeCode		1..1	cs	Fixed Value: COMP
encounter		0..0
substanceAdministration		1..1	MedicationActivity
entryRelationship:reaction		0..*	EntryRelationship	entryRelationship
@typeCode		1..1	cs	Fixed Value: COMP
encounter		0..0
observation		1..1	ReactionObservation
entryRelationship:assessmentScaleObs		0..*	EntryRelationship	When 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.
@typeCode		1..1	cs	Fixed Value: RSON
encounter		0..0
observation		1..1	AssessmentScaleObservation
entryRelationship:entryReference		0..*	EntryRelationship	When 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.
@typeCode		1..1	cs	Fixed Value: RSON
act		1..1	EntryReference
encounter		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Procedure.code	preferred	USCoreProcedureCodes http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code
Procedure.statusCode.code	required	ProcedureActStatusCode http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.22 From https://vsac.nlm.nih.gov
Procedure.priorityCode	required	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority
Procedure.targetSiteCode	required	BodySiteValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.9 From https://vsac.nlm.nih.gov

Constraints

Id	Grade	Path(s)	Details	Requirements
active-high-ts-after-document	error	Procedure	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-assignedPerson	warning	Procedure.performer.assignedEntity	SHOULD contain assignedPerson : assignedPerson.exists()
should-author	warning	Procedure	SHOULD contain author : author.exists()
should-id	warning	Procedure.specimen.specimenRole, Procedure.performer.assignedEntity.representedOrganization	SHOULD contain id : id.exists()
should-otext-ref-value	warning	Procedure.code	SHOULD contain originalText/reference/@value : originalText.reference.value.exists()
should-performer	warning	Procedure	SHOULD contain performer : performer.exists()
should-representedOrganization	warning	Procedure.performer.assignedEntity	SHOULD contain representedOrganization : representedOrganization.exists()
should-targetSiteCode	warning	Procedure	SHOULD contain targetSiteCode : targetSiteCode.exists()
should-text-ref-value	warning	Procedure	SHOULD contain text/reference/@value : text.reference.value.exists()
should-value	warning	Procedure.effectiveTime	SHOULD contain value : value.exists()
ts-value-before-document	error	Procedure.effectiveTime, Procedure.effectiveTime.low	Time value must be equal to or before ClinicalDocument/effectiveTime : value.exists() implies value <= %resource.effectiveTime.value
value-starts-octothorpe	error	Procedure.code.originalText.reference, Procedure.text.reference	If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#')

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure	C	1..1	Procedure	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, sdtcCategory, code, @negationInd, text, statusCode, effectiveTime, priorityCode, languageCode, methodCode, approachSiteCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, sdtcInFulfillmentOf1 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: should-text-ref-value, active-high-ts-after-document, should-targetSiteCode, should-performer, should-author
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
Slices for templateId		1..*	II	Slice: Unordered, Open by value:root, value:extension
templateId:procedure		1..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.4.14
@extension		1..1	st	Required Pattern: 2024-05-01
@classCode		1..1	cs	Binding: ActClassProcedure (required) Fixed Value: PROC
@moodCode		1..1	cs	Binding: x_DocumentProcedureMood (required) Fixed Value: EVN
id		1..*	II
sdtcCategory		0..*	CD	XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc)
code	C	1..1	CD	𝗨𝗦𝗖𝗗𝗜: SDOH Interventions Binding: US Core Procedure Codes (preferred) Additional Bindings Purpose Documentation Social Determinants of Health Procedures Preferred For Social Determinant of Health Interventions Constraints: should-otext-ref-value
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@code		0..1	cs
@codeSystem		0..1	oid, uuid, ruid
@codeSystemName		0..1	st
@codeSystemVersion		0..1	st
@displayName		0..1	st
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText		0..1	ED	SHOULD reference the portion of narrative corresponding to this code
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@compression		0..1	cs	Binding: CDACompressionAlgorithm (required)
@integrityCheck		0..1	bin
@integrityCheckAlgorithm		0..1	cs	Binding: IntegrityCheckAlgorithm (2.0.0) (required)
@language		0..1	cs
@mediaType		0..1	cs	Binding: MediaType (example)
@representation		0..1	cs	Binding: CDABinaryDataEncoding (required)
xmlText		0..1	st	Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
reference	C	0..1	TEL	Constraints: value-starts-octothorpe
thumbnail		0..1	ED
qualifier		0..*	CR
translation		0..*	CD
@negationInd		0..1	bl
text		0..1	ED	SHOULD reference the portion of section narrative text corresponding to this entry
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@compression		0..1	cs	Binding: CDACompressionAlgorithm (required)
@integrityCheck		0..1	bin
@integrityCheckAlgorithm		0..1	cs	Binding: IntegrityCheckAlgorithm (2.0.0) (required)
@language		0..1	cs
@mediaType		0..1	cs	Binding: MediaType (example)
@representation		0..1	cs	Binding: CDABinaryDataEncoding (required)
xmlText		0..1	st	Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
reference	C	0..1	TEL	Constraints: value-starts-octothorpe
thumbnail		0..1	ED
statusCode		1..1	CS	Binding: ActStatus (required)
@code		1..1	cs	Binding: ProcedureAct statusCode (required)
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
effectiveTime	C	1..1	USRealmDateTimeInterval	𝗨𝗦𝗖𝗗𝗜: Performance Time Constraints: should-value, ts-value-before-document
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	ts	Indicates historical procedure or an instance of a procedure where precision may be only a date or even a year. Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@operator		0..1	cs	Binding: CDASetOperator (required)
low	C	0..1	IVXB_TS	Indicates when a procedure started Constraints: ts-shall-day, ts-should-minute, ts-value-before-document
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	ts	Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@inclusive		0..1	bl
center		0..1	TS
width		0..1	PQ
high	C	0..1	IVXB_TS	Indicates when a procedure ended. If the statusCode='active', this must be after the ClinicalDcument/effectiveTime Constraints: ts-shall-day, ts-should-minute
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	ts	Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@inclusive		0..1	bl
priorityCode		0..1	CE	Binding: ActPriority (required)
languageCode		0..1	CS	Binding: AllLanguages (required)
methodCode		0..1	CE	MethodCode **SHALL NOT** conflict with the method inherent in Procedure / code (CONF:4515-7890).
approachSiteCode		0..*	CD
targetSiteCode		0..*	CD	In the case of an implanted medical device, targetSiteCode is used to record the location of the device, in or on the patient's body. Binding: Body Site Value Set (required)
subject		0..1	Subject
specimen		0..*	Specimen	This specimen is for representing specimens obtained from a procedure (CONF:4515-16842).
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: CDAParticipationType (required) Fixed Value: SPC
specimenRole	C	1..1	SpecimenRole	Constraints: should-id
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassSpecimen (required) Fixed Value: SPEC
id		0..*	II	If 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).
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
specimenPlayingEntity		0..1	PlayingEntity
performer		0..*	Performer2
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ParticipationPhysicalPerformer (required) Fixed Value: PRF
sdtcFunctionCode		0..1	CE	XML Namespace: urn:hl7-org:sdtc XML: functionCode (urn:hl7-org:sdtc)
time		0..1	IVL_TS
modeCode		0..1	CE
assignedEntity	C	1..1	AssignedEntity	Constraints: should-assignedPerson, should-representedOrganization
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED
id		1..*	II
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code		0..1	CE	Binding: CDARoleCode (example)
addr		1..*	USRealmAddress
telecom		1..*	TEL
assignedPerson		0..1	Person
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassLivingSubject (required) Fixed Value: PSN
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
name		1..*	USRealmPersonNamePNUSFIELDED
sdtcDesc		0..1	ED	XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship		0..*	InfrastructureRoot	XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs	Fixed Value: PRS
@determinerCode		0..1	cs	Fixed Value: INSTANCE
code		1..1	CE	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
representedOrganization	C	0..1	Organization	Constraints: should-id
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassOrganization (required) Fixed Value: ORG
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
id		0..*	II
name		0..*	ON
telecom		1..*	TEL
addr		1..*	USRealmAddress
standardIndustryClassCode		0..1	CE	Binding: OrganizationIndustryClassNAICS (example)
asOrganizationPartOf		0..1	OrganizationPartOf
sdtcPatient		0..1	Base	XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc)
id		1..1	II	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
author		0..*	AuthorParticipation
informant		0..*	Informant
Slices for participant		0..*	Participant2	Slice: Unordered, Open by value:typeCode
participant:productInstance		0..*	Participant2	participant
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: CDAParticipationType (required) Fixed Value: DEV
@contextControlCode		0..1	cs	Binding: CDAContextControl (required) Fixed Value: OP
sdtcFunctionCode		0..1	CE	XML Namespace: urn:hl7-org:sdtc XML: functionCode (urn:hl7-org:sdtc)
time		0..1	IVL_TS
awarenessCode		0..1	CE
participantRole		1..1	ProductInstance
participant:serviceDeliveryLocation		0..*	Participant2	participant
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: CDAParticipationType (required) Fixed Value: LOC
@contextControlCode		0..1	cs	Binding: CDAContextControl (required) Fixed Value: OP
sdtcFunctionCode		0..1	CE	XML Namespace: urn:hl7-org:sdtc XML: functionCode (urn:hl7-org:sdtc)
time		0..1	IVL_TS
awarenessCode		0..1	CE
participantRole		1..1	ServiceDeliveryLocation
Slices for entryRelationship		0..*	EntryRelationship	Slice: Unordered, Open by profile:act, profile:observation, profile:substanceAdministration, exists:encounter
entryRelationship:encounter		0..*	EntryRelationship	entryRelationship
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: COMP
@inversionInd		1..1	bl	Fixed Value: true
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act		0..1	Act
encounter		1..1	Encounter
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs	Binding: CDAActClass (required) Fixed Value: ENC
@moodCode		1..1	cs	Binding: XDocumentEncounterMood (2.0.0) (required) Fixed Value: EVN
id		1..1	II	Set the encounter ID to the ID of an encounter in another section to signify they are the same encounter (CONF:4515-16843).
code		0..1	CD	Binding: ActEncounterCode (example)
text		0..1	ED
statusCode		0..1	CS	Binding: ActStatus (required)
effectiveTime		0..1	IVL_TS
sdtcDischargeDispositionCode		0..1	CE	XML Namespace: urn:hl7-org:sdtc XML: dischargeDispositionCode (urn:hl7-org:sdtc)
priorityCode		0..1	CE	Binding: ActPriority (example)
subject		0..1	Subject
specimen		0..*	Specimen
performer		0..*	Performer2
author		0..*	Author
informant		0..*	Informant
participant		0..*	Participant2
entryRelationship		0..*	EntryRelationship
reference		0..*	Reference
precondition		0..*	Precondition
sdtcPrecondition2		0..*	Precondition2	XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc)
sdtcInFulfillmentOf1		0..*	InFulfillmentOf1	XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc)
observation		0..1	Observation
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
entryRelationship:instruction		0..1	EntryRelationship	entryRelationship
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: SUBJ
@inversionInd		1..1	bl	Fixed Value: true
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act		0..1	Act
observation		1..1	InstructionObservation
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
entryRelationship:indication		0..*	EntryRelationship	entryRelationship
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: RSON
@inversionInd		0..1	bl
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act		0..1	Act
observation		1..1	Indication
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
entryRelationship:medication		0..*	EntryRelationship	entryRelationship
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: COMP
@inversionInd		0..1	bl
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act		0..1	Act
observation		0..1	Observation
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		1..1	MedicationActivity
supply		0..1	Supply
entryRelationship:reaction		0..*	EntryRelationship	entryRelationship
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: COMP
@inversionInd		0..1	bl
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act		0..1	Act
observation		1..1	ReactionObservation
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
entryRelationship:assessmentScaleObs		0..*	EntryRelationship	When 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.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: RSON
@inversionInd		0..1	bl
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act		0..1	Act
observation		1..1	AssessmentScaleObservation
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
entryRelationship:entryReference		0..*	EntryRelationship	When 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.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: RSON
@inversionInd		0..1	bl
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act		1..1	EntryReference
observation		0..1	Observation
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
reference		0..*	Reference
precondition		0..*	Precondition
sdtcPrecondition2		0..*	Precondition2	XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc)
sdtcInFulfillmentOf1		0..*	InFulfillmentOf1	XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Procedure.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.templateId:procedure.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.classCode	required	Fixed Value: PROC http://terminology.hl7.org/ValueSet/v3-ActClassProcedure
Procedure.moodCode	required	Fixed Value: EVN http://terminology.hl7.org/ValueSet/v3-xDocumentProcedureMood
Procedure.code	preferred	USCoreProcedureCodes http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code
Procedure.code.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.code.originalText.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.code.originalText.compression	required	CDACompressionAlgorithm http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
Procedure.code.originalText.integrityCheckAlgorithm	required	IntegrityCheckAlgorithm http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
Procedure.code.originalText.mediaType	example	MediaType http://terminology.hl7.org/ValueSet/v3-MediaType
Procedure.code.originalText.representation	required	BinaryDataEncoding http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
Procedure.text.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.text.compression	required	CDACompressionAlgorithm http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
Procedure.text.integrityCheckAlgorithm	required	IntegrityCheckAlgorithm http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
Procedure.text.mediaType	example	MediaType http://terminology.hl7.org/ValueSet/v3-MediaType
Procedure.text.representation	required	BinaryDataEncoding http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
Procedure.statusCode	required	ActStatus http://terminology.hl7.org/ValueSet/v3-ActStatus
Procedure.statusCode.code	required	ProcedureActStatusCode http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.22 From https://vsac.nlm.nih.gov
Procedure.effectiveTime.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.effectiveTime.operator	required	CDASetOperator http://hl7.org/cda/stds/core/ValueSet/CDASetOperator
Procedure.effectiveTime.low.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.effectiveTime.high.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.priorityCode	required	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority
Procedure.languageCode	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages From the FHIR Standard
Procedure.targetSiteCode	required	BodySiteValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.9 From https://vsac.nlm.nih.gov
Procedure.specimen.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.specimen.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.specimen.typeCode	required	Fixed Value: SPC http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
Procedure.specimen.specimenRole.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.specimen.specimenRole.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.specimen.specimenRole.classCode	required	Fixed Value: SPEC http://terminology.hl7.org/ValueSet/v3-RoleClassSpecimen
Procedure.performer.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.typeCode	required	Fixed Value: PRF http://terminology.hl7.org/ValueSet/v3-ParticipationPhysicalPerformer
Procedure.performer.assignedEntity.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.classCode	required	Fixed Value: ASSIGNED http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
Procedure.performer.assignedEntity.code	example	CDARoleCode http://hl7.org/cda/stds/core/ValueSet/CDARoleCode
Procedure.performer.assignedEntity.assignedPerson.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.assignedPerson.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.assignedPerson.classCode	required	Fixed Value: PSN http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
Procedure.performer.assignedEntity.assignedPerson.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.representedOrganization.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.representedOrganization.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.representedOrganization.classCode	required	Fixed Value: ORG http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization
Procedure.performer.assignedEntity.representedOrganization.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
Procedure.performer.assignedEntity.representedOrganization.standardIndustryClassCode	example	OrganizationIndustryClassNAICS http://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS
Procedure.participant:productInstance.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.participant:productInstance.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.participant:productInstance.typeCode	required	Fixed Value: DEV http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
Procedure.participant:productInstance.contextControlCode	required	Fixed Value: OP http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
Procedure.participant:serviceDeliveryLocation.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.participant:serviceDeliveryLocation.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.participant:serviceDeliveryLocation.typeCode	required	Fixed Value: LOC http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
Procedure.participant:serviceDeliveryLocation.contextControlCode	required	Fixed Value: OP http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
Procedure.entryRelationship:encounter.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:encounter.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:encounter.typeCode	required	Fixed Value: COMP http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:encounter.encounter.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:encounter.encounter.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:encounter.encounter.classCode	required	Fixed Value: ENC http://hl7.org/cda/stds/core/ValueSet/CDAActClass
Procedure.entryRelationship:encounter.encounter.moodCode	required	Fixed Value: EVN http://terminology.hl7.org/ValueSet/v3-xDocumentEncounterMood|2.0.0
Procedure.entryRelationship:encounter.encounter.code	example	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Procedure.entryRelationship:encounter.encounter.statusCode	required	ActStatus http://terminology.hl7.org/ValueSet/v3-ActStatus
Procedure.entryRelationship:encounter.encounter.priorityCode	example	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority
Procedure.entryRelationship:instruction.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:instruction.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:instruction.typeCode	required	Fixed Value: SUBJ http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:indication.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:indication.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:indication.typeCode	required	Fixed Value: RSON http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:medication.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:medication.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:medication.typeCode	required	Fixed Value: COMP http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:reaction.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:reaction.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:reaction.typeCode	required	Fixed Value: COMP http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:assessmentScaleObs.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:assessmentScaleObs.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:assessmentScaleObs.typeCode	required	Fixed Value: RSON http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:entryReference.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:entryReference.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:entryReference.typeCode	required	Fixed Value: RSON http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship

