StructureDefinition-2.16.840.1.113883.10.20.22.4.14

Sourcehl7.cda.us.ccdar2dot2#current:Consolidated CDA Release 2.1 StructureDefinition Publication (v5.0.0)
resourceTypeStructureDefinition
id2.16.840.1.113883.10.20.22.4.14
canonicalhttp://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.14
version2.2
statusactive
publisherHealth Level Seven
nameProcedureActivityProcedure
titleProcedure Activity Procedure
date2021-11-24T17:43:01+00:00
descriptionThe 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.
jurisdictionsus
fhirVersion4.0.1
kindresource
abstractfalse
sdTtypeProcedure
derivationconstraint
basehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
Usages
Name Flags Card. Type Description & Constraints doco
. . Procedure
. . . classCode 1..1
. . . moodCode 1..1 Required Pattern: EVN
. . . Slices for templateId Slice: Unordered, Open by value:root, value:extension
. . . . templateId:primary 1..1
. . . . . root 1..1 Required Pattern: 2.16.840.1.113883.10.20.22.4.14
. . . . . extension 1..1 Required Pattern: 2014-06-09
. . . id 1..*
. . . code C 1..1 1098-19207: This @code **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) or ICD10 PCS (CodeSystem: 2.16.840.1.113883.6.4) or CDT-2 (Code System: 2.16.840.1.113883.6.13) (CONF:1098-19207).
. . . . originalText 0..1
. . . . . reference 0..1
. . . . . . value C 0..1 1098-19206: 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) (CONF:1098-19206).
. . . statusCode 1..1
. . . . code 1..1 Binding: ProcedureAct statusCode ( required )
. . . effectiveTime 0..1
. . . priorityCode 0..1 Binding: ActPriority ( required )
. . . methodCode C 0..1 1098-7890: MethodCode **SHALL NOT** conflict with the method inherent in Procedure / code (CONF:1098-7890).
. . . targetSiteCode 0..* 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 )
. . . . code 1..1 Binding: Body Site Value Set ( required )
. . . specimen C 0..* 1098-16842: This specimen is for representing specimens obtained from a procedure (CONF:1098-16842).
. . . . specimenRole 1..1
. . . . . id C 0..* 1098-29744: 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:1098-29744).
. . . Slices for performer Slice: Unordered, Open by value:assignedEntity
. . . . performer:performer1 0..*
. . . . . assignedEntity 1..1
. . . . . . id 1..*
. . . . . . addr 1..*
. . . . . . telecom 1..*
. . . . . . representedOrganization 0..1
. . . . . . . id 0..*
. . . . . . . name 0..*
. . . . . . . telecom 1..1
. . . . . . . addr 1..1
. . . author 0..* http://hl7.org/fhir/cda/StructureDefinition/Author
. . . Slices for participant Slice: Unordered, Open by value:typeCode, profile:participantRole
. . . . participant:product 0..*
. . . . . typeCode 1..1 Required Pattern: DEV
. . . . . participantRole 1..1 http://hl7.org/fhir/cda/StructureDefinition/ParticipantRole
. . . . participant:location 0..*
. . . . . typeCode 1..1 Required Pattern: LOC
. . . . . participantRole 1..1 http://hl7.org/fhir/cda/StructureDefinition/ParticipantRole
. . . Slices for entryRelationship Slice: Unordered, Open by profile:observation, profile:act, profile:substanceAdministration
. . . . entryRelationship:encounter 0..*
. . . . . typeCode 1..1 Required Pattern: COMP
. . . . . inversionInd 1..1 Required Pattern: true
. . . . . encounter 1..1
. . . . . . classCode 1..1 Required Pattern: ENC
. . . . . . moodCode 1..1 Required Pattern: EVN
. . . . . . id C 1..1 1098-16843: Set the encounter ID to the ID of an encounter in another section to signify they are the same encounter (CONF:1098-16843).
. . . . entryRelationship:instruction 0..1
. . . . . typeCode 1..1 Required Pattern: SUBJ
. . . . . inversionInd 1..1 Required Pattern: true
. . . . . act 1..1 http://hl7.org/fhir/cda/StructureDefinition/Act
. . . . entryRelationship:indication 0..*
. . . . . typeCode 1..1 Required Pattern: RSON
. . . . . observation 1..1 http://hl7.org/fhir/cda/StructureDefinition/Observation
. . . . entryRelationship:medication 0..*
. . . . . typeCode 1..1 Required Pattern: COMP
. . . . . substanceAdministration 1..1 http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
. . . . entryRelationship:reaction 0..*
. . . . . typeCode 1..1 Required Pattern: COMP
. . . . . observation 1..1 http://hl7.org/fhir/cda/StructureDefinition/Observation

doco Documentation for this format

Produced 08 Sep 2023