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Template Procedure Activity Procedure (V2) 2019‑03‑06 15:52:43

Id2.16.840.1.113883.3.1937.99.61.26.10.54Effective Date2019‑03‑06 15:52:43
Statusrejected RejectedVersion Label2.1
NameProcedureActivityProcedureV2Display NameProcedure Activity Procedure (V2)
Description
The common notion of "procedure" is broader than that specified by the HL7 Version 3 Reference Information Model (RIM). Therefore procedure templates can be represented with various RIM classes: act (e.g., dressing change), observation (e.g., EEG), procedure (e.g., splenectomy). This template represents procedures whose immediate and primary outcome (post-condition) is the alteration of the physical condition of the patient. Examples of these procedures are an appendectomy, hip replacement, and a creation of a gastrostomy. This template can be used with a contained Product Instance template to represent a device in or on a patient. In this case, targetSiteCode is used to record the location of the device in or on the patient's body. Equipment supplied to the patient (e.g., pumps, inhalers, wheelchairs) is represented by the Non-Medicinal Supply Activity (V2) template.
ContextParent nodes of template element with id 2.16.840.1.113883.3.1937.99.61.26.10.54
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 0 templates, Uses 7 templates
Uses as NameVersion
2.16.840.1.113883.10.20.22.4.9Containmentdraft Reaction Observation (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.4.16Containmentdraft Medication Activity (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.4.19Containmentdraft Indication (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.4.20Containmentdraft Instruction (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.4.32Containmentdraft Service Delivery Location (2.1)2015‑08‑13
2.16.840.1.113883.10.20.22.4.37Containmentdraft Product Instance (2.1)2015‑08‑13
2.16.840.1.113883.10.20.22.4.119Containmentdraft Author Participation (2.1)2015‑08‑13
RelationshipSpecialization: template 2.16.840.1.113883.10.20.22.4.14 Procedure Activity Procedure (V2) (2014‑06‑09)
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ccda-

Specialization: template 2.16.840.1.113883.10.12.306 CDA Procedure (2005‑09‑07)
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ad1bbr-

Version: template 2.16.840.1.113883.10.20.22.4.14 Procedure Activity Procedure (2013‑01‑31)
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ccda-
ItemDTCardConfDescriptionLabel
cda:procedure
ProcdotsreV2
@classCode
cs1 … 1FPROCCONFdots7652
 SHALL contain exactly one [1..1] @classCode="PROC" Procedure (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-7652).
@moodCode
cs1 … 1FEVNCONFdots7653
 SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-7653).
hl7:templateId
II1 … 1MProcdotsreV2
@root
uid1 … 1F2.16.840.1.113883.3.1937.99.61.26.10.54
cda:templateId
II1 … 1MSHALL contain exactly one [1..1] templateId (CONF:1098-7654) such that itCONFdots7654
@root
uid1 … 1F2.16.840.1.113883.10.20.22.4.14CONFdots0521
 SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.14" (CONF:1098-10521).
@extension
st1 … 1F2014-06-09CONFdots2506
 SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32506).
cda:id
II1 … *SHALL contain at least one [1..*] id (CONF:1098-7655).CONFdots7655
cda:code
1 … 1SHALL contain exactly one [1..1] code (CONF:1098-7656).CONFdots7656
cda:originalText
0 … 1RThis code SHOULD contain zero or one [0..1] originalText (CONF:1098-19203).CONFdots9203
cda:reference
0 … 1RThe originalText, if present, SHOULD contain zero or one [0..1] reference (CONF:1098-19204).CONFdots9204
@value
0 … 1 The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:1098-19205).CONFdots9205
 Schematron assertrolered error 
 testnot(@value) or starts-with(@value, '#') 
 MessageThis reference/@value *SHALL* begin with a '#' and *SHALL* point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1). 
cda:statusCode
CS1 … 1RSHALL contain exactly one [1..1] statusCode (CONF:1098-7661).CONFdots7661
cda:effectiveTime
0 … 1RSHOULD contain zero or one [0..1] effectiveTime (CONF:1098-7662).CONFdots7662
cda:priorityCode
0 … 1MAY contain zero or one [0..1] priorityCode, which SHALL be selected from ValueSet Act Priority urn:oid:2.16.840.1.113883.1.11.16866 DYNAMIC (CONF:1098-7668).CONFdots7668
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16866 ActPriority (DYNAMIC)
cda:methodCode
0 … 1MAY contain zero or one [0..1] methodCode (CONF:1098-7670).CONFdots7670
 ConstraintmethodCode *SHALL NOT* conflict with the method inherent in Procedure / code.
cda:targetSiteCode
0 … *RSHOULD contain zero or more [0..*] targetSiteCode (CONF:1098-7683).

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.

