Id2.16.840.1.113883.10.20.22.4.41
ref
ccda-
Gültigkeit ab2014‑06‑09
Statusdraft EntwurfVersions-Label2.1
NamePlannedProcedureV2BezeichnungPlanned Procedure (V2)
Beschreibung
en-US 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.
KontextElternknoten des Template-Element mit Id 2.16.840.1.113883.10.20.22.4.41
KlassifikationCDA Entry Level Template
Offen/GeschlossenOffen (auch andere als die definierten Elemente sind erlaubt)
Benutzt von / Benutzt
Benutzt von 10 Transactions und 25 Templates, Benutzt 5 Templates
Benutzt von als NameVersion
2.16.840.1.113883.3.1937.99.3.4.27Transaktionfinal en-US Operative Note (V3)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.31Transaktionfinal en-US Transfer Summary (V2)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.25Transaktionfinal en-US Discharge Summary (V3)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.29Transaktionfinal en-US Progress Note (V3)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.26Transaktionfinal en-US History and Physical (V3)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.22Transaktionfinal en-US Consultation Note (V3)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.28Transaktionfinal en-US Procedure Note (V3)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
2.16.840.1.113883.3.1937.99.3.4.30Transaktionfinal en-US Referral Note (V2)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.21Transaktionfinal en-US Care Plan (V2)2015‑08‑01
2.16.840.1.113883.3.1937.99.61.8.10.3.2Containmentdraft Plan of Care Section2014‑02‑04 13:11:29
2.16.840.1.113883.3.1937.99.61.17.10.2linkdraft SHN StructuredBody2015‑05‑09 11:18:02
2.16.840.1.113883.3.1937.99.61.17.10.3linkdraft SHN component2015‑05‑09 11:28:46
2.16.840.1.113883.3.1937.99.61.18.10.6linkdraft Выписной эпикриз2015‑06‑06 14:32:25
2.16.840.1.113883.3.1937.99.61.21.10.20Containmentdraft NH MI (fake) Recommendation (2.1)2019‑07‑25 23:56:49
2.16.840.1.113883.3.1937.99.61.26.10.122Containmentdraft Nutrition Recommendation (2.1)2019‑04‑29 09:01:33
2.16.840.1.113883.3.1937.99.61.28.10.3linkdraft CDA de Consulta (1)2017‑04‑22 23:20:01
2.16.840.1.113883.10.20.21.2.3linkdraft Interventions Section (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.2linkdraft Continuity of Care Document (CCD) (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.3linkdraft History and Physical (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.4linkdraft Consultation Note (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.6linkdraft Procedure Note (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.7linkdraft Operative Note (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.8linkdraft Discharge Summary (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.9linkdraft Progress Note (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.13linkdraft Transfer Summary (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.14linkdraft Referral Note (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.15linkdraft Care Plan (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.2.10linkdraft Plan of Treatment Section (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.2.10Containmentdraft Plan of Treatment Section (V2) (2.1)2019‑03‑16 08:54:08
2.16.840.1.113883.10.20.22.2.30Containmentdraft Planned Procedure Section (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.2.101linkdraft BC CDA Referral Note (V2) (2.1)2019‑04‑06 02:03:17
2.16.840.1.113883.10.20.22.4.130Containmentdraft Nutrition Recommendation (2.1)2015‑08‑13
2.16.840.1.113883.10.20.22.4.131linkdraft Intervention Act (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.4.146Containmentdraft Planned Intervention Act (V2) (2.1)2015‑08‑01
Benutzt als NameVersion
2.16.840.1.113883.10.20.22.4.19Containmentdraft Indication (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.4.20Containmentdraft Instruction (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.4.119Containmentdraft Author Participation (2.1)2015‑08‑13
2.16.840.1.113883.10.20.22.4.129Containmentdraft Planned Coverage (2.1)2015‑08‑13
2.16.840.1.113883.10.20.22.4.143Containmentdraft Priority Preference (2.1)2015‑08‑13
BeziehungSpezialisierung: Template 2.16.840.1.113883.10.12.306 CDA Procedure (2005‑09‑07)
ref
ad1bbr-

Version: Template 2.16.840.1.113883.10.20.22.4.41 Plan of Care Activity Procedure (2013‑01‑31)
ref
ccda-
ItemDTKardKonfBeschreibungLabel
cda:procedure
PlandotsreV2
@classCode
cs1 … 1FPROCCONFdots8568
 en-US 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 … 1Ren-US SHALL 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
Der Wert von @moodCode muss gewählt werden aus dem Value Set 2.16.840.1.113883.11.20.9.23 Plan of Care moodCode (Act/Encounter/Procedure) (DYNAMIC)
cda:templateId
II1 … 1Men-US C-CDA R1.1 templateId root without an extensionCONFdots2936
@root
uid1 … 1F2.16.840.1.113883.10.20.22.4.41
cda:templateId
II1 … 1Men-US SHALL contain exactly one [1..1] templateId (CONF:1098-30444) such that itCONFdots0444
@root
uid1 … 1F2.16.840.1.113883.10.20.22.4.41CONFdots0445
 en-US 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
 en-US SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32554).
cda:id
II1 … *en-US SHALL contain at least one [1..*] id (CONF:1098-8571).CONFdots8571
cda:code
1 … 1en-US SHALL contain exactly one [1..1] code (CONF:1098-31976).CONFdots1976
cda:statusCode
CS1 … 1Men-US SHALL contain exactly one [1..1] statusCode (CONF:1098-30446).CONFdots0446
@code
CONF1 … 1Factive
cda:effectiveTime
0 … 1Ren-US SHOULD 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 … *en-US 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 … *en-US 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
Der Wert von @code muss gewählt werden aus dem Value Set 2.16.840.1.113883.3.88.12.3221.8.9 Body Site (DYNAMIC)
cda:performer
0 … *en-US 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 … 1Ren-US SHOULD 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.
Beinhaltet 2.16.840.1.113883.10.20.22.4.119 Author Participation (2015‑08‑13)		CONFdots1979
cda:entryRelationship
0 … *en-US The following entryRelationship represents the priority that a patient or a provider places on the procedure.
Beinhaltet 2.16.840.1.113883.10.20.22.4.143 Priority Preference (2015‑08‑13)		CONFdots1079
@typeCode
cs1 … 1FREFRCONFdots1080
 en-US SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31080).
cda:entryRelationship
0 … *en-US The following entryRelationship represents the indication for the procedure.
Beinhaltet 2.16.840.1.113883.10.20.22.4.19 Indication (V2) (2014‑06‑09)		CONFdots1982
@typeCode
cs1 … 1FRSONCONFdots1983
 en-US 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 … *en-US The following entryRelationship captures any instructions associated with the planned procedure.
Beinhaltet 2.16.840.1.113883.10.20.22.4.20 Instruction (V2) (2014‑06‑09)		CONFdots1985
@typeCode
cs1 … 1FSUBJCONFdots1986
 en-US 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
 en-US SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1098-31987).
cda:entryRelationship
0 … *en-US The following entryRelationship represents the insurance coverage the patient may have for the procedure.
Beinhaltet 2.16.840.1.113883.10.20.22.4.129 Planned Coverage (2015‑08‑13)		CONFdots1990
@typeCode
cs1 … 1FCOMPCONFdots1991
 en-US SHALL contain exactly one [1..1] @typeCode="COMP" Has component (CONF:1098-31991).