Document
Operative Note (V3) (2.16.840.1.113883.10.20.22.1.7)
1. datatypelevel
  US Realm Date and Time (DT.US.FIELDED) (2.16.840.1.113883.10.20.22.5.3)
2. Section
  Anesthesia Section (V2) (2.16.840.1.113883.10.20.22.2.25)
  1. Entry
    Procedure Activity Procedure (V2) (2.16.840.1.113883.10.20.22.4.14)
    1. notype
      Author Participation (2.16.840.1.113883.10.20.22.4.119)
    2. Entry
      Product Instance (2.16.840.1.113883.10.20.22.4.37)
    3. Entry
      Service Delivery Location (2.16.840.1.113883.10.20.22.4.32)
    4. Entry
      Instruction (V2) (2.16.840.1.113883.10.20.22.4.20)
    5. Entry
      Indication (V2) (2.16.840.1.113883.10.20.22.4.19)
    6. Entry
      Medication Activity (V2) (2.16.840.1.113883.10.20.22.4.16)
      1. Entry
        Medication Information (V2) (2.16.840.1.113883.10.20.22.4.23)
      2. notype
        Author Participation (2.16.840.1.113883.10.20.22.4.119)
      3. Entry
        Drug Vehicle (2.16.840.1.113883.10.20.22.4.24)
      4. Entry
        Indication (V2) (2.16.840.1.113883.10.20.22.4.19)
      5. Entry
        Instruction (V2) (2.16.840.1.113883.10.20.22.4.20)
      6. Entry
        Medication Supply Order (V2) (2.16.840.1.113883.10.20.22.4.17)
        
        Entry
        Medication Information (V2) (2.16.840.1.113883.10.20.22.4.23)
        
        Entry
        Immunization Medication Information (V2) (2.16.840.1.113883.10.20.22.4.54)
        
        Entry
        Instruction (V2) (2.16.840.1.113883.10.20.22.4.20)
      7. Entry
        Medication Dispense (V2) (2.16.840.1.113883.10.20.22.4.18)
        
        Entry
        Medication Information (V2) (2.16.840.1.113883.10.20.22.4.23)
        
        Entry
        Immunization Medication Information (V2) (2.16.840.1.113883.10.20.22.4.54)
        
        datatypelevel
        US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2)
        
        Entry
        Medication Supply Order (V2) (2.16.840.1.113883.10.20.22.4.17)
        
        Entry
        Medication Information (V2) (2.16.840.1.113883.10.20.22.4.23)
        
        Entry
        Immunization Medication Information (V2) (2.16.840.1.113883.10.20.22.4.54)
        
        Entry
        Instruction (V2) (2.16.840.1.113883.10.20.22.4.20)
      8. Entry
        Reaction Observation (V2) (2.16.840.1.113883.10.20.22.4.9)
        
        @
        Procedure Activity Procedure (V2) (2.16.840.1.113883.10.20.22.4.14)
        
        @
        Medication Activity (V2) (2.16.840.1.113883.10.20.22.4.16)
        
        Entry
        Severity Observation (V2) (2.16.840.1.113883.10.20.22.4.8)
      9. Entry
        Drug Monitoring Act (2.16.840.1.113883.10.20.22.4.123)
        
        datatypelevel
        US Realm Person Name (PN.US.FIELDED) (2.16.840.1.113883.10.20.22.5.1.1)
      10. Entry
        Substance Administered Act (2.16.840.1.113883.10.20.22.4.118)
      11. Entry
        Medication Free Text Sig (2.16.840.1.113883.10.20.22.4.147)
      12. Entry
        Precondition for Substance Administration (V2) (2.16.840.1.113883.10.20.22.4.25)
    7. Entry
      Reaction Observation (V2) (2.16.840.1.113883.10.20.22.4.9)
      1. @
        Procedure Activity Procedure (V2) (2.16.840.1.113883.10.20.22.4.14)
      2. Entry
        Medication Activity (V2) (2.16.840.1.113883.10.20.22.4.16)
        
        Entry
        Medication Information (V2) (2.16.840.1.113883.10.20.22.4.23)
        
        notype
        Author Participation (2.16.840.1.113883.10.20.22.4.119)
        
