Procedures Section Procedure Entry

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Approval Status

  • Approval Status: Approved
  • Example Task Force: 5/22/2014
  • SDWG: 5/29/2014

  • SDWG C-CDA R2.1 Upgrade: 12/1/2016

C-CDA 2.1 Example:

  • 2.16.840.1.113883.
  • 2.16.840.1.113883.
  • 2.16.840.1.113883.

Reference to full CDA sample:

  • Problems in empty CCD

Validation location


  • This example illustrates how a procedure which "alters the physical state" of the patient and should be classified as a procedure.


  • John D'Amore (GitHub: jddamore)


  • problems




Example: download example view on GitHub

	<templateId root="2.16.840.1.113883."/>
	<templateId root="2.16.840.1.113883." extension="2014-06-09"/>
	<code code="47519-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
					<th>Date and Time (Range)</th>
				<tr ID="Procedure1">
					<td ID="ProcedureDesc1">Laparoscopic appendectomy</td>
					<td>(03 Feb 2014 09:22am- 03 Feb 2014 11:15am)</td>
	<entry typeCode="DRIV">
		<!-- Procedures should be used for care that directly changes the patient's physical state.-->
		<procedure moodCode="EVN" classCode="PROC">
			<templateId root="2.16.840.1.113883." />
			<templateId root="2.16.840.1.113883." extension="2014-06-09"/>
			<id root="64af26d5-88ef-4169-ba16-c6ef16a1824f"/>
			<code code="6025007" displayName="Laparoscopic appendectomy"
				codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT">
					<reference value="#ProcedureDesc1"/>
				<translation codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" code="44970"
					displayName="Laparoscopic Appendectomy"/>
				<translation codeSystem="2.16.840.1.113883.6.4" codeSystemName="ICD-10-PCS"
					displayName="Resection of Appendix, Percutaneous Endoscopic Approach"/>
				<translation codeSystem="2.16.840.1.113883.6.104" codeSystemName="ICD-9-CM"
					code="47.01" displayName="Laparoscopic appendectomy"/>
				<reference value="#Procedure1"/>
			<statusCode code="completed"/>
			<!-- Effective times can be either a value or interval. For procedures with start and stop times, an interval would be more appropriate -->
			<effectiveTime xsi:type="IVL_TS">
				<low value="20140203092205-0700"/>
				<high value="20140203111514-0700"/>
			<!-- methodCode indicates how the procedure was performed. It cannot conflict with the code used for procedure-->
			<methodCode code="51316009" codeSystem="2.16.840.1.113883.6.96"
				displayName="Laparoscopic procedure" codeSystemName="SNOMED-CT"/>
			<!-- targetSiteCode indicates the body site addressed by procedure and must be from value set 2.16.840.1.113883.>
			<targetSiteCode code="181255000" codeSystem="2.16.840.1.113883.6.96"
				displayName="Entire appendix" codeSystemName="SNOMED-CT"/>
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