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draft Template  IPS Procedure Entry

Id 2.16.840.1.113883.10.22.4.17 Effective Date 2024‑08‑04 11:08:35
Status draft Draft Version Label STU2
Name IPSProcedureEntry Display Name IPS Procedure Entry
Description The procedure entry is used to record procedures that have occurred, or which are planned for in the future.
Context Parent nodes of template element with id 2.16.840.1.113883.10.22.4.17
Classification CDA Entry Level Template
Open/Closed Open (other than defined elements are allowed)
Associated with
Associated with 5 concepts
Id Name Data Set
hl7ips-dataelement-216 draft Body site draft CEN/TC 251 prEN 17269
hl7ips-dataelement-44 draft Procedures Content Status draft CEN/TC 251 prEN 17269
hl7ips-dataelement-47 draft Procedure draft CEN/TC 251 prEN 17269
hl7ips-dataelement-48 draft Procedure date draft CEN/TC 251 prEN 17269
hl7ips-dataelement-49 draft Procedure code draft CEN/TC 251 prEN 17269
Used by / Uses
Used by 0 transactions and 3 templates, Uses 1 template
Used by as Name Version
2.16.840.1.113883.10.22.3.4 Containment pending IPS History of Procedures Section (STU1) 2017‑03‑27
2.16.840.1.113883.10.22.1.1 link draft International Patient Summary (2021) 2020‑07‑14 16:08:21
2.16.840.1.113883.10.22.3.6 Containment draft IPS Medical Devices Section (2021) 2021‑10‑20 17:11:42
Uses as Name Version
2.16.840.1.113883.10.22.4.31 Containment pending IPS Internal Reference (STU1) DYNAMIC
Relationship Specialization: template 2.16.840.1.113883.10.22.4.17 IPS Procedure Entry (2020‑07‑14 16:35:58)
Version: template 2.16.840.1.113883.10.22.4.17 IPS Procedure Entry (2017‑03‑27)
Adaptation: template 1.3.6.1.4.1.19376.1.5.3.1.4.19 IHE Procedure Entry (2016‑09‑28 10:37:28)
ref
IHE-PCC-

Adaptation: template 2.16.840.1.113883.10.12.306 CDA Procedure (2005‑09‑07)
ref
ad1bbr-
Example
Example
<hl7:procedure classCode="PROC" moodCode="EVN">
  <hl7:templateId root="2.16.840.1.113883.10.22.4.17"/>  <hl7:id root="1.2.3.999" extension="--example only--"/>  <hl7:code/>  <hl7:text>
    <hl7:reference value="value"/>  </hl7:text>
  <hl7:statusCode code="completed"/>  <hl7:effectiveTime>
    <hl7:low value="20200714163551"/>  </hl7:effectiveTime>
  <hl7:targetSiteCode/>  <hl7:entryRelationship typeCode="COMP" inversionInd="true">
    <!-- template 2.16.840.1.113883.10.22.4.31 'IPS Internal Reference' (2017-05-02T00:00:00) -->
  </hl7:entryRelationship>
</hl7:procedure>
Item DT Card Conf Description Label
hl7:procedure
(IPSdotstry)
 
target
hl7ips-dataelement-47 draft Procedure draft CEN/TC 251 prEN 17269
@classCode
cs 1 … 1 F PROC
@moodCode
cs 1 … 1 R
  CONF
The value of @moodCode shall be drawn from value set 2.16.840.1.113883.11.20.9.18 MoodCodeEvnInt (DYNAMIC)
hl7:templateId
II 1 … 1 M (IPSdotstry)
@root
uid 1 … 1 F 2.16.840.1.113883.10.22.4.17
hl7:id
II 0 … * R (IPSdotstry)
hl7:code
CD.IPS (preferred) 1 … 1 R (IPSdotstry)
 
target
hl7ips-dataelement-44 draft Procedures Content Status draft CEN/TC 251 prEN 17269
hl7ips-dataelement-49 draft Procedure code draft CEN/TC 251 prEN 17269
  CONF
The value of @code comes preferably from value set 2.16.840.1.113883.11.22.35 IPS Procedures (DYNAMIC)
hl7:text
ED 0 … 1 R The element if present points to the text describing the data being recorded; including any dates, comments, et cetera. The contains a URI in value attribute. This URI points to the free text description of the element (problem, procedure,...) in the document that is being described. (IPSdotstry)
hl7:reference
TEL 1 … 1 M (IPSdotstry)
@value
url 1 … 1 R When used it shall refer to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1
hl7:statusCode
CS 1 … 1 M (IPSdotstry)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.22 ActStatusActiveCompletedAbortedCancelled (DYNAMIC)
hl7:effectiveTime
IVL_TS 1 … 1 R (IPSdotstry)
 
target
hl7ips-dataelement-48 draft Procedure date draft CEN/TC 251 prEN 17269
hl7:targetSiteCode
CD.IPS (preferred) 0 … * (IPSdotstry)
 
target
hl7ips-dataelement-216 draft Body site draft CEN/TC 251 prEN 17269
  CONF
The value of @code comes preferably from value set 2.16.840.1.113883.11.22.55 IPS Body Site (DYNAMIC)
hl7:participant
1 … * R The device is represented as a participant in the procedure structure. The following descriptions apply to the device structure. (IPSdotstry)
@typeCode
cs 1 … 1 F DEV
  Example <participant typeCode="DEV">
  <participantRole classCode="MANU">
    <id root="1.2.3.999" extension="__example_only__"/>    <playingDevice classCode="DEV" determinerCode="INSTANCE">
      <code code="" codeSystem="">
        <!-- ... -->
      </code>
    </playingDevice>
  </participantRole>
</participant>
hl7:participantRole
1 … 1 R (IPSdotstry)
@classCode
cs 1 … 1 F MANU
hl7:id
II 0 … * R
The device ID, e.g. using UDI, is represented by the id element of the participant role. This element is optional, as not all production identifiers (e.g., serial number, lot/batch number, distinct identification number) may be known to the provider or patient.
(IPSdotstry)
  Example
UDI GS1: DeviceIdentifier 00844588003288, Serial# 10987654d321, Lot# 7654321D
<id root="2.16.840.1.113883.3.3719" extension="{01}00844588003288{17}141120{10}7654321D{21}10987654d321"/>
  Example
UDI ICCBBA: DeviceIdentifier 00844588003288
<id root="2.16.840.1.113883.3.3719" extension="A9999XYZ100T0474"/>
  Example
UDI HIBCC: Serial# XYZ456789012345678, Lot# LOT123456789012345
<id root="2.16.840.1.113883.3.3719" extension="+H123PARTNO1234567890120/$$420020216LOT123456789012345/SXYZ456789012345678/16D20130202C"/>
hl7:playingDevice
1 … 1 R The playingDevice element describes the device instance.  (IPSdotstry)
@classCode
cs 1 … 1 F DEV
@determinerCode
cs 1 … 1 F INSTANCE
hl7:code
CE.IPS (preferred) 1 … 1 R The device code describes the type of device (e.g. arm prosthesis, arterial stent). (IPSdotstry)
  CONF
The value of @code comes preferably from value set 2.16.840.1.113883.11.22.23 IPS Medical Devices (DYNAMIC)
or
The value of @code comes preferably from value set 2.16.840.1.113883.11.22.61 Absent or Unknown Devices (DYNAMIC)
hl7:entryRelationship
0 … * Contains 2.16.840.1.113883.10.22.4.31 IPS Internal Reference (DYNAMIC) (IPSdotstry)
@typeCode
cs 1 … 1 F COMP
@inversionInd
bl 1 … 1 F true