        Entry
        Drug Vehicle (2.16.840.1.113883.10.20.22.4.24)
        
        Entry
        Indication (V2) (2.16.840.1.113883.10.20.22.4.19)
        
        Entry
        Instruction (V2) (2.16.840.1.113883.10.20.22.4.20)
        
        Entry
        Medication Supply Order (V2) (2.16.840.1.113883.10.20.22.4.17)
        
        Entry
        Medication Information (V2) (2.16.840.1.113883.10.20.22.4.23)
        
        Entry
        Immunization Medication Information (V2) (2.16.840.1.113883.10.20.22.4.54)
        
        Entry
        Instruction (V2) (2.16.840.1.113883.10.20.22.4.20)
        
        Entry
        Medication Dispense (V2) (2.16.840.1.113883.10.20.22.4.18)
        
        Entry
        Medication Information (V2) (2.16.840.1.113883.10.20.22.4.23)
        
        Entry
        Immunization Medication Information (V2) (2.16.840.1.113883.10.20.22.4.54)
        
        datatypelevel
        US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2)
        
        Entry
        Medication Supply Order (V2) (2.16.840.1.113883.10.20.22.4.17)
        
        Entry
        Medication Information (V2) (2.16.840.1.113883.10.20.22.4.23)
        
        Entry
        Immunization Medication Information (V2) (2.16.840.1.113883.10.20.22.4.54)
        
        Entry
        Instruction (V2) (2.16.840.1.113883.10.20.22.4.20)
        
        @
        Reaction Observation (V2) (2.16.840.1.113883.10.20.22.4.9)
        
        Entry
        Drug Monitoring Act (2.16.840.1.113883.10.20.22.4.123)
        
        datatypelevel
        US Realm Person Name (PN.US.FIELDED) (2.16.840.1.113883.10.20.22.5.1.1)
        
        Entry
        Substance Administered Act (2.16.840.1.113883.10.20.22.4.118)
        
        Entry
        Medication Free Text Sig (2.16.840.1.113883.10.20.22.4.147)
        
        Entry
        Precondition for Substance Administration (V2) (2.16.840.1.113883.10.20.22.4.25)
      3. Entry
        Severity Observation (V2) (2.16.840.1.113883.10.20.22.4.8)
  2. Entry
    Medication Activity (V2) (2.16.840.1.113883.10.20.22.4.16)
    1. Entry
      Medication Information (V2) (2.16.840.1.113883.10.20.22.4.23)
    2. notype
      Author Participation (2.16.840.1.113883.10.20.22.4.119)
    3. Entry
      Drug Vehicle (2.16.840.1.113883.10.20.22.4.24)
    4. Entry
      Indication (V2) (2.16.840.1.113883.10.20.22.4.19)
    5. Entry
      Instruction (V2) (2.16.840.1.113883.10.20.22.4.20)
    6. Entry
      Medication Supply Order (V2) (2.16.840.1.113883.10.20.22.4.17)
      1. Entry
        Medication Information (V2) (2.16.840.1.113883.10.20.22.4.23)
      2. Entry
        Immunization Medication Information (V2) (2.16.840.1.113883.10.20.22.4.54)
      3. Entry
        Instruction (V2) (2.16.840.1.113883.10.20.22.4.20)
    7. Entry
      Medication Dispense (V2) (2.16.840.1.113883.10.20.22.4.18)
      1. Entry
        Medication Information (V2) (2.16.840.1.113883.10.20.22.4.23)
      2. Entry
        Immunization Medication Information (V2) (2.16.840.1.113883.10.20.22.4.54)
      3. datatypelevel
        US Realm Address (AD.US.FIELDED) (2.16.840.1.113883.10.20.22.5.2)
      4. Entry
        Medication Supply Order (V2) (2.16.840.1.113883.10.20.22.4.17)
        
        Entry
        Medication Information (V2) (2.16.840.1.113883.10.20.22.4.23)
        
        Entry
        Immunization Medication Information (V2) (2.16.840.1.113883.10.20.22.4.54)
        
        Entry
        Instruction (V2) (2.16.840.1.113883.10.20.22.4.20)
    8. Entry
      Reaction Observation (V2) (2.16.840.1.113883.10.20.22.4.9)
      1. Entry
        Procedure Activity Procedure (V2) (2.16.840.1.113883.10.20.22.4.14)
        
        notype
        Author Participation (2.16.840.1.113883.10.20.22.4.119)
        