Constraints

Id	Grade	Path(s)	Details	Requirements
II-1	error	Procedure.typeId, Procedure.specimen.typeId, Procedure.specimen.specimenRole.typeId, Procedure.performer.typeId, Procedure.performer.assignedEntity.typeId, Procedure.performer.assignedEntity.assignedPerson.typeId, Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, Procedure.performer.assignedEntity.representedOrganization.typeId, Procedure.participant:productInstance.typeId, Procedure.participant:serviceDeliveryLocation.typeId, Procedure.entryRelationship:encounter.typeId, Procedure.entryRelationship:encounter.encounter.typeId, Procedure.entryRelationship:instruction.typeId, Procedure.entryRelationship:indication.typeId, Procedure.entryRelationship:medication.typeId, Procedure.entryRelationship:reaction.typeId, Procedure.entryRelationship:assessmentScaleObs.typeId, Procedure.entryRelationship:entryReference.typeId	An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists()
active-high-ts-after-document	error	Procedure	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-assignedPerson	warning	Procedure.performer.assignedEntity	SHOULD contain assignedPerson : assignedPerson.exists()
should-author	warning	Procedure	SHOULD contain author : author.exists()
should-id	warning	Procedure.specimen.specimenRole, Procedure.performer.assignedEntity.representedOrganization	SHOULD contain id : id.exists()
should-otext-ref-value	warning	Procedure.code	SHOULD contain originalText/reference/@value : originalText.reference.value.exists()
should-performer	warning	Procedure	SHOULD contain performer : performer.exists()
should-representedOrganization	warning	Procedure.performer.assignedEntity	SHOULD contain representedOrganization : representedOrganization.exists()
should-targetSiteCode	warning	Procedure	SHOULD contain targetSiteCode : targetSiteCode.exists()
should-text-ref-value	warning	Procedure	SHOULD contain text/reference/@value : text.reference.value.exists()
should-value	warning	Procedure.effectiveTime	SHOULD contain value : value.exists()
ts-shall-day	error	Procedure.effectiveTime.low, Procedure.effectiveTime.high	**SHALL** be precise to at least the day : nullFlavor.exists() or value.toString().length() >= 10
ts-should-minute	warning	Procedure.effectiveTime.low, Procedure.effectiveTime.high	**SHOULD** be precise to at least the minute : nullFlavor.exists() or value.toString().length() > 10
ts-value-before-document	error	Procedure.effectiveTime, Procedure.effectiveTime.low	Time value must be equal to or before ClinicalDocument/effectiveTime : value.exists() implies value <= %resource.effectiveTime.value
value-starts-octothorpe	error	Procedure.code.originalText.reference, Procedure.text.reference	If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#')

