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Procedure Activity Procedure (V3) [procedure, 2.16.840.1.113883.10.20.22.4.14, release 2022-06-01, open] view pdf view prototype


Description:

The common notion of "procedure" is broader than that specified by the HL7 Version 3 Reference Information Model (RIM). Therefore procedure templates can be represented with various RIM classes: act (e.g., dressing change), observation (e.g., EEG), procedure (e.g., splenectomy).This template represents procedures whose immediate and primary outcome (post-condition) is the alteration of the physical condition of the patient. Examples of these procedures are an appendectomy, hip replacement, and a creation of a gastrostomy.This template can be used with a contained Product Instance template to represent a device in or on a patient. In this case, targetSiteCode is used to record the location of the device in or on the patient's body. Equipment supplied to the patient (e.g., pumps, inhalers, wheelchairs) is represented by the Non-Medicinal Supply Activity (V2) template.Procedure Activity Procedure V3 Usage Note: Common practice in the industry has shown that Procedure Activity 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 Procedure Activity Procedure when sending procedures also thought of as "interventions" such as "Home Environment Evaluation" or "Assessment of nutritional status".

Contained By: Contains:
none Product Instance
Service Delivery Location
Instruction (V2)
Indication (V2)
Medication Activity (V2)
Reaction Observation (V2)
Author Participation
Assessment Scale Observation
Entry Reference

Conformance Statements:

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