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

Id2.16.840.1.113883.10.20.22.2.7.1
ref
ccda-
Gültigkeit ab2014‑06‑09
Statusdraft EntwurfVersions-Label2.1
NameProceduresSectionentriesrequiredV2BezeichnungProcedures Section (entries required) (V2)
Beschreibung
en-US 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).
KontextElternknoten des Template-Element mit Id 2.16.840.1.113883.10.20.22.2.7.1
KlassifikationCDA Section level template
Offen/GeschlossenOffen (auch andere als die definierten Elemente sind erlaubt)
Benutzt von / Benutzt
Benutzt von 2 Transactions und 2 Templates, Benutzt 3 Templates
Benutzt von als NameVersion
2.16.840.1.113883.3.1937.99.3.4.31Transaktionfinal en-US Transfer Summary (V2)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.23Transaktionfinal en-US 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
Benutzt als 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
BeziehungSpezialisierung: 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)
ref
ccda-
ItemDTKardKonfBeschreibungLabel
cda:section
ProcdotsedV2
@nullFlavor
cs0 … 1FNICONFdots2876
 en-US 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 … 1Men-US C-CDA R1.1 templateId root without an extensionCONFdots2936
@root
uid1 … 1F2.16.840.1.113883.10.20.22.2.7.1
cda:templateId
II1 … 1Men-US SHALL 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
 en-US 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
 en-US SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32533).
cda:code
CE1 … 1Men-US SHALL 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 … 1en-US SHALL contain exactly one [1..1] title (CONF:1098-7893).CONFdots7893
cda:text
SD.TEXT1 … 1Ren-US SHALL contain exactly one [1..1] text (CONF:1098-7894).CONFdots7894
Auswahl
en-US 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)
Elemente in der Auswahl:
cda:entry
0 … *Cen-US MAY 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).
Beinhaltet 2.16.840.1.113883.10.20.22.4.12 Procedure Activity Act (V2) (2014‑06‑09)
CONFdots2877
cda:entry
0 … *Cen-US MAY 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).
Beinhaltet 2.16.840.1.113883.10.20.22.4.13 Procedure Activity Observation (V2) (2014‑06‑09)
CONFdots2878
cda:entry
0 … *Cen-US MAY 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).
Beinhaltet 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']]  
 MeldungSHALL 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)  

Template Procedures Section (entries required) 2013‑01‑31

Id2.16.840.1.113883.10.20.22.2.7.1
ref
ccda-
Gültigkeit ab2013‑01‑31
Statusdraft EntwurfVersions-Label1.1
NameProceduresSectionentriesrequiredBezeichnungProcedures Section (entries required)
Beschreibung
en-US This section defines all interventional, surgical, diagnostic, or therapeutic procedures or treatments pertinent to the patient historically at the time the document is generated. The section may contain all procedures for the period of time being summarized, but should include notable procedures. 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 the alter that physical condition of a patient (Splenectomy). Observation act is for procedures that result in new information about a patient but do not cause physical alteration (EEG). Act is for all other types of procedures (dressing change).
KontextElternknoten des Template-Element mit Id 2.16.840.1.113883.10.20.22.2.7.1
KlassifikationCDA Section level template
Offen/GeschlossenOffen (auch andere als die definierten Elemente sind erlaubt)
Benutzt von / Benutzt
Benutzt von 1 Transaction und 1 Template, Benutzt 3 Templates
Benutzt von als NameVersion
2.16.840.1.113883.3.1937.99.3.4.1Transaktionfinal en-US Continuity of Care Document (CCD) (Release 1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.1.2Containmentdraft Continuity of Care Document (CCD) (1.1)2013‑01‑31
Benutzt als NameVersion
2.16.840.1.113883.10.20.22.4.12Containmentdraft Procedure Activity Act (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.4.13Containmentdraft Procedure Activity Observation (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.4.14Containmentdraft Procedure Activity Procedure (1.1)2013‑01‑31
ItemDTKardKonfBeschreibungLabel
cda:section
en-US There SHALL be at least one procedure, observation or act entry conformant to Procedure Activity Procedure template, Procedure Activity Observation template or Procedure Activity Act template in the Procedure Section.Procdotsired
cda:templateId
II1 … 1Men-US SHALL contain exactly one [1..1] templateId (CONF:7891) such that itconf‑7891
@root
uid1 … 1F2.16.840.1.113883.10.20.22.2.7.1confdots0447
cda:code
CE1 … 1Men-US SHALL contain exactly one [1..1] code (CONF:15425).confdots5425
@code
CONF1 … 1F47519-4
@codeSystem
1 … 1F2.16.840.1.113883.6.1
cda:title
ST1 … 1en-US SHALL contain exactly one [1..1] title (CONF:7893).conf‑7893
cda:text
SD.TEXT1 … 1Ren-US SHALL contain exactly one [1..1] text (CONF:7894).conf‑7894
Auswahl0 … 
en-US There SHALL be at least one procedure, observation or act entry conformant to Procedure Activity Procedure template, Procedure Activity Observation template or Procedure Activity Act template in the Procedure Section.
Elemente in der Auswahl:
cda:entry
0 … *Beinhaltet 2.16.840.1.113883.10.20.22.4.14 Procedure Activity Procedure (2013‑01‑31)conf‑7895
cda:entry
0 … *Beinhaltet 2.16.840.1.113883.10.20.22.4.13 Procedure Activity Observation (2013‑01‑31)conf‑8017
cda:entry
0 … *Beinhaltet 2.16.840.1.113883.10.20.22.4.12 Procedure Activity Act (2013‑01‑31)conf‑8019