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure	C	1..1	Procedure	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, sdtcCategory, code, @negationInd, text, statusCode, effectiveTime, priorityCode, languageCode, methodCode, approachSiteCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, sdtcInFulfillmentOf1 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: should-text-ref-value, active-high-ts-after-document, should-targetSiteCode, should-performer, should-author
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
Slices for templateId		1..*	II	Slice: Unordered, Open by value:root, value:extension
templateId:procedure		1..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.4.14
@extension		1..1	st	Required Pattern: 2024-05-01
@classCode		1..1	cs	Binding: ActClassProcedure (required) Fixed Value: PROC
@moodCode		1..1	cs	Binding: x_DocumentProcedureMood (required) Fixed Value: EVN
id		1..*	II
sdtcCategory		0..*	CD	XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc)
code	C	1..1	CD	𝗨𝗦𝗖𝗗𝗜: SDOH Interventions Binding: US Core Procedure Codes (preferred) Additional Bindings Purpose Documentation Social Determinants of Health Procedures Preferred For Social Determinant of Health Interventions Constraints: should-otext-ref-value
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@code		0..1	cs
@codeSystem		0..1	oid, uuid, ruid
@codeSystemName		0..1	st
@codeSystemVersion		0..1	st
@displayName		0..1	st
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText		0..1	ED	SHOULD reference the portion of narrative corresponding to this code
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@compression		0..1	cs	Binding: CDACompressionAlgorithm (required)
@integrityCheck		0..1	bin
@integrityCheckAlgorithm		0..1	cs	Binding: IntegrityCheckAlgorithm (2.0.0) (required)
@language		0..1	cs
@mediaType		0..1	cs	Binding: MediaType (example)
@representation		0..1	cs	Binding: CDABinaryDataEncoding (required)
xmlText		0..1	st	Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
reference	C	0..1	TEL	Constraints: value-starts-octothorpe
thumbnail		0..1	ED
qualifier		0..*	CR
translation		0..*	CD
@negationInd		0..1	bl
text		0..1	ED	SHOULD reference the portion of section narrative text corresponding to this entry
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@compression		0..1	cs	Binding: CDACompressionAlgorithm (required)
@integrityCheck		0..1	bin
@integrityCheckAlgorithm		0..1	cs	Binding: IntegrityCheckAlgorithm (2.0.0) (required)
@language		0..1	cs
@mediaType		0..1	cs	Binding: MediaType (example)
@representation		0..1	cs	Binding: CDABinaryDataEncoding (required)
xmlText		0..1	st	Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
reference	C	0..1	TEL	Constraints: value-starts-octothorpe
thumbnail		0..1	ED
statusCode		1..1	CS	Binding: ActStatus (required)
@code		1..1	cs	Binding: ProcedureAct statusCode (required)
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
effectiveTime	C	1..1	USRealmDateTimeInterval	𝗨𝗦𝗖𝗗𝗜: Performance Time Constraints: should-value, ts-value-before-document
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	ts	Indicates historical procedure or an instance of a procedure where precision may be only a date or even a year. Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@operator		0..1	cs	Binding: CDASetOperator (required)
low	C	0..1	IVXB_TS	Indicates when a procedure started Constraints: ts-shall-day, ts-should-minute, ts-value-before-document
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	ts	Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@inclusive		0..1	bl
center		0..1	TS
width		0..1	PQ
high	C	0..1	IVXB_TS	Indicates when a procedure ended. If the statusCode='active', this must be after the ClinicalDcument/effectiveTime Constraints: ts-shall-day, ts-should-minute
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	ts	Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@inclusive		0..1	bl
priorityCode		0..1	CE	Binding: ActPriority (required)
languageCode		0..1	CS	Binding: AllLanguages (required)
methodCode		0..1	CE	MethodCode **SHALL NOT** conflict with the method inherent in Procedure / code (CONF:4515-7890).
approachSiteCode		0..*	CD
targetSiteCode		0..*	CD	In the case of an implanted medical device, targetSiteCode is used to record the location of the device, in or on the patient's body. Binding: Body Site Value Set (required)
subject		0..1	Subject
specimen		0..*	Specimen	This specimen is for representing specimens obtained from a procedure (CONF:4515-16842).
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: CDAParticipationType (required) Fixed Value: SPC
specimenRole	C	1..1	SpecimenRole	Constraints: should-id
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassSpecimen (required) Fixed Value: SPEC
id		0..*	II	If 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).
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
specimenPlayingEntity		0..1	PlayingEntity
performer		0..*	Performer2
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ParticipationPhysicalPerformer (required) Fixed Value: PRF
sdtcFunctionCode		0..1	CE	XML Namespace: urn:hl7-org:sdtc XML: functionCode (urn:hl7-org:sdtc)
time		0..1	IVL_TS
modeCode		0..1	CE
assignedEntity	C	1..1	AssignedEntity	Constraints: should-assignedPerson, should-representedOrganization
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED
id		1..*	II
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code		0..1	CE	Binding: CDARoleCode (example)
addr		1..*	USRealmAddress
telecom		1..*	TEL
assignedPerson		0..1	Person
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassLivingSubject (required) Fixed Value: PSN
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
name		1..*	USRealmPersonNamePNUSFIELDED
sdtcDesc		0..1	ED	XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship		0..*	InfrastructureRoot	XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs	Fixed Value: PRS
@determinerCode		0..1	cs	Fixed Value: INSTANCE
code		1..1	CE	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
representedOrganization	C	0..1	Organization	Constraints: should-id
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassOrganization (required) Fixed Value: ORG
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
id		0..*	II
name		0..*	ON
telecom		1..*	TEL
addr		1..*	USRealmAddress
standardIndustryClassCode		0..1	CE	Binding: OrganizationIndustryClassNAICS (example)
asOrganizationPartOf		0..1	OrganizationPartOf
sdtcPatient		0..1	Base	XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc)
id		1..1	II	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
author		0..*	AuthorParticipation
informant		0..*	Informant
Slices for participant		0..*	Participant2	Slice: Unordered, Open by value:typeCode
participant:productInstance		0..*	Participant2	participant
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: CDAParticipationType (required) Fixed Value: DEV
@contextControlCode		0..1	cs	Binding: CDAContextControl (required) Fixed Value: OP
sdtcFunctionCode		0..1	CE	XML Namespace: urn:hl7-org:sdtc XML: functionCode (urn:hl7-org:sdtc)
time		0..1	IVL_TS
awarenessCode		0..1	CE
participantRole		1..1	ProductInstance
participant:serviceDeliveryLocation		0..*	Participant2	participant
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: CDAParticipationType (required) Fixed Value: LOC
@contextControlCode		0..1	cs	Binding: CDAContextControl (required) Fixed Value: OP
sdtcFunctionCode		0..1	CE	XML Namespace: urn:hl7-org:sdtc XML: functionCode (urn:hl7-org:sdtc)
time		0..1	IVL_TS
awarenessCode		0..1	CE
participantRole		1..1	ServiceDeliveryLocation
Slices for entryRelationship		0..*	EntryRelationship	Slice: Unordered, Open by profile:act, profile:observation, profile:substanceAdministration, exists:encounter
entryRelationship:encounter		0..*	EntryRelationship	entryRelationship
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: COMP
@inversionInd		1..1	bl	Fixed Value: true
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act		0..1	Act
encounter		1..1	Encounter
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs	Binding: CDAActClass (required) Fixed Value: ENC
@moodCode		1..1	cs	Binding: XDocumentEncounterMood (2.0.0) (required) Fixed Value: EVN
id		1..1	II	Set the encounter ID to the ID of an encounter in another section to signify they are the same encounter (CONF:4515-16843).
code		0..1	CD	Binding: ActEncounterCode (example)
text		0..1	ED
statusCode		0..1	CS	Binding: ActStatus (required)
effectiveTime		0..1	IVL_TS
sdtcDischargeDispositionCode		0..1	CE	XML Namespace: urn:hl7-org:sdtc XML: dischargeDispositionCode (urn:hl7-org:sdtc)
priorityCode		0..1	CE	Binding: ActPriority (example)
subject		0..1	Subject
specimen		0..*	Specimen
performer		0..*	Performer2
author		0..*	Author
informant		0..*	Informant
participant		0..*	Participant2
entryRelationship		0..*	EntryRelationship
reference		0..*	Reference
precondition		0..*	Precondition
sdtcPrecondition2		0..*	Precondition2	XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc)
sdtcInFulfillmentOf1		0..*	InFulfillmentOf1	XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc)
observation		0..1	Observation
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
entryRelationship:instruction		0..1	EntryRelationship	entryRelationship
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: SUBJ
@inversionInd		1..1	bl	Fixed Value: true
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act		0..1	Act
observation		1..1	InstructionObservation
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
entryRelationship:indication		0..*	EntryRelationship	entryRelationship
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: RSON
@inversionInd		0..1	bl
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act		0..1	Act
observation		1..1	Indication
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
entryRelationship:medication		0..*	EntryRelationship	entryRelationship
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: COMP
@inversionInd		0..1	bl
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act		0..1	Act
observation		0..1	Observation
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		1..1	MedicationActivity
supply		0..1	Supply
entryRelationship:reaction		0..*	EntryRelationship	entryRelationship
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: COMP
@inversionInd		0..1	bl
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act		0..1	Act
observation		1..1	ReactionObservation
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
entryRelationship:assessmentScaleObs		0..*	EntryRelationship	When 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.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: RSON
@inversionInd		0..1	bl
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act		0..1	Act
observation		1..1	AssessmentScaleObservation
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
entryRelationship:entryReference		0..*	EntryRelationship	When 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.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: RSON
@inversionInd		0..1	bl
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act		1..1	EntryReference
observation		0..1	Observation
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
reference		0..*	Reference
precondition		0..*	Precondition
sdtcPrecondition2		0..*	Precondition2	XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc)
sdtcInFulfillmentOf1		0..*	InFulfillmentOf1	XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Procedure.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.templateId:procedure.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.classCode	required	Fixed Value: PROC http://terminology.hl7.org/ValueSet/v3-ActClassProcedure
Procedure.moodCode	required	Fixed Value: EVN http://terminology.hl7.org/ValueSet/v3-xDocumentProcedureMood
Procedure.code	preferred	USCoreProcedureCodes http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code
Procedure.code.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.code.originalText.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.code.originalText.compression	required	CDACompressionAlgorithm http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
Procedure.code.originalText.integrityCheckAlgorithm	required	IntegrityCheckAlgorithm http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
Procedure.code.originalText.mediaType	example	MediaType http://terminology.hl7.org/ValueSet/v3-MediaType
Procedure.code.originalText.representation	required	BinaryDataEncoding http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
Procedure.text.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.text.compression	required	CDACompressionAlgorithm http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
Procedure.text.integrityCheckAlgorithm	required	IntegrityCheckAlgorithm http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
Procedure.text.mediaType	example	MediaType http://terminology.hl7.org/ValueSet/v3-MediaType
Procedure.text.representation	required	BinaryDataEncoding http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
Procedure.statusCode	required	ActStatus http://terminology.hl7.org/ValueSet/v3-ActStatus
Procedure.statusCode.code	required	ProcedureActStatusCode http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.22 From https://vsac.nlm.nih.gov
Procedure.effectiveTime.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.effectiveTime.operator	required	CDASetOperator http://hl7.org/cda/stds/core/ValueSet/CDASetOperator
Procedure.effectiveTime.low.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.effectiveTime.high.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.priorityCode	required	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority
Procedure.languageCode	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages From the FHIR Standard
Procedure.targetSiteCode	required	BodySiteValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.9 From https://vsac.nlm.nih.gov
Procedure.specimen.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.specimen.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.specimen.typeCode	required	Fixed Value: SPC http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
Procedure.specimen.specimenRole.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.specimen.specimenRole.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.specimen.specimenRole.classCode	required	Fixed Value: SPEC http://terminology.hl7.org/ValueSet/v3-RoleClassSpecimen
Procedure.performer.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.typeCode	required	Fixed Value: PRF http://terminology.hl7.org/ValueSet/v3-ParticipationPhysicalPerformer
Procedure.performer.assignedEntity.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.classCode	required	Fixed Value: ASSIGNED http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
Procedure.performer.assignedEntity.code	example	CDARoleCode http://hl7.org/cda/stds/core/ValueSet/CDARoleCode
Procedure.performer.assignedEntity.assignedPerson.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.assignedPerson.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.assignedPerson.classCode	required	Fixed Value: PSN http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
Procedure.performer.assignedEntity.assignedPerson.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.representedOrganization.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.representedOrganization.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.representedOrganization.classCode	required	Fixed Value: ORG http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization
Procedure.performer.assignedEntity.representedOrganization.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
Procedure.performer.assignedEntity.representedOrganization.standardIndustryClassCode	example	OrganizationIndustryClassNAICS http://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS
Procedure.participant:productInstance.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.participant:productInstance.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.participant:productInstance.typeCode	required	Fixed Value: DEV http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
Procedure.participant:productInstance.contextControlCode	required	Fixed Value: OP http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
Procedure.participant:serviceDeliveryLocation.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.participant:serviceDeliveryLocation.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.participant:serviceDeliveryLocation.typeCode	required	Fixed Value: LOC http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
Procedure.participant:serviceDeliveryLocation.contextControlCode	required	Fixed Value: OP http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
Procedure.entryRelationship:encounter.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:encounter.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:encounter.typeCode	required	Fixed Value: COMP http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:encounter.encounter.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:encounter.encounter.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:encounter.encounter.classCode	required	Fixed Value: ENC http://hl7.org/cda/stds/core/ValueSet/CDAActClass
Procedure.entryRelationship:encounter.encounter.moodCode	required	Fixed Value: EVN http://terminology.hl7.org/ValueSet/v3-xDocumentEncounterMood|2.0.0
Procedure.entryRelationship:encounter.encounter.code	example	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Procedure.entryRelationship:encounter.encounter.statusCode	required	ActStatus http://terminology.hl7.org/ValueSet/v3-ActStatus
Procedure.entryRelationship:encounter.encounter.priorityCode	example	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority
Procedure.entryRelationship:instruction.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:instruction.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:instruction.typeCode	required	Fixed Value: SUBJ http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:indication.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:indication.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:indication.typeCode	required	Fixed Value: RSON http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:medication.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:medication.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:medication.typeCode	required	Fixed Value: COMP http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:reaction.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:reaction.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:reaction.typeCode	required	Fixed Value: COMP http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:assessmentScaleObs.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:assessmentScaleObs.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:assessmentScaleObs.typeCode	required	Fixed Value: RSON http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:entryReference.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:entryReference.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:entryReference.typeCode	required	Fixed Value: RSON http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship

