Template ProceduresSectionentriesoptional - 2.16.840.1.113883. Procedures Section (entries optional)


Template ProceduresSectionentriesoptional - 2.16.840.1.113883.
Id 2.16.840.1.113883.
Classification cdasectionlevel
Context Parent nodes of template element with id 2.16.840.1.113883.
Label conf‑609
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 is intended to include notable procedures, but can contain all procedures for the period of time being summarized. 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).
The length of an encounter is documented in the documentationOf/encompassingEncounter/effectiveTime and length of service in documentationOf/ServiceEvent/effectiveTime.
Used in 1 template:

Id Name as of
2.16.840.1.113883. ConsultationNote  Consultation Note 2012‑01‑12
Item DT Card Conf Desc Label
treetree cda:templateId
II 1..1 M conf‑6270
treeblank treetree @root
1..1 F 2.16.840.1.113883.
treetree cda:code
CD 1..1 M conf‑6272
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:text
ED 1..1 M conf‑6273
treetree cda:entry
0..* O conf‑6274
Contains an element with template id 2.16.840.1.113883. with overridden cardinality 0 .. *
treetree cda:entry
0..1 O conf‑6278
Contains inherited template rules 2.16.840.1.113883. with overridden cardinality 0 .. 1
treetree cda:entry
0..1 O conf‑8533
Contains inherited template rules 2.16.840.1.113883. with overridden cardinality 0 .. 1