1.3.6.1.4.1.19376.1.5.3.1.1.9.13

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Development Only

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 https://www.ihe.net/resources/technical_frameworks/#pcc

Trial.gif Preprocedure Review of Systems Section
Template ID 1.3.6.1.4.1.19376.1.5.3.1.1.9.13
Parent Template Review of Systems (1.3.6.1.4.1.19376.1.5.3.1.3.18)
General Description The pre-procedure review of systems section shall contain only required and optional subsections dealing with the responses the patient gave to a set of routine questions on body systems in general and specific risks of anesthesia not covered in general review of systems.
LOINC Code Opt Description
10187-3 R REVIEW OF SYSTEMS
Subsections Opt Description
1.3.6.1.4.1.19376.1.5.3.1.1.9.46 R History of Implanted Medical Devices
1.3.6.1.4.1.19376.1.5.3.1.1.9.47 R2 Pregnancy Status History
1.3.6.1.4.1.19376.1.5.3.1.1.9.14 R Anesthesia Risk Review of Systems



Parent Template

The parent of this template is Review of Systems.

Sample Preprocedure Review of Systems Section
<component>
  <section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.3.18'/> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.13'/> <id root=' ' extension=' '/> <code code='10187-3' displayName='REVIEW OF SYSTEMS' codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/> <text> Text as described above </text>  <component> <section> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.46'/> <!-- Required History of Implanted Medical Devices Section content --> </section> </component>
 <component> <section> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.47'/> <!-- Required if known Pregnancy Status History Section content --> </section> </component>
 <component> <section> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.14'/> <!-- Required Anesthesia Risk Review of Systems Section content --> </section> </component>
    </section> </component>
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.13'> 
 <rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.13"]'> 
     <!-- Verify that the template id is used on the appropriate type of object --> 
   <assert test='../cda:section'> 
      Error: The Preprocedure Review of Systems can only be used on sections. 
   </assert> 
   <!-- Verify that the parent templateId is also present. --> 
   <assert test='cda:templateId[@root="1.3.6.1.4.1.19376.1.5.3.1.3.18"]'> 
     Error: The parent template identifier for Preprocedure Review of Systems is not present. 
   </assert> 
   <!-- Verify the section type code --> 
   <assert test='cda:code[@code = "10187-3"]'> 
     Error: The section type code of a Preprocedure Review of Systems must be 10187-3 
   </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 = "1.3.6.1.4.1.19376.1.5.3.1.1.9.46"]'> 
     <!-- Verify that all required data elements are present -->
     Error: The Preprocedure Review of Systems Section must contain a(n) History of Implanted Medical Devices Section.
     See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.13
   </assert> 
   <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.9.47"]'> 
     <!-- Alert on any missing required if known elements -->
     Warning: The  Preprocedure Review of Systems Section should contain a(n) Pregnancy Status History Section.
     See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.13
   </assert> 
   <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.9.14"]'> 
     <!-- Verify that all required data elements are present -->
     Error: The Preprocedure Review of Systems Section must contain a(n) Anesthesia Risk Review of Systems Section.
     See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.13
   </assert> 
 </rule> 
</pattern>
Uses

See Templates using the Preprocedure Review of Systems Section