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pending Template  Procedures Section (entries required)

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
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 2.16.840.1.113883.10.20.22.2.7.1
Open/Closed Open (other than defined elements are allowed)
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).
Used by / Uses
Used by / Uses 4 templates
Used by Template id as Name Version
2.16.840.1.113883.10.20.22.1.2 Containment ContinuityofCareDocumentCCD Continuity of Care Document (CCD) 2013‑01‑31
Uses Template id as Name Version
2.16.840.1.113883.10.20.22.4.14 Containment ProcedureActivityProcedure DYNAMIC
2.16.840.1.113883.10.20.22.4.13 Containment ProcedureActivityObservation DYNAMIC
2.16.840.1.113883.10.20.22.4.12 Containment ProcedureActivityAct DYNAMIC
Item DT Card Conf Description Label
cda:section
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. (ProceduresSectionentriesrequired)
treetree cda:templateId
1 .. 1 M SHALL contain exactly one [1..1] templateId (CONF:7891) such that it 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 SHALL contain exactly one [1..1] code (CONF:15425). conf‑15425
treeblank treetree @code
1 .. 1 F 47519-4
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:7893). conf‑7893
treetree cda:text
1 .. 1 M SHALL contain exactly one [1..1] text (CONF:7894). conf‑7894
treetree cda:entry
where
[cda:procedure [cda:templateId/@root='2.16.840.1.113883.10.20.22.4.14']]
0 .. * conf‑7895
  Contains 2.16.840.1.113883.10.20.22.4.14 Procedure Activity Procedure (DYNAMIC)
treetree cda:entry
where
[cda:observation [cda:templateId/@root='2.16.840.1.113883.10.20.22.4.13']]
0 .. * conf‑8017
  Contains 2.16.840.1.113883.10.20.22.4.13 Procedure Activity Observation (DYNAMIC)
treetree cda:entry
where
[cda:act [cda:templateId/@root='2.16.840.1.113883.10.20.22.4.12']]
0 .. * conf‑8019
  Contains 2.16.840.1.113883.10.20.22.4.12 Procedure Activity Act (DYNAMIC)
  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.