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An activity that is performed with or on a patient as part of the provision of care.

Data Element

Applicable Standards(s)

  • Health Care Financing Administration Common Procedure Coding System (HCPCS), as maintained and distributed by HHS.
  • Current Procedural Terminology, Fourth Edition (CPT-4), as maintained and distributed by the American Medical Association, for physician services and other health care services.
  • SNOMED International, Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, September 2019 Release
  • Optional:
    • International Classification of Diseases ICD-10-PCS 2020
  • Optional for technology which records dental procedures:
    • Code on Dental Procedures and Nomenclature (CDT), maintained and distributed by the American Dental Association, for dental services.


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