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Template Procedure activity (act) 2007‑04‑01

Id2.16.840.1.113883.3.1937.777.4.10.50
ref
ccd1-
Effective Date2007‑04‑01
Statuspending Under pre-publication reviewVersion Label
NameProcedureActivityActDisplay NameProcedure activity (act)
Description

3.14.2.1 Procedure activity

The template identifier for a procedure activity is 2.16.840.1.113883.10.20.1.29.

CONF-427: A procedure activity (templateId 2.16.840.1.113883.10.20.1.29) SHALL be represented with Act, Observation, or Procedure.
CONF-428: The value for “[Act | Observation | Procedure] / @moodCode” in a procedure activity SHALL be “EVN” 2.16.840.1.113883.5.1001 ActMood STATIC.
CONF-429: A procedure activity SHALL contain at least one [Act | Observation | Procedure] / id.
CONF-430: A procedure activity SHALL contain exactly one [Act | Observation | Procedure] / statusCode.
CONF-431: The value for “[Act | Observation | Procedure] / statusCode” in a procedure activity SHALL be selected from ValueSet 2.16.840.1.113883.1.11.20.15 ProcedureStatusCode STATIC 20061017.
CONF-432: A procedure activity SHOULD contain exactly one [Act | Observation | Procedure] / effectiveTime.
CONF-433: A procedure activity SHALL contain exactly one [Act | Observation | Procedure] / code.
CONF-434: The value for “[Act | Observation | Procedure] / code” in a procedure activity SHOULD be selected from LOINC (codeSystem 2.16.840.1.113883.6.1) or SNOMED CT (codeSystem 2.16.840.1.113883.6.96), and MAY be selected from CPT-4 (codeSystem 2.16.840.1.113883.6.12), ICD9 Procedures (codeSystem 2.16.840.1.113883.6.104), ICD10 Procedure Coding System (codeSystem 2.16.840.1.113883.6.4).
CONF-435: A procedure activity MAY contain one or more [Observation | Procedure] / methodCode if the method isn't inherent in [Observation | Procedure] / code or if there is a need to further specialize the method in [Observation | Procedure] / code. [Observation | Procedure] / methodCodeSHALL NOT conflict with the method inherent in [Observation | Procedure] / code.
CONF-436: A procedure activity MAY contain one or more [Observation | Procedure] / targetSiteCode to indicate the anatomical site or system that is the focus of the procedure, if the site isn't inherent in [Observation | Procedure] / code or if there is a need to further specialize the site in [Observation | Procedure] / code. [Observation | Procedure] / targetSiteCodeSHALL NOT conflict with the site inherent in [Observation | Procedure] / code.
CONF-437: A procedure activity MAY contain one or more location participations (templateId 2.16.840.1.113883.10.20.1.45) (see section 3.15.2.2 Encounter location), to represent where the procedure was performed.
CONF-438: A procedure activity MAY contain one or more [Act | Observation | Procedure] / performer, to represent those practioners who performed the procedure.
CONF-439: A procedure activity MAY contain one or more entryRelationship / @typeCode=”RSON”, the target of which represents the indication or reason for the procedure.
CONF-440: [Act | Observation | Procedure] / entryRelationship / @typeCode=”RSON” in a procedure activity SHALL have a target of problem act (templateId 2.16.840.1.113883.10.20.1.27), problem observation (templateId 2.16.840.1.113883.10.20.1.28), or some other clinical statement.
CONF-441: A procedure activity MAY contain one or more patient instructions (templateId 2.16.840.1.113883.10.20.1.49) (see section 3.9.2.2.2 Patient instructions), to represent any additional information provided to a patient related to the procedure.
CONF-442: A procedure activity MAY have one or more associated consents, represented in the CCD Header as ClinicalDocument / authorization / consent.
CONF-443: A Procedure in a procedure activity MAY have one or more Procedure / specimen, reflecting specimens that were obtained as part of the procedure.
CONF-444: Procedure / specimen / specimenRole / idSHOULD be set to equal an Organizer / specimen / specimenRole / id (see section 3.13 Results) to indicate that the Procedure and the Results are referring to the same specimen.
CONF-445: The value for “[Act | Observation | Procedure] / entryRelationship / @typeCode” in a procedure activity MAY be “SUBJ” “Subject” 2.16.840.1.113883.5.1002 ActRelationshipType STATIC to reference an age observation (templateId 2.16.840.1.113883.10.20.1.38).
CONF-446: A procedure activity MAY have one or more [Act | Observation | Procedure] / entryRelationship [@typeCode=”COMP”], the target of which is a medication activity (templateId 2.16.840.1.113883.10.20.1.24) (see section 3.9.2.1.1 Medication activity), to describe substances administered during the procedure.
