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Procedure (CDA Class) - Clinical Document Architecture v2.0.1-sd-202510-matchbox-patch

Logical Model: Procedure (CDA Class)

Official URL:http://hl7.org/cda/stds/core/StructureDefinition/Procedure Version:2.0.1-sd-202510-matchbox-patch
Active as of 2025-10-29 Computable Name:Procedure

A derivative of the RIM Procedure class, used for representing procedures. Procedure.negationInd, when set to "true", is a positive assertion that the Procedure as a whole is negated. Some properties such as Procedure.id, Procedure.moodCode, and the participations are not affected. These properties always have the same meaning: i.e., the author remains the author of the negative Procedure. A procedure statement with negationInd is still a statement about the specific fact described by the Procedure. For instance, a negated "appendectomy performed" means that the author positively denies that there was ever an appendectomy performed, and that he takes the same responsibility for such statement and the same requirement to have evidence for such statement than if he had not used negation.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Template Content

Description of Template, Differentials, Snapshots and how the different presentations work.

Other representations of profile: CSV, Excel

Resource Content

{
  "resourceType" : "StructureDefinition",
  "id" : "Procedure",
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/logical-target",
      "_valueBoolean" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode" : "not-applicable"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
      "valueUri" : "urn:hl7-org:v3"
    },
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
      "valueString" : "procedure"
    },
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/logical-container",
      "valueUri" : "http://hl7.org/cda/stds/core/StructureDefinition/ClinicalDocument"
    },
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/type-profile-style",
      "valueCode" : "cda"
    }
  ],
  "url" : "http://hl7.org/cda/stds/core/StructureDefinition/Procedure",
  "version" : "2.0.1-sd-202510-matchbox-patch",
  "name" : "Procedure",
  "title" : "Procedure (CDA Class)",
  "status" : "active",
  "experimental" : false,
  "date" : "2025-10-29T22:15:57+01:00",
  "publisher" : "Health Level 7",
  "contact" : [
    {
      "name" : "HL7 International - Structured Documents",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/structure"
        },
        {
          "system" : "email",
          "value" : "structdog@lists.HL7.org"
        }
      ]
    }
  ],
  "description" : "A derivative of the RIM Procedure class, used for representing procedures.\n\nProcedure.negationInd, when set to \"true\", is a positive assertion that the Procedure as a whole is negated. Some properties such as Procedure.id, Procedure.moodCode, and the participations are not affected. These properties always have the same meaning: i.e., the author remains the author of the negative Procedure. A procedure statement with negationInd is still a statement about the specific fact described by the Procedure. For instance, a negated \"appendectomy performed\" means that the author positively denies that there was ever an appendectomy performed, and that he takes the same responsibility for such statement and the same requirement to have evidence for such statement than if he had not used negation.",
  "fhirVersion" : "5.0.0",
  "mapping" : [
    {
      "identity" : "rim",
      "uri" : "http://hl7.org/v3",
      "name" : "RIM Mapping"
    }
  ],
  "kind" : "logical",
  "abstract" : false,
  "type" : "http://hl7.org/cda/stds/core/StructureDefinition/Procedure",
  "baseDefinition" : "http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot",
  "derivation" : "specialization",
  "differential" : {
    "element" : [
      {
        "id" : "Procedure",
        "path" : "Procedure",
        "min" : 1,
        "max" : "1"
      },
      {
        "id" : "Procedure.classCode",
        "path" : "Procedure.classCode",
        "representation" : ["xmlAttr"],
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "code",
            "profile" : ["http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"]
          }
        ],
        "fixedCode" : "PROC",
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActClassProcedure"
        }
      },
      {
        "id" : "Procedure.moodCode",
        "path" : "Procedure.moodCode",
        "representation" : ["xmlAttr"],
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "code",
            "profile" : ["http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"]
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-xDocumentProcedureMood"
        }
      },
      {
        "id" : "Procedure.id",
        "path" : "Procedure.id",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
          }
        ]
      },
      {
        "id" : "Procedure.sdtcCategory",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
            "valueUri" : "urn:hl7-org:sdtc"
          },
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
            "valueString" : "category"
          }
        ],
        "path" : "Procedure.sdtcCategory",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CD"
          }
        ]
      },
      {
        "id" : "Procedure.code",
        "path" : "Procedure.code",
        "definition" : "Drawn from concept domain ActCode",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CD"
          }
        ]
      },
      {
        "id" : "Procedure.negationInd",
        "path" : "Procedure.negationInd",
        "representation" : ["xmlAttr"],
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "boolean",
            "profile" : ["http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"]
          }
        ]
      },
      {
        "id" : "Procedure.text",
        "path" : "Procedure.text",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/ED"
          }
        ]
      },
      {
        "id" : "Procedure.statusCode",
        "path" : "Procedure.statusCode",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActStatus"
        }
      },
      {
        "id" : "Procedure.effectiveTime",
        "path" : "Procedure.effectiveTime",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS"
          }
        ]
      },
      {
        "id" : "Procedure.priorityCode",
        "path" : "Procedure.priorityCode",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CE"
          }
        ],
        "binding" : {
          "strength" : "example",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActPriority"
        }
      },
      {
        "id" : "Procedure.languageCode",
        "path" : "Procedure.languageCode",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/fhir/ValueSet/all-languages"
        }
      },
      {
        "id" : "Procedure.methodCode",
        "path" : "Procedure.methodCode",
        "definition" : "Drawn from concept domain ProcedureMethod",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CE"
          }
        ]
      },
      {
        "id" : "Procedure.approachSiteCode",
        "path" : "Procedure.approachSiteCode",
        "definition" : "Drawn from concept domain ActSite",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CD"
          }
        ]
      },
      {
        "id" : "Procedure.targetSiteCode",
        "path" : "Procedure.targetSiteCode",
        "definition" : "Drawn from concept domain ActSite",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CD"
          }
        ]
      },
      {
        "id" : "Procedure.subject",
        "path" : "Procedure.subject",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Subject"
          }
        ]
      },
      {
        "id" : "Procedure.specimen",
        "path" : "Procedure.specimen",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Specimen"
          }
        ]
      },
      {
        "id" : "Procedure.performer",
        "path" : "Procedure.performer",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Performer2"
          }
        ]
      },
      {
        "id" : "Procedure.author",
        "path" : "Procedure.author",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Author"
          }
        ]
      },
      {
        "id" : "Procedure.informant",
        "path" : "Procedure.informant",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Informant"
          }
        ]
      },
      {
        "id" : "Procedure.participant",
        "path" : "Procedure.participant",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Participant2"
          }
        ]
      },
      {
        "id" : "Procedure.entryRelationship",
        "path" : "Procedure.entryRelationship",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship"
          }
        ]
      },
      {
        "id" : "Procedure.reference",
        "path" : "Procedure.reference",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Reference"
          }
        ]
      },
      {
        "id" : "Procedure.precondition",
        "path" : "Procedure.precondition",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Precondition"
          }
        ]
      },
      {
        "id" : "Procedure.sdtcPrecondition2",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
            "valueUri" : "urn:hl7-org:sdtc"
          },
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
            "valueString" : "precondition2"
          }
        ],
        "path" : "Procedure.sdtcPrecondition2",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/Precondition2"
          }
        ]
      },
      {
        "id" : "Procedure.sdtcInFulfillmentOf1",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
            "valueUri" : "urn:hl7-org:sdtc"
          },
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
            "valueString" : "inFulfillmentOf1"
          }
        ],
        "path" : "Procedure.sdtcInFulfillmentOf1",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1"
          }
        ]
      }
    ]
  }
}