description: This template is used to represent the details of current and historical procedures performed on or for a patient. A procedure is an activity that is performed on, with, or for a patient as part of the provision of care. Examples include surgical procedures, diagnostic procedures, endoscopic procedures, biopsies, counseling, physiotherapy, personal support services, adult day care services, non-emergency transportation, home modification, exercise, etc. Procedures may be performed by a healthcare professional, a service provider, a friend or relative or in some cases by the patient themselves. package_name: hl7.cda.us.ccda derivation: constraint name: ProcedureActivityProcedure type: http://hl7.org/cda/stds/core/StructureDefinition/Procedure elements: entryRelationship: index: 44 slicing: rules: open discriminator: - {path: act, type: profile} - {path: observation, type: profile} - {path: encounter, type: exists} min: null slices: entryRelationship1: match: {} schema: short: entryRelationship array: true index: 45 elements: typeCode: pattern: {type: Code, value: COMP} index: 46 inversionInd: pattern: {type: Boolean, value: true} index: 47 encounter: index: 48 elements: classCode: {index: 49} moodCode: pattern: {type: Code, value: EVN} index: 50 id: {short: 'Set the encounter ID to the ID of an encounter in another section to signify they are the same encounter (CONF:4515-16843).', index: 51} required: [id] required: [inversionInd, encounter] entryRelationship2: match: {} schema: short: entryRelationship index: 52 elements: typeCode: pattern: {type: Code, value: SUBJ} index: 53 inversionInd: pattern: {type: Boolean, value: true} index: 54 act: {type: 'http://hl7.org/cda/stds/core/StructureDefinition/Act', index: 55} required: [act, inversionInd] entryRelationship3: match: {} schema: short: entryRelationship array: true index: 56 elements: typeCode: pattern: {type: Code, value: RSON} index: 57 observation: {type: 'http://hl7.org/cda/stds/core/StructureDefinition/Observation', index: 58} required: [observation] entryRelationship4: match: {} schema: short: entryRelationship array: true index: 59 elements: typeCode: pattern: {type: Code, value: COMP} index: 60 substanceAdministration: {type: 'http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration', index: 61} required: [substanceAdministration] entryRelationship5: match: {} schema: short: entryRelationship array: true index: 62 elements: typeCode: pattern: {type: Code, value: COMP} index: 63 observation: {type: 'http://hl7.org/cda/stds/core/StructureDefinition/Observation', index: 64} required: [observation] entryRelationship6: match: {} schema: short: When an Assessment Scale Observation is contained in a Procedure Template instance that is a Social Determinant of Health intervention procedure, that Assessment scale **MAY** contain Assessment Scale observations that represent LOINC question and answer pairs from SDOH screening instruments. array: true index: 65 elements: typeCode: pattern: {type: Code, value: RSON} index: 66 observation: {type: 'http://hl7.org/cda/stds/core/StructureDefinition/Observation', index: 67} required: [observation] entryRelationship7: match: {} schema: short: When an Entry Reference Template is contained in a Procedure Template instance that is a Social Determinant of Health procedure, that Entry Reference **MAY** refer to Assessment Scale Observation in the same document that represent LOINC question and answer pairs from SDOH screening instruments. array: true index: 68 elements: typeCode: pattern: {type: Code, value: RSON} index: 69 act: {type: 'http://hl7.org/cda/stds/core/StructureDefinition/Act', index: 70} required: [act] priorityCode: binding: {strength: required, valueSet: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.16866'} index: 18 specimen: short: This specimen is for representing specimens obtained from a procedure (CONF:4515-16842). index: 21 elements: specimenRole: constraint: should-id: {human: SHOULD contain id, source: 'http://hl7.org/cda/us/ccda/StructureDefinition/ProcedureActivityProcedure', severity: warning, expression: id.exists()} index: 22 elements: id: {short: '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:4515-29744).', index: 23} participant: index: 37 slicing: rules: open discriminator: - {path: typeCode, type: value} min: null slices: participant1: match: {typeCode: DEV} schema: short: participant array: true index: 38 elements: typeCode: pattern: {type: Code, value: DEV} index: 39 participantRole: {type: 'http://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole', index: 40} participant2: match: {typeCode: LOC} schema: short: participant array: true index: 41 elements: typeCode: pattern: {type: Code, value: LOC} index: 42 participantRole: {type: 'http://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole', index: 43} classCode: {index: 4} methodCode: {short: 'MethodCode **SHALL NOT** conflict