Id2.16.840.1.113883.3.51.60.3.33Effective Date2019‑04‑29 08:34:13
Statuspending Under pre-publication reviewVersion Label2.1
NameBCCDAPlannedProcedureV2Display NameBC CDA Planned Procedure (V2)
Description
This template represents planned alterations of the patient's physical condition. Examples of such procedures are tracheostomy, knee replacement, and craniectomy. The priority of the procedure to the patient and provider is communicated through Priority Preference. The effectiveTime indicates the time when the procedure is intended to take place and authorTime indicates when the documentation of the plan occurred. The Planned Procedure Template may also indicate the potential insurance coverage for the procedure.
ContextParent nodes of template element with id 2.16.840.1.113883.3.51.60.3.33
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 3 templates, Uses 4 templates
Used by as NameVersion
2.16.840.1.113883.3.51.60.2.4linkpending BC CDA ClinicalDocumentDischargeSummary (V3) (2.1)2019‑03‑19 14:15:51
2.16.840.1.113883.3.51.60.3.36Containmentpending BC CDA Plan of Treatment Section (V2) (2.1)2019‑04‑29 08:44:11
2.16.840.1.113883.3.51.60.3.38Containmentpending BC CDA Nutrition Recommendation (2.1)2019‑04‑29 09:04:18
Uses as NameVersion
2.16.840.1.113883.3.51.60.3.5Containmentpending BC CDA Author (Body) (2.1)DYNAMIC
2.16.840.1.113883.3.51.60.3.30Containmentpending BC CDA Planned Coverage (2.1)DYNAMIC
2.16.840.1.113883.10.20.22.2.67Containmentpending Indication (V2) (2.1)DYNAMIC
2.16.840.1.113883.10.20.22.2.68Containmentpending Instruction (V2) (2.1)DYNAMIC
RelationshipSpecialization: template 2.16.840.1.113883.3.51.60.3.33 (2019‑04‑29 08:33:00)
Specialization: template 2.16.840.1.113883.3.51.60.3.33 (2014‑06‑09)
Specialization: template 2.16.840.1.113883.10.12.306 CDA Procedure (2005‑09‑07)
ref
ad1bbr-

Version: template 2.16.840.1.113883.3.51.60.3.33 (2013‑01‑31)
ItemDTCardConfDescriptionLabel
cda:procedure
BCCDdotsreV2
@classCode
cs1 … 1FPROCCONFdots8568
 SHALL contain exactly one [1..1] @classCode="PROC" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-8568).
@moodCode
cs1 … 1RSHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet Planned moodCode (Act/Encounter/Procedure) urn:oid:2.16.840.1.113883.11.20.9.23 STATIC 2011-09-30 (CONF:1098-8569).CONFdots8569
 CONF
The value of @moodCode shall be drawn from value set 2.16.840.1.113883.11.20.9.23 Planned moodCode (Act/Encounter/Procedure) (2011‑09‑30)
hl7:templateId
II1 … 1MBCCDdotsreV2
@root
uid1 … 1F2.16.840.1.113883.3.51.60.3.33
cda:templateId
II1 … 1MSHALL contain exactly one [1..1] templateId (CONF:1098-30444) such that itCONFdots0444
@root
uid1 … 1F2.16.840.1.113883.3.51.60.3.33CONFdots0445
 SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.41" (CONF:1098-30445).
@extension
st1 … 1F2014-06-09CONFdots2554
 SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32554).
cda:id
II1 … *SHALL contain at least one [1..*] id (CONF:1098-8571).CONFdots8571
cda:code
1 … 1SHALL contain exactly one [1..1] code (CONF:1098-31976).CONFdots1976
cda:statusCode
CS1 … 1MSHALL contain exactly one [1..1] statusCode (CONF:1098-30446).CONFdots0446
@code
CONF1 … 1Factive
cda:effectiveTime
0 … 1RSHOULD contain zero or one [0..1] effectiveTime (CONF:1098-30447).

The effectiveTime in a planned procedure represents the time that the procedure should occur.

CONFdots0447
cda:methodCode
0 … *MAY contain zero or more [0..*] methodCode (CONF:1098-31980).

In a planned procedure the provider may suggest that a procedure should be performed using a particular method. MethodCode *SHALL NOT* conflict with the method inherent in Procedure / code.

CONFdots1980
cda:targetSiteCode
0 … *MAY contain zero or more [0..*] targetSiteCode, which SHALL be selected from ValueSet Body Site urn:oid:2.16.840.1.113883.3.88.12.3221.8.9 DYNAMIC (CONF:1098-31981).

The targetSiteCode is used to identify the part of the body of concern for the planned procedure.

CONFdots1981
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.3.88.12.3221.8.9 Body Site (DYNAMIC)
cda:performer
0 … *MAY contain zero or more [0..*] performer (CONF:1098-30449).

The clinician who is expected to perform the procedure could be identified using procedure/performer.

CONFdots0449
cda:author
0 … 1RSHOULD contain zero or one [0..1] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-31979).

The author in a planned procedure represents the clinician who is requesting or planning the procedure.


Contains 2.16.840.1.113883.3.51.60.3.5 BC CDA Author (Body) (DYNAMIC)		CONFdots1979
cda:entryRelationship
0 … *The following entryRelationship represents the indication for the procedure.
Contains 2.16.840.1.113883.10.20.22.2.67 Indication (V2) (DYNAMIC)		CONFdots1982
@typeCode
cs1 … 1FRSONCONFdots1983
 SHALL contain exactly one [1..1] @typeCode="RSON" Has Reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31983).
cda:entryRelationship
0 … *The following entryRelationship captures any instructions associated with the planned procedure.
Contains 2.16.840.1.113883.10.20.22.2.68 Instruction (V2) (DYNAMIC)		CONFdots1985
@typeCode
cs1 … 1FSUBJCONFdots1986
 SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31986).
@inversionInd
bl1 … 1FtrueCONFdots1987
 SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1098-31987).
cda:entryRelationship
0 … *The following entryRelationship represents the insurance coverage the patient may have for the procedure.
Contains 2.16.840.1.113883.3.51.60.3.30 BC CDA Planned Coverage (DYNAMIC)		CONFdots1990
@typeCode
cs1 … 1FCOMPCONFdots1991
 SHALL contain exactly one [1..1] @typeCode="COMP" Has component (CONF:1098-31991).