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pending Template  Procedure Activity Observation (V2)

Id 2.16.840.1.113883.10.20.22.4.13
ref
ccda-
 		Effective Date 2014‑06‑09
Status pending Under pre-publication review Version Label 2.1
Name ProcedureActivityObservationV2 Display Name Procedure Activity Observation (V2)
Description
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 0 transactions and 2 templates, Uses 6 templates
Used by as Name Version
2.16.840.1.113883.10.20.22.2.7 Containment draft Procedures Section (entries optional) (V2) (2.1) 2019‑03‑16 21:12:43
2.16.840.1.113883.3.51.60.2.4.1 link draft BC CDA ClinicalDocumentDischargeSummary (V3) (2.1) 2019‑03‑19 14:15:51
Uses as Name Version
2.16.840.1.113883.10.20.22.4.119 Containment pending Author Participation (2.1) 2015‑08‑13
2.16.840.1.113883.10.20.22.4.32 Containment pending Service Delivery Location (2.1) 2015‑08‑13
2.16.840.1.113883.10.20.22.4.20 Containment pending Instruction (V2) (2.1) 2014‑06‑09
2.16.840.1.113883.10.20.22.4.19 Containment pending Indication (V2) (2.1) 2014‑06‑09
2.16.840.1.113883.10.20.22.4.16 Containment pending Medication Activity (V2) (2.1) 2014‑06‑09
2.16.840.1.113883.10.20.22.4.9 Containment pending 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
(ProdotsnV2)
treetree @classCode
1 … 1 F OBS CONFdots8282
  SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-8282).
treetree @moodCode
1 … 1 F EVN CONFdots8237
  SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-8237).
treetree cda:templateId
II 1 … 1 M SHALL contain exactly one [1..1] templateId (CONF:1098-8238) such that it CONFdots8238
treeblank treetree @root
1 … 1 F 2.16.840.1.113883.10.20.22.4.13 CONFdots0520
  SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.13" (CONF:1098-10520).
treeblank treetree @extension
1 … 1 F 2014-06-09 CONFdots2507
  SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32507).
treetree cda:id
II 1 … * SHALL contain at least one [1..*] id (CONF:1098-8239). CONFdots8239
treetree cda:code
CD 1 … 1 SHALL contain exactly one [1..1] code (CONF:1098-19197). CONFdots9197
treeblank treetree cda:originalText
0 … 1 R This code SHOULD contain zero or one [0..1] originalText (CONF:1098-19198). CONFdots9198
treeblank treeblank treetree cda:reference
0 … 1 R The originalText, if present, SHOULD contain zero or one [0..1] reference (CONF:1098-19199). CONFdots9199
treeblank treeblank treeblank treetree @value
0 … 1   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).  
treetree cda:statusCode
CS 1 … 1 R SHALL contain exactly one [1..1] statusCode (CONF:1098-8245). CONFdots8245
treetree cda:effectiveTime
IVL_TS 0 … 1 R SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-8246). CONFdots8246
treetree 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:1098-8247). CONFdots8247
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16866 ActPriority (DYNAMIC)
treetree cda:value
1 … 1 R SHALL contain exactly one [1..1] value (CONF:1098-16846). CONFdots6846
treeblank treetree @nullFlavor
0 … 1   This value MAY contain zero or one [0..1] @nullFlavor (CONF:1098-32778). CONFdots2778
treetree cda:methodCode
0 … 1 MAY contain zero or one [0..1] methodCode (CONF:1098-8248). CONFdots8248
  Constraint methodCode *SHALL NOT* conflict with the method inherent in Observation / code.
treetree cda:targetSiteCode
0 … * R 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)
treetree cda:performer
0 … * R SHOULD contain zero or more [0..*] performer (CONF:1098-8251). CONFdots8251
treeblank treetree cda:assignedEntity
1 … 1 M The performer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1098-8252). CONFdots8252
treeblank treeblank treetree cda:id
II 1 … * This assignedEntity SHALL contain at least one [1..*] id (CONF:1098-8253). CONFdots8253
treeblank treeblank treetree cda:addr
AD 1 … * This assignedEntity SHALL contain at least one [1..*] addr (CONF:1098-8254). CONFdots8254
treeblank treeblank treetree cda:telecom
TEL 1 … * This assignedEntity SHALL contain at least one [1..*] telecom (CONF:1098-8255). CONFdots8255
treeblank treeblank treetree cda:representedOrganization
0 … 1 R This assignedEntity SHOULD contain zero or one [0..1] representedOrganization (CONF:1098-8256). CONFdots8256
treeblank treeblank treeblank treetree cda:id
II 0 … * R The representedOrganization, if present, SHOULD contain zero or more [0..*] id (CONF:1098-8257). CONFdots8257
treeblank treeblank treeblank treetree cda:name
0 … * The representedOrganization, if present, MAY contain zero or more [0..*] name (CONF:1098-8258). CONFdots8258
treeblank treeblank treeblank treetree cda:telecom
TEL 1 … 1 The representedOrganization, if present, SHALL contain exactly one [1..1] telecom (CONF:1098-8260). CONFdots8260
treeblank treeblank treeblank treetree cda:addr
AD 1 … 1 The representedOrganization, if present, SHALL contain exactly one [1..1] addr (CONF:1098-8259). CONFdots8259
treetree 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:1098-32478).
