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Template Procedure Activity Act (V2) 2014‑06‑09

Id2.16.840.1.113883.10.20.22.4.12Effective Date2014‑06‑09
Statusdraft DraftVersion Label2.1
NameProcedureActivityActV2Display NameProcedure Activity Act (V2)
Description
This template represents any act that cannot be classified as an observation or procedure according to the HL7 RIM. Examples of these acts are a dressing change, teaching or feeding a patient, or providing comfort measures. The common notion of "procedure" is broader than that specified by the HL7 Version 3 Reference Information Model (RIM). Procedure templates can be represented with various RIM classes: act (e.g., dressing change), observation (e.g., EEG), procedure (e.g., splenectomy).
ContextParent nodes of template element with id 2.16.840.1.113883.10.20.22.4.12
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 9 transactions and 17 templates, Uses 5 templates
Used by as NameVersion
2.16.840.1.113883.3.1937.99.3.4.31Transactionfinal Transfer Summary (V2)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.25Transactionfinal Discharge Summary (V3)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.29Transactionfinal Progress Note (V3)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.26Transactionfinal History and Physical (V3)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.22Transactionfinal Consultation Note (V3)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.28Transactionfinal Procedure Note (V3)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.23Transactionfinal Continuity of Care Document (CCD) (V3)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.30Transactionfinal Referral Note (V2)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.21Transactionfinal Care Plan (V2)2015‑08‑01
2.16.840.1.113883.3.51.60.2.4linkpending BC CDA ClinicalDocumentDischargeSummary (V3) (2.1)2019‑03‑19 14:15:51
2.16.840.1.113883.3.1937.99.61.8.10.3.4Containmentdraft Procedures Section (entries required)2014‑02‑04 13:13:02
2.16.840.1.113883.10.20.21.2.3linkdraft Interventions Section (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.2linkdraft Continuity of Care Document (CCD) (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.3linkdraft History and Physical (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.4linkdraft Consultation Note (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.6linkdraft Procedure Note (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.8linkdraft Discharge Summary (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.9linkdraft Progress Note (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.13linkdraft Transfer Summary (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.14linkdraft Referral Note (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.15linkdraft Care Plan (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.2.7Containmentdraft Procedures Section (entries optional) (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.2.7Containmentpending Procedures Section (entries optional) (V2) (2.1)2019‑03‑16 21:12:43
2.16.840.1.113883.10.20.22.2.7.1Containmentdraft Procedures Section (entries required) (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.4.131Containmentdraft Intervention Act (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.4.146linkdraft Planned Intervention Act (V2) (2.1)2015‑08‑01
Uses as NameVersion
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
2.16.840.1.113883.10.20.22.4.119Containmentdraft Author Participation (2.1)2015‑08‑13
RelationshipSpecialization: template 2.16.840.1.113883.10.12.301 CDA Act (2005‑09‑07)
ref
ad1bbr-

Version: template 2.16.840.1.113883.10.20.22.4.12 Procedure Activity Act (2013‑01‑31)
ItemDTCardConfDescriptionLabel
cda:act
ProcdotsctV2
@classCode
cs1 … 1FACTCONFdots8289
 SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-8289).
@moodCode
cs1 … 1FEVNCONFdots8290
 SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-8290).
cda:templateId
II1 … 1MC-CDA R1.1 templateId root without an extensionCONFdots2936
@root
uid1 … 1F2.16.840.1.113883.10.20.22.4.12
cda:templateId
II1 … 1MSHALL contain exactly one [1..1] templateId (CONF:1098-8291) such that itCONFdots8291
@root
uid1 … 1F2.16.840.1.113883.10.20.22.4.12CONFdots0519
 SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.12" (CONF:1098-10519).
