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pending Template  IPS History of Procedures Section

Id 2.16.840.1.113883.10.22.3.4 Effective Date 2017‑03‑27
Status pending Under pre-publication review Version Label STU1
Name IPSHistoryofProceduresSection Display Name IPS History of Procedures Section
Description
The History of Procedures Section contains a description of the  patient past procedures that are pertinent to the scope of this document.
Procedures may refer for example to:
  1. Invasive Diagnostic procedure:e.g. Cardiac catheterization; (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.

The optional author and informant elements are used when necessary to convey the provenance and authoring of the section content in case it is different from what is announced in the CDA header.
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)
Associated with
Associated with 3 concepts
Id Name Data Set
hl7ips-dataelement-13 draft History of Procedures draft CEN/TC 251 prEN 17269
hl7ips-dataelement-43 draft Procedure list draft CEN/TC 251 prEN 17269
hl7ips-dataelement-51 draft Procedure description draft CEN/TC 251 prEN 17269
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 (2021) 2020‑07‑14 16:08:21
Uses as Name Version
2.16.840.1.113883.10.22.4.14 Include pending IPS Body Author (STU1) 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 (STU2) DYNAMIC
2.16.840.1.113883.10.22.3.15 Containment draft IPS Translation Section (2021) DYNAMIC
Relationship Adaptation: template 2.16.840.1.113883.10.12.201 CDA Section (2005‑09‑07)
ref
ad1bbr-

Adaptation: template 1.3.6.1.4.1.19376.1.5.3.1.1.16.2.2 IHE History of Surgical Procedures Section (2017‑03‑24 14:43:08)
ref
IHE-PCC-
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="47519-4" codeSystem="2.16.840.1.113883.6.1" displayName="History of procedures"/>  <title>History of 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
 		(IPSdotsion)
 
target
hl7ips-dataelement-13 draft History of Procedures draft CEN/TC 251 prEN 17269
hl7:templateId
 		II 1 … 1 M (IPSdotsion)
@root
 		uid 1 … 1 F 2.16.840.1.113883.10.22.3.4
hl7:id
 		II 0 … * R (IPSdotsion)
hl7:code
 		CE.IPS 1 … 1 M (IPSdotsion)
@code
 		CONF 1 … 1 F 47519-4
@codeSystem
 		1 … 1 F 2.16.840.1.113883.6.1 (LOINC)
hl7:title
 		ST 1 … 1 M History of procedures (IPSdotsion)
hl7:text
 		SD.TEXT 1 … 1 R (IPSdotsion)
 
target
hl7ips-dataelement-51 draft Procedure description draft CEN/TC 251 prEN 17269
Included 0 … * from 2.16.840.1.113883.10.22.4.14 IPS Body Author (DYNAMIC)
hl7:author
 		0 … * (IPSdotsion)
hl7:templateId
 		II 1 … 1 M (IPSdotsion)
@root
 		uid 1 … 1 F 2.16.840.1.113883.10.22.4.14
hl7:time
 		TS.IPS.TZ 1 … 1 R (IPSdotsion)
hl7:assignedAuthor
 		1 … 1 M (IPSdotsion)
hl7:id
 		II 1 … * R (IPSdotsion)
hl7:code
 		0 … 1 R (IPSdotsion)
Choice 0 … 1 Elements to choose from:
  • hl7:assignedPerson
  • hl7:assignedAuthoringDevice
hl7:assignedPerson
 		0 … 1 C (IPSdotsion)
@classCode
 		cs 0 … 1 F PSN
@determinerCode
 		cs 0 … 1 F INSTANCE
hl7:name
 		PN 1 … * R Name of the person (e.g. the Healthcare Professional)  authoring this document (IPSdotsion)
  Example <name>
  <given>John</given>  <family>Español Smith</family></name>
hl7:family
 		1 … * R (IPSdotsion)
hl7:given
 		1 … * R (IPSdotsion)
hl7:assignedAuthoringDevice
 		0 … 1 C (IPSdotsion)
  Example <assignedAuthoringDevice classCode="DEV" determinerCode="INSTANCE">
  <softwareName displayName="Turriano"/></assignedAuthoringDevice>
Included from 2.16.840.1.113883.10.22.9.2 IPS CDA Device (DYNAMIC)
@classCode
 		cs 0 … 1 F DEV
@determinerCode
 		cs 0 … 1 F INSTANCE
hl7:code
 		CE 0 … 1 (IPSdotsion)
hl7:manufacturerModelName
 		SC 0 … 1 (IPSdotsion)
hl7:softwareName
 		SC 0 … 1 (IPSdotsion)
hl7:representedOrganization
 		0 … 1 (IPSdotsion)
hl7:id
 		II 0 … * (IPSdotsion)
hl7:name
 		0 … * (IPSdotsion)
hl7:telecom
 		TEL 0 … * (IPSdotsion)
hl7:addr
 		AD 0 … * (IPSdotsion)
hl7:informant
 		0 … * Contains 2.16.840.1.113883.10.12.319 CDA Informant (Body) (DYNAMIC) (IPSdotsion)
hl7:entry
 		1 … * R Contains 2.16.840.1.113883.10.22.4.17 IPS Procedure Entry (DYNAMIC) (IPSdotsion)
 
target
hl7ips-dataelement-43 draft Procedure list draft CEN/TC 251 prEN 17269
@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) (IPSdotsion)