1.3.6.1.4.1.19376.1.5.3.1.1.9.13

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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