with the method inherent in Procedure / code (CONF:4515-7890).', index: 19} author: {type: 'http://hl7.org/cda/stds/core/StructureDefinition/Author', index: 36} id: {index: 6} targetSiteCode: short: 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: {strength: required, valueSet: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.8.9'} index: 20 code: binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code'} constraint: should-otext-ref-value: {human: SHOULD contain originalText/reference/@value, source: 'http://hl7.org/cda/us/ccda/StructureDefinition/ProcedureActivityProcedure', severity: warning, expression: originalText.reference.value.exists()} index: 7 elements: originalText: short: SHOULD reference the portion of narrative corresponding to this code index: 8 elements: reference: constraint: value-starts-octothorpe: {human: 'If reference/@value is present, it SHALL begin with a ''#'' and SHALL point to its corresponding narrative', source: 'http://hl7.org/cda/us/ccda/StructureDefinition/ProcedureActivityProcedure', severity: error, expression: value.exists() implies value.startsWith('#')} index: 9 moodCode: pattern: {type: Code, value: EVN} index: 5 effectiveTime: type: http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS short: (USCDI) Performance Time constraint: should-value: {human: SHOULD contain value, source: 'http://hl7.org/cda/us/ccda/StructureDefinition/ProcedureActivityProcedure', severity: warning, expression: value.exists()} ts-value-before-document: {human: Time value must be equal to or before ClinicalDocument/effectiveTime, source: 'http://hl7.org/cda/us/ccda/StructureDefinition/ProcedureActivityProcedure', severity: error, expression: value.exists() implies value <= %resource.effectiveTime.value} index: 14 elements: value: {short: Indicates historical procedure or an instance of a procedure where precision may be only a date or even a year., index: 15} low: short: Indicates when a procedure started constraint: ts-value-before-document: {human: Time value must be equal to or before ClinicalDocument/effectiveTime, source: 'http://hl7.org/cda/us/ccda/StructureDefinition/ProcedureActivityProcedure', severity: error, expression: value.exists() implies value <= %resource.effectiveTime.value} index: 16 high: {short: 'Indicates when a procedure ended. If the statusCode=''active'', this must be after the ClinicalDcument/effectiveTime', index: 17} templateId: index: 0 slicing: rules: open discriminator: - {path: root, type: value} - {path: extension, type: value} min: 1 slices: procedure: match: {root: 2.16.840.1.113883.10.20.22.4.14, extension: '2024-05-01'} schema: _required: true index: 1 elements: root: pattern: {type: String, value: 2.16.840.1.113883.10.20.22.4.14} index: 2 extension: pattern: {type: String, value: '2024-05-01'} index: 3 required: [root, extension] extensions: {} statusCode: index: 12 elements: code: binding: {strength: required, valueSet: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.22'} index: 13 required: [code] performer: index: 24 elements: assignedEntity: constraint: should-assignedPerson: {human: SHOULD contain assignedPerson, source: 'http://hl7.org/cda/us/ccda/StructureDefinition/ProcedureActivityProcedure', severity: warning, expression: assignedPerson.exists()} should-representedOrganization: {human: SHOULD contain representedOrganization, source: 'http://hl7.org/cda/us/ccda/StructureDefinition/ProcedureActivityProcedure', severity: warning, expression: representedOrganization.exists()} index: 25 elements: id: {index: 26} addr: {type: 'http://hl7.org/cda/stds/core/StructureDefinition/AD', index: 27} telecom: {index: 28} assignedPerson: index: 29 elements: name: {type: 'http://hl7.org/cda/stds/core/StructureDefinition/PN', index: 30} required: [name] representedOrganization: constraint: should-id: {human: SHOULD contain id, source: 'http://hl7.org/cda/us/ccda/StructureDefinition/ProcedureActivityProcedure', severity: warning, expression: id.exists()} index: 31 elements: id: {index: 32} name: {index: 33} telecom: {index: 34} addr: {type: 'http://hl7.org/cda/stds/core/StructureDefinition/AD', index: 35} required: [addr, telecom] required: [addr, telecom] text: short: SHOULD reference the portion of section narrative text corresponding to this entry index: 10 elements: reference: constraint: value-starts-octothorpe: {human: 'If reference/@value is present, it SHALL begin with a ''#'' and SHALL point to its corresponding narrative', source: 'http://hl7.org/cda/us/ccda/StructureDefinition/ProcedureActivityProcedure', severity: error, expression: value.exists() implies value.startsWith('#')} index: 11 package_version: 3.0.0-ballot class: logical kind: logical url: http://hl7.org/cda/us/ccda/StructureDefinition/ProcedureActivityProcedure base: http://hl7.org/cda/stds/core/StructureDefinition/Procedure version: 3.0.0-ballot required: [id, effectiveTime, statusCode, templateId, code]