        Entry
        Product Instance (2.16.840.1.113883.10.20.22.4.37)
        
        Entry
        Service Delivery Location (2.16.840.1.113883.10.20.22.4.32)
        
        Entry
        Instruction (V2) (2.16.840.1.113883.10.20.22.4.20)
        
        Entry
        Indication (V2) (2.16.840.1.113883.10.20.22.4.19)
        
        @
        Medication Activity (V2) (2.16.840.1.113883.10.20.22.4.16)
        
        @
        Reaction Observation (V2) (2.16.840.1.113883.10.20.22.4.9)
      2. @
        Medication Activity (V2) (2.16.840.1.113883.10.20.22.4.16)
      3. Entry
        Severity Observation (V2) (2.16.840.1.113883.10.20.22.4.8)
    9. Entry
      Drug Monitoring Act (2.16.840.1.113883.10.20.22.4.123)
      1. datatypelevel
        US Realm Person Name (PN.US.FIELDED) (2.16.840.1.113883.10.20.22.5.1.1)
    10. Entry
      Substance Administered Act (2.16.840.1.113883.10.20.22.4.118)
    11. Entry
      Medication Free Text Sig (2.16.840.1.113883.10.20.22.4.147)
    12. Entry
      Precondition for Substance Administration (V2) (2.16.840.1.113883.10.20.22.4.25)
3. Section
  Complications Section (V3) (2.16.840.1.113883.10.20.22.2.37)
  1. Entry
    Problem Observation (V3) (2.16.840.1.113883.10.20.22.4.4)
    1. notype
      Author Participation (2.16.840.1.113883.10.20.22.4.119)
    2. Entry
      Age Observation (2.16.840.1.113883.10.20.22.4.31)
    3. Entry
      Prognosis Observation (2.16.840.1.113883.10.20.22.4.113)
    4. Entry
      Priority Preference (2.16.840.1.113883.10.20.22.4.143)
      1. notype
        Author Participation (2.16.840.1.113883.10.20.22.4.119)
    5. Entry
      Problem Status (2.16.840.1.113883.10.20.22.4.6)
4. Section
  Preoperative Diagnosis Section (V3) (2.16.840.1.113883.10.20.22.2.34)
  1. Entry
    Preoperative Diagnosis (V3) (2.16.840.1.113883.10.20.22.4.65)
    1. Entry
      Problem Observation (V3) (2.16.840.1.113883.10.20.22.4.4)
      1. notype
        Author Participation (2.16.840.1.113883.10.20.22.4.119)
      2. Entry
        Age Observation (2.16.840.1.113883.10.20.22.4.31)
      3. Entry
        Prognosis Observation (2.16.840.1.113883.10.20.22.4.113)
      4. Entry
        Priority Preference (2.16.840.1.113883.10.20.22.4.143)
        
