ProcedureDescriptionSection

Procedure Description Section

draftC-CDA Templates4.0.0logical8 key elements

The Procedure Description section records the particulars of the procedure and may include procedure site preparation, surgical site preparation, pertinent details related to sedation/anesthesia, pertinent details related to measurements and markings, procedure times, medications administered, estimated blood loss, specimens removed, implants, instrumentation, sponge counts, tissue manipulation, wound closure, sutures used, vital signs and other monitoring data. Local practice often identifies the level and type of detail required based on the procedure or specialty.

Metadata

hl7.org/fhir
Canonical URL
http://hl7.org/cda/us/ccda/StructureDefinition/ProcedureDescriptionSection
ID
ProcedureDescriptionSection
Type
Base Definition
Section
Derivation
constraint
Mandatory and Must-Support Elements

Elements with cardinality > 0 or marked as Must Support (S)

PathCard.TypeFlagsDescription
templateId
1+
:section1..1
1+
templateId.root
1+
code
1+
Procedure Narrative
code.code
1+
code.codeSystem
1+
title
1+
text
1+