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pending Template  Procedure Findings Section

Template 2.16.840.1.113883.10.20.22.2.28 - ProcedureFindingsSection
Id 2.16.840.1.113883.10.20.22.2.28
Version valid from 2013‑01‑31 status pending Under pre-publication review
Classification CDA Section Level Template
Context Parent nodes of template element with id 2.16.840.1.113883.10.20.22.2.28
Open/Closed Open (other than defined elements are allowed)
Description The Procedure Findings section records clinically significant observations confirmed or discovered during the procedure or surgery.
Used by / Uses
Used by / Uses 3 templates
Used by Template id as Name Version
2.16.840.1.113883.10.20.22.1.6 Containment ProcedureNote Procedure Note 2013‑01‑31
2.16.840.1.113883.10.20.22.1.7 Containment OperativeNote Operative Note 2013‑01‑31
Uses Template id as Name Version
2.16.840.1.113883.10.20.22.4.4 Containment ProblemObservation DYNAMIC
Item DT Card Conf Description Label
cda:section
(ProcedureFindingsSection)
treetree cda:templateId
1 .. 1 M SHALL contain exactly one [1..1] templateId (CONF:8078) such that it conf‑8078
treeblank treetree @root
1 .. 1 F 2.16.840.1.113883.10.20.22.2.28
treetree cda:code
1 .. 1 M SHALL contain exactly one [1..1] code (CONF:15417). conf‑15417
treeblank treetree @code
1 .. 1 F 59776-5
treeblank treetree @codeSystem
1 .. 1 F 2.16.840.1.113883.6.1 (LOINC)
treetree cda:title
1 .. 1 M SHALL contain exactly one [1..1] title (CONF:8080). conf‑8080
treetree cda:text
1 .. 1 M SHALL contain exactly one [1..1] text (CONF:8081). conf‑8081
treetree cda:entry
where
[cda:observation [cda:templateId/@root='2.16.840.1.113883.10.20.22.4.4']]
0 .. * conf‑8090
  Contains 2.16.840.1.113883.10.20.22.4.4 Problem Observation (DYNAMIC)