        notype
        Author Participation (2.16.840.1.113883.10.20.22.4.119)
      5. Entry
        Problem Status (2.16.840.1.113883.10.20.22.4.6)
5. Section
  Procedure Estimated Blood Loss Section (2.16.840.1.113883.10.20.18.2.9)
6. Section
  Procedure Findings Section (V3) (2.16.840.1.113883.10.20.22.2.28)
  1. Entry
    Problem Observation (V3) (2.16.840.1.113883.10.20.22.4.4)
    1. notype
      Author Participation (2.16.840.1.113883.10.20.22.4.119)
    2. Entry
      Age Observation (2.16.840.1.113883.10.20.22.4.31)
    3. Entry
      Prognosis Observation (2.16.840.1.113883.10.20.22.4.113)
    4. Entry
      Priority Preference (2.16.840.1.113883.10.20.22.4.143)
      1. notype
        Author Participation (2.16.840.1.113883.10.20.22.4.119)
    5. Entry
      Problem Status (2.16.840.1.113883.10.20.22.4.6)
7. Section
  Procedure Specimens Taken Section (2.16.840.1.113883.10.20.22.2.31)
8. Section
  Procedure Description Section (2.16.840.1.113883.10.20.22.2.27)
9. Section
  Postoperative Diagnosis Section (2.16.840.1.113883.10.20.22.2.35)
10. Section
  Procedure Implants Section (2.16.840.1.113883.10.20.22.2.40)
11. Section
  Operative Note Fluids Section (2.16.840.1.113883.10.20.7.12)
12. Section
  Operative Note Surgical Procedure Section (2.16.840.1.113883.10.20.7.14)
13. Section
  Plan of Treatment Section (V2) (2.16.840.1.113883.10.20.22.2.10)
  1. Entry
    Planned Observation (V2) (2.16.840.1.113883.10.20.22.4.44)
    1. notype
      Author Participation (2.16.840.1.113883.10.20.22.4.119)
    2. Entry
      Priority Preference (2.16.840.1.113883.10.20.22.4.143)
      1. notype
        Author Participation (2.16.840.1.113883.10.20.22.4.119)
    3. Entry
      Indication (V2) (2.16.840.1.113883.10.20.22.4.19)
    4. Entry
      Instruction (V2) (2.16.840.1.113883.10.20.22.4.20)
    5. Entry
      Planned Coverage (2.16.840.1.113883.10.20.22.4.129)
      1. notype
        Author Participation (2.16.840.1.113883.10.20.22.4.119)
  2. Entry
    Planned Encounter (V2) (2.16.840.1.113883.10.20.22.4.40)
    1. notype
      Author Participation (2.16.840.1.113883.10.20.22.4.119)
    2. Entry
      Service Delivery Location (2.16.840.1.113883.10.20.22.4.32)
    3. Entry
      Priority Preference (2.16.840.1.113883.10.20.22.4.143)
      1. notype
        Author Participation (2.16.840.1.113883.10.20.22.4.119)
    4. Entry
      Indication (V2) (2.16.840.1.113883.10.20.22.4.19)
  3. Entry
    Planned Act (V2) (2.16.840.1.113883.10.20.22.4.39)
    1. notype
      Author Participation (2.16.840.1.113883.10.20.22.4.119)
    2. Entry
      Priority Preference (2.16.840.1.113883.10.20.22.4.143)
      1. notype
        Author Participation (2.16.840.1.113883.10.20.22.4.119)
    3. Entry
      Indication (V2) (2.16.840.1.113883.10.20.22.4.19)
    4. Entry
      Instruction (V2) (2.16.840.1.113883.10.20.22.4.20)
  4. Entry
    Planned Procedure (V2) (2.16.840.1.113883.10.20.22.4.41)
    1. notype
      Author Participation (2.16.840.1.113883.10.20.22.4.119)
    2. Entry
      Priority Preference (2.16.840.1.113883.10.20.22.4.143)
      1. notype
        Author Participation (2.16.840.1.113883.10.20.22.4.119)
    3. Entry
      Indication (V2) (2.16.840.1.113883.10.20.22.4.19)
    4. Entry
      Instruction (V2) (2.16.840.1.113883.10.20.22.4.20)
    5. Entry
      Planned Coverage (2.16.840.1.113883.10.20.22.4.129)
      1. notype
        Author Participation (2.16.840.1.113883.10.20.22.4.119)
  5. Entry
    Planned Medication Activity (V2) (2.16.840.1.113883.10.20.22.4.42)
    1. Entry
      Medication Information (V2) (2.16.840.1.113883.10.20.22.4.23)
    2. notype
      Author Participation (2.16.840.1.113883.10.20.22.4.119)
    3. Entry
      Priority Preference (2.16.840.1.113883.10.20.22.4.143)
      1. notype
        Author Participation (2.16.840.1.113883.10.20.22.4.119)
    4. Entry
      Indication (V2) (2.16.840.1.113883.10.20.22.4.19)
    5. Entry
      Instruction (V2) (2.16.840.1.113883.10.20.22.4.20)
    6. Entry
      Precondition for Substance Administration (V2) (2.16.840.1.113883.10.20.22.4.25)
  6. Entry
    Planned Supply (V2) (2.16.840.1.113883.10.20.22.4.43)
    1. Entry
      Medication Information (V2) (2.16.840.1.113883.10.20.22.4.23)
    2. Entry
      Immunization Medication Information (V2) (2.16.840.1.113883.10.20.22.4.54)
    3. notype
      Author Participation (2.16.840.1.113883.10.20.22.4.119)
    4. Entry
      Product Instance (2.16.840.1.113883.10.20.22.4.37)
    5. Entry
      Priority Preference (2.16.840.1.113883.10.20.22.4.143)
      1. notype
        Author Participation (2.16.840.1.113883.10.20.22.4.119)
    6. Entry
      Indication (V2) (2.16.840.1.113883.10.20.22.4.19)
    7. Entry
      Instruction (V2) (2.16.840.1.113883.10.20.22.4.20)
    8. Entry
      Planned Coverage (2.16.840.1.113883.10.20.22.4.129)
      1. notype
        Author Participation (2.16.840.1.113883.10.20.22.4.119)
  7. Entry
    Instruction (V2) (2.16.840.1.113883.10.20.22.4.20)
  8. Entry
    Handoff Communication Participants (2.16.840.1.113883.10.20.22.4.141)
    1. notype
      Author Participation (2.16.840.1.113883.10.20.22.4.119)
  9. Entry
    Nutrition Recommendation (2.16.840.1.113883.10.20.22.4.130)
    1. Entry
      Planned Encounter (V2) (2.16.840.1.113883.10.20.22.4.40)
      1. notype
        Author Participation (2.16.840.1.113883.10.20.22.4.119)
      2. Entry
        Service Delivery Location (2.16.840.1.113883.10.20.22.4.32)
      3. Entry
        Priority Preference (2.16.840.1.113883.10.20.22.4.143)
        
