Procedure

  • Version 3
  • Published
  • Updated

Rule Number Rule description Semantic Common Data Model mapping Use cases affected In CACDI?
CC-BR-00171 If the procedure tolerance code is specified and indicates that the procedure was well tolerated (e.g., "Tolerated well, no immediate complications"), there must be no periprocedure events related to the procedure. Patient Procedure (including Procedure Tolerance Code), Periprocedure Event
 All Procedure No
CC-BR-00172 Procedure performer must be specified when the procedure is performed by a health care service provider; optional for reported procedures. Patient Procedure Patient Procedure Status Code -> Procedure Performer- Party Role (Party Role Type Code) >
Procedure Performer -> Care Team Participant -> Party Role (Party Role Type Code)		 All Procedure No
CC-BR-00173 If procedure status indicates a procedure event that is in preparation, ongoing or on hold, then its end date/time must not be specified. Patient Procedure.Patient Procedure Status Code Patient Reporting Source Code, Patient Procedure > Health Care Service Event Period All Procedure No
CC-BR-00174 If procedure status indicates that a procedure event was terminated, cancelled or not done, then its end date/time must be specified and must be no earlier than its start date/time. Patient Procedure.Patient Procedure Status Code Patient Reporting Source Code, Patient Procedure > Health Care Service Event Period All Procedure No
CC-BR-00175 If the procedure event is part of another event (e.g., procedure, medication administration, observation), then its start date/time must be no earlier than that of the event. Patient Procedure (including Patient Procedure Occurrence Date, Patient Procedure Information Source Code), Patient Procedure->Procedure Context, Procedure Context->Patient Procedure.Patient Procedure Occurrence Date, Procedure Context->Medication Administration->Health Care Service Event.Health Care Service Event Period, Procedure Context->Observation.Observation Date Time All Procedure No
CC-BR-00176 A completed procedure should be accompanied by documented consent. Patient Procedure.Patient Procedure Status Code
Patient Consent Directive (draft)		 All Procedure No
CC-BR-00177 The health concern that the procedure addresses may be changed once the procedure is completed. The historical health concern data should be present. Patient Procedure->Procedure Reason->Patient Health Concern All Procedure Yes
CC-BR-00178 Procedure status reason may be specified only when procedure status is specified. Patient Procedure.Patient Procedure Status Code, Patient Procedure Status Reason Code All Procedure No
CC-BR-00179 Procedure status reason should be consistent with procedure status, when both are specified. Patient Procedure.Patient Procedure Status Code, Patient Procedure Status Reason Code All Procedure No
CC-BR-00180 The procedure performer effective start date-time, if specified, must be no earlier than the start date/time of the procedure event. Patient Procedure->Health Care Service Event.Health Care Service Event Period Patient Procedure->Procedure Performer.Procedure Performer Effective Period All Procedure No
CC-BR-00181 The procedure performer expiry date effective end date-time must be no later than the end date/time of the procedure event, if both are specified. Patient Procedure->Health Care Service Event.Health Care Service Event Period Patient Procedure->Procedure Performer.Procedure Performer Effective Period All Procedure No
CC-BR-00182 For a procedure event, the exact date and, if known, the time must be specified; the reported date-time is optional and may be a free text description. Procedure (including Patient Procedure Occurrence Date Time and Patient Procedure Information Source Code) Procedure Yes
CC-BR-00183 A patient may not remember the exact date-time of a past procedure; approximate date-time should be captured. Patient Procedure (including Patient Procedure Occurrence Date Time and Patient Procedure Information Source Code) Procedure Yes
CC-BR-00184 The date-time, if specified, of a reported procedure must be earlier than the date-time when it is reported and recorded. Patient Procedure (including Patient Procedure Occurrence Date Time, Patient Procedure Information Source Code), Clinical Information Life Cycle Event (including Clinical Information Life Cycle Event Date Time, Clinical Information Life Cycle Event Type)
Immunization No
CC-BR-00185 Procedure code is mandatory for procedure events, and must be a valid value (may not be a data absent reason). Patient Procedure.Procedure Code
Patient Procedure->Health Care Service Event
Patient Procedure.Patient Procedure Information Source Code (not in CACDI)
 All Procedure use cases Yes
CC-BR-00186 Procedure performer must be a care team participant for procedure events. Care Team Participant -> Procedure Performer -> Patient Procedure
 All Procedure use cases No
CC-BR-00187 The date-time of a procedure event, if specified, must be: equal to Health Care Service Event Period.Start Date Time (usually) Patient Procedure (including Patient Procedure Occurrence Date Time, Patient Procedure Information Source Code (not in CACDI)), Patient Procedure->Health Care Service Event.Health Care Service Event Period All Procedure use cases Yes
CC-BR-00188 If a patient procedure performer is a care team member, the performer effective period, if specified, must be equal to or contained within performer's care team participation period. Patient Procedure, Procedure Performer.Procedure Performer Effective Period, Care Team Participant.Care Team Participation Period All Procedure use cases Yes

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How to cite:

Canadian Institute for Health Information. Procedure. Accessed November 02, 2026.

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