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draft Template  Procedure Activity Observation (V2)

Id 2.16.840.1.113883.10.20.22.4.13
ref
ccda-
 		Effective Date 2014‑06‑09
Status draft Draft Version Label 2.1
Name ProcedureActivityObservationV2 Display Name Procedure Activity Observation (V2)
Description
en-US 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 that result in new information about the patient that cannot be classified as a procedure according to the HL7 RIM. Examples of these procedures are diagnostic imaging procedures, EEGs, and EKGs.
Context Parent nodes of template element with id 2.16.840.1.113883.10.20.22.4.13
Classification CDA Entry Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 1 transaction and 3 templates, Uses 6 templates
Used by as Name Version
BBR-transaction-2 Transaction draft Initial 2024‑05‑23 09:43:53
1.2.250.1.213.1.1.2.198 Containment active FR-Liste-des-chirurgies-oculaires (2024-11-12) 2024‑11‑12 10:12:49
1.2.250.1.213.1.1.1.2 link draft Modèles de contenus CDA 2024‑05‑23 11:26:23
1.2.250.1.213.1.1.2.180 link active FR-Antecedents-chirurgicaux-oculaires (2024-10-29) 2024‑06‑25 10:50:12
Uses as Name Version
2.16.840.1.113883.10.20.22.4.119 Containment draft Author Participation (2.1) 2015‑08‑13
2.16.840.1.113883.10.20.22.4.32 Containment draft Service Delivery Location (2.1) 2015‑08‑13
2.16.840.1.113883.10.20.22.4.20 Containment draft Instruction (V2) (2.1) 2014‑06‑09
2.16.840.1.113883.10.20.22.4.19 Containment draft Indication (V2) (2.1) 2014‑06‑09
2.16.840.1.113883.10.20.22.4.16 Containment draft Medication Activity (V2) (2.1) 2014‑06‑09
2.16.840.1.113883.10.20.22.4.9 Containment draft Reaction Observation (V2) (2.1) 2014‑06‑09
Relationship Specialization: template 2.16.840.1.113883.10.12.303 CDA Observation (2005‑09‑07)
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ad1bbr-

Version: template 2.16.840.1.113883.10.20.22.4.13 Procedure Activity Observation (2013‑01‑31)
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ccda-
Item DT Card Conf Description Label
cda:observation
@classCode
 		cs 1 … 1 F OBS CONFdots8282
  en-US SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-8282).
@moodCode
 		cs 1 … 1 F EVN CONFdots8237
  en-US SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-8237).
cda:templateId
 		II 1 … 1 M en-US C-CDA R1.1 templateId root without an extension CONFdots2936
@root
 		uid 1 … 1 F 2.16.840.1.113883.10.20.22.4.13
cda:templateId
 		II 1 … 1 M en-US SHALL contain exactly one [1..1] templateId (CONF:1098-8238) such that it CONFdots8238
@root
 		uid 1 … 1 F 2.16.840.1.113883.10.20.22.4.13 CONFdots0520
  en-US SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.13" (CONF:1098-10520).
@extension
 		st 1 … 1 F 2014-06-09 CONFdots2507
  en-US SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32507).
cda:id
 		II 1 … * en-US SHALL contain at least one [1..*] id (CONF:1098-8239). CONFdots8239
cda:code
 		CD 1 … 1 en-US SHALL contain exactly one [1..1] code (CONF:1098-19197). CONFdots9197
cda:originalText
 		0 … 1 R en-US This code SHOULD contain zero or one [0..1] originalText (CONF:1098-19198). CONFdots9198
cda:reference
 		0 … 1 R en-US The originalText, if present, SHOULD contain zero or one [0..1] reference (CONF:1098-19199). CONFdots9199
@value
 		0 … 1   en-US The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:1098-19200). CONFdots9200
  Schematron assert role red 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 en-US SHALL contain exactly one [1..1] statusCode (CONF:1098-8245). CONFdots8245
cda:effectiveTime
 		IVL_TS 0 … 1 R en-US SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-8246). CONFdots8246
cda:priorityCode
 		0 … 1 en-US 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:1098-8247). CONFdots8247
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16866 ActPriority (DYNAMIC)
cda:value
 		1 … 1 R en-US SHALL contain exactly one [1..1] value (CONF:1098-16846). CONFdots6846
@nullFlavor
 		cs 0 … 1   en-US This value MAY contain zero or one [0..1] @nullFlavor (CONF:1098-32778). CONFdots2778
cda:methodCode
 		0 … 1 en-US MAY contain zero or one [0..1] methodCode (CONF:1098-8248). CONFdots8248
  Constraint en-US methodCode *SHALL NOT* conflict with the method inherent in Observation / code.
