Item | DT | Card | Conf | Description | Label |
---|
cda:procedure
| | | | | ProcreV2 |
@classCode
| cs | 1 … 1 | F | PROC | CONF7652 |
| 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
| cs | 1 … 1 | F | EVN | CONF7653 |
| 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
| II | 1 … 1 | M | | ProcreV2 |
@root
| uid | 1 … 1 | F | 2.16.840.1.113883.3.51.60.3.4 |
cda:templateId
| II | 1 … 1 | M | SHALL contain exactly one [1..1] templateId (CONF:1098-7654) such that it | CONF7654 |
@root
| uid | 1 … 1 | F | 2.16.840.1.113883.3.51.60.3.4 | CONF0521 |
| SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.14" (CONF:1098-10521). |
@extension
| st | 1 … 1 | F | 2014-06-09 | CONF2506 |
| SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32506). |
cda:id
| II | 1 … * | | SHALL contain at least one [1..*] id (CONF:1098-7655). | CONF7655 |
cda:code
| | 1 … 1 | | SHALL contain exactly one [1..1] code (CONF:1098-7656). | CONF7656 |
cda:originalText
| | 0 … 1 | R | This code SHOULD contain zero or one [0..1] originalText (CONF:1098-19203). | CONF9203 |
cda:reference
| | 0 … 1 | R | The originalText, if present, SHOULD contain zero or one [0..1] reference (CONF:1098-19204). | CONF9204 |
@value
| | 0 … 1 | | The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:1098-19205). | CONF9205 |
| Schematron assert | role | error | |
| test | not(@value) or starts-with(@value, '#') | |
| Message | This 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
| CS | 1 … 1 | R | SHALL contain exactly one [1..1] statusCode (CONF:1098-7661). | CONF7661 |
cda:effectiveTime
| | 0 … 1 | R | SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-7662). | CONF7662 |
cda:priorityCode
| | 0 … 1 | | MAY 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). | CONF7668 |
| CONF | |
cda:methodCode
| | 0 … 1 | | MAY contain zero or one [0..1] methodCode (CONF:1098-7670). | CONF7670 |
| Constraint | methodCode *SHALL NOT* conflict with the method inherent in Procedure / code. |
cda:targetSiteCode
| | 0 … * | R | SHOULD 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. | CONF7683 |
@code
| | 1 … 1 | R | The 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). | CONF6082 |
cda:specimen
| | 0 … * | | MAY contain zero or more [0..*] specimen (CONF:1098-7697). | CONF7697 |
| Constraint | This specimen is for representing specimens obtained from a procedure. |
cda:specimenRole
| | 1 … 1 | M | The specimen, if present, SHALL contain exactly one [1..1] specimenRole (CONF:1098-7704). | CONF7704 |
cda:id
| II | 0 … * | R | This specimenRole SHOULD contain zero or more [0..*] id (CONF:1098-7716). | CONF7716 |
| Constraint | 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 |
cda:performer
| | 0 … * | R | SHOULD contain zero or more [0..*] performer (CONF:1098-7718) such that it | CONF7718 |
cda:assignedEntity
| | 1 … 1 | M | SHALL contain exactly one [1..1] assignedEntity (CONF:1098-7720). | CONF7720 |
cda:id
| II | 1 … * | | This assignedEntity SHALL contain at least one [1..*] id (CONF:1098-7722). | CONF7722 |
cda:addr
| AD | 1 … * | | This assignedEntity SHALL contain at least one [1..*] addr (CONF:1098-7731). | CONF7731 |
cda:telecom
| TEL | 1 … * | | This assignedEntity SHALL contain at least one [1..*] telecom (CONF:1098-7732). | CONF7732 |
cda:representedOrganization
| | 0 … 1 | R | This assignedEntity SHOULD contain zero or one [0..1] representedOrganization (CONF:1098-7733). | CONF7733 |
cda:id
| II | 0 … * | R | The representedOrganization, if present, SHOULD contain zero or more [0..*] id (CONF:1098-7734). | CONF7734 |
cda:name
| | 0 … * | | The representedOrganization, if present, MAY contain zero or more [0..*] name (CONF:1098-7735). | CONF7735 |
cda:telecom
| TEL | 1 … 1 | | The representedOrganization, if present, SHALL contain exactly one [1..1] telecom (CONF:1098-7737). | CONF7737 |
cda:addr
| AD | 1 … 1 | | The representedOrganization, if present, SHALL contain exactly one [1..1] addr (CONF:1098-7736). | CONF7736 |
cda:author
| | 1 … * | R | SHOULD contain at least one [1..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-32479). Contains | Error: Cannot find template "2.16.840.1.113883.10.20.22.2.81" (DYNAMIC) |
| CONF2479 |
cda:participant
| | 0 … * | | Contains 2.16.840.1.113883.10.20.22.2.86 Product Instance (DYNAMIC) | CONF7751 |
@typeCode
| cs | 1 … 1 | F | DEV | CONF7752 |
| 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 2.16.840.1.113883.10.20.22.2.75 Prognosis Observation (DYNAMIC) | CONF7765 |
@typeCode
| cs | 1 … 1 | F | LOC | CONF7766 |
| 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 it | CONF7768 |
@typeCode
| cs | 1 … 1 | F | COMP | CONF7769 |
| 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
| bl | 1 … 1 | F | true | CONF8009 |
| SHALL contain exactly one [1..1] @inversionInd="true" true (CONF:1098-8009). |
cda:encounter
| | 1 … 1 | M | SHALL contain exactly one [1..1] encounter (CONF:1098-7770). | CONF7770 |
@classCode
| cs | 1 … 1 | F | ENC | CONF7771 |
| 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
| cs | 1 … 1 | F | EVN | CONF7772 |
| 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
| II | 1 … 1 | | This encounter SHALL contain exactly one [1..1] id (CONF:1098-7773). | CONF7773 |
| Constraint | Set the encounter ID to the ID of an encounter in another section to signify they are the same encounter. |
cda:entryRelationship
| | 0 … 1 | | Contains 2.16.840.1.113883.10.20.22.2.68 Instruction (V2) (DYNAMIC) | CONF7775 |
@typeCode
| cs | 1 … 1 | F | SUBJ | CONF7776 |
| 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
| bl | 1 … 1 | F | true | CONF7777 |
| SHALL contain exactly one [1..1] @inversionInd="true" true (CONF:1098-7777). |
cda:entryRelationship
| | 0 … * | | Contains 2.16.840.1.113883.10.20.22.2.67 Indication (V2) (DYNAMIC) | CONF7779 |
@typeCode
| cs | 1 … 1 | F | RSON | CONF7780 |
| 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 | Error: Cannot find template "2.16.840.1.113883.10.20.22.2.83" (DYNAMIC) |
| CONF7886 |
@typeCode
| cs | 1 … 1 | F | COMP | CONF7887 |
| 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 2.16.840.1.113883.10.20.22.2.58 Reaction Observation (V2) (DYNAMIC) | CONF2473 |
@typeCode
| cs | 1 … 1 | F | COMP | CONF2474 |
| SHALL contain exactly one [1..1] @typeCode="COMP" Has Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32474). |