Template 2.16.840.1.113883. Procedure Description Section


Template 2.16.840.1.113883. - ProcedureDescriptionSection
Id 2.16.840.1.113883.
Classification cdasectionlevel
Context Parent nodes of template element with id 2.16.840.1.113883.
Label conf‑717
Version valid from 2012‑01‑12 status draft
Description The Procedure Description section records the particulars of the procedure and may include procedure site preparation, surgical site preparation, pertinent details related to sedation/anesthesia, pertinent details related to measurements and markings, procedure times, medications administered, estimated blood loss, specimens removed, implants, instrumentation, sponge counts, tissue manipulation, wound closure, sutures used, vital signs and other monitoring data. Local practice often identifies the level and type of detail required based on the procedure or specialty.
Item DT Card Conf Desc Label
treetree cda:templateId
II 1..1 M conf‑8062
treeblank treetree @root
1..1 F 2.16.840.1.113883.
treetree cda:code
CD 1..1 M conf‑8063
treeblank treetree @code
1..1 F 29554-3
treeblank treetree @codeSystem
1..1 F 2.16.840.1.113883.6.1
treeblank treetree @displayName
1..1 F Procedure Description
treetree cda:title
ST 1..1 M conf‑8064
treetree cda:text
ED 1..1 M conf‑8065