1.3.6.1.4.1.19376.1.5.3.1.1.9.44

Development Only

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Pre-procedure Risk Assessment Section

Template ID	1.3.6.1.4.1.19376.1.5.3.1.1.9.44
Parent Template	1.3.6.1.4.1.19376.1.5.3.1.3.6 (1.3.6.1.4.1.19376.1.5.3.1.3.6)
General Description	The pre-procedure risk section shall contain a description of the risks the patient faces because of the planned procedure and associated anethesia, especially in the context of modifiable risks identified by patient findings. It shall include entries for patient risks as described in the Entry Content Module.
LOINC Code	Opt	Description
11450-4	R	PROBLEM LIST
Entries	Opt	Description
1.3.6.1.4.1.19376.1.5.3.1.4.5	R	Conditions Entry

Parent Template

The parent of this template is 1.3.6.1.4.1.19376.1.5.3.1.3.6.

Sample Pre-procedure Risk Assessment Section

<component> <section> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.3.6'/> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.44'/> <id root=' ' extension=' '/> <code code='11450-4' displayName='PROBLEM LIST' codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/> <text> Text as described above </text>   <entry> : <!-- Required Conditions Entry element --> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.5'/> : </entry>     </section> </component>

Schematron

<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.44'> 
 <rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.44"]'> 
     <!-- Verify that the template id is used on the appropriate type of object --> 
   <assert test='../cda:section'> 
      Error: The Pre-procedure Risk Assessment can only be used on sections. 
   </assert> 
   <!-- Verify that the parent templateId is also present. --> 
   <assert test='cda:templateId[@root="1.3.6.1.4.1.19376.1.5.3.1.3.6"]'> 
     Error: The parent template identifier for Pre-procedure Risk Assessment is not present. 
   </assert> 
   <!-- Verify the section type code --> 
   <assert test='cda:