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Template Procedures Section (entries required) (V2) 2014‑06‑09

Id2.16.840.1.113883.10.20.22.2.7.1Effective Date2014‑06‑09
Statusdraft DraftVersion Label2.1
NameProceduresSectionentriesrequiredV2Display NameProcedures Section (entries required) (V2)
Description
This section describes all interventional, surgical, diagnostic, or therapeutic procedures or treatments pertinent to the patient historically at the time the document is generated. The section should include notable procedures, but can contain all procedures for the period of time being summarized. The common notion of "procedure" is broader than that specified by the HL7 Version 3 Reference Information Model (RIM), therefore this section contains procedure templates represented with three RIM classes: Act. Observation, and Procedure. Procedure act is for procedures that alter the physical condition of a patient (e.g., splenectomy). Observation act is for procedures that result in new information about a patient but do not cause physical alteration (e.g., EEG). Act is for all other types of procedures (e.g., dressing change).
ContextParent nodes of template element with id 2.16.840.1.113883.10.20.22.2.7.1
ClassificationCDA Section Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 2 transactions and 2 templates, Uses 3 templates
Used by as NameVersion
2.16.840.1.113883.3.1937.99.3.4.31Transactionfinal Transfer Summary (V2)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.23Transactionfinal Continuity of Care Document (CCD) (V3)2015‑08‑01
2.16.840.1.113883.10.20.22.1.2Containmentdraft Continuity of Care Document (CCD) (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.13Containmentdraft Transfer Summary (V2) (2.1)2015‑08‑01
Uses as NameVersion
2.16.840.1.113883.10.20.22.4.12Containmentdraft Procedure Activity Act (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.4.13Containmentdraft Procedure Activity Observation (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.4.14Containmentdraft Procedure Activity Procedure (V2) (2.1)2014‑06‑09
RelationshipSpecialization: template 2.16.840.1.113883.10.12.201 CDA Section (2005‑09‑07)
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Version: template 2.16.840.1.113883.10.20.22.2.7.1 Procedures Section (entries required) (2013‑01‑31)
ItemDTCardConfDescriptionLabel
cda:section
ProcdotsedV2
@nullFlavor
cs0 … 1FNICONFdots2876
 MAY contain zero or one [0..1] @nullFlavor="NI" No information (CodeSystem: HL7NullFlavor urn:oid:2.16.840.1.113883.5.1008) (CONF:1098-32876).
cda:templateId
II1 … 1MC-CDA R1.1 templateId root without an extensionCONFdots2936
@root
uid1 … 1F2.16.840.1.113883.10.20.22.2.7.1
cda:templateId
II1 … 1MSHALL contain exactly one [1..1] templateId (CONF:1098-7891) such that itCONFdots7891
@root
uid1 … 1F2.16.840.1.113883.10.20.22.2.7.1CONFdots0447
 SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.7.1" (CONF:1098-10447).
@extension
st1 … 1F2014-06-09CONFdots2533
 SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32533).
cda:code
CE1 … 1MSHALL contain exactly one [1..1] code (CONF:1098-15425).CONFdots5425
@code
CONF1 … 1F47519-4
@codeSystem
1 … 1F2.16.840.1.113883.6.1
cda:title
ST1 … 1SHALL contain exactly one [1..1] title (CONF:1098-7893).CONFdots7893
cda:text
SD.TEXT1 … 1RSHALL contain exactly one [1..1] text (CONF:1098-7894).CONFdots7894
Choice
If section/@nullFlavor is not present there *SHALL* be at least one entry conformant to Procedure Activity Act (V2) (templateId 2.16.840.1.113883.10.20.22.4.12:2014-06-09) *OR* Procedure Activity Observation (V2) (templateId: 2.16.840.1.113883.10.20.22.4.13:2014-06-09) *OR* Procedure Activity Procedure (V2) (templateId: 2.16.840.1.113883.10.20.22.4.14:2014-06-09)
Elements to choose from:
cda:entry
0 … *CMAY contain zero or one [0..1] Procedure Activity Act (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.12:2014-06-09) (CONF:1098-32877).
Contains 2.16.840.1.113883.10.20.22.4.12 Procedure Activity Act (V2) (2014‑06‑09)		CONFdots2877
cda:entry
0 … *CMAY contain zero or one [0..1] Procedure Activity Observation (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.13:2014-06-09) (CONF:1098-32878).
Contains 2.16.840.1.113883.10.20.22.4.13 Procedure Activity Observation (V2) (2014‑06‑09)		CONFdots2878
cda:entry
0 … *CMAY contain zero or one [0..1] Procedure Activity Procedure (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.14:2014-06-09) (CONF:1098-15512).
Contains 2.16.840.1.113883.10.20.22.4.14 Procedure Activity Procedure (V2) (2014‑06‑09)		CONFdots5512
 Schematron assertrolered error 
 test@nullFlavor or cda:entrycda:entry/cda:ProcedureActivityAct[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.12']] or cda:entrycda:entry/cda:ProcedureActivityAct[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.13']] or cda:entrycda:entry/cda:ProcedureActivityAct[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.14']]  
 MessageSHALL contain at least one [1..*] entry (CONF:1098-7895) If section/@nullFlavor is not present there SHALL be at least one entry conformant to Procedure Activity Act (V2) (templateId 2.16.840.1.113883.10.20.22.4.12:2014-06-09) OR Procedure Activity Observation (V2) (templateId: 2.16.840.1.113883.10.20.22.4.13:2014-06-09) OR Procedure Activity Procedure (V2) (templateId: 2.16.840.1.113883.10.20.22.4.14:2014-06-09)