2.16.840.1.113883.10.22.3.4

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Template IPSHistoryofProceduresSection

Description

Keine Beschreibung in Deutsch (de-DE) verfügbar
en-US:

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.

Actual version

Id2.16.840.1.113883.10.22.3.4Effective Date2017‑03‑27
StatusKorange.png Under pre-publication reviewVersion LabelSTU1
NameIPSHistoryofProceduresSectionDisplay NameIPS 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.
ContextParent nodes of template element with id 2.16.840.1.113883.10.22.3.4
ClassificationCDA Section Level Template
Open/ClosedOpen (other than defined elements are allowed)
Associated with
Associated with 3 concepts
IdNameData Set
hl7ips-data​element-13Kyellow.png History of Procedures Kyellow.png CEN/TC 251 prEN 17269
hl7ips-data​element-43Kyellow.png Procedure list Kyellow.png CEN/TC 251 prEN 17269
hl7ips-data​element-51Kyellow.png Procedure description Kyellow.png CEN/TC 251 prEN 17269
Uses
Uses 4 templates
Uses as NameVersion
2.16.840.1.113883.10.22.4.14IncludeKorange.png IPS Body Author (STU1)DYNAMIC
2.16.840.1.113883.10.12.319ContainmentKgreen.png CDA Informant (Body)DYNAMIC
2.16.840.1.113883.10.22.4.17ContainmentKyellow.png IPS Procedure Entry (STU2)DYNAMIC
2.16.840.1.113883.10.22.3.15ContainmentKyellow.png IPS Translation Section (2021)DYNAMIC
RelationshipAdaptation: 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>
ItemDTCardConfDescriptionLabel
hl7:section
(IPS...ion)
 
Target.png
hl7ips-data​element-13Kyellow.png History of Procedures Kyellow.png CEN/TC 251 prEN 17269
Treetree.pnghl7:templateId
II1 … 1M(IPS...ion)
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.840.1.113883.10.22.3.4
Treetree.pnghl7:id
II0 … *R(IPS...ion)
Treetree.pnghl7:code
CE.IPS1 … 1M(IPS...ion)
Treeblank.pngTreetree.png@code
CONF1 … 1F47519-4
Treeblank.pngTreetree.png@codeSystem
1 … 1F2.16.840.1.113883.6.1 (LOINC)
Treetree.pnghl7:title
ST1 … 1MHistory of procedures(IPS...ion)
Treetree.pnghl7:text
SD.TEXT1 … 1R(IPS...ion)
 
Target.png
hl7ips-data​element-51Kyellow.png Procedure description Kyellow.png CEN/TC 251 prEN 17269
Included0 … * from 2.16.840.1.113883.10.22.4.14 IPS Body Author (DYNAMIC)
Treetree.pnghl7:author
0 … *(IPS...ion)
Treeblank.pngTreetree.pnghl7:templateId
II1 … 1M(IPS...ion)
Treeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F2.16.840.1.113883.10.22.4.14
Treeblank.pngTreetree.pnghl7:time
TS.IPS.TZ1 … 1R(IPS...ion)
Treeblank.pngTreetree.pnghl7:assignedAuthor
1 … 1M(IPS...ion)
Treeblank.pngTreeblank.pngTreetree.pnghl7:id
II1 … *R(IPS...ion)
Treeblank.pngTreeblank.pngTreetree.pnghl7:code
0 … 1R(IPS...ion)
Choice0 … 1Elements to choose from:
  • hl7:assigned​Person
  • hl7:assigned​Authoring​Device
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:assigned​Person
0 … 1C(IPS...ion)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
cs0 … 1FPSN
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
cs0 … 1FINSTANCE
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:name
PN1 … *RName of the person (e.g. the Healthcare Professional)  authoring this document(IPS...ion)
 Example<name>
  <given>John</given>  <family>Español Smith</family></name>
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:family
1 … *R(IPS...ion)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:given
1 … *R(IPS...ion)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:assigned​Authoring​Device
0 … 1C(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)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
cs0 … 1FDEV
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
cs0 … 1FINSTANCE
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:code
CE0 … 1(IPS...ion)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:manufacturer​Model​Name
SC0 … 1(IPS...ion)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:softwareName
SC0 … 1(IPS...ion)
Treeblank.pngTreeblank.pngTreetree.pnghl7:represented​Organization
0 … 1(IPS...ion)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:id
II0 … *(IPS...ion)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:name
0 … *(IPS...ion)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL0 … *(IPS...ion)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD0 … *(IPS...ion)
Treetree.pnghl7:informant
0 … *Contains 2.16.840.1.113883.10.12.319 CDA Informant (Body) (DYNAMIC)(IPS...ion)
Treetree.pnghl7:entry
1 … *RContains 2.16.840.1.113883.10.22.4.17 IPS Procedure Entry (DYNAMIC)(IPS...ion)
 
Target.png
hl7ips-data​element-43Kyellow.png Procedure list Kyellow.png CEN/TC 251 prEN 17269
Treeblank.pngTreetree.png@typeCode
cs1 … 1R
 CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19446 x_ActRelationshipEntry (DYNAMIC)
Treeblank.pngTreetree.png@context​Conduction​Ind
bl0 … 1Ftrue
Treetree.pnghl7:component
0 … *Contains 2.16.840.1.113883.10.22.3.15 IPS Translation Section (DYNAMIC)(IPS...ion)


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