| Id | | 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.
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| 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 |  History of Procedures | | | hl7ips-dataelement-51 | Procedure description | | | hl7ips-dataelement-43 | Procedure list | |
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| Uses | | Uses 4 templates | | Uses | as | Name | Version |
|---|
| 2.16.840.1.113883.10.22.4.14 | Containment | 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 | DYNAMIC | | 2.16.840.1.113883.10.22.3.15 | Containment | IPS Translation Section (STU1) | DYNAMIC |
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|
|---|
| Relationship | Adaptation: templateAdaptation: template |
|---|
| 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 |
|---|
| | | | | (IPS...ion) | | |  | | hl7ips-dataelement-13 | History of Procedures | |
|  | 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-dataelement-51 | Procedure description | |
| | hl7:author
|
| | 0 … * | | Contains 2.16.840.1.113883.10.22.4.14 IPS Body Author (DYNAMIC) | (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-dataelement-43 | Procedure list | |
| | | @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) | (IPS...ion) |
|
Under pre-publication review
