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 Template  Section Procedures

Template (internal) 2.16.840.1.113883.2.4.3.11.60.22.10.9 - SectionProcedures
Id 2.16.840.1.113883.2.4.3.11.60.22.10.9
Classification CDA section level template
Version valid from 2013‑06‑04 status Active
Open/Closed Open (other than defined elements are allowed)
Description This section should be used to describe the Surgical Procedures prior past six months (optional) and shall be used to record the Major Surgical Procedures past 6 months (required).
Used in
Used in 2 templates
Id Name as of
1.3.6.1.4.1.12559.11.10.1.3.1.1.3 epSOS-PS  epSOS-Patient Summary 2012‑05‑03
epsos-template-7 SectionHistoryOfPastIllnesses  Section History Of Past Illnesses 2013‑06‑04
Item DT Card Conf Desc Label
hl7:section
R R9
treetree @classCode
0 .. 1 F DOCSECT
treetree @moodCode
0 .. 1 F EVN
Example
<section>
  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.12"/>
  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.11"/>
  <templateId root="2.16.840.1.113883.10.20.1.12"/>
  <code code="47519-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of Procedures"/>
  <title>Coded List of Surgeries</title>
  <text>
    <table border="1">
      <tbody>
        <tr>
          <th>Procedure</th>
          <th>Date</th>
          <th>Description</th>
        </tr>
        <tr ID="antchir-1">
          <td>Appendectomy, par laparotomy</td>
          <td>15/01/1998</td>
          <td>Suites of complicated surgery</td>
        </tr>
      </tbody>
    </table>
  </text>
  <entry>
    <!-- ... -->
  </entry>
</section>
treetree hl7:templateId
II 1 .. 1 R R9
treeblank treetree @root
1 .. 1 F 1.3.6.1.4.1.19376.1.5.3.1.3.12
treetree hl7:templateId
II 1 .. 1 R IHE template R9
treeblank treetree @root
1 .. 1 F 1.3.6.1.4.1.19376.1.5.3.1.3.11
treetree hl7:templateId
II 1 .. 1 R IHE template R9
treeblank treetree @root
1 .. 1 F 2.16.840.1.113883.10.20.1.12
treetree hl7:id
II 0 .. 1 R Unique procedure identification R9
treetree hl7:code
CE 1 .. 1 M Section code R9
treeblank treetree @code
1 .. 1 F 47519-4
treeblank treetree @codeSystem
1 .. 1 F 2.16.840.1.113883.6.1 (LOINC)
treetree hl7:title
ST 1 .. 1 M Section title for Coded List of Surgeries R9
treetree hl7:text
ED 1 .. 1 M Section text. Description of procedures R9
treetree hl7:entry
where
[hl7:procedure [hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.19']]]
1 .. 1 R Entry: Executed Surgical Procedures R9
Contains inherited template rules Entry Executed Surgical Procedures (DYNAMIC) with overridden cardinality 1 .. 1 Required