        notype
        Author Participation (2.16.840.1.113883.10.20.22.4.119)
      4. Entry
        Indication (V2) (2.16.840.1.113883.10.20.22.4.19)
    2. Entry
      Planned Medication Activity (V2) (2.16.840.1.113883.10.20.22.4.42)
      1. Entry
        Medication Information (V2) (2.16.840.1.113883.10.20.22.4.23)
      2. notype
        Author Participation (2.16.840.1.113883.10.20.22.4.119)
      3. Entry
        Priority Preference (2.16.840.1.113883.10.20.22.4.143)
        
        notype
        Author Participation (2.16.840.1.113883.10.20.22.4.119)
      4. Entry
        Indication (V2) (2.16.840.1.113883.10.20.22.4.19)
      5. Entry
        Instruction (V2) (2.16.840.1.113883.10.20.22.4.20)
      6. Entry
        Precondition for Substance Administration (V2) (2.16.840.1.113883.10.20.22.4.25)
    3. Entry
      Planned Observation (V2) (2.16.840.1.113883.10.20.22.4.44)
      1. notype
        Author Participation (2.16.840.1.113883.10.20.22.4.119)
      2. Entry
        Priority Preference (2.16.840.1.113883.10.20.22.4.143)
        
        notype
        Author Participation (2.16.840.1.113883.10.20.22.4.119)
      3. Entry
        Indication (V2) (2.16.840.1.113883.10.20.22.4.19)
      4. Entry
        Instruction (V2) (2.16.840.1.113883.10.20.22.4.20)
      5. Entry
        Planned Coverage (2.16.840.1.113883.10.20.22.4.129)
        
        notype
        Author Participation (2.16.840.1.113883.10.20.22.4.119)
    4. Entry
      Planned Procedure (V2) (2.16.840.1.113883.10.20.22.4.41)
      1. notype
        Author Participation (2.16.840.1.113883.10.20.22.4.119)
      2. Entry
        Priority Preference (2.16.840.1.113883.10.20.22.4.143)
        
        notype
        Author Participation (2.16.840.1.113883.10.20.22.4.119)
      3. Entry
        Indication (V2) (2.16.840.1.113883.10.20.22.4.19)
      4. Entry
        Instruction (V2) (2.16.840.1.113883.10.20.22.4.20)
      5. Entry
        Planned Coverage (2.16.840.1.113883.10.20.22.4.129)
        