Constraints

Id	Grade	Path(s)	Details	Requirements
II-1	error	Procedure.typeId, Procedure.specimen.typeId, Procedure.specimen.specimenRole.typeId, Procedure.performer.typeId, Procedure.performer.assignedEntity.typeId, Procedure.performer.assignedEntity.assignedPerson.typeId, Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, Procedure.performer.assignedEntity.representedOrganization.typeId, Procedure.participant:productInstance.typeId, Procedure.participant:serviceDeliveryLocation.typeId, Procedure.entryRelationship:encounter.typeId, Procedure.entryRelationship:encounter.encounter.typeId, Procedure.entryRelationship:instruction.typeId, Procedure.entryRelationship:indication.typeId, Procedure.entryRelationship:medication.typeId, Procedure.entryRelationship:reaction.typeId, Procedure.entryRelationship:assessmentScaleObs.typeId, Procedure.entryRelationship:entryReference.typeId	An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists()
active-high-ts-after-document	error	Procedure	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-assignedPerson	warning	Procedure.performer.assignedEntity	SHOULD contain assignedPerson : assignedPerson.exists()
should-author	warning	Procedure	SHOULD contain author : author.exists()
should-id	warning	Procedure.specimen.specimenRole, Procedure.performer.assignedEntity.representedOrganization	SHOULD contain id : id.exists()
should-otext-ref-value	warning	Procedure.code	SHOULD contain originalText/reference/@value : originalText.reference.value.exists()
should-performer	warning	Procedure	SHOULD contain performer : performer.exists()
should-representedOrganization	warning	Procedure.performer.assignedEntity	SHOULD contain representedOrganization : representedOrganization.exists()
should-targetSiteCode	warning	Procedure	SHOULD contain targetSiteCode : targetSiteCode.exists()
should-text-ref-value	warning	Procedure	SHOULD contain text/reference/@value : text.reference.value.exists()
should-value	warning	Procedure.effectiveTime	SHOULD contain value : value.exists()
ts-shall-day	error	Procedure.effectiveTime.low, Procedure.effectiveTime.high	**SHALL** be precise to at least the day : nullFlavor.exists() or value.toString().length() >= 10
ts-should-minute	warning	Procedure.effectiveTime.low, Procedure.effectiveTime.high	**SHOULD** be precise to at least the minute : nullFlavor.exists() or value.toString().length() > 10
ts-value-before-document	error	Procedure.effectiveTime, Procedure.effectiveTime.low	Time value must be equal to or before ClinicalDocument/effectiveTime : value.exists() implies value <= %resource.effectiveTime.value
value-starts-octothorpe	error	Procedure.code.originalText.reference, Procedure.text.reference	If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#')

This structure is derived from Procedure

Summary

Mandatory: 9 elements(15 nested mandatory elements)
Fixed: 13 elements
Prohibited: 7 elements

Structures

This structure refers to these other structures:

• US Realm Date and Time - Interval (http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateTimeInterval)
• US Realm Address (http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress)
• US Realm Person Name (PN.US.FIELDED) (http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPersonNamePNUSFIELDED)
• Author Participation (http://hl7.org/cda/us/ccda/StructureDefinition/AuthorParticipation)
• Product Instance (http://hl7.org/cda/us/ccda/StructureDefinition/ProductInstance)
• Service Delivery Location (http://hl7.org/cda/us/ccda/StructureDefinition/ServiceDeliveryLocation)
• Instruction Observation (http://hl7.org/cda/us/ccda/StructureDefinition/InstructionObservation)
• Indication (http://hl7.org/cda/us/ccda/StructureDefinition/Indication)
• Medication Activity (http://hl7.org/cda/us/ccda/StructureDefinition/MedicationActivity)
• Reaction Observation (http://hl7.org/cda/us/ccda/StructureDefinition/ReactionObservation)
• Assessment Scale Observation (http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentScaleObservation)
• Entry Reference (http://hl7.org/cda/us/ccda/StructureDefinition/EntryReference)

Slices

This structure defines the following Slices:

• The element 2 is sliced based on the values of Procedure.templateId
• The element 1 is sliced based on the value of Procedure.participant
• The element 4 is sliced based on the values of Procedure.entryRelationship

Differential View

This structure is derived from Procedure

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure	C	1..1	Procedure	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, sdtcCategory, code, @negationInd, text, statusCode, effectiveTime, priorityCode, languageCode, methodCode, approachSiteCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, sdtcInFulfillmentOf1 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: should-text-ref-value, active-high-ts-after-document, should-targetSiteCode, should-performer, should-author
Slices for templateId		1..*	II	Slice: Unordered, Open by value:root, value:extension
templateId:procedure		1..1	II
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.4.14
@extension		1..1	st	Required Pattern: 2024-05-01
@classCode		1..1	cs
@moodCode		1..1	cs	Fixed Value: EVN
id		1..*	II
code	C	1..1	CD	𝗨𝗦𝗖𝗗𝗜: SDOH Interventions Binding: US Core Procedure Codes (preferred) Additional Bindings Purpose Documentation Social Determinants of Health Procedures Preferred For Social Determinant of Health Interventions Constraints: should-otext-ref-value
originalText		0..1	ED	SHOULD reference the portion of narrative corresponding to this code
reference	C	0..1	TEL	Constraints: value-starts-octothorpe
text		0..1	ED	SHOULD reference the portion of section narrative text corresponding to this entry
reference	C	0..1	TEL	Constraints: value-starts-octothorpe
statusCode		1..1	CS
@nullFlavor		0..0
@code		1..1	cs	Binding: ProcedureAct statusCode (required)
effectiveTime	C	1..1	USRealmDateTimeInterval	𝗨𝗦𝗖𝗗𝗜: Performance Time Constraints: should-value, ts-value-before-document
@value		0..1	ts	Indicates historical procedure or an instance of a procedure where precision may be only a date or even a year.
low	C	0..1	IVXB_TS	Indicates when a procedure started Constraints: ts-value-before-document
high		0..1	IVXB_TS	Indicates when a procedure ended. If the statusCode='active', this must be after the ClinicalDcument/effectiveTime
priorityCode		0..1	CE	Binding: ActPriority (required)
methodCode		0..1	CE	MethodCode **SHALL NOT** conflict with the method inherent in Procedure / code (CONF:4515-7890).
targetSiteCode		0..*	CD	In the case of an implanted medical device, targetSiteCode is used to record the location of the device, in or on the patient's body. Binding: Body Site Value Set (required)
specimen		0..*	Specimen	This specimen is for representing specimens obtained from a procedure (CONF:4515-16842).
specimenRole	C	1..1	SpecimenRole	Constraints: should-id
id		0..*	II	If 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).
performer		0..*	Performer2
assignedEntity	C	1..1	AssignedEntity	Constraints: should-assignedPerson, should-representedOrganization
id		1..*	II
addr		1..*	USRealmAddress
telecom		1..*	TEL
assignedPerson		0..1	Person
name		1..*	USRealmPersonNamePNUSFIELDED
representedOrganization	C	0..1	Organization	Constraints: should-id
id		0..*	II
name		0..*	ON
telecom		1..*	TEL
addr		1..*	USRealmAddress
author		0..*	AuthorParticipation
Slices for participant		0..*	Participant2	Slice: Unordered, Open by value:typeCode
participant:productInstance		0..*	Participant2	participant
@typeCode		1..1	cs	Fixed Value: DEV
participantRole		1..1	ProductInstance
participant:serviceDeliveryLocation		0..*	Participant2	participant
@typeCode		1..1	cs	Fixed Value: LOC
participantRole		1..1	ServiceDeliveryLocation
Slices for entryRelationship		0..*	EntryRelationship	Slice: Unordered, Open by profile:act, profile:observation, profile:substanceAdministration, exists:encounter
entryRelationship:encounter		0..*	EntryRelationship	entryRelationship
@typeCode		1..1	cs	Fixed Value: COMP
@inversionInd		1..1	bl	Fixed Value: true
encounter		1..1	Encounter
@classCode		1..1	cs
@moodCode		1..1	cs	Fixed Value: EVN
id		1..1	II	Set the encounter ID to the ID of an encounter in another section to signify they are the same encounter (CONF:4515-16843).
entryRelationship:instruction		0..1	EntryRelationship	entryRelationship
@typeCode		1..1	cs	Fixed Value: SUBJ
@inversionInd		1..1	bl	Fixed Value: true
encounter		0..0
observation		1..1	InstructionObservation
entryRelationship:indication		0..*	EntryRelationship	entryRelationship
@typeCode		1..1	cs	Fixed Value: RSON
encounter		0..0
observation		1..1	Indication
entryRelationship:medication		0..*	EntryRelationship	entryRelationship
@typeCode		1..1	cs	Fixed Value: COMP
encounter		0..0
substanceAdministration		1..1	MedicationActivity
entryRelationship:reaction		0..*	EntryRelationship	entryRelationship
@typeCode		1..1	cs	Fixed Value: COMP
encounter		0..0
observation		1..1	ReactionObservation
entryRelationship:assessmentScaleObs		0..*	EntryRelationship	When 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.
@typeCode		1..1	cs	Fixed Value: RSON
encounter		0..0
observation		1..1	AssessmentScaleObservation
entryRelationship:entryReference		0..*	EntryRelationship	When 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.
@typeCode		1..1	cs	Fixed Value: RSON
act		1..1	EntryReference
encounter		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Procedure.code	preferred	USCoreProcedureCodes http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code
Procedure.statusCode.code	required	ProcedureActStatusCode http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.22 From https://vsac.nlm.nih.gov
Procedure.priorityCode	required	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority
Procedure.targetSiteCode	required	BodySiteValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.9 From https://vsac.nlm.nih.gov