CONF-447: A procedure activity SHALL contain one or more sources of information, as defined in section 5.2 Source.

3.14.2.2 Procedure related products

The template identifier for a product is 2.16.840.1.113883.10.20.1.53.
The template identifier for a product instance is 2.16.840.1.113883.10.20.1.52.

CONF-448: A procedure activity MAY have one or more [Act | Observation | Procedure] / participant [@typeCode=”DEV”], the target of which is a product instance template.
CONF-449: A product instance (templateId 2.16.840.1.113883.10.20.1.52) SHALL be represented with the ParticipantRole class.
CONF-450: The value for “participantRole / @classCode” in a product instance SHALL be “MANU” “Manufactured product” 2.16.840.1.113883.5.110 RoleClass STATIC.
CONF-451: If participantRole in a product instance contains participantRole / id, then participantRoleSHOULD also contain participantRole / scopingEntity.
CONF-452: [Act | Observation | Procedure] / participant / participantRole / idSHOULD be set to equal a Supply / participant / participantRole / id (see section 3.9.2.4 Representation of a product) to indicate that the Procedure and the Supply are referring to the same product instance.

ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 1 transaction and 20 templates, Uses 11 templates
Used by as NameVersion
2.16.840.1.113883.3.1937.777.4.4.1Transactionfinal Continuity of Care Document (CCD) (Release 1.1)2013‑01‑31
2.16.840.1.113883.3.1937.777.4.10.50linkpending Procedure activity (act)2007‑04‑01
2.16.840.1.113883.3.1937.777.4.10.51linkpending Procedure activity (observation)2007‑04‑01
2.16.840.1.113883.3.1937.777.4.10.52linkpending Procedure activity (procedure)2007‑04‑01
2.16.840.1.113883.10.20.1linkpending CCD v1.0 Templates Root2007‑04‑01
2.16.840.1.113883.10.20.1.2linkpending Alerts section2007‑04‑01
2.16.840.1.113883.10.20.1.5linkpending Functional status section2007‑04‑01
2.16.840.1.113883.10.20.1.6linkpending Immunization section2007‑04‑01
2.16.840.1.113883.10.20.1.7linkpending Medical equipment section2007‑04‑01
2.16.840.1.113883.10.20.1.8linkpending Medication section2007‑04‑01
2.16.840.1.113883.10.20.1.11linkpending Problem section2007‑04‑01
2.16.840.1.113883.10.20.1.12linkpending Procedures section2007‑04‑01
2.16.840.1.113883.10.20.1.14linkpending Results section2007‑04‑01
2.16.840.1.113883.10.20.1.16linkpending Vital signs section2007‑04‑01
2.16.840.1.113883.10.20.1.18linkpending Alert observation2007‑04‑01
2.16.840.1.113883.10.20.1.24linkpending Medication activity2007‑04‑01
2.16.840.1.113883.10.20.1.32Includepending Result organizer2007‑04‑01
2.16.840.1.113883.10.20.1.33linkpending Social history observation2007‑04‑01
2.16.840.1.113883.10.20.1.35linkpending Vital signs organizer2007‑04‑01
2.16.840.1.113883.10.20.1.41linkpending Episode observation2007‑04‑01
2.16.840.1.113883.10.20.1.54Includepending Reaction observation2007‑04‑01
Uses as NameVersion
2.16.840.1.113883.3.1937.777.4.10.3Containmentpending CCD Subject (Body)DYNAMIC
2.16.840.1.113883.3.1937.777.4.10.13Includepending CCD Clinical StatementDYNAMIC
2.16.840.1.113883.3.1937.777.4.10.15Containmentpending CCD Performer (Body)DYNAMIC
2.16.840.1.113883.3.1937.777.4.10.20Containmentpending CCD Informant (Body)DYNAMIC
2.16.840.1.113883.10.20.1.27Includepending Problem actDYNAMIC
2.16.840.1.113883.10.20.1.28Includepending Problem observationDYNAMIC
2.16.840.1.113883.10.20.1.38Containmentpending Age observationDYNAMIC
2.16.840.1.113883.10.20.1.40Containmentpending CommentDYNAMIC
2.16.840.1.113883.10.20.1.45Containmentpending LocationDYNAMIC
2.16.840.1.113883.10.20.1.49Containmentpending Patient instructionsDYNAMIC
2.16.840.1.113883.10.20.1.52Containmentpending Product instanceDYNAMIC
RelationshipSpecialization: template 2.16.840.1.113883.10.12.301 CDA Act (2005‑09‑07)
ref
ad1bbr-
ItemDTCardConfDescriptionLabel
hl7:act
CONF‑427
@classCode
cs1 … 1R
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.19599 x_ActClassDocumentEntryAct (DYNAMIC)
@moodCode
cs1 … 1FEVNCONF‑428
@negationInd
bl0 … 1 
 Schematron assertroleorange warning 
 testhl7:informant or hl7:reference[@typeCode='XCRPT'] or hl7:entryRelationship[@typeCode='REFR']/hl7:observation[@classCode='OBS'][@moodCode='EVN'][hl7:statusCode/@code='completed'][hl7:code[@code='48766-0'][@codeSystem='2.16.840.1.113883.6.1'][@displayName='Information source']][hl7:value] 
 MessageCONF-447: A procedure activity SHALL contain one or more sources of information, as defined in section 5.2 Source. 
