StructureDefinition-2.16.840.1.113883.10.20.22.4.41

Sourcehl7.cda.us.ccda#current:Consolidated CDA Release 2.1 StructureDefinition Publication (v5.0.0)
resourceTypeStructureDefinition
id2.16.840.1.113883.10.20.22.4.41
canonicalhttp://hl7.org/cda/us/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.41
version2.1
statusactive
publisherHealth Level Seven
namePlannedProcedureV3
titlePlanned Procedure (V3)
date2023-08-24T14:33:15+00:00
descriptionThis 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. Planned Procedure V3 Usage Note: Common practice in the industry has shown that Planned Procedure is the usually implemented CDA template for any type of intervention or procedure regardless of if the "immediate and primary outcome (post-condition) is the alteration of the physical condition of the patient", or not. As a result, it is recommended to use Planned Procedure when sending procedures also thought of as "interventions" such as "Home Environment Evaluation" or "Assessment of nutritional status".
jurisdictionsus
fhirVersion5.0.0
kindlogical
abstractfalse
sdTtypehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
derivationconstraint
basehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
Usages
Name Flags Card. Type Description & Constraints doco
. . Procedure CDAR2.Procedure XML Namespace: urn:hl7-org:v3
This logical model cannot be the target of a reference
. . . classCode 1..1 classCode
Fixed Value: PROC
. . . moodCode 1..1 moodCode
Binding: Planned moodCode (Act/Encounter/Procedure) ( required )
. . . Slices for templateId 1 .. Slice: Unordered, Open by value:root, value:extension
. . . . templateId:templateId1 1..1 templateId
. . . . . root 1..1 root
Required Pattern: 2.16.840.1.113883.10.20.22.4.41
. . . . . extension 1..1 extension
Required Pattern: 2022-06-01
. . . id 1..* id
. . . code C 1..1 code
4515-31977: This @code SHOULD be selected from LOINC (CodeSystem: 2.16.840.1.113883.6.1) or SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96) or CPT (CodeSystem: 2.16.840.1.113883.6.12) or ICD-10-PCS (CodeSystem: 2.16.840.1.113883.6.4) or HCPCS (Code System: 2.16.840.1.113883.6.285) or CDT-2 (Code System: 2.16.840.1.113883.6.13) (CONF:4515-31977).
4515-32993: If the Planned Intervention Procedure is a Social Determinant of Health Planned Intervention Procedure, the procedure code **SHOULD** be selected from ValueSet [Social Determinant of Health Service Request](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1196.790/expansion/) **DYNAMIC** (CONF:4515-32993).
. . . statusCode 1..1 statusCode
. . . . code 1..1 code
Fixed Value: active
. . . effectiveTime 0..1 effectiveTime
. . . methodCode 0..* methodCode
. . . targetSiteCode 0..* targetSiteCode
Binding: Body Site Value Set ( required )
. . . performer 0..* performer
. . . author 0..1 http://hl7.org/cda/stds/core/StructureDefinition/Author author
. . . Slices for entryRelationship Slice: Unordered, Open by value:act, value:typeCode
. . . . entryRelationship:entryRelationship1 0..* entryRelationship
. . . . . typeCode 1..1 typeCode
Fixed Value: REFR
. . . . . observation 1..1 http://hl7.org/cda/stds/core/StructureDefinition/Observation observation
. . . . entryRelationship:entryRelationship2 0..* entryRelationship
. . . . . typeCode 1..1 typeCode
Fixed Value: RSON
. . . . . observation 1..1 http://hl7.org/cda/stds/core/StructureDefinition/Observation observation
. . . . entryRelationship:entryRelationship3 0..* entryRelationship
. . . . . typeCode 1..1 typeCode
Fixed Value: SUBJ
. . . . . inversionInd 1..1 inversionInd
Fixed Value: true
. . . . . act 1..1 http://hl7.org/cda/stds/core/StructureDefinition/Act act
. . . . entryRelationship:entryRelationship4 0..* entryRelationship
. . . . . typeCode 1..1 typeCode
Fixed Value: COMP
. . . . . act 1..1 http://hl7.org/cda/stds/core/StructureDefinition/Act act
. . . . entryRelationship:entryRelationship5 0..* entryRelationship
. . . . . typeCode 1..1 typeCode
Fixed Value: RSON
. . . . . observation 1..1 http://hl7.org/cda/stds/core/StructureDefinition/Observation observation
. . . . entryRelationship:entryRelationship6 0..* entryRelationship
. . . . . typeCode 1..1 typeCode
Fixed Value: RSON
. . . . . act 1..1 http://hl7.org/cda/stds/core/StructureDefinition/Act act

doco Documentation for this format

Produced 08 Sep 2023