CONFdots7683
@code
1 … 1RThe targetSiteCode, if present, SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet Body Site urn:oid:2.16.840.1.113883.3.88.12.3221.8.9 DYNAMIC (CONF:1098-16082).CONFdots6082
cda:specimen
0 … *MAY contain zero or more [0..*] specimen (CONF:1098-7697).CONFdots7697
 ConstraintThis specimen is for representing specimens obtained from a procedure.
cda:specimenRole
1 … 1MThe specimen, if present, SHALL contain exactly one [1..1] specimenRole (CONF:1098-7704).CONFdots7704
cda:id
II0 … *RThis specimenRole SHOULD contain zero or more [0..*] id (CONF:1098-7716).CONFdots7716
 ConstraintIf 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
cda:performer
0 … *RSHOULD contain zero or more [0..*] performer (CONF:1098-7718) such that itCONFdots7718
cda:assignedEntity
1 … 1MSHALL contain exactly one [1..1] assignedEntity (CONF:1098-7720).CONFdots7720
cda:id
II1 … *This assignedEntity SHALL contain at least one [1..*] id (CONF:1098-7722).CONFdots7722
cda:addr
AD1 … *This assignedEntity SHALL contain at least one [1..*] addr (CONF:1098-7731).CONFdots7731
cda:telecom
TEL1 … *This assignedEntity SHALL contain at least one [1..*] telecom (CONF:1098-7732).CONFdots7732
cda:representedOrganization
0 … 1RThis assignedEntity SHOULD contain zero or one [0..1] representedOrganization (CONF:1098-7733).CONFdots7733
cda:id
II0 … *RThe representedOrganization, if present, SHOULD contain zero or more [0..*] id (CONF:1098-7734).CONFdots7734
cda:name
0 … *The representedOrganization, if present, MAY contain zero or more [0..*] name (CONF:1098-7735).CONFdots7735
cda:telecom
TEL1 … 1The representedOrganization, if present, SHALL contain exactly one [1..1] telecom (CONF:1098-7737).CONFdots7737
cda:addr
AD1 … 1The representedOrganization, if present, SHALL contain exactly one [1..1] addr (CONF:1098-7736).CONFdots7736
cda:author
1 … *RSHOULD contain at least one [1..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-32479).
Contains 2.16.840.1.113883.10.20.22.4.119 Author Participation (2015‑08‑13)		CONFdots2479
cda:participant
0 … *Contains 2.16.840.1.113883.10.20.22.4.37 Product Instance (2015‑08‑13)CONFdots7751
@typeCode
cs1 … 1FDEVCONFdots7752
 SHALL contain exactly one [1..1] @typeCode="DEV" Device (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-7752).
cda:participant
0 … *Contains 2.16.840.1.113883.10.20.22.4.32 Service Delivery Location (2015‑08‑13)CONFdots7765
@typeCode
cs1 … 1FLOCCONFdots7766
 SHALL contain exactly one [1..1] @typeCode="LOC" Location (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1098-7766).
cda:entryRelationship
0 … *MAY contain zero or more [0..*] entryRelationship (CONF:1098-7768) such that itCONFdots7768
@typeCode
cs1 … 1FCOMPCONFdots7769
 SHALL contain exactly one [1..1] @typeCode="COMP" Has Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-7769).
@inversionInd
bl1 … 1FtrueCONFdots8009
 SHALL contain exactly one [1..1] @inversionInd="true" true (CONF:1098-8009).
cda:encounter
1 … 1MSHALL contain exactly one [1..1] encounter (CONF:1098-7770).CONFdots7770
@classCode
cs1 … 1FENCCONFdots7771
 This encounter SHALL contain exactly one [1..1] @classCode="ENC" Encounter (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-7771).
@moodCode
cs1 … 1FEVNCONFdots7772
 This encounter SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-7772).
cda:id
II1 … 1This encounter SHALL contain exactly one [1..1] id (CONF:1098-7773).CONFdots7773
 ConstraintSet the encounter ID to the ID of an encounter in another section to signify they are the same encounter.
cda:entryRelationship
0 … 1Contains 2.16.840.1.113883.10.20.22.4.20 Instruction (V2) (2014‑06‑09)CONFdots7775
@typeCode
cs1 … 1FSUBJCONFdots7776
 SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-7776).
@inversionInd
bl1 … 1FtrueCONFdots7777
 SHALL contain exactly one [1..1] @inversionInd="true" true (CONF:1098-7777).
cda:entryRelationship
0 … *Contains 2.16.840.1.113883.10.20.22.4.19 Indication (V2) (2014‑06‑09)CONFdots7779
@typeCode
cs1 … 1FRSONCONFdots7780
 SHALL contain exactly one [1..1] @typeCode="RSON" Has Reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-7780).
cda:entryRelationship
0 … *Contains 2.16.840.1.113883.10.20.22.4.16 Medication Activity (V2) (2014‑06‑09)CONFdots7886
@typeCode
cs1 … 1FCOMPCONFdots7887
 SHALL contain exactly one [1..1] @typeCode="COMP" Has Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-7887).
cda:entryRelationship
0 … *Contains 2.16.840.1.113883.10.20.22.4.9 Reaction Observation (V2) (2014‑06‑09)CONFdots2473
@typeCode
cs1 … 1FCOMPCONFdots2474
 SHALL contain exactly one [1..1] @typeCode="COMP" Has Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32474).