Template 2.16.840.1.113883.10.20.22.2.7.1 Procedures Section (entries required)

2012‑01‑12

Template 2.16.840.1.113883.10.20.22.2.7.1 - ProceduresSectionentriesrequired
Id 2.16.840.1.113883.10.20.22.2.7.1
Classification cdasectionlevel
Context Parent nodes of template element with id 2.16.840.1.113883.10.20.22.2.7.1
Label conf‑605
Version valid from 2012‑01‑12 status draft
Description This section defines all interventional, surgical, diagnostic, or therapeutic procedures or treatments pertinent to the patient historically at the time the document is generated. The section may contain all procedures for the period of time being summarized, but should include notable procedures. The common notion of "procedure" is broader than that specified by the HL7 Version 3 Reference Information Model (RIM). Therefore this section contains procedure templates represented with three RIM classes: Act. Observation, and Procedure. Procedure act is for procedures the alter that physical condition of a patient (Splenectomy). Observation act is for procedures that result in new information about a patient but do not cause physical alteration (EEG). Act is for all other types of procedures (dressing change).
Item DT Card Conf Desc Label
cda:section
conf-605
treetree cda:templateId
II 1..1 M conf‑7891
treeblank treetree @root
1..1 F 2.16.840.1.113883.10.20.22.2.7.1
treetree cda:code
1..1 M conf‑7892
treeblank treetree @code
1..1 F 47519-4
treeblank treetree @codeSystem
1..1 F 2.16.840.1.113883.6.1
treeblank treetree @displayName
1..1 F History of Procedures
treetree cda:title
ST 1..1 M conf‑7893
treeblank treetree @code
1..1 F Procedures
treetree cda:text
ED 1..1 M conf‑7894
treetree cda:entry
0..* O conf‑7895
Contains an element with template id 2.16.840.1.113883.10.20.22.4.14 with overridden cardinality 0 .. *
treetree cda:entry
0..* O conf‑8017
Contains inherited template rules 2.16.840.1.113883.10.20.22.4.13 with overridden cardinality 0 .. *
treetree cda:entry
0..* O conf‑8019
Contains inherited template rules 2.16.840.1.113883.10.20.22.4.12 with overridden cardinality 0 .. *
Schematron assert Role red error
Test //cda:templateId/@root='2.16.840.1.113883.10.20.22.4.14' or //cda:templateId/@root='2.16.840.1.113883.10.20.22.4.13' or //cda:templateId/@root='2.16.840.1.113883.10.20.22.4.12'
Message
There SHALL be at least one procedure, observation or act entry conformant to Procedure Activity Procedure template, Procedure Activity Observation template or Procedure Activity Act template in the Procedure Section.