Constraints

Id	Grade	Path(s)	Details	Requirements
active-high-ts-after-document	error	Procedure	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-assignedPerson	warning	Procedure.performer.assignedEntity	SHOULD contain assignedPerson : assignedPerson.exists()
should-author	warning	Procedure	SHOULD contain author : author.exists()
should-id	warning	Procedure.specimen.specimenRole, Procedure.performer.assignedEntity.representedOrganization	SHOULD contain id : id.exists()
should-otext-ref-value	warning	Procedure.code	SHOULD contain originalText/reference/@value : originalText.reference.value.exists()
should-performer	warning	Procedure	SHOULD contain performer : performer.exists()
should-representedOrganization	warning	Procedure.performer.assignedEntity	SHOULD contain representedOrganization : representedOrganization.exists()
should-targetSiteCode	warning	Procedure	SHOULD contain targetSiteCode : targetSiteCode.exists()
should-text-ref-value	warning	Procedure	SHOULD contain text/reference/@value : text.reference.value.exists()
should-value	warning	Procedure.effectiveTime	SHOULD contain value : value.exists()
ts-value-before-document	error	Procedure.effectiveTime, Procedure.effectiveTime.low	Time value must be equal to or before ClinicalDocument/effectiveTime : value.exists() implies value <= %resource.effectiveTime.value
value-starts-octothorpe	error	Procedure.code.originalText.reference, Procedure.text.reference	If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#')

