Id2.16.840.1.113883.10.20.22.2.27Effective Date2013‑01‑31
Statusdraft DraftVersion Label1.1
NameProcedureDescriptionSectionDisplay NameProcedure Description Section
Description
The Procedure Description section records the particulars of the procedure and may include procedure site preparation, surgical site preparation, pertinent details related to sedation/anesthesia, pertinent details related to measurements and markings, procedure times, medications administered, estimated blood loss, specimens removed, implants, instrumentation, sponge counts, tissue manipulation, wound closure, sutures used, vital signs and other monitoring data. Local practice often identifies the level and type of detail required based on the procedure or specialty.
ContextParent nodes of template element with id 2.16.840.1.113883.10.20.22.2.27
ClassificationCDA Section Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 2 transactions and 2 templates, Uses 0 templates
Used by as NameVersion
2.16.840.1.113883.3.1937.99.3.4.6Transactionfinal Operative Note (Release 1.1)2013‑01‑31
2.16.840.1.113883.3.1937.99.3.4.5Transactionfinal Procedure Note (US Realm – Release 1)2013‑01‑31
2.16.840.1.113883.10.20.22.1.6Containmentdraft Procedure Note (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.1.7Containmentdraft Operative Note (1.1)2013‑01‑31
ItemDTCardConfDescriptionLabel
cda:section
Procdotstion
cda:templateId
II1 … 1MSHALL contain exactly one [1..1] templateId (CONF:8062) such that itconf‑8062
@root
uid1 … 1F2.16.840.1.113883.10.20.22.2.27confdots0442
cda:code
CE1 … 1MSHALL contain exactly one [1..1] code (CONF:15411).confdots5411
@code
CONF1 … 1F29554-3
@codeSystem
1 … 1F2.16.840.1.113883.6.1
cda:title
ST1 … 1SHALL contain exactly one [1..1] title (CONF:8064).conf‑8064
cda:text
SD.TEXT1 … 1RSHALL contain exactly one [1..1] text (CONF:8065).conf‑8065