        notype
        Author Participation (2.16.840.1.113883.10.20.22.4.119)
    5. Entry
      Planned Supply (V2) (2.16.840.1.113883.10.20.22.4.43)
      1. Entry
        Medication Information (V2) (2.16.840.1.113883.10.20.22.4.23)
      2. Entry
        Immunization Medication Information (V2) (2.16.840.1.113883.10.20.22.4.54)
      3. notype
        Author Participation (2.16.840.1.113883.10.20.22.4.119)
      4. Entry
        Product Instance (2.16.840.1.113883.10.20.22.4.37)
      5. Entry
        Priority Preference (2.16.840.1.113883.10.20.22.4.143)
        
        notype
        Author Participation (2.16.840.1.113883.10.20.22.4.119)
      6. Entry
        Indication (V2) (2.16.840.1.113883.10.20.22.4.19)
      7. Entry
        Instruction (V2) (2.16.840.1.113883.10.20.22.4.20)
      8. Entry
        Planned Coverage (2.16.840.1.113883.10.20.22.4.129)
        
        notype
        Author Participation (2.16.840.1.113883.10.20.22.4.119)
    6. Entry
      Planned Act (V2) (2.16.840.1.113883.10.20.22.4.39)
      1. notype
        Author Participation (2.16.840.1.113883.10.20.22.4.119)
      2. Entry
        Priority Preference (2.16.840.1.113883.10.20.22.4.143)
        
        notype
        Author Participation (2.16.840.1.113883.10.20.22.4.119)
      3. Entry
        Indication (V2) (2.16.840.1.113883.10.20.22.4.19)
      4. Entry
        Instruction (V2) (2.16.840.1.113883.10.20.22.4.20)
  10. Entry
    Planned Immunization Activity (2.16.840.1.113883.10.20.22.4.120)
    1. Entry
      Immunization Medication Information (V2) (2.16.840.1.113883.10.20.22.4.54)
    2. notype
      Author Participation (2.16.840.1.113883.10.20.22.4.119)
    3. Entry
      Priority Preference (2.16.840.1.113883.10.20.22.4.143)
      1. notype
        Author Participation (2.16.840.1.113883.10.20.22.4.119)
    4. Entry
      Indication (V2) (2.16.840.1.113883.10.20.22.4.19)
    5. Entry
      Instruction (V2) (2.16.840.1.113883.10.20.22.4.20)
    6. Entry
      Precondition for Substance Administration (V2) (2.16.840.1.113883.10.20.22.4.25)
  11. Entry
    Goal Observation (2.16.840.1.113883.10.20.22.4.121)
    1. notype
      Author Participation (2.16.840.1.113883.10.20.22.4.119)
    2. Entry
      Entry Reference (2.16.840.1.113883.10.20.22.4.122)
    3. Entry
      Entry Reference (2.16.840.1.113883.10.20.22.4.122)
    4. Entry
      Priority Preference (2.16.840.1.113883.10.20.22.4.143)
      1. notype
        Author Participation (2.16.840.1.113883.10.20.22.4.119)
    5. @
      Goal Observation (2.16.840.1.113883.10.20.22.4.121)
    6. Entry
      Entry Reference (2.16.840.1.113883.10.20.22.4.122)
    7. Entry
      External Document Reference (2.16.840.1.113883.10.20.22.4.115)
14. Section
  Planned Procedure Section (V2) (2.16.840.1.113883.10.20.22.2.30)
  1. Entry
    Planned Procedure (V2) (2.16.840.1.113883.10.20.22.4.41)
    1. notype
      Author Participation (2.16.840.1.113883.10.20.22.4.119)
    2. Entry
      Priority Preference (2.16.840.1.113883.10.20.22.4.143)
      1. notype
        Author Participation (2.16.840.1.113883.10.20.22.4.119)
    3. Entry
      Indication (V2) (2.16.840.1.113883.10.20.22.4.19)
    4. Entry
      Instruction (V2) (2.16.840.1.113883.10.20.22.4.20)
    5. Entry
      Planned Coverage (2.16.840.1.113883.10.20.22.4.129)
      1. notype
        Author Participation (2.16.840.1.113883.10.20.22.4.119)
15. Section
  Procedure Disposition Section (2.16.840.1.113883.10.20.18.2.12)
16. Section
  Procedure Indications Section (V2) (2.16.840.1.113883.10.20.22.2.29)
  1. Entry
    Indication (V2) (2.16.840.1.113883.10.20.22.4.19)
17. Section
  Surgical Drains Section (2.16.840.1.113883.10.20.7.13)