hl7:templateId
II1 … 1CONF‑427
@root
uid1 … 1F2.16.840.1.113883.10.20.1.29
hl7:id
II1 … *CONF‑429
hl7:code
CD1 … 1RCONF‑433 / CONF‑434
 CONF
@codeSystem shall be "2.16.840.1.113883.6.1"
or
@codeSystem shall be "2.16.840.1.113883.6.96"
or
@codeSystem shall be "2.16.840.1.113883.6.12"
or
@codeSystem shall be "2.16.840.1.113883.6.104"
or
@codeSystem shall be "2.16.840.1.113883.6.4"
hl7:text
ED0 … 1CONF‑427
hl7:statusCode
CS1 … 1CONF‑430 / CONF‑431
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.20.15 ProcedureStatusCode (2006‑10‑17)
hl7:effectiveTime
IVL_TS1 … 1CONF‑432
hl7:priorityCode
CE0 … 1CONF‑427
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16866 ActPriority (DYNAMIC)
hl7:languageCode
CS0 … 1CONF‑427
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
hl7:subject
0 … 1Contains 2.16.840.1.113883.3.1937.777.4.10.3 CCD Subject (Body) (DYNAMIC)CONF‑427
hl7:performer
0 … *Contains 2.16.840.1.113883.3.1937.777.4.10.15 CCD Performer (Body) (DYNAMIC)CONF‑438
hl7:informant
0 … *Contains 2.16.840.1.113883.3.1937.777.4.10.20 CCD Informant (Body) (DYNAMIC)CONF‑477
hl7:participant
0 … *Contains 2.16.840.1.113883.10.20.1.45 Location (DYNAMIC)CONF‑437
hl7:participant
0 … *Contains 2.16.840.1.113883.10.20.1.52 Product instance (DYNAMIC)CONF‑448
@typeCode
cs1 … 1FDEVCONF‑448
@contextControlCode
cs0 … 1FOP
hl7:time
IVL_TS0 … 1CONF‑448
hl7:awarenessCode
CE0 … 1CONF‑448
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10310 TargetAwareness (DYNAMIC)
hl7:entryRelationship
0 … *CONF‑440
@typeCode
cs1 … 1FRSONCONF‑439
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑440
hl7:seperatableInd
BL0 … 1CONF‑440
Choice1 … 1Elements to choose from:
Included from 2.16.840.1.113883.10.20.1.27 Problem act (DYNAMIC)
hl7:act
ProbdotsmAct
@classCode
cs1 … 1FACTCONF‑146
@moodCode
cs1 … 1FEVNCONF‑147
@negationInd
bl0 … 1 
hl7:templateId
II1 … 1ProbdotsmAct
@root
uid1 … 1F2.16.840.1.113883.10.20.1.27
hl7:id
II1 … *MCONF‑148
hl7:code
CD1 … 1RCONF‑149
@nullFlavor
cs1 … 1FNA
hl7:text
ED0 … 1ProbdotsmAct
hl7:statusCode
CS0 … 1ProbdotsmAct
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.15933 ActStatus (DYNAMIC)
hl7:effectiveTime
IVL_TS0 … 1CONF‑150
hl7:priorityCode
CE0 … 1ProbdotsmAct
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16866 ActPriority (DYNAMIC)
hl7:languageCode
CS0 … 1ProbdotsmAct
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
hl7:subject
0 … 1Contains 2.16.840.1.113883.3.1937.777.4.10.3 CCD Subject (Body) (DYNAMIC)ProbdotsmAct
hl7:participant
0 … 1Contains 2.16.840.1.113883.10.20.1.48 Patient awareness (DYNAMIC)CONF‑178 / CONF‑179 / CONF‑180
Choice1 … *Elements to choose from:
hl7:entryRelationship
CONF‑151
@typeCode
cs1 … 1FSUBJCONF‑152
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑151
hl7:seperatableInd
BL0 … 1CONF‑151
Choice1 … 1Elements to choose from:
Included from 2.16.840.1.113883.10.20.1.28 Problem observation (DYNAMIC)
hl7:observation
Probdotstion
@classCode
cs0 … 1 
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11529 ActClassObservation (DYNAMIC)
@moodCode
cs1 … 1FEVNCONF‑155
@negationInd
bl0 … 1 
 Schematron assertroleorange warning 
 testhl7:informant or hl7:reference[@typeCode='XCRPT'] or hl7:entryRelationship[@typeCode='REFR']/hl7:observation[@classCode='OBS'][@moodCode='EVN'][hl7:statusCode/@code='completed'][hl7:code[@code='48766-0'][@codeSystem='2.16.840.1.113883.6.1'][@displayName='Information source']][hl7:value] 
 MessageCONF-161: A problem observation SHALL contain one or more sources of information, as defined in section 5.2 Source. 
