Template 2.16.840.1.113883.10.20.22.4.13 Procedure Activity Observation

2012‑01‑12

Template 2.16.840.1.113883.10.20.22.4.13 - ProcedureActivityObservation
Id 2.16.840.1.113883.10.20.22.4.13
Classification cdaentrylevel
Context Parent nodes of template element with id 2.16.840.1.113883.10.20.22.4.13
Label conf‑709
Version valid from 2012‑01‑12 status draft
Description The common notion of "procedure" is broader than that specified by the HL7 Version 3 Reference Information Model (RIM). Therefore procedure templates can be represented with various RIM classes: act (e.g., dressing change), observation (e.g., EEG), procedure (e.g. splenectomy).

This clinical statement represents procedures that result in new information about the patient that cannot be classified as a procedure according to the HL7 RIM. Examples of these procedures are diagnostic imaging procedures, EEGs and EKGs.
Used in 2 templates:

Id Name as of
2.16.840.1.113883.10.20.22.2.7 ProceduresSectionentriesoptional  Procedures Section (entries optional) 2012‑01‑12
link11 Dependency: 2.16.840.1.113883.10.20.22.1.4 ConsultationNote  Consultation Note 2012‑01‑12
2.16.840.1.113883.10.20.22.2.7.1 ProceduresSectionentriesrequired  Procedures Section (entries required) 2012‑01‑12
Item DT Card Conf Desc Label
cda:observation
conf-709
treetree @classCode
1..1 F OBS
treetree @moodCode
1..1
CONF
The value of @moodCode shall be drawn from value set 2.16.840.1.113883.11.20.9.18 flexibility 2011-04-03T00:00:00
treetree cda:templateId
II 1..1 M conf‑8238
treeblank treetree @root
1..1 F 2.16.840.1.113883.10.20.22.4.13
treetree cda:id
II 1..* M conf‑8239
treetree cda:code
CE 1..1 M conf‑8240
Schematron assert Role red error
Test @codeSystem='2.16.840.1.113883.6.1' or @codeSystem='2.16.840.1.113883.6.96' or @codeSystem='2.16.840.1.113883.6.12' or @codeSystem='2.16.840.1.113883.6.4'
Message
This code in a procedure activity SHOULD be selected from LOINC (CodeSystem: 2.16.840.1.113883.6.1) or SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96), and MAY be selected from CPT-4 (CodeSystem: 2.16.840.1.113883.6.12), ICD9 Procedures (CodeSystem: 2.16.840.1.113883.6.4).
treeblank treetree cda:originalText
ED 0..1 R conf‑8242
treeblank treeblank treetree cda:reference/@value
0..1 R conf‑8243
Schematron assert Role red error
Test starts-with(@value,'#')
Message
This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1)
treetree cda:statusCode
CS 1..1 M conf‑8245
CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.11.20.9.22 flexibility dynamic
treetree cda:value
ANY 1..1 M conf‑8368
treetree cda:effectiveTime
IVL_TS 0..1 R conf‑8246
treetree cda:priorityCode
CE 0..1 O conf‑8247
CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16866 flexibility dynamic
alert Error: Cannot find value set "2.16.840.1.113883.1.11.16866"
treetree cda:methodCode
SET_CE 0..1 O methodCode SHALL NOT conflict with the method inherent in Observation / code. conf‑8248
treetree cda:targetSiteCode
SET_CD 0..* R conf‑8250
treeblank treetree cda:code
CE 1..1 M conf‑10121
CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.3.88.12.3221.8.9 flexibility dynamic
alert Error: Cannot find value set "2.16.840.1.113883.3.88.12.3221.8.9"
treetree cda:performer
0..* R conf‑8251
treeblank treetree cda:assignedEntity
1..1 M conf‑8252
treeblank treeblank treetree cda:id
II 1..* M conf‑8253
treeblank treeblank treetree cda:addr
AD 1..1 M conf‑8254
treeblank treeblank treetree cda:telecom
TEL 1..1 M conf‑8255
treeblank treeblank treetree cda:representedOrganization
0..1 R conf‑8256
treeblank treeblank treeblank treetree cda:id
II 0..* R conf‑8257
treeblank treeblank treeblank treetree cda:name
PN 0..* O conf‑8258
treeblank treeblank treeblank treetree cda:addr
AD 1..1 M conf‑8259
treeblank treeblank treeblank treetree cda:telecom
TEL 1..1 M conf‑8260
treetree cda:participant
0..* O conf‑8261
treeblank treetree @typeCode
1..1 F LOC
Contains an element with template id 2.16.840.1.113883.10.20.22.4.32 with overridden cardinality 0 .. *
treetree cda:entryRelationship
0..* O conf‑8264
treeblank treetree @typeCode
1..1 F COMP
treeblank treetree @inversionInd
1..1
treeblank treetree @value
1..1 F true
treeblank treetree cda:encounter
1..1 M conf‑8267
treeblank treeblank treetree @classCode
1..1 F ENC
treeblank treeblank treetree @moodCode
1..1 F EVN
treeblank treeblank treetree cda:id
II 1..1 M Set the encounter ID to the ID of an encounter in another section to signify they are the same encounter. conf‑8270
treetree cda:entryRelationship
0..1 O conf‑8272
treeblank treetree @typeCode
1..1 F SUBJ
treeblank treetree @inversionInd
1..1
treeblank treetree @value
1..1 F true
Contains an element with template id 2.16.840.1.113883.10.20.22.4.20 with overridden cardinality 0 .. 1
treetree cda:entryRelationship
0..* O conf‑8276
treeblank treetree @typeCode
1..1 F RSON
Contains an element with template id 2.16.840.1.113883.10.20.22.4.19 with overridden cardinality 0 .. *
treetree cda:entryRelationship
0..1 O conf‑8279
treeblank treetree @typeCode
1..1 F COMP
Contains an element with template id 2.16.840.1.113883.10.20.22.4.16 with overridden cardinality 0 .. 1