| Id |
2.16.840.1.113883.10.20.22.2.27 |
Effective Date |
valid from 2016‑10‑09 02:20:23 |
| Status |
 Draft
|
Version Label |
1.1 |
| Name |
ProcedureDescriptionSection |
Display Name |
Procedure 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.
|
| Context |
Parent nodes of template element with id 2.16.840.1.113883.10.20.22.2.27 |
| Classification |
CDA Section Level Template |
| Open/Closed |
Open (other than defined elements are allowed) |
| Relationship |
Specialization: template 2.16.840.1.113883.10.20.22.2.27 (2013‑01‑31)
|
| Item |
DT |
Card |
Conf |
Description |
Label |
|
|
|
|
|
|
(ProcedureDescriptionSection) |
 |
cda:templateId
|
|
II |
1 … 1 |
M |
SHALL contain exactly one [1..1] templateId (CONF:8062) such that it |
conf‑8062 |
 |
|
@root
|
|
uid |
1 … 1 |
F |
2.16.840.1.113883.10.20.22.2.27 |
conf‑10442 |
|
cda:code
|
|
CE |
1 … 1 |
M |
SHALL contain exactly one [1..1] code (CONF:15411). |
conf‑15411 |
|
|
@code
|
|
|
1 … 1 |
F |
29554-3 |
|
|
@codeSystem
|
|
|
1 … 1 |
F |
2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes) |
|
cda:title
|
|
ST |
1 … 1 |
R |
SHALL contain exactly one [1..1] title (CONF:8064). |
conf‑8064 |
|
cda:text
|
|
SD.TEXT |
1 … 1 |
M |
SHALL contain exactly one [1..1] text (CONF:8065). |
conf‑8065 |
|