 Schematron assertrolered error 
 test(not(hl7:entryRelationship[hl7:observation/hl7:templateId/@root='2.16.840.1.113883.10.20.1.44']) or ancestor::hl7:section[hl7:templateId/@root='2.16.840.1.113883.10.20.1.5']) and (not(ancestor::hl7:section[hl7:templateId/@root='2.16.840.1.113883.10.20.1.5']) or hl7:entryRelationship[hl7:observation/hl7:templateId/@root='2.16.840.1.113883.10.20.1.44']) 
 MessageCONF-136: A problem observation in the functional status section SHALL contain exactly one status of functional status observation. 
hl7:templateId
II1 … 1Probdotstion
@root
uid1 … 1F2.16.840.1.113883.10.20.1.28
hl7:id
II0 … *Probdotstion
hl7:code
CD1 … 1R

CONF-129: The value for “Observation / code” in a problem observation or result observation in the functional status section MAY be selected from ValueSet 2.16.840.1.113883.1.11.20.6 FunctionalStatusTypeCode STATIC 20061017.
CONF-159: The value for “Observation / code” in a problem observation MAY be selected from ValueSet 2.16.840.1.113883.1.11.20.14 ProblemTypeCode STATIC 20061017.

CONF‑128
hl7:derivationExpr
ST0 … 1Probdotstion
hl7:text
ED0 … 1Probdotstion
hl7:statusCode
CS1 … 1MCONF‑156 / CONF‑157
@code
CONF1 … 1Fcompleted
hl7:effectiveTime
IVL_TS1 … 1RProbdotstion
hl7:priorityCode
CE0 … 1Probdotstion
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16866 ActPriority (DYNAMIC)
hl7:repeatNumber
IVL_INT0 … 1Probdotstion
hl7:languageCode
CS0 … 1Probdotstion
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
hl7:value
0 … *Probdotstion
hl7:interpretationCode
CE0 … *Probdotstion
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (DYNAMIC)
hl7:methodCode
CE0 … *Probdotstion
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.14079 ObservationMethod (DYNAMIC)
hl7:targetSiteCode
CD0 … *Probdotstion
 CONF
shall be drawn from concept domain "ActSite"
hl7:subject
0 … 1Contains 2.16.840.1.113883.3.1937.777.4.10.3 CCD Subject (Body) (DYNAMIC)Probdotstion
hl7:informant
0 … *Contains 2.16.840.1.113883.3.1937.777.4.10.20 CCD Informant (Body) (DYNAMIC)CONF‑161
hl7:participant
0 … 1Contains 2.16.840.1.113883.10.20.1.48 Patient awareness (DYNAMIC)CONF‑178 / CONF‑179 / CONF‑180
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.10.20.1.44 Status of functional status observation (DYNAMIC)CONF‑136
@typeCode
cs1 … 1FREFRCONF‑509
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑136
hl7:seperatableInd
BL0 … 1CONF‑136
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.10.20.1.38 Age observation (DYNAMIC)CONF‑160
@typeCode
cs1 … 1FSUBJCONF‑160
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑160
hl7:seperatableInd
BL0 … 1CONF‑160
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.10.20.1.50 Problem status observation (DYNAMIC)CONF‑162
@typeCode
cs1 … 1FREFRCONF‑509
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑162
hl7:seperatableInd
BL0 … 1CONF‑162
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.10.20.1.51 Problem healthstatus observation (DYNAMIC)CONF‑165
@typeCode
cs1 … 1FREFRCONF‑509
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑165
hl7:seperatableInd
BL0 … 1CONF‑165
hl7:entryRelationship
0 … *Contains 2.16.840.1.113883.10.20.1.40 Comment (DYNAMIC)CONF‑502
@typeCode
cs1 … 1R
 CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19447 x_ActRelationshipEntryRelationship (DYNAMIC)
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑502
hl7:seperatableInd
BL0 … 1CONF‑502
hl7:entryRelationship
0 … *CONF‑161
@typeCode
cs1 … 1FREFRCONF‑524
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑161
hl7:seperatableInd
BL0 … 1CONF‑161
hl7:observation
1 … 1CONF‑523 / CONF‑525
@classCode
cs0 … 1 CONF‑526
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11529 ActClassObservation (DYNAMIC)
@moodCode
cs1 … 1FEVNCONF‑527
