Source | hl7.cda.us.ccdar2dot2#current:Consolidated CDA Release 2.1 StructureDefinition Publication (v5.0.0) |
resourceType | StructureDefinition |
id | 2.16.840.1.113883.10.20.22.4.41 |
canonical | http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.41 |
version | 2.2 |
status | active |
publisher | Health Level Seven |
name | PlannedProcedure |
title | Planned Procedure |
date | 2021-11-24T17:43:01+00:00 |
description | 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. |
jurisdictions | us |
fhirVersion | 4.0.1 |
kind | resource |
abstract | false |
sdTtype | Procedure |
derivation | constraint |
base | http://hl7.org/fhir/cda/StructureDefinition/Procedure |
Usages |
|
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Procedure | ||||
classCode | 1..1 | Required Pattern: PROC | ||
moodCode | 1..1 | Binding: Planned moodCode (Act/Encounter/Procedure) ( required ) | ||
Slices for templateId | Slice: Unordered, Open by value:root, value:extension | |||
templateId:primary | 1..1 | |||
root | 1..1 | Required Pattern: 2.16.840.1.113883.10.20.22.4.41 | ||
extension | 1..1 | Required Pattern: 2014-06-09 | ||
id | 1..* | |||
code | C | 1..1 | 1098-31977: The procedure/code in a planned procedure **SHOULD** be selected from LOINC (codeSystem 2.16.840.1.113883.6.1) *OR* SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96), and **MAY** be selected from CPT-4 (CodeSystem: 2.16.840.1.113883.6.12) **OR** ICD10 PCS (CodeSystem: 2.16.840.1.113883.6.4) (CONF:1098-31977). | |
statusCode | 1..1 | |||
code | 1..1 | Required Pattern: active | ||
effectiveTime | 0..1 | The effectiveTime in a planned procedure represents the time that the procedure should occur. | ||
methodCode | 0..* |
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. |
||
targetSiteCode | 0..* |
The targetSiteCode is used to identify the part of the body of concern for the planned procedure. Binding: Body Site Value Set ( required ) |
||
performer | 0..* |
The clinician who is expected to perform the procedure could be identified using procedure/performer. |
||
author | 0..1 | http://hl7.org/fhir/cda/StructureDefinition/Author | The author in a planned procedure represents the clinician who is requesting or planning the procedure. | |
Slices for entryRelationship |
The following entryRelationship represents the insurance coverage the patient may have for the procedure.
Slice: Unordered, Open by value:act |
|||
entryRelationship:priorityPreference | 0..* |
The following entryRelationship represents the priority that a patient or a provider places on the procedure. |
||
typeCode | 1..1 | Required Pattern: REFR | ||
observation | 1..1 | http://hl7.org/fhir/cda/StructureDefinition/Observation | ||
entryRelationship:indication | 0..* |
The following entryRelationship represents the indication for the procedure. |
||
typeCode | 1..1 | Required Pattern: RSON | ||
observation | 1..1 | http://hl7.org/fhir/cda/StructureDefinition/Observation | ||
entryRelationship:instruction | 0..* |
The following entryRelationship captures any instructions associated with the planned procedure. |
||
typeCode | 1..1 | Required Pattern: SUBJ | ||
inversionInd | 1..1 | Required Pattern: true | ||
act | 1..1 | http://hl7.org/fhir/cda/StructureDefinition/Act | ||
entryRelationship:plannedCoverage | 0..* | |||
typeCode | 1..1 | Required Pattern: COMP | ||
act | 1..1 | http://hl7.org/fhir/cda/StructureDefinition/Act | ||
Documentation for this format |
Produced 08 Sep 2023