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure	C	1..1	Procedure	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, sdtcCategory, code, @negationInd, text, statusCode, effectiveTime, priorityCode, languageCode, methodCode, approachSiteCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, sdtcInFulfillmentOf1 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: should-text-ref-value, active-high-ts-after-document, should-targetSiteCode, should-performer, should-author
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
Slices for templateId		1..*	II	Slice: Unordered, Open by value:root, value:extension
templateId:procedure		1..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.4.14
@extension		1..1	st	Required Pattern: 2024-05-01
@classCode		1..1	cs	Binding: ActClassProcedure (required) Fixed Value: PROC
@moodCode		1..1	cs	Binding: x_DocumentProcedureMood (required) Fixed Value: EVN
id		1..*	II
sdtcCategory		0..*	CD	XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc)
code	C	1..1	CD	𝗨𝗦𝗖𝗗𝗜: SDOH Interventions Binding: US Core Procedure Codes (preferred) Additional Bindings Purpose Documentation Social Determinants of Health Procedures Preferred For Social Determinant of Health Interventions Constraints: should-otext-ref-value
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@code		0..1	cs
@codeSystem		0..1	oid, uuid, ruid
@codeSystemName		0..1	st
@codeSystemVersion		0..1	st
@displayName		0..1	st
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText		0..1	ED	SHOULD reference the portion of narrative corresponding to this code
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@compression		0..1	cs	Binding: CDACompressionAlgorithm (required)
@integrityCheck		0..1	bin
@integrityCheckAlgorithm		0..1	cs	Binding: IntegrityCheckAlgorithm (2.0.0) (required)
@language		0..1	cs
@mediaType		0..1	cs	Binding: MediaType (example)
@representation		0..1	cs	Binding: CDABinaryDataEncoding (required)
xmlText		0..1	st	Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
reference	C	0..1	TEL	Constraints: value-starts-octothorpe
thumbnail		0..1	ED
qualifier		0..*	CR
translation		0..*	CD
@negationInd		0..1	bl
text		0..1	ED	SHOULD reference the portion of section narrative text corresponding to this entry
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@compression		0..1	cs	Binding: CDACompressionAlgorithm (required)
@integrityCheck		0..1	bin
@integrityCheckAlgorithm		0..1	cs	Binding: IntegrityCheckAlgorithm (2.0.0) (required)
@language		0..1	cs
@mediaType		0..1	cs	Binding: MediaType (example)
@representation		0..1	cs	Binding: CDABinaryDataEncoding (required)
xmlText		0..1	st	Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
reference	C	0..1	TEL	Constraints: value-starts-octothorpe
thumbnail		0..1	ED
statusCode		1..1	CS	Binding: ActStatus (required)
@code		1..1	cs	Binding: ProcedureAct statusCode (required)
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
effectiveTime	C	1..1	USRealmDateTimeInterval	𝗨𝗦𝗖𝗗𝗜: Performance Time Constraints: should-value, ts-value-before-document
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	ts	Indicates historical procedure or an instance of a procedure where precision may be only a date or even a year. Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@operator		0..1	cs	Binding: CDASetOperator (required)
low	C	0..1	IVXB_TS	Indicates when a procedure started Constraints: ts-shall-day, ts-should-minute, ts-value-before-document
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	ts	Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@inclusive		0..1	bl
center		0..1	TS
width		0..1	PQ
high	C	0..1	IVXB_TS	Indicates when a procedure ended. If the statusCode='active', this must be after the ClinicalDcument/effectiveTime Constraints: ts-shall-day, ts-should-minute
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	ts	Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@inclusive		0..1	bl
priorityCode		0..1	CE	Binding: ActPriority (required)
languageCode		0..1	CS	Binding: AllLanguages (required)
methodCode		0..1	CE	MethodCode **SHALL NOT** conflict with the method inherent in Procedure / code (CONF:4515-7890).
approachSiteCode		0..*	CD
targetSiteCode		0..*	CD	In the case of an implanted medical device, targetSiteCode is used to record the location of the device, in or on the patient's body. Binding: Body Site Value Set (required)
subject		0..1	Subject
specimen		0..*	Specimen	This specimen is for representing specimens obtained from a procedure (CONF:4515-16842).
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: CDAParticipationType (required) Fixed Value: SPC
specimenRole	C	1..1	SpecimenRole	Constraints: should-id
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassSpecimen (required) Fixed Value: SPEC
id		0..*	II	If 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).
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
specimenPlayingEntity		0..1	PlayingEntity
performer		0..*	Performer2
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ParticipationPhysicalPerformer (required) Fixed Value: PRF
sdtcFunctionCode		0..1	CE	XML Namespace: urn:hl7-org:sdtc XML: functionCode (urn:hl7-org:sdtc)
time		0..1	IVL_TS
modeCode		0..1	CE
assignedEntity	C	1..1	AssignedEntity	Constraints: should-assignedPerson, should-representedOrganization
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED
id		1..*	II
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code		0..1	CE	Binding: CDARoleCode (example)
addr		1..*	USRealmAddress
telecom		1..*	TEL
assignedPerson		0..1	Person
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassLivingSubject (required) Fixed Value: PSN
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
name		1..*	USRealmPersonNamePNUSFIELDED
sdtcDesc		0..1	ED	XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship		0..*	InfrastructureRoot	XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs	Fixed Value: PRS
@determinerCode		0..1	cs	Fixed Value: INSTANCE
code		1..1	CE	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
representedOrganization	C	0..1	Organization	Constraints: should-id
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassOrganization (required) Fixed Value: ORG
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
id		0..*	II
name		0..*	ON
telecom		1..*	TEL
addr		1..*	USRealmAddress
standardIndustryClassCode		0..1	CE	Binding: OrganizationIndustryClassNAICS (example)
asOrganizationPartOf		0..1	OrganizationPartOf
sdtcPatient		0..1	Base	XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc)
id		1..1	II	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
author		0..*	AuthorParticipation
informant		0..*	Informant
Slices for participant		0..*	Participant2	Slice: Unordered, Open by value:typeCode
participant:productInstance		0..*	Participant2	participant
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: CDAParticipationType (required) Fixed Value: DEV
@contextControlCode		0..1	cs	Binding: CDAContextControl (required) Fixed Value: OP
sdtcFunctionCode		0..1	CE	XML Namespace: urn:hl7-org:sdtc XML: functionCode (urn:hl7-org:sdtc)
time		0..1	IVL_TS
awarenessCode		0..1	CE
participantRole		1..1	ProductInstance
participant:serviceDeliveryLocation		0..*	Participant2	participant
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: CDAParticipationType (required) Fixed Value: LOC
@contextControlCode		0..1	cs	Binding: CDAContextControl (required) Fixed Value: OP
sdtcFunctionCode		0..1	CE	XML Namespace: urn:hl7-org:sdtc XML: functionCode (urn:hl7-org:sdtc)
time		0..1	IVL_TS
awarenessCode		0..1	CE
participantRole		1..1	ServiceDeliveryLocation
Slices for entryRelationship		0..*	EntryRelationship	Slice: Unordered, Open by profile:act, profile:observation, profile:substanceAdministration, exists:encounter
entryRelationship:encounter		0..*	EntryRelationship	entryRelationship
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: COMP
@inversionInd		1..1	bl	Fixed Value: true
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act		0..1	Act
encounter		1..1	Encounter
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs	Binding: CDAActClass (required) Fixed Value: ENC
@moodCode		1..1	cs	Binding: XDocumentEncounterMood (2.0.0) (required) Fixed Value: EVN
id		1..1	II	Set the encounter ID to the ID of an encounter in another section to signify they are the same encounter (CONF:4515-16843).
code		0..1	CD	Binding: ActEncounterCode (example)
text		0..1	ED
statusCode		0..1	CS	Binding: ActStatus (required)
effectiveTime		0..1	IVL_TS
sdtcDischargeDispositionCode		0..1	CE	XML Namespace: urn:hl7-org:sdtc XML: dischargeDispositionCode (urn:hl7-org:sdtc)
priorityCode		0..1	CE	Binding: ActPriority (example)
subject		0..1	Subject
specimen		0..*	Specimen
performer		0..*	Performer2
author		0..*	Author
informant		0..*	Informant
participant		0..*	Participant2
entryRelationship		0..*	EntryRelationship
reference		0..*	Reference
precondition		0..*	Precondition
sdtcPrecondition2		0..*	Precondition2	XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc)
sdtcInFulfillmentOf1		0..*	InFulfillmentOf1	XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc)
observation		0..1	Observation
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
entryRelationship:instruction		0..1	EntryRelationship	entryRelationship
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: SUBJ
@inversionInd		1..1	bl	Fixed Value: true
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act		0..1	Act
observation		1..1	InstructionObservation
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
entryRelationship:indication		0..*	EntryRelationship	entryRelationship
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: RSON
@inversionInd		0..1	bl
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act		0..1	Act
observation		1..1	Indication
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
entryRelationship:medication		0..*	EntryRelationship	entryRelationship
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: COMP
@inversionInd		0..1	bl
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act		0..1	Act
observation		0..1	Observation
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		1..1	MedicationActivity
supply		0..1	Supply
entryRelationship:reaction		0..*	EntryRelationship	entryRelationship
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: COMP
@inversionInd		0..1	bl
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act		0..1	Act
observation		1..1	ReactionObservation
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
entryRelationship:assessmentScaleObs		0..*	EntryRelationship	When 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.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: RSON
@inversionInd		0..1	bl
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act		0..1	Act
observation		1..1	AssessmentScaleObservation
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
entryRelationship:entryReference		0..*	EntryRelationship	When 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.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: RSON
@inversionInd		0..1	bl
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act		1..1	EntryReference
observation		0..1	Observation
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
reference		0..*	Reference
precondition		0..*	Precondition
sdtcPrecondition2		0..*	Precondition2	XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc)
sdtcInFulfillmentOf1		0..*	InFulfillmentOf1	XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Procedure.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.templateId:procedure.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.classCode	required	Fixed Value: PROC http://terminology.hl7.org/ValueSet/v3-ActClassProcedure
Procedure.moodCode	required	Fixed Value: EVN http://terminology.hl7.org/ValueSet/v3-xDocumentProcedureMood
Procedure.code	preferred	USCoreProcedureCodes http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code
Procedure.code.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.code.originalText.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.code.originalText.compression	required	CDACompressionAlgorithm http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
Procedure.code.originalText.integrityCheckAlgorithm	required	IntegrityCheckAlgorithm http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
Procedure.code.originalText.mediaType	example	MediaType http://terminology.hl7.org/ValueSet/v3-MediaType
Procedure.code.originalText.representation	required	BinaryDataEncoding http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
Procedure.text.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.text.compression	required	CDACompressionAlgorithm http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
Procedure.text.integrityCheckAlgorithm	required	IntegrityCheckAlgorithm http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
Procedure.text.mediaType	example	MediaType http://terminology.hl7.org/ValueSet/v3-MediaType
Procedure.text.representation	required	BinaryDataEncoding http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
Procedure.statusCode	required	ActStatus http://terminology.hl7.org/ValueSet/v3-ActStatus
Procedure.statusCode.code	required	ProcedureActStatusCode http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.22 From https://vsac.nlm.nih.gov
Procedure.effectiveTime.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.effectiveTime.operator	required	CDASetOperator http://hl7.org/cda/stds/core/ValueSet/CDASetOperator
Procedure.effectiveTime.low.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.effectiveTime.high.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.priorityCode	required	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority
Procedure.languageCode	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages From the FHIR Standard
Procedure.targetSiteCode	required	BodySiteValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.9 From https://vsac.nlm.nih.gov
Procedure.specimen.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.specimen.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.specimen.typeCode	required	Fixed Value: SPC http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
Procedure.specimen.specimenRole.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.specimen.specimenRole.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.specimen.specimenRole.classCode	required	Fixed Value: SPEC http://terminology.hl7.org/ValueSet/v3-RoleClassSpecimen
Procedure.performer.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.typeCode	required	Fixed Value: PRF http://terminology.hl7.org/ValueSet/v3-ParticipationPhysicalPerformer
Procedure.performer.assignedEntity.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.classCode	required	Fixed Value: ASSIGNED http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
Procedure.performer.assignedEntity.code	example	CDARoleCode http://hl7.org/cda/stds/core/ValueSet/CDARoleCode
Procedure.performer.assignedEntity.assignedPerson.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.assignedPerson.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.assignedPerson.classCode	required	Fixed Value: PSN http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
Procedure.performer.assignedEntity.assignedPerson.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.representedOrganization.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.representedOrganization.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.representedOrganization.classCode	required	Fixed Value: ORG http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization
Procedure.performer.assignedEntity.representedOrganization.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
Procedure.performer.assignedEntity.representedOrganization.standardIndustryClassCode	example	OrganizationIndustryClassNAICS http://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS
Procedure.participant:productInstance.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.participant:productInstance.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.participant:productInstance.typeCode	required	Fixed Value: DEV http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
Procedure.participant:productInstance.contextControlCode	required	Fixed Value: OP http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
Procedure.participant:serviceDeliveryLocation.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.participant:serviceDeliveryLocation.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.participant:serviceDeliveryLocation.typeCode	required	Fixed Value: LOC http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
Procedure.participant:serviceDeliveryLocation.contextControlCode	required	Fixed Value: OP http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
Procedure.entryRelationship:encounter.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:encounter.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:encounter.typeCode	required	Fixed Value: COMP http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:encounter.encounter.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:encounter.encounter.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:encounter.encounter.classCode	required	Fixed Value: ENC http://hl7.org/cda/stds/core/ValueSet/CDAActClass
Procedure.entryRelationship:encounter.encounter.moodCode	required	Fixed Value: EVN http://terminology.hl7.org/ValueSet/v3-xDocumentEncounterMood|2.0.0
Procedure.entryRelationship:encounter.encounter.code	example	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Procedure.entryRelationship:encounter.encounter.statusCode	required	ActStatus http://terminology.hl7.org/ValueSet/v3-ActStatus
Procedure.entryRelationship:encounter.encounter.priorityCode	example	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority
Procedure.entryRelationship:instruction.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:instruction.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:instruction.typeCode	required	Fixed Value: SUBJ http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:indication.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:indication.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:indication.typeCode	required	Fixed Value: RSON http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:medication.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:medication.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:medication.typeCode	required	Fixed Value: COMP http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:reaction.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:reaction.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:reaction.typeCode	required	Fixed Value: COMP http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:assessmentScaleObs.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:assessmentScaleObs.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:assessmentScaleObs.typeCode	required	Fixed Value: RSON http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:entryReference.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:entryReference.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:entryReference.typeCode	required	Fixed Value: RSON http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship

Constraints

Id	Grade	Path(s)	Details	Requirements
II-1	error	Procedure.typeId, Procedure.specimen.typeId, Procedure.specimen.specimenRole.typeId, Procedure.performer.typeId, Procedure.performer.assignedEntity.typeId, Procedure.performer.assignedEntity.assignedPerson.typeId, Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, Procedure.performer.assignedEntity.representedOrganization.typeId, Procedure.participant:productInstance.typeId, Procedure.participant:serviceDeliveryLocation.typeId, Procedure.entryRelationship:encounter.typeId, Procedure.entryRelationship:encounter.encounter.typeId, Procedure.entryRelationship:instruction.typeId, Procedure.entryRelationship:indication.typeId, Procedure.entryRelationship:medication.typeId, Procedure.entryRelationship:reaction.typeId, Procedure.entryRelationship:assessmentScaleObs.typeId, Procedure.entryRelationship:entryReference.typeId	An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists()
active-high-ts-after-document	error	Procedure	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-assignedPerson	warning	Procedure.performer.assignedEntity	SHOULD contain assignedPerson : assignedPerson.exists()
should-author	warning	Procedure	SHOULD contain author : author.exists()
should-id	warning	Procedure.specimen.specimenRole, Procedure.performer.assignedEntity.representedOrganization	SHOULD contain id : id.exists()
should-otext-ref-value	warning	Procedure.code	SHOULD contain originalText/reference/@value : originalText.reference.value.exists()
should-performer	warning	Procedure	SHOULD contain performer : performer.exists()
should-representedOrganization	warning	Procedure.performer.assignedEntity	SHOULD contain representedOrganization : representedOrganization.exists()
should-targetSiteCode	warning	Procedure	SHOULD contain targetSiteCode : targetSiteCode.exists()
should-text-ref-value	warning	Procedure	SHOULD contain text/reference/@value : text.reference.value.exists()
should-value	warning	Procedure.effectiveTime	SHOULD contain value : value.exists()
ts-shall-day	error	Procedure.effectiveTime.low, Procedure.effectiveTime.high	**SHALL** be precise to at least the day : nullFlavor.exists() or value.toString().length() >= 10
ts-should-minute	warning	Procedure.effectiveTime.low, Procedure.effectiveTime.high	**SHOULD** be precise to at least the minute : nullFlavor.exists() or value.toString().length() > 10
ts-value-before-document	error	Procedure.effectiveTime, Procedure.effectiveTime.low	Time value must be equal to or before ClinicalDocument/effectiveTime : value.exists() implies value <= %resource.effectiveTime.value
value-starts-octothorpe	error	Procedure.code.originalText.reference, Procedure.text.reference	If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#')