hl7:code
CD1 … 1MCONF‑530 / CONF‑531
@code
CONF1 … 1F48766-0
@codeSystem
1 … 1F2.16.840.1.113883.6.1
@displayName
1 … 1FInformation source
hl7:statusCode
CS1 … 1MCONF‑528 / CONF‑529
@code
CONF1 … 1Fcompleted
hl7:value
1 … 1MCONF‑532 / CONF‑533
hl7:reference
0 … *CONF‑161
where [@typeCode='XCRPT']
hl7:referenceRange
0 … *Probdotstion
@typeCode
cs0 … 1FREFV
hl7:observationRange
1 … 1Probdotstion
@classCode
cs0 … 1 
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11529 ActClassObservation (DYNAMIC)
@moodCode
cs0 … 1 
 CONF
The value of @moodCode shall be drawn from value set 2.16.840.1.113883.1.11.20268 ActMoodEventCriterion (DYNAMIC)
hl7:code
CD0 … 1Probdotstion
 CONF
shall be drawn from concept domain "ActCode"
hl7:text
ED0 … 1Probdotstion
hl7:value
0 … 1Probdotstion
hl7:interpretationCode
CE0 … 1Probdotstion
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (DYNAMIC)
Included from 2.16.840.1.113883.10.20.1.18 Alert observation (DYNAMIC)
hl7:observation
CONF‑262
@classCode
cs0 … 1 
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11529 ActClassObservation (DYNAMIC)
@moodCode
cs1 … 1FEVNCONF‑263
@negationInd
bl0 … 1 
 Schematron assertroleorange warning 
 testhl7:informant or hl7:reference[@typeCode='XCRPT'] or hl7:entryRelationship[@typeCode='REFR']/hl7:observation[@classCode='OBS'][@moodCode='EVN'][hl7:statusCode/@code='completed'][hl7:code[@code='48766-0'][@codeSystem='2.16.840.1.113883.6.1'][@displayName='Information source']][hl7:value] 
 MessageCONF-269: A alert observation SHALL contain one or more sources of information, as defined in section 5.2 Source. 
hl7:templateId
II1 … 1CONF‑262
@root
uid1 … 1F2.16.840.1.113883.10.20.1.18
hl7:id
II0 … *CONF‑262
hl7:code
CD1 … 1RCONF‑262
 CONF
shall be drawn from concept domain "ObservationType"
hl7:derivationExpr
ST0 … 1CONF‑262
hl7:text
ED0 … 1CONF‑262
hl7:statusCode
CS1 … 1MCONF‑264 / CONF‑265
@code
CONF1 … 1Fcompleted
hl7:effectiveTime
IVL_TS0 … 1CONF‑266
hl7:priorityCode
CE0 … 1CONF‑262
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16866 ActPriority (DYNAMIC)
hl7:repeatNumber
IVL_INT0 … 1CONF‑262
hl7:languageCode
CS0 … 1CONF‑262
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
hl7:value
0 … 1CONF‑267 / CONF‑268
hl7:interpretationCode
CE0 … *CONF‑262
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (DYNAMIC)
hl7:methodCode
CE0 … *CONF‑262
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.14079 ObservationMethod (DYNAMIC)
hl7:targetSiteCode
CD0 … *CONF‑262
 CONF
shall be drawn from concept domain "ActSite"
hl7:subject
0 … 1Contains 2.16.840.1.113883.3.1937.777.4.10.3 CCD Subject (Body) (DYNAMIC)CONF‑262
hl7:informant
0 … *Contains 2.16.840.1.113883.3.1937.777.4.10.20 CCD Informant (Body) (DYNAMIC)CONF‑269
hl7:participant
1 … *CONF‑273
@typeCode
cs1 … 1R
 CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.10901 ParticipationType (DYNAMIC)
@contextControlCode
cs0 … 1FOP
hl7:time
IVL_TS0 … 1CONF‑273
hl7:awarenessCode
CE0 … 1CONF‑273
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10310 TargetAwareness (DYNAMIC)
hl7:participantRole
1 … 1CONF‑274
@classCode
cs1 … 1FMANUCONF‑276
hl7:id
II0 … *CONF‑274
hl7:code
CE0 … 1CONF‑274
 CONF
shall be drawn from concept domain "RoleCode"
hl7:addr
AD0 … *CONF‑274
hl7:telecom
TEL0 … *CONF‑274
hl7:playingEntity
1 … 1CONF‑274
@classCode
cs1 … 1FMMATCONF‑277
@determinerCode
cs0 … 1FINSTANCE
hl7:code
CE1 … 1CONF‑278 / CONF‑279
 CONF
@codeSystem shall be "2.16.840.1.113883.6.88"
or
@codeSystem shall be "2.16.840.1.113883.6.59"
hl7:quantity
PQ0 … *CONF‑274
hl7:name
PN0 … *CONF‑274
hl7:desc
ED0 … 1CONF‑274
hl7:scopingEntity
0 … 1CONF‑274
@classCode
cs0 … 1 
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.10882 EntityClass (DYNAMIC)
@determinerCode
cs0 … 1FINSTANCE