cda:targetSiteCode
 		0 … * R en-US SHOULD contain zero or more [0..*] targetSiteCode, which SHALL be selected from ValueSet Body Site urn:oid:2.16.840.1.113883.3.88.12.3221.8.9 DYNAMIC (CONF:1098-8250). CONFdots8250
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.3.88.12.3221.8.9 Body Site (DYNAMIC)
cda:performer
 		0 … * R en-US SHOULD contain zero or more [0..*] performer (CONF:1098-8251). CONFdots8251
cda:assignedEntity
 		1 … 1 M en-US The performer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1098-8252). CONFdots8252
cda:id
 		II 1 … * en-US This assignedEntity SHALL contain at least one [1..*] id (CONF:1098-8253). CONFdots8253
cda:addr
 		AD 1 … * en-US This assignedEntity SHALL contain at least one [1..*] addr (CONF:1098-8254). CONFdots8254
cda:telecom
 		TEL 1 … * en-US This assignedEntity SHALL contain at least one [1..*] telecom (CONF:1098-8255). CONFdots8255
cda:representedOrganization
 		0 … 1 R en-US This assignedEntity SHOULD contain zero or one [0..1] representedOrganization (CONF:1098-8256). CONFdots8256
cda:id
 		II 0 … * R en-US The representedOrganization, if present, SHOULD contain zero or more [0..*] id (CONF:1098-8257). CONFdots8257
cda:name
 		0 … * en-US The representedOrganization, if present, MAY contain zero or more [0..*] name (CONF:1098-8258). CONFdots8258
cda:telecom
 		TEL 1 … 1 en-US The representedOrganization, if present, SHALL contain exactly one [1..1] telecom (CONF:1098-8260). CONFdots8260
cda:addr
 		AD 1 … 1 en-US The representedOrganization, if present, SHALL contain exactly one [1..1] addr (CONF:1098-8259). CONFdots8259
cda:author
 		0 … * R en-US SHOULD contain [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-32478).
Contains 2.16.840.1.113883.10.20.22.4.119 Author Participation (2015‑08‑13) 		CONFdots2478
cda:participant
 		0 … * Contains 2.16.840.1.113883.10.20.22.4.32 Service Delivery Location (2015‑08‑13) CONFdots8261
@typeCode
 		cs 1 … 1 F LOC CONFdots8262
  en-US SHALL contain exactly one [1..1] @typeCode="LOC" Location (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1098-8262).
cda:entryRelationship
 		0 … * en-US MAY contain zero or more [0..*] entryRelationship (CONF:1098-8264) such that it CONFdots8264
@typeCode
 		cs 1 … 1 F COMP CONFdots8265
  en-US SHALL contain exactly one [1..1] @typeCode="COMP" Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-8265).
@inversionInd
 		bl 1 … 1 F true CONFdots8266
  en-US SHALL contain exactly one [1..1] @inversionInd="true" true (CONF:1098-8266).
cda:encounter
 		1 … 1 M en-US SHALL contain exactly one [1..1] encounter (CONF:1098-8267). CONFdots8267
@classCode
 		cs 1 … 1 F ENC CONFdots8268
  en-US This encounter SHALL contain exactly one [1..1] @classCode="ENC" Encounter (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-8268).
@moodCode
 		cs 1 … 1 F EVN CONFdots8269
  en-US This encounter SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-8269).
cda:id
 		II 1 … 1 en-US This encounter SHALL contain exactly one [1..1] id (CONF:1098-8270). CONFdots8270
  Constraint en-US Set encounter/id to the id of an encounter in another section to signify they are the same encounter.
cda:entryRelationship
 		0 … 1 Contains 2.16.840.1.113883.10.20.22.4.20 Instruction (V2) (2014‑06‑09) CONFdots8272
@typeCode
 		cs 1 … 1 F SUBJ CONFdots8273
  en-US SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-8273).
@inversionInd
 		bl 1 … 1 F true CONFdots8274
  en-US SHALL contain exactly one [1..1] @inversionInd="true" true (CONF:1098-8274).
cda:entryRelationship
 		0 … * Contains 2.16.840.1.113883.10.20.22.4.19 Indication (V2) (2014‑06‑09) CONFdots8276
@typeCode
 		cs 1 … 1 F RSON CONFdots8277
  en-US SHALL contain exactly one [1..1] @typeCode="RSON" Has Reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-8277).
cda:entryRelationship
 		0 … * Contains 2.16.840.1.113883.10.20.22.4.16 Medication Activity (V2) (2014‑06‑09) CONFdots8279
@typeCode
 		cs 1 … 1 F COMP CONFdots8280
  en-US SHALL contain exactly one [1..1] @typeCode="COMP" Has Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-8280).
cda:entryRelationship
 		0 … * Contains 2.16.840.1.113883.10.20.22.4.9 Reaction Observation (V2) (2014‑06‑09) CONFdots2470
@typeCode
 		cs 1 … 1 F COMP CONFdots2471
  en-US SHALL contain exactly one [1..1] @typeCode="COMP" Has Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32471).