1.3.6.1.4.1.19376.1.5.3.1.1.9.1

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The PCC Wiki Content is used only for development of IHE PCC Content. The Normative content of the PCC Technical Framework and the current supplements can be found at http://www.ihe.net/Technical_Framework/index.cfm#PCC

Trial.gif Proposed Procedure Section
Template ID 1.3.6.1.4.1.19376.1.5.3.1.1.9.1
General Description The proposed procedure section shall contain a description of the procedures for which a risk assessment is required including procedure names and codes, patient position, dates, and names of surgeons. It shall include entries for procedures as described in the Entry Content Modules and the required and optional subsections.
LOINC Code Opt Description
29554-3 R PROCEDURE
Entries Opt Description
1.3.6.1.4.1.19376.1.5.3.1.4.19 R Procedure Entry
Subsections Opt Description
1.3.6.1.4.1.19376.1.5.3.1.1.9.4 R Reason for Procedure
1.3.6.1.4.1.19376.1.5.3.1.1.9.3 R Proposed Anesthesia
1.3.6.1.4.1.19376.1.5.3.1.1.9.2 R2 Expected Blood Loss
1.3.6.1.4.1.19376.1.5.3.1.1.9.40 R2 Procedure Care Plan



Sample Proposed Procedure Section
<component>
  <section>
    <templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.1'/>
    <id root=' ' extension=' '/>
    <code code='29554-3' displayName='PROCEDURE'
      codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
    <text>
      Text as described above
    </text>   
    <entry>
         :
      <!-- Required Procedure Entry  element -->
        <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.19'/>
         :
    </entry>
    <component>
      <section>
        <templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.4'/>
        <!-- Required Reason for Procedure Section content -->
      </section>
    </component>
 <component> <section> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.3'/> <!-- Required Proposed Anesthesia Section content --> </section> </component>
 <component> <section> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.2'/> <!-- Required if known Expected Blood Loss Section content --> </section> </component>
 <component> <section> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.40'/> <!-- Required if known Procedure Care Plan Section content --> </section> </component>
    </section> </component>
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.1'> 
 <rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.1"]'> 
     <!-- Verify that the template id is used on the appropriate type of object --> 
   <assert test='../cda:section'> 
      Error: The Proposed Procedure can only be used on sections. 
   </assert> 
   <!-- Verify the section type code --> 
   <assert test='cda:code[@code = "29554-3"]'> 
     Error: The section type code of a Proposed Procedure must be 29554-3 
   </assert> 
   <assert test='cda:code[@codeSystem = "2.16.840.1.113883.6.1"]'> 
     Error: The section type code must come from the LOINC code  
     system (2.16.840.1.113883.6.1). 
   </assert> 
   <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.4.19"]'> 
     <!-- Verify that all required data elements are present -->
     Error: The Proposed Procedure Section must contain a(n) Procedure Entry  Entry.
     See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.1
   </assert> 
   <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.9.4"]'> 
     <!-- Verify that all required data elements are present -->
     Error: The Proposed Procedure Section must contain a(n) Reason for Procedure Section.
     See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.1
   </assert> 
   <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.9.3"]'> 
     <!-- Verify that all required data elements are present -->
     Error: The Proposed Procedure Section must contain a(n) Proposed Anesthesia Section.
     See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.1
   </assert> 
   <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.9.2"]'> 
     <!-- Alert on any missing required if known elements -->
     Warning: The  Proposed Procedure Section should contain a(n) Expected Blood Loss Section.
     See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.1
   </assert> 
   <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.9.40"]'> 
     <!-- Alert on any missing required if known elements -->
     Warning: The  Proposed Procedure Section should contain a(n) Procedure Care Plan Section.
     See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.1
   </assert> 
 </rule> 
</pattern>
Uses

See Templates using the Proposed Procedure Section