hl7:id
II0 … *CONF‑274
hl7:code
CE0 … 1CONF‑274
 CONF
shall be drawn from concept domain "EntityCode"
hl7:desc
ED0 … 1CONF‑274
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.10.20.1.39 Alert status observation (DYNAMIC)CONF‑270
@typeCode
cs1 … 1FREFRCONF‑509
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑270
hl7:seperatableInd
BL0 … 1CONF‑270
hl7:entryRelationship
0 … *Contains 2.16.840.1.113883.10.20.1.54 Reaction observation (DYNAMIC)CONF‑280
@typeCode
cs1 … 1FMFSTCONF‑281
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑280
hl7:seperatableInd
BL0 … 1CONF‑280
hl7:entryRelationship
0 … *Contains 2.16.840.1.113883.10.20.1.40 Comment (DYNAMIC)CONF‑502
@typeCode
cs1 … 1R
 CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19447 x_ActRelationshipEntryRelationship (DYNAMIC)
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑502
hl7:seperatableInd
BL0 … 1CONF‑502
hl7:entryRelationship
0 … *CONF‑269
@typeCode
cs1 … 1FREFRCONF‑524
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑269
hl7:seperatableInd
BL0 … 1CONF‑269
hl7:observation
1 … 1CONF‑523 / CONF‑525
@classCode
cs0 … 1 CONF‑526
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11529 ActClassObservation (DYNAMIC)
@moodCode
cs1 … 1FEVNCONF‑527
hl7:code
CD1 … 1MCONF‑530 / CONF‑531
@code
CONF1 … 1F48766-0
@codeSystem
1 … 1F2.16.840.1.113883.6.1
@displayName
1 … 1FInformation source
hl7:statusCode
CS1 … 1MCONF‑528 / CONF‑529
@code
CONF1 … 1Fcompleted
hl7:value
1 … 1MCONF‑532 / CONF‑533
hl7:reference
0 … *CONF‑269
where [@typeCode='XCRPT']
hl7:referenceRange
0 … *CONF‑262
@typeCode
cs0 … 1FREFV
hl7:observationRange
1 … 1CONF‑262
@classCode
cs0 … 1 
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11529 ActClassObservation (DYNAMIC)
@moodCode
cs0 … 1 
 CONF
The value of @moodCode shall be drawn from value set 2.16.840.1.113883.1.11.20268 ActMoodEventCriterion (DYNAMIC)
hl7:code
CD0 … 1CONF‑262
 CONF
shall be drawn from concept domain "ActCode"
hl7:text
ED0 … 1CONF‑262
hl7:value
0 … 1CONF‑262
hl7:interpretationCode
CE0 … 1CONF‑262
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (DYNAMIC)
hl7:entryRelationship
 … 1Contains 2.16.840.1.113883.10.20.1.41 Episode observation (DYNAMIC)CONF‑168
@typeCode
cs1 … 1FSUBJCONF‑176
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 CONF‑176
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑168
hl7:seperatableInd
BL0 … 1CONF‑168
hl7:entryRelationship
Contains 2.16.840.1.113883.3.1937.777.4.10.13 CCD Clinical Statement (DYNAMIC)CONF‑151
@typeCode
cs1 … 1R
 CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19447 x_ActRelationshipEntryRelationship (DYNAMIC)
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑151
hl7:seperatableInd
BL0 … 1CONF‑151
hl7:entryRelationship
0 … *Contains 2.16.840.1.113883.10.20.1.40 Comment (DYNAMIC)CONF‑502
@typeCode
cs1 … 1R
 CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19447 x_ActRelationshipEntryRelationship (DYNAMIC)
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑502
hl7:seperatableInd
BL0 … 1CONF‑502
Included from 2.16.840.1.113883.10.20.1.28 Problem observation (DYNAMIC)
hl7:observation
Probdotstion
@classCode
cs0 … 1 
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11529 ActClassObservation (DYNAMIC)
@moodCode
cs1 … 1FEVNCONF‑155
@negationInd
bl0 … 1 
 Schematron assertroleorange warning 
 testhl7:informant or hl7:reference[@typeCode='XCRPT'] or hl7:entryRelationship[@typeCode='REFR']/hl7:observation[@classCode='OBS'][@moodCode='EVN'][hl7:statusCode/@code='completed'][hl7:code[@code='48766-0'][@codeSystem='2.16.840.1.113883.6.1'][@displayName='Information source']][hl7:value] 
 MessageCONF-161: A problem observation SHALL contain one or more sources of information, as defined in section 5.2 Source. 