Contains 2.16.840.1.113883.10.20.22.4.119 Author Participation (2015‑08‑13) 		CONFdots2478
treeblank where [cda:templateId [@root = '2.16.840.1.113883.10.20.22.4.119']]
treetree cda:participant
0 … * Contains 2.16.840.1.113883.10.20.22.4.32 Service Delivery Location (2015‑08‑13) CONFdots8261
treeblank where [cda:participantRole [cda:templateId [@root = '2.16.840.1.113883.10.20.22.4.32']]]
treeblank treetree @typeCode
1 … 1 F LOC CONFdots8262
  SHALL contain exactly one [1..1] @typeCode="LOC" Location (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-8262).
treetree cda:entryRelationship
0 … * MAY contain zero or more [0..*] entryRelationship (CONF:1098-8264) such that it CONFdots8264
treeblank treetree @typeCode
1 … 1 F COMP CONFdots8265
  SHALL contain exactly one [1..1] @typeCode="COMP" Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-8265).
treeblank treetree @inversionInd
1 … 1 F true CONFdots8266
  SHALL contain exactly one [1..1] @inversionInd="true" true (CONF:1098-8266).
treeblank treetree cda:encounter
1 … 1 M SHALL contain exactly one [1..1] encounter (CONF:1098-8267). CONFdots8267
treeblank treeblank treetree @classCode
1 … 1 F ENC CONFdots8268
  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).
treeblank treeblank treetree @moodCode
1 … 1 F EVN CONFdots8269
  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).
treeblank treeblank treetree cda:id
II 1 … 1 This encounter SHALL contain exactly one [1..1] id (CONF:1098-8270). CONFdots8270
  Constraint Set encounter/id to the id of an encounter in another section to signify they are the same encounter.
treetree cda:entryRelationship
0 … 1 Contains 2.16.840.1.113883.10.20.22.4.20 Instruction (V2) (2014‑06‑09) CONFdots8272
treeblank where [cda:act [cda:templateId [@root = '2.16.840.1.113883.10.20.22.4.20'] [@extension = '2014-06-09']]]
treeblank treetree @typeCode
1 … 1 F SUBJ CONFdots8273
  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).
treeblank treetree @inversionInd
1 … 1 F true CONFdots8274
  SHALL contain exactly one [1..1] @inversionInd="true" true (CONF:1098-8274).
treetree cda:entryRelationship
0 … * Contains 2.16.840.1.113883.10.20.22.4.19 Indication (V2) (2014‑06‑09) CONFdots8276
treeblank where [cda:observation [cda:templateId [@root = '2.16.840.1.113883.10.20.22.4.19'] [@extension = '2014-06-09']]]
treeblank treetree @typeCode
1 … 1 F RSON CONFdots8277
  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).
treetree cda:entryRelationship
0 … * Contains 2.16.840.1.113883.10.20.22.4.16 Medication Activity (V2) (2014‑06‑09) CONFdots8279
treeblank where [cda:substanceAdministration [cda:templateId [@root = '2.16.840.1.113883.10.20.22.4.16'] [@extension = '2014-06-09']]]
treeblank treetree @typeCode
1 … 1 F COMP CONFdots8280
  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).
treetree cda:entryRelationship
0 … * Contains 2.16.840.1.113883.10.20.22.4.9 Reaction Observation (V2) (2014‑06‑09) CONFdots2470
treeblank where [cda:observation [cda:templateId [@root = '2.16.840.1.113883.10.20.22.4.9'] [@extension = '2014-06-09']]]
treeblank treetree @typeCode
1 … 1 F COMP CONFdots2471
  SHALL contain exactly one [1..1] @typeCode="COMP" Has Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32471).