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# Template IPS History of Procedures Section

Id | 2.16.840.1.113883.10.22.3.4 | Effective Date | 2017‑03‑27
Status | 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: Invasive Diagnostic procedure:e.g. Cardiac catheterization; (the results of these procedure are documented in the results section) Therapeutic procedure: e.g. dialysis; 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 | Dataset
--- | --- | ---
hl7ips-dataelement-13 | History of Procedures | CEN/TC 251 prEN 17269
hl7ips-dataelement-43 | Procedure list | CEN/TC 251 prEN 17269
hl7ips-dataelement-51 | Procedure description | CEN/TC 251 prEN 17269
Used by / Uses |
Used by 0 transactions and 1 template, Uses 4 templates
Used by | as | Name | Version
--- | --- | --- | ---
2.16.840.1.113883.10.22.1.2 | Containment | International Patient Summary (2024) | 2024‑08‑02 13:02:39
Uses | as | Name | Version
2.16.840.1.113883.10.22.4.14 | Include | IPS Body Author (STU1) | DYNAMIC
2.16.840.1.113883.10.12.319 | Containment | CDA Informant (Body) | DYNAMIC
2.16.840.1.113883.10.22.4.17 | Containment | IPS Procedure Entry (STU2) | DYNAMIC
2.16.840.1.113883.10.22.3.15 | Containment | 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 |  |  |  |  |
hl7ips-dataelement-13 | History of Procedures | CEN/TC 251 prEN 17269
hl7:templateId | II | 1 … 1 | M |  |
@root | uid | 1 … 1 | F | 2.16.840.1.113883.10.22.3.4
hl7:id | II | 0 … * | R |  |
hl7:code | CE.IPS | 1 … 1 | M |  |
@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 |
hl7:text | SD.TEXT | 1 … 1 | R |  |
hl7ips-dataelement-51 | Procedure description | CEN/TC 251 prEN 17269
Included | 0 … * |  | from 2.16.840.1.113883.10.22.4.14 IPS Body Author (DYNAMIC)
hl7:author |  | 0 … * |  |  |
hl7:templateId | II | 1 … 1 | M |  |
@root | uid | 1 … 1 | F | 2.16.840.1.113883.10.22.4.14
hl7:time | TS.IPS.TZ | 1 … 1 | R |  |
hl7:assignedAuthor |  | 1 … 1 | M |  |
hl7:id | II | 1 … * | R |  |
hl7:code |  | 0 … 1 | R |  |
Choice | 0 … 1 |  | Elements to choose from: hl7:assignedPerson hl7:assignedAuthoringDevice
hl7:assignedPerson |  | 0 … 1 | C |  |
@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 |
| Example | <name> <given>John</given> <family>Español Smith</family></name>
hl7:family |  | 1 … * | R |  |
hl7:given |  | 1 … * | R |  |
hl7:assignedAuthoringDevice |  | 0 … 1 | C |  |
| 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 |  |  |
hl7:manufacturerModelName | SC | 0 … 1 |  |  |
hl7:softwareName | SC | 0 … 1 |  |  |
hl7:representedOrganization |  | 0 … 1 |  |  |
hl7:id | II | 0 … * |  |  |
hl7:name |  | 0 … * |  |  |
hl7:telecom | TEL | 0 … * |  |  |
hl7:addr | AD | 0 … * |  |  |
hl7:informant |  | 0 … * |  | Contains 2.16.840.1.113883.10.12.319 CDA Informant (Body) (DYNAMIC) |
hl7:entry |  | 1 … * | R | Contains 2.16.840.1.113883.10.22.4.17 IPS Procedure Entry (DYNAMIC) |
hl7ips-dataelement-43 | Procedure list | 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) |