 Schematron assertrolered error 
 test(not(hl7:entryRelationship[hl7:observation/hl7:templateId/@root='2.16.840.1.113883.10.20.1.44']) or ancestor::hl7:section[hl7:templateId/@root='2.16.840.1.113883.10.20.1.5']) and (not(ancestor::hl7:section[hl7:templateId/@root='2.16.840.1.113883.10.20.1.5']) or hl7:entryRelationship[hl7:observation/hl7:templateId/@root='2.16.840.1.113883.10.20.1.44']) 
 MessageCONF-136: A problem observation in the functional status section SHALL contain exactly one status of functional status observation. 
hl7:templateId
II1 … 1Probdotstion
@root
uid1 … 1F2.16.840.1.113883.10.20.1.28
hl7:id
II0 … *Probdotstion
hl7:code
CD1 … 1R

CONF-129: The value for “Observation / code” in a problem observation or result observation in the functional status section MAY be selected from ValueSet 2.16.840.1.113883.1.11.20.6 FunctionalStatusTypeCode STATIC 20061017.
CONF-159: The value for “Observation / code” in a problem observation MAY be selected from ValueSet 2.16.840.1.113883.1.11.20.14 ProblemTypeCode STATIC 20061017.

CONF‑128
hl7:derivationExpr
ST0 … 1Probdotstion
hl7:text
ED0 … 1Probdotstion
hl7:statusCode
CS1 … 1MCONF‑156 / CONF‑157
@code
CONF1 … 1Fcompleted
hl7:effectiveTime
IVL_TS1 … 1RProbdotstion
hl7:priorityCode
CE0 … 1Probdotstion
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16866 ActPriority (DYNAMIC)
hl7:repeatNumber
IVL_INT0 … 1Probdotstion
hl7:languageCode
CS0 … 1Probdotstion
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
hl7:value
0 … *Probdotstion
hl7:interpretationCode
CE0 … *Probdotstion
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (DYNAMIC)
hl7:methodCode
CE0 … *Probdotstion
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.14079 ObservationMethod (DYNAMIC)
hl7:targetSiteCode
CD0 … *Probdotstion
 CONF
shall be drawn from concept domain "ActSite"
hl7:subject
0 … 1Contains 2.16.840.1.113883.3.1937.777.4.10.3 CCD Subject (Body) (DYNAMIC)Probdotstion
hl7:informant
0 … *Contains 2.16.840.1.113883.3.1937.777.4.10.20 CCD Informant (Body) (DYNAMIC)CONF‑161
hl7:participant
0 … 1Contains 2.16.840.1.113883.10.20.1.48 Patient awareness (DYNAMIC)CONF‑178 / CONF‑179 / CONF‑180
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.10.20.1.44 Status of functional status observation (DYNAMIC)CONF‑136
@typeCode
cs1 … 1FREFRCONF‑509
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑136
hl7:seperatableInd
BL0 … 1CONF‑136
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.10.20.1.38 Age observation (DYNAMIC)CONF‑160
@typeCode
cs1 … 1FSUBJCONF‑160
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑160
hl7:seperatableInd
BL0 … 1CONF‑160
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.10.20.1.50 Problem status observation (DYNAMIC)CONF‑162
@typeCode
cs1 … 1FREFRCONF‑509
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑162
hl7:seperatableInd
BL0 … 1CONF‑162
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.10.20.1.51 Problem healthstatus observation (DYNAMIC)CONF‑165
@typeCode
cs1 … 1FREFRCONF‑509
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑165
hl7:seperatableInd
BL0 … 1CONF‑165
hl7:entryRelationship
0 … *Contains 2.16.840.1.113883.10.20.1.40 Comment (DYNAMIC)CONF‑502
@typeCode
cs1 … 1R
 CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19447 x_ActRelationshipEntryRelationship (DYNAMIC)
