|
Template ID |
2.16.840.1.113883.10.20.22.2.29 |
|
Name |
Procedure Indications |
|
Effective Date |
2012-07 |
|
Version Label |
DICOM-20150324 |
|
Status |
Active |
|
Description |
Records details about the reason for the procedure. This section may include the pre-procedure diagnosis or diagnoses as well as one or more symptoms that contribute to the reason the procedure is being performed. |
|
Classification |
CDA Section Level |
|
Relationships |
Included in 9.2 Clinical Information |
|
Context |
parent node |
|
Open/Closed |
Open |
|
Revision History |
From Consolidated CDA r1.1 DICOM-20150324: adapted to use optional Coded Observation entry rather than optional Indication entry |
|
Business Name |
Nest Level |
Element/Attribute |
Card |
Elem/Attr Conf |
Data Type |
Value Conf |
Value |
Subsidiary Template |
|---|---|---|---|---|---|---|---|---|
|
ProcedureIndications |
section |
1..1 |
SHALL |
|||||
|
> |
templateId |
1..1 |
SHALL |
II |
||||
|
>@ |
@root |
1..1 |
SHALL |
UID |
SHALL |
2.16.840.1.113883.10.20.22.2.29 |
||
|
> |
id |
1..* |
SHALL |
II |
||||
|
> |
code |
1..1 |
SHALL |
CD |
SHALL |
|||
|
Title |
> |
title |
1..1 |
SHALL |
ST |
|||
|
Text |
> |
text |
1..1 |
COND |
ED |
9.1.1 Section Text 1.2.840.10008.9.19 |
||
|
> |
entry |
0..* |
MAY |
|||||
|
CodedObservation[*] |
>> |
observation |
1..1 |
SHALL |
10.1 Coded Observation 2.16.840.1.113883.10.20.6.2.13 |
The binding to the Coded Observation concept domains is:
|
Concept Domain or Element |
Value Conf |
Value |
|---|---|---|
|
ObservationType |
SHOULD |
(432678004, SNOMED, "Indication for procedure") |
|
Other concept domains |
unspecified |
In Consolidated CDA r1.1 the binding to the observationType is to Value Set Problem Type (2.16.840.1.113883.3.88.12.3221.7.2) with conformance SHOULD. Values from that Value Set are acceptable here as well.
Example 9.8.2.1-1. Procedure indications section example
<section classCode="DOCSECT" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.2.29"/>
<id root="1.2.840.10213.2.62.044785528.1142895426"/>
<code code="59768-2"
codeSystem="2.16.840.1.113883.6.1"
codeSystemName="LOINC"
displayName="Procedure Indications"/>
<title>Procedure Indications</title>
<text>The procedure is performed as a follow-up for abnormal screening result.</text>
</section>