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure	C	1..1	Procedure	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, id, sdtcCategory, code, @negationInd, text, statusCode, effectiveTime, priorityCode, languageCode, methodCode, approachSiteCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, sdtcInFulfillmentOf1 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: should-text-ref-value, active-high-ts-after-document, should-targetSiteCode, should-performer, should-author
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
Slices for templateId		1..*	II	Slice: Unordered, Open by value:root, value:extension
templateId:procedure		1..1	II
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Required Pattern: 2.16.840.1.113883.10.20.22.4.14
@extension		1..1	st	Required Pattern: 2024-05-01
@classCode		1..1	cs	Binding: ActClassProcedure (required) Fixed Value: PROC
@moodCode		1..1	cs	Binding: x_DocumentProcedureMood (required) Fixed Value: EVN
id		1..*	II
sdtcCategory		0..*	CD	XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc)
code	C	1..1	CD	𝗨𝗦𝗖𝗗𝗜: SDOH Interventions Binding: US Core Procedure Codes (preferred) Additional Bindings Purpose Documentation Social Determinants of Health Procedures Preferred For Social Determinant of Health Interventions Constraints: should-otext-ref-value
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@code		0..1	cs
@codeSystem		0..1	oid, uuid, ruid
@codeSystemName		0..1	st
@codeSystemVersion		0..1	st
@displayName		0..1	st
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
originalText		0..1	ED	SHOULD reference the portion of narrative corresponding to this code
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@compression		0..1	cs	Binding: CDACompressionAlgorithm (required)
@integrityCheck		0..1	bin
@integrityCheckAlgorithm		0..1	cs	Binding: IntegrityCheckAlgorithm (2.0.0) (required)
@language		0..1	cs
@mediaType		0..1	cs	Binding: MediaType (example)
@representation		0..1	cs	Binding: CDABinaryDataEncoding (required)
xmlText		0..1	st	Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
reference	C	0..1	TEL	Constraints: value-starts-octothorpe
thumbnail		0..1	ED
qualifier		0..*	CR
translation		0..*	CD
@negationInd		0..1	bl
text		0..1	ED	SHOULD reference the portion of section narrative text corresponding to this entry
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@compression		0..1	cs	Binding: CDACompressionAlgorithm (required)
@integrityCheck		0..1	bin
@integrityCheckAlgorithm		0..1	cs	Binding: IntegrityCheckAlgorithm (2.0.0) (required)
@language		0..1	cs
@mediaType		0..1	cs	Binding: MediaType (example)
@representation		0..1	cs	Binding: CDABinaryDataEncoding (required)
xmlText		0..1	st	Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
reference	C	0..1	TEL	Constraints: value-starts-octothorpe
thumbnail		0..1	ED
statusCode		1..1	CS	Binding: ActStatus (required)
@code		1..1	cs	Binding: ProcedureAct statusCode (required)
@sdtcValueSet		0..1	oid	XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc)
@sdtcValueSetVersion		0..1	st	XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc)
effectiveTime	C	1..1	USRealmDateTimeInterval	𝗨𝗦𝗖𝗗𝗜: Performance Time Constraints: should-value, ts-value-before-document
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	ts	Indicates historical procedure or an instance of a procedure where precision may be only a date or even a year. Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@operator		0..1	cs	Binding: CDASetOperator (required)
low	C	0..1	IVXB_TS	Indicates when a procedure started Constraints: ts-shall-day, ts-should-minute, ts-value-before-document
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	ts	Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@inclusive		0..1	bl
center		0..1	TS
width		0..1	PQ
high	C	0..1	IVXB_TS	Indicates when a procedure ended. If the statusCode='active', this must be after the ClinicalDcument/effectiveTime Constraints: ts-shall-day, ts-should-minute
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@value		0..1	ts	Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
@inclusive		0..1	bl
priorityCode		0..1	CE	Binding: ActPriority (required)
languageCode		0..1	CS	Binding: AllLanguages (required)
methodCode		0..1	CE	MethodCode **SHALL NOT** conflict with the method inherent in Procedure / code (CONF:4515-7890).
approachSiteCode		0..*	CD
targetSiteCode		0..*	CD	In the case of an implanted medical device, targetSiteCode is used to record the location of the device, in or on the patient's body. Binding: Body Site Value Set (required)
subject		0..1	Subject
specimen		0..*	Specimen	This specimen is for representing specimens obtained from a procedure (CONF:4515-16842).
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: CDAParticipationType (required) Fixed Value: SPC
specimenRole	C	1..1	SpecimenRole	Constraints: should-id
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassSpecimen (required) Fixed Value: SPEC
id		0..*	II	If 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).
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
specimenPlayingEntity		0..1	PlayingEntity
performer		0..*	Performer2
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: ParticipationPhysicalPerformer (required) Fixed Value: PRF
sdtcFunctionCode		0..1	CE	XML Namespace: urn:hl7-org:sdtc XML: functionCode (urn:hl7-org:sdtc)
time		0..1	IVL_TS
modeCode		0..1	CE
assignedEntity	C	1..1	AssignedEntity	Constraints: should-assignedPerson, should-representedOrganization
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: RoleClassAssignedEntity (required) Fixed Value: ASSIGNED
id		1..*	II
sdtcIdentifiedBy		0..*	IdentifiedBy	XML Namespace: urn:hl7-org:sdtc XML: identifiedBy (urn:hl7-org:sdtc)
code		0..1	CE	Binding: CDARoleCode (example)
addr		1..*	USRealmAddress
telecom		1..*	TEL
assignedPerson		0..1	Person
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassLivingSubject (required) Fixed Value: PSN
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
name		1..*	USRealmPersonNamePNUSFIELDED
sdtcDesc		0..1	ED	XML Namespace: urn:hl7-org:sdtc XML: desc (urn:hl7-org:sdtc)
sdtcAsPatientRelationship		0..*	InfrastructureRoot	XML Namespace: urn:hl7-org:sdtc XML: asPatientRelationship (urn:hl7-org:sdtc)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs	Fixed Value: PRS
@determinerCode		0..1	cs	Fixed Value: INSTANCE
code		1..1	CE	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
representedOrganization	C	0..1	Organization	Constraints: should-id
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		0..1	cs	Binding: EntityClassOrganization (required) Fixed Value: ORG
@determinerCode		0..1	cs	Binding: EntityDeterminer (required) Fixed Value: INSTANCE
id		0..*	II
name		0..*	ON
telecom		1..*	TEL
addr		1..*	USRealmAddress
standardIndustryClassCode		0..1	CE	Binding: OrganizationIndustryClassNAICS (example)
asOrganizationPartOf		0..1	OrganizationPartOf
sdtcPatient		0..1	Base	XML Namespace: urn:hl7-org:sdtc XML: patient (urn:hl7-org:sdtc)
id		1..1	II	XML Namespace: urn:hl7-org:sdtc XML Namespace: urn:hl7-org:sdtc
author		0..*	AuthorParticipation
informant		0..*	Informant
Slices for participant		0..*	Participant2	Slice: Unordered, Open by value:typeCode
participant:productInstance		0..*	Participant2	participant
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: CDAParticipationType (required) Fixed Value: DEV
@contextControlCode		0..1	cs	Binding: CDAContextControl (required) Fixed Value: OP
sdtcFunctionCode		0..1	CE	XML Namespace: urn:hl7-org:sdtc XML: functionCode (urn:hl7-org:sdtc)
time		0..1	IVL_TS
awarenessCode		0..1	CE
participantRole		1..1	ProductInstance
participant:serviceDeliveryLocation		0..*	Participant2	participant
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: CDAParticipationType (required) Fixed Value: LOC
@contextControlCode		0..1	cs	Binding: CDAContextControl (required) Fixed Value: OP
sdtcFunctionCode		0..1	CE	XML Namespace: urn:hl7-org:sdtc XML: functionCode (urn:hl7-org:sdtc)
time		0..1	IVL_TS
awarenessCode		0..1	CE
participantRole		1..1	ServiceDeliveryLocation
Slices for entryRelationship		0..*	EntryRelationship	Slice: Unordered, Open by profile:act, profile:observation, profile:substanceAdministration, exists:encounter
entryRelationship:encounter		0..*	EntryRelationship	entryRelationship
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: COMP
@inversionInd		1..1	bl	Fixed Value: true
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act		0..1	Act
encounter		1..1	Encounter
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@classCode		1..1	cs	Binding: CDAActClass (required) Fixed Value: ENC
@moodCode		1..1	cs	Binding: XDocumentEncounterMood (2.0.0) (required) Fixed Value: EVN
id		1..1	II	Set the encounter ID to the ID of an encounter in another section to signify they are the same encounter (CONF:4515-16843).
code		0..1	CD	Binding: ActEncounterCode (example)
text		0..1	ED
statusCode		0..1	CS	Binding: ActStatus (required)
effectiveTime		0..1	IVL_TS
sdtcDischargeDispositionCode		0..1	CE	XML Namespace: urn:hl7-org:sdtc XML: dischargeDispositionCode (urn:hl7-org:sdtc)
priorityCode		0..1	CE	Binding: ActPriority (example)
subject		0..1	Subject
specimen		0..*	Specimen
performer		0..*	Performer2
author		0..*	Author
informant		0..*	Informant
participant		0..*	Participant2
entryRelationship		0..*	EntryRelationship
reference		0..*	Reference
precondition		0..*	Precondition
sdtcPrecondition2		0..*	Precondition2	XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc)
sdtcInFulfillmentOf1		0..*	InFulfillmentOf1	XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc)
observation		0..1	Observation
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
entryRelationship:instruction		0..1	EntryRelationship	entryRelationship
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: SUBJ
@inversionInd		1..1	bl	Fixed Value: true
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act		0..1	Act
observation		1..1	InstructionObservation
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
entryRelationship:indication		0..*	EntryRelationship	entryRelationship
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: RSON
@inversionInd		0..1	bl
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act		0..1	Act
observation		1..1	Indication
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
entryRelationship:medication		0..*	EntryRelationship	entryRelationship
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: COMP
@inversionInd		0..1	bl
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act		0..1	Act
observation		0..1	Observation
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		1..1	MedicationActivity
supply		0..1	Supply
entryRelationship:reaction		0..*	EntryRelationship	entryRelationship
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: COMP
@inversionInd		0..1	bl
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act		0..1	Act
observation		1..1	ReactionObservation
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
entryRelationship:assessmentScaleObs		0..*	EntryRelationship	When 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.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: RSON
@inversionInd		0..1	bl
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act		0..1	Act
observation		1..1	AssessmentScaleObservation
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
entryRelationship:entryReference		0..*	EntryRelationship	When 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.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	Constraints: II-1
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		1..1	cs	Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: RSON
@inversionInd		0..1	bl
@contextConductionInd		0..1	bl
@negationInd		0..1	bl
sequenceNumber		0..1	INT
seperatableInd		0..1	BL
act		1..1	EntryReference
observation		0..1	Observation
observationMedia		0..1	ObservationMedia
organizer		0..1	Organizer
procedure		0..1	Procedure
regionOfInterest		0..1	RegionOfInterest
substanceAdministration		0..1	SubstanceAdministration
supply		0..1	Supply
reference		0..*	Reference
precondition		0..*	Precondition
sdtcPrecondition2		0..*	Precondition2	XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc)
sdtcInFulfillmentOf1		0..*	InFulfillmentOf1	XML Namespace: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Procedure.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.templateId:procedure.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.classCode	required	Fixed Value: PROC http://terminology.hl7.org/ValueSet/v3-ActClassProcedure
Procedure.moodCode	required	Fixed Value: EVN http://terminology.hl7.org/ValueSet/v3-xDocumentProcedureMood
Procedure.code	preferred	USCoreProcedureCodes http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code
Procedure.code.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.code.originalText.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.code.originalText.compression	required	CDACompressionAlgorithm http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
Procedure.code.originalText.integrityCheckAlgorithm	required	IntegrityCheckAlgorithm http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
Procedure.code.originalText.mediaType	example	MediaType http://terminology.hl7.org/ValueSet/v3-MediaType
Procedure.code.originalText.representation	required	BinaryDataEncoding http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
Procedure.text.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.text.compression	required	CDACompressionAlgorithm http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
Procedure.text.integrityCheckAlgorithm	required	IntegrityCheckAlgorithm http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
Procedure.text.mediaType	example	MediaType http://terminology.hl7.org/ValueSet/v3-MediaType
Procedure.text.representation	required	BinaryDataEncoding http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
Procedure.statusCode	required	ActStatus http://terminology.hl7.org/ValueSet/v3-ActStatus
Procedure.statusCode.code	required	ProcedureActStatusCode http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.22 From https://vsac.nlm.nih.gov
Procedure.effectiveTime.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.effectiveTime.operator	required	CDASetOperator http://hl7.org/cda/stds/core/ValueSet/CDASetOperator
Procedure.effectiveTime.low.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.effectiveTime.high.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.priorityCode	required	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority
Procedure.languageCode	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages From the FHIR Standard
Procedure.targetSiteCode	required	BodySiteValueSet http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.9 From https://vsac.nlm.nih.gov
Procedure.specimen.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.specimen.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.specimen.typeCode	required	Fixed Value: SPC http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
Procedure.specimen.specimenRole.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.specimen.specimenRole.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.specimen.specimenRole.classCode	required	Fixed Value: SPEC http://terminology.hl7.org/ValueSet/v3-RoleClassSpecimen
Procedure.performer.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.typeCode	required	Fixed Value: PRF http://terminology.hl7.org/ValueSet/v3-ParticipationPhysicalPerformer
Procedure.performer.assignedEntity.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.classCode	required	Fixed Value: ASSIGNED http://terminology.hl7.org/ValueSet/v3-RoleClassAssignedEntity
Procedure.performer.assignedEntity.code	example	CDARoleCode http://hl7.org/cda/stds/core/ValueSet/CDARoleCode
Procedure.performer.assignedEntity.assignedPerson.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.assignedPerson.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.assignedPerson.classCode	required	Fixed Value: PSN http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject
Procedure.performer.assignedEntity.assignedPerson.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.representedOrganization.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.representedOrganization.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.performer.assignedEntity.representedOrganization.classCode	required	Fixed Value: ORG http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization
Procedure.performer.assignedEntity.representedOrganization.determinerCode	required	Fixed Value: INSTANCE http://terminology.hl7.org/ValueSet/v3-EntityDeterminer
Procedure.performer.assignedEntity.representedOrganization.standardIndustryClassCode	example	OrganizationIndustryClassNAICS http://terminology.hl7.org/ValueSet/v3-OrganizationIndustryClassNAICS
Procedure.participant:productInstance.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.participant:productInstance.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.participant:productInstance.typeCode	required	Fixed Value: DEV http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
Procedure.participant:productInstance.contextControlCode	required	Fixed Value: OP http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
Procedure.participant:serviceDeliveryLocation.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.participant:serviceDeliveryLocation.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.participant:serviceDeliveryLocation.typeCode	required	Fixed Value: LOC http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType
Procedure.participant:serviceDeliveryLocation.contextControlCode	required	Fixed Value: OP http://hl7.org/cda/stds/core/ValueSet/CDAContextControl
Procedure.entryRelationship:encounter.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:encounter.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:encounter.typeCode	required	Fixed Value: COMP http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:encounter.encounter.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:encounter.encounter.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:encounter.encounter.classCode	required	Fixed Value: ENC http://hl7.org/cda/stds/core/ValueSet/CDAActClass
Procedure.entryRelationship:encounter.encounter.moodCode	required	Fixed Value: EVN http://terminology.hl7.org/ValueSet/v3-xDocumentEncounterMood|2.0.0
Procedure.entryRelationship:encounter.encounter.code	example	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Procedure.entryRelationship:encounter.encounter.statusCode	required	ActStatus http://terminology.hl7.org/ValueSet/v3-ActStatus
Procedure.entryRelationship:encounter.encounter.priorityCode	example	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority
Procedure.entryRelationship:instruction.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:instruction.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:instruction.typeCode	required	Fixed Value: SUBJ http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:indication.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:indication.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:indication.typeCode	required	Fixed Value: RSON http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:medication.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:medication.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:medication.typeCode	required	Fixed Value: COMP http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:reaction.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:reaction.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:reaction.typeCode	required	Fixed Value: COMP http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:assessmentScaleObs.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:assessmentScaleObs.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:assessmentScaleObs.typeCode	required	Fixed Value: RSON http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Procedure.entryRelationship:entryReference.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:entryReference.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Procedure.entryRelationship:entryReference.typeCode	required	Fixed Value: RSON http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship

Constraints

Id	Grade	Path(s)	Details	Requirements
II-1	error	Procedure.typeId, Procedure.specimen.typeId, Procedure.specimen.specimenRole.typeId, Procedure.performer.typeId, Procedure.performer.assignedEntity.typeId, Procedure.performer.assignedEntity.assignedPerson.typeId, Procedure.performer.assignedEntity.assignedPerson.sdtcAsPatientRelationship.typeId, Procedure.performer.assignedEntity.representedOrganization.typeId, Procedure.participant:productInstance.typeId, Procedure.participant:serviceDeliveryLocation.typeId, Procedure.entryRelationship:encounter.typeId, Procedure.entryRelationship:encounter.encounter.typeId, Procedure.entryRelationship:instruction.typeId, Procedure.entryRelationship:indication.typeId, Procedure.entryRelationship:medication.typeId, Procedure.entryRelationship:reaction.typeId, Procedure.entryRelationship:assessmentScaleObs.typeId, Procedure.entryRelationship:entryReference.typeId	An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists()
active-high-ts-after-document	error	Procedure	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-assignedPerson	warning	Procedure.performer.assignedEntity	SHOULD contain assignedPerson : assignedPerson.exists()
should-author	warning	Procedure	SHOULD contain author : author.exists()
should-id	warning	Procedure.specimen.specimenRole, Procedure.performer.assignedEntity.representedOrganization	SHOULD contain id : id.exists()
should-otext-ref-value	warning	Procedure.code	SHOULD contain originalText/reference/@value : originalText.reference.value.exists()
should-performer	warning	Procedure	SHOULD contain performer : performer.exists()
should-representedOrganization	warning	Procedure.performer.assignedEntity	SHOULD contain representedOrganization : representedOrganization.exists()
should-targetSiteCode	warning	Procedure	SHOULD contain targetSiteCode : targetSiteCode.exists()
should-text-ref-value	warning	Procedure	SHOULD contain text/reference/@value : text.reference.value.exists()
should-value	warning	Procedure.effectiveTime	SHOULD contain value : value.exists()
ts-shall-day	error	Procedure.effectiveTime.low, Procedure.effectiveTime.high	**SHALL** be precise to at least the day : nullFlavor.exists() or value.toString().length() >= 10
ts-should-minute	warning	Procedure.effectiveTime.low, Procedure.effectiveTime.high	**SHOULD** be precise to at least the minute : nullFlavor.exists() or value.toString().length() > 10
ts-value-before-document	error	Procedure.effectiveTime, Procedure.effectiveTime.low	Time value must be equal to or before ClinicalDocument/effectiveTime : value.exists() implies value <= %resource.effectiveTime.value
value-starts-octothorpe	error	Procedure.code.originalText.reference, Procedure.text.reference	If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative : value.exists() implies value.startsWith('#')

This structure is derived from Procedure

Summary

Mandatory: 9 elements(15 nested mandatory elements)
Fixed: 13 elements
Prohibited: 7 elements

Structures

This structure refers to these other structures:

• US Realm Date and Time - Interval (http://hl7.org/cda/us/ccda/StructureDefinition/USRealmDateTimeInterval)
• US Realm Address (http://hl7.org/cda/us/ccda/StructureDefinition/USRealmAddress)
• US Realm Person Name (PN.US.FIELDED) (http://hl7.org/cda/us/ccda/StructureDefinition/USRealmPersonNamePNUSFIELDED)
• Author Participation (http://hl7.org/cda/us/ccda/StructureDefinition/AuthorParticipation)
• Product Instance (http://hl7.org/cda/us/ccda/StructureDefinition/ProductInstance)
• Service Delivery Location (http://hl7.org/cda/us/ccda/StructureDefinition/ServiceDeliveryLocation)
• Instruction Observation (http://hl7.org/cda/us/ccda/StructureDefinition/InstructionObservation)
• Indication (http://hl7.org/cda/us/ccda/StructureDefinition/Indication)
• Medication Activity (http://hl7.org/cda/us/ccda/StructureDefinition/MedicationActivity)
• Reaction Observation (http://hl7.org/cda/us/ccda/StructureDefinition/ReactionObservation)
• Assessment Scale Observation (http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentScaleObservation)
• Entry Reference (http://hl7.org/cda/us/ccda/StructureDefinition/EntryReference)

Slices

This structure defines the following Slices:

• The element 2 is sliced based on the values of Procedure.templateId
• The element 1 is sliced based on the value of Procedure.participant
• The element 4 is sliced based on the values of Procedure.entryRelationship