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑502
hl7:seperatableInd
BL0 … 1CONF‑502
hl7:entryRelationship
0 … *CONF‑161
@typeCode
cs1 … 1FREFRCONF‑524
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑161
hl7:seperatableInd
BL0 … 1CONF‑161
hl7:observation
1 … 1CONF‑523 / CONF‑525
@classCode
cs0 … 1 CONF‑526
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11529 ActClassObservation (DYNAMIC)
@moodCode
cs1 … 1FEVNCONF‑527
hl7:code
CD1 … 1MCONF‑530 / CONF‑531
@code
CONF1 … 1F48766-0
@codeSystem
1 … 1F2.16.840.1.113883.6.1
@displayName
1 … 1FInformation source
hl7:statusCode
CS1 … 1MCONF‑528 / CONF‑529
@code
CONF1 … 1Fcompleted
hl7:value
1 … 1MCONF‑532 / CONF‑533
hl7:reference
0 … *CONF‑161
where [@typeCode='XCRPT']
hl7:referenceRange
0 … *Probdotstion
@typeCode
cs0 … 1FREFV
hl7:observationRange
1 … 1Probdotstion
@classCode
cs0 … 1 
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11529 ActClassObservation (DYNAMIC)
@moodCode
cs0 … 1 
 CONF
The value of @moodCode shall be drawn from value set 2.16.840.1.113883.1.11.20268 ActMoodEventCriterion (DYNAMIC)
hl7:code
CD0 … 1Probdotstion
 CONF
shall be drawn from concept domain "ActCode"
hl7:text
ED0 … 1Probdotstion
hl7:value
0 … 1Probdotstion
hl7:interpretationCode
CE0 … 1Probdotstion
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (DYNAMIC)
Included from 2.16.840.1.113883.3.1937.777.4.10.13 CCD Clinical Statement (DYNAMIC)
Choice1 … 1Elements to choose from:
  • hl7:act
  • hl7:encounter
  • hl7:observation
  • hl7:observationMedia
  • hl7:organizer
  • hl7:procedure
  • hl7:regionOfInterest
  • hl7:substanceAdministration
  • hl7:supply
hl7:act
CCDCdotsment
hl7:encounter
CCDCdotsment
hl7:observation
CCDCdotsment
hl7:observationMedia
CCDCdotsment
hl7:organizer
CCDCdotsment
hl7:procedure
CCDCdotsment
hl7:regionOfInterest
CCDCdotsment
hl7:substanceAdministration
CCDCdotsment
hl7:supply
CCDCdotsment
hl7:entryRelationship
0 … *Contains 2.16.840.1.113883.10.20.1.49 Patient instructions (DYNAMIC)CONF‑441
@typeCode
cs1 … 1FSUBJCONF‑333
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑441
hl7:seperatableInd
BL0 … 1CONF‑441
hl7:entryRelationship
0 … *Contains 2.16.840.1.113883.10.20.1.38 Age observation (DYNAMIC)CONF‑446
@typeCode
cs1 … 1FCOMPCONF‑446
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑446
hl7:seperatableInd
BL0 … 1CONF‑446
hl7:entryRelationship
0 … *Contains 2.16.840.1.113883.10.20.1.40 Comment (DYNAMIC)CONF‑502
@typeCode
cs1 … 1R
 CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19447 x_ActRelationshipEntryRelationship (DYNAMIC)
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑502
hl7:seperatableInd
BL0 … 1CONF‑502
hl7:entryRelationship
0 … *CONF‑477
@typeCode
cs1 … 1FREFRCONF‑524
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑477
hl7:seperatableInd
BL0 … 1CONF‑477
hl7:observation
1 … 1CONF‑523 / CONF‑525
@classCode
cs0 … 1 CONF‑526
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11529 ActClassObservation (DYNAMIC)
@moodCode
cs1 … 1FEVNCONF‑527
hl7:code
CD1 … 1MCONF‑530 / CONF‑531
@code
CONF1 … 1F48766-0
@codeSystem
1 … 1F2.16.840.1.113883.6.1
@displayName
1 … 1FInformation source
hl7:statusCode
CS1 … 1MCONF‑528 / CONF‑529
@code
CONF1 … 1Fcompleted
hl7:value
1 … 1MCONF‑532 / CONF‑533
hl7:reference
0 … *CONF‑477
where [@typeCode='XCRPT']