@extension
st1 … 1F2014-06-09CONFdots2505
 SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32505).
cda:id
II1 … *SHALL contain at least one [1..*] id (CONF:1098-8292).CONFdots8292
cda:code
CD1 … 1SHALL contain exactly one [1..1] code (CONF:1098-8293).CONFdots8293
cda:originalText
0 … 1RThis code SHOULD contain zero or one [0..1] originalText (CONF:1098-19186).CONFdots9186
cda:reference
0 … 1The originalText, if present, MAY contain zero or one [0..1] reference (CONF:1098-19187).CONFdots9187
@value
0 … 1 The reference, if present, MAY contain zero or one [0..1] @value (CONF:1098-19188).CONFdots9188
 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:1098-8298).CONFdots8298
cda:effectiveTime
1 … 1SHALL contain exactly one [1..1] effectiveTime (CONF:1098-8299).CONFdots8299
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:1098-8300).CONFdots8300
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16866 ActPriority (DYNAMIC)
cda:performer
0 … *RSHOULD contain zero or more [0..*] performer (CONF:1098-8301).CONFdots8301
cda:assignedEntity
1 … 1MThe performer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1098-8302).CONFdots8302
cda:id
II1 … *This assignedEntity SHALL contain at least one [1..*] id (CONF:1098-8303).CONFdots8303
cda:addr
AD1 … *This assignedEntity SHALL contain at least one [1..*] addr (CONF:1098-8304).CONFdots8304
cda:telecom
TEL1 … *This assignedEntity SHALL contain at least one [1..*] telecom (CONF:1098-8305).CONFdots8305
cda:representedOrganization
0 … 1RThis assignedEntity SHOULD contain zero or one [0..1] representedOrganization (CONF:1098-8306).CONFdots8306
cda:id
II0 … *RThe representedOrganization, if present, SHOULD contain zero or more [0..*] id (CONF:1098-8307).CONFdots8307
cda:name
0 … *The representedOrganization, if present, MAY contain zero or more [0..*] name (CONF:1098-8308).CONFdots8308
cda:telecom
TEL1 … *The representedOrganization, if present, SHALL contain at least one [1..*] telecom (CONF:1098-8310).CONFdots8310
cda:addr
AD1 … *The representedOrganization, if present, SHALL contain at least one [1..*] addr (CONF:1098-8309).CONFdots8309
cda:author
0 … *RSHOULD contain zero or many [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-32477).
Contains 2.16.840.1.113883.10.20.22.4.119 Author Participation (2015‑08‑13)		CONFdots2477
cda:participant
0 … *Contains 2.16.840.1.113883.10.20.22.4.32 Service Delivery Location (2015‑08‑13)CONFdots8311
@typeCode
cs1 … 1FLOCCONFdots8312
 SHALL contain exactly one [1..1] @typeCode="LOC" Location (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1098-8312).
cda:entryRelationship
0 … *MAY contain zero or more [0..*] entryRelationship (CONF:1098-8314) such that itCONFdots8314
@typeCode
cs1 … 1FCOMPCONFdots8315
 SHALL contain exactly one [1..1] @typeCode="COMP" Has Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-8315).
@inversionInd
bl1 … 1FtrueCONFdots8316
 SHALL contain exactly one [1..1] @inversionInd="true" true (CONF:1098-8316).
cda:encounter
1 … 1MSHALL contain exactly one [1..1] encounter (CONF:1098-8317).CONFdots8317
@classCode
cs1 … 1FENCCONFdots8318
 This encounter SHALL contain exactly one [1..1] @classCode="ENC" Encounter (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-8318).
@moodCode
cs1 … 1FEVNCONFdots8319
 This encounter SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-8319).
cda:id
II1 … 1This encounter SHALL contain exactly one [1..1] id (CONF:1098-8320).CONFdots8320
 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)CONFdots8322
@typeCode
cs1 … 1FSUBJCONFdots8323
 SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-8323).
@inversionInd
bl1 … 1FtrueCONFdots8324
 SHALL contain exactly one [1..1] @inversionInd="true" true (CONF:1098-8324).
cda:entryRelationship
0 … *Contains 2.16.840.1.113883.10.20.22.4.19 Indication (V2) (2014‑06‑09)CONFdots8326
@typeCode
cs1 … 1FRSONCONFdots8327
 SHALL contain exactly one [1..1] @typeCode="RSON" Has Reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-8327).
cda:entryRelationship
0 … *Contains 2.16.840.1.113883.10.20.22.4.16 Medication Activity (V2) (2014‑06‑09)CONFdots8329
@typeCode
cs1 … 1FCOMPCONFdots8330
 SHALL contain exactly one [1..1] @typeCode="COMP" Has Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-8330).