2.16.840.1.113883.10.22.3.4

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Template IPSHistoryofProceduresSection

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.

Actual version

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 Data Set hl7ips-data​element-13  History of Procedures  CEN/TC 251 prEN 17269 hl7ips-data​element-43  Procedure list  CEN/TC 251 prEN 17269 hl7ips-data​element-51  Procedure description  CEN/TC 251 prEN 17269
Uses	Uses 4 templates 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 (IPS...ion)   hl7ips-data​element-13  History of Procedures  CEN/TC 251 prEN 17269 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 47519-4 @codeSystem 1 … 1 F 2.16.840.1.113883.6.1 (LOINC) hl7:title ST 1 … 1 M History of procedures (IPS...ion) hl7:text SD.TEXT 1 … 1 R (IPS...ion)   hl7ips-data​element-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 … * (IPS...ion) hl7:templateId II 1 … 1 M (IPS...ion) @root uid 1 … 1 F 2.16.840.1.113883.10.22.4.14 hl7:time TS.IPS.TZ 1 … 1 R (IPS...ion) hl7:assignedAuthor 1 … 1 M (IPS...ion) hl7:id II 1 … * R (IPS...ion) hl7:code 0 … 1 R (IPS...ion) Choice 0 … 1 Elements to choose from: hl7:assigned​Person hl7:assigned​Authoring​Device hl7:assigned​Person 0 … 1 C (IPS...ion) @classCode cs 0 … 1 F PSN @determiner​Code cs 0 … 1 F INSTANCE hl7:name PN 1 … * R Name of the person (e.g. the Healthcare Professional)  authoring this document (IPS...ion)   Example <name>   <given>John</given>  <family>Español Smith</family></name> hl7:family 1 … * R (IPS...ion) hl7:given 1 … * R (IPS...ion) hl7:assigned​Authoring​Device 0 … 1 C (IPS...ion)   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 @determiner​Code cs 0 … 1 F INSTANCE hl7:code CE 0 … 1 (IPS...ion) hl7:manufacturer​Model​Name SC 0 … 1 (IPS...ion) hl7:softwareName SC 0 … 1 (IPS...ion) hl7:represented​Organization 0 … 1 (IPS...ion) hl7:id II 0 … * (IPS...ion) hl7:name 0 … * (IPS...ion) hl7:telecom TEL 0 … * (IPS...ion) hl7:addr AD 0 … * (IPS...ion) 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)   hl7ips-data​element-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) @context​Conduction​Ind bl 0 … 1 F true hl7:component 0 … * Contains 2.16.840.1.113883.10.22.3.15 IPS Translation Section (DYNAMIC) (IPS...ion)

List of all versions of this template

• 2017-03-27 (Under pre-publication review)