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ref Template  IPS History of Procedures Section

Id 2.16.840.1.113883.10.22.3.4 Effective Date valid from 2017‑03‑27
Status draft Draft Version Label
Name IPSHistoryofProceduresSection Display Name IPS History of Procedures Section
Description
The History of Surgical Procedures Section shall contain a description of the procedures performed on the patient.
Procedures may refer for example to:
  1. Invasive Diagnostic procedure (the results of these procedure are documented in the results section)
  2. Therapeutic procedure: e.g. dialysis; 
  3. Surgical procedure: e.g. appendectomy
All those are represented in this template as procedures.
Context Parent nodes of template element with id 2.16.840.1.113883.10.22.3.4
Classification CDA Section Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 1 template, Uses 4 templates
Used by as Name Version
2.16.840.1.113883.10.22.1.1 Containment draft International Patient Summary 2017‑04‑11
Uses as Name Version
2.16.840.1.113883.10.22.4.14 Containment draft IPS Body Author DYNAMIC
2.16.840.1.113883.10.12.319 Containment active CDA Informant (Body) DYNAMIC
2.16.840.1.113883.10.22.4.17 Containment draft IPS Procedure Entry DYNAMIC
2.16.840.1.113883.10.22.3.15 Containment draft IPS Translation Section DYNAMIC
Relationship Adaptation: template 2.16.840.1.113883.10.12.201 (2005‑09‑07)
Adaptation: template 1.3.6.1.4.1.19376.1.5.3.1.1.16.2.2 (2017‑03‑24 14:43:08)
Example
Example
<section>
  <templateId root="2.16.840.1.113883.10.22.3.4"/>  <id root="1.2.3.999" extension="__example only__"/>  <code code="10167-5" codeSystem="2.16.840.1.113883.6.1" displayName="History of surgical procedures"/>  <title>History of surgical procedures</title>  <text>...</text>  <author>
    <!-- template 2.16.840.1.113883.10.22.4.14 'IPS Body Author' (dynamic) -->
  </author>
  <informant>
    <!-- template 2.16.840.1.113883.10.12.319 'CDA Informant (Body)' (dynamic) -->
  </informant>
  <entry typeCode="COMP" contextConductionInd="true">
    <!-- template 2.16.840.1.113883.10.22.4.17 'IPS Procedure Entry' (dynamic) -->
  </entry>
  <component>
    <!-- template 2.16.840.1.113883.10.22.3.15 'IPS Translation Section' (dynamic) -->
  </component>
</section>
Item DT Card Conf Description Label
hl7:section
(IPS…ion)
hl7:templateId
II 1 … 1 M (IPS…ion)
@root
uid 1 … 1 F 2.16.840.1.113883.10.22.3.4
hl7:id
II 0 … * R (IPS…ion)
hl7:code
CE.IPS 1 … 1 M (IPS…ion)
@code
CONF 1 … 1 F 10167-5
@codeSystem
1 … 1 F 2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes)
@codeSystemName
1 … 1 F LOINC
@displayName
1 … 1 F
hl7:title
ST 1 … 1 M History of surgical procedures (IPS…ion)
hl7:text
SD.TEXT 1 … 1 R (IPS…ion)
hl7:author
0 … * Contains 2.16.840.1.113883.10.22.4.14 IPS Body Author (DYNAMIC) (IPS…ion)
treeblank where [hl7:templateId [@root='2.16.840.1.113883.10.22.4.14']]
hl7:informant
0 … * Contains 2.16.840.1.113883.10.12.319 CDA Informant (Body) (DYNAMIC) (IPS…ion)
hl7:entry
1 … * R Contains 2.16.840.1.113883.10.22.4.17 IPS Procedure Entry (DYNAMIC) (IPS…ion)
treeblank where [hl7:procedure [hl7:templateId [@root='2.16.840.1.113883.10.22.4.17']]]
@typeCode
cs 1 … 1 R
  CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19446 x_ActRelationshipEntry (DYNAMIC)
@contextConductionInd
bl 0 … 1 F true
hl7:component
0 … * Contains 2.16.840.1.113883.10.22.3.15 IPS Translation Section (DYNAMIC) (IPS…ion)