Source | hl7.fhir.us.ccda#current:C-CDA on FHIR (v4.0.1) |
resourceType | StructureDefinition |
id | Operative-Note |
canonical | http://hl7.org/fhir/us/ccda/StructureDefinition/Operative-Note |
version | 1.2.0-ballot |
status | active |
publisher | HL7 Structured Documents Working Group |
name | OperativeNote |
title | Operative Note |
date | 2023-03-27T20:25:00+00:00 |
description | The Operative Note is a frequently used type of procedure note with specific requirements set forth by regulatory agencies. The Operative Note is created immediately following a surgical or other high-risk procedure. It records the pre- and post-surgical diagnosis, pertinent events of the procedure, as well as the condition of the patient following the procedure. The report should be sufficiently detailed to support the diagnoses, justify the treatment, document the course of the procedure, and provide continuity of care. |
jurisdictions | us |
fhirVersion | 4.0.1 |
kind | resource |
abstract | false |
sdTtype | Composition |
derivation | constraint |
base | http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header |
Usages |
|
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Composition | USRealmHeader | |||
type | S |
type Binding: SurgicalOperationNoteDocumentTypeCode ( required ) |
||
Slices for section | Slice: Unordered, Open by value:code | |||
section:anesthesia_section | S | 1..1 | Anesthesia Section | |
title | S | 1.. | title | |
code | S | 1.. |
Anesthesia Required Pattern: At least the following |
|
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 59774-0 |
|
text | S | 1.. | text | |
Slices for entry |
entry
Slice: Unordered, Open by profile:resolve() |
|||
entry:anesthesia_entry | S | Reference ( MedicationStatement | US Core Medication Profile | US Core MedicationRequest Profile | US Core Procedure Profile) | ||
section:complications_section | S | 1..1 | Complications Section | |
title | S | 1.. | title | |
code | S | 1.. |
Complications Required Pattern: At least the following |
|
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 55109-3 |
|
text | S | 1.. | text | |
Slices for entry |
entry
Slice: Unordered, Open by profile:resolve() |
|||
entry:complications_entry | S | Reference (http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition) | ||
section:preoperative_diagnosis_section | S | 1..1 | Preoperative Diagnosis Section | |
title | S | 1.. | title | |
code | S | 1.. |
Preoperative Diagnosis Required Pattern: At least the following |
|
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 10219-4 |
|
text | S | 1.. | text | |
Slices for entry |
entry
Slice: Unordered, Open by profile:resolve() |
|||
entry:preoperative_diagnosis_entry | S | Reference (http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition) | ||
section:procedure_estimated_blood_loss_section | S | 1..1 | Procedure Estimated Blood Loss Section | |
title | S | 1.. | title | |
code | S | 1.. |
Procedure Estimated Blood Loss Required Pattern: At least the following |
|
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 59770-8 |
|
text | S | 1.. | This section contains only human readable content | |
section:procedure_findings_section | S | 1..1 | Procedure Findings Section | |
title | S | 1.. | title | |
code | S | 1.. |
Procedure Findings Required Pattern: At least the following |
|
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 59776-5 |
|
text | S | 1.. | text | |
Slices for entry |
entry
Slice: Unordered, Open by profile:resolve() |
|||
entry:procedure_findings_entry | S | Reference (http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition) | ||
section:procedure_specimens_taken_section | S | 1..1 | Procedure Specimens Taken Section | |
title | S | 1.. | title | |
code | S | 1.. |
Procedure Specimens Taken Required Pattern: At least the following |
|
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 59773-2 |
|
text | S | 1.. | This section contains only human readable content | |
section:postoperative_diagnosis_section | S | 1..1 | Postoperative Diagnosis Section | |
title | S | 1.. | title | |
code | S | 1.. |
Postoperative Diagnosis Required Pattern: At least the following |
|
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 10218-6 |
|
text | S | 1.. | This section contains only human readable content | |
section:procedure_description_section | S | 1..1 | Procedure Description Section | |
title | 1.. | title | ||
code | S | 1.. |
Procedure Description Required Pattern: At least the following |
|
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 29554-3 |
|
text | S | 1.. | This section contains only human readable content | |
section:operative_note_surgical_procedure_section | S | ..1 | Operative Note Surgical Procedure Section | |
title | S | 1.. | title | |
code | S | 1.. |
Operative Note Surgical Procedure Required Pattern: At least the following |
|
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 10223-6 |
|
text | S | 1.. | This section contains only human readable content | |
section:operative_note_fluids_section | S | ..1 | Operative Note Fluids Section | |
title | S | 1.. | title | |
code | S | 1.. |
Operative Note Fluids Required Pattern: At least the following |
|
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 10216-0 |
|
text | S | 1.. | This section contains only human readable content | |
section:plan_of_treatment_section | S | ..1 | Plan of Treatment Section | |
title | S | 1.. | title | |
code | S | 1.. |
Plan of Treatment Required Pattern: At least the following |
|
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 18776-5 |
|
text | S | 1.. | text | |
Slices for entry | S |
entry
Slice: Unordered, Open by profile:resolve() |
||
entry:sliceEntry | Reference (US Core Goal Profile | US Core MedicationRequest Profile | US Core Encounter Profile | Communication | Appointment | CommunicationRequest | DeviceRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup) | This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. | ||
section:planned_procedure_section | S | ..1 | Planned Procedure Section | |
title | S | 1.. | title | |
code | S | 1.. |
Planned Procedure Required Pattern: At least the following |
|
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 59772-4 |
|
text | S | 1.. | text | |
Slices for entry |
entry
Slice: Unordered, Open by profile:resolve() |
|||
entry:planned_procedure_entry | S | Reference ( ServiceRequest ) | This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. | |
section:procedure_disposition_section | S | ..1 | Procedure Disposition Section | |
title | S | 1.. | title | |
code | S | 1.. |
Procedure Disposition Required Pattern: At least the following |
|
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 59775-7 |
|
text | S | 1.. | This section contains only human readable content | |
section:procedure_indications_section | S | ..1 | Procedure Indications Section | |
title | S | 1.. | title | |
code | S | 1.. |
Procedure Indications Required Pattern: At least the following |
|
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 59768-2 |
|
text | S | 1.. | This section contains only human readable content | |
Slices for entry |
entry
Slice: Unordered, Open by profile:resolve() |
|||
entry:problem_entry | S | Reference (http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition) | ||
section:procedure_implants_section | S | ..1 | Procedure Implants Section | |
title | S | 1.. | title | |
code | S | 1.. |
Procedure Implants Required Pattern: At least the following |
|
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 59771-6 |
|
text | S | 1.. | This section contains only human readable content | |
section:surgical_drains_section | S | ..1 | Surgical Drains Section | |
title | S | 1.. | title | |
code | S | 1.. |
Surgical Drains Required Pattern: At least the following |
|
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 11537-8 |
|
text | S | 1.. | This section contains only human readable content | |
Documentation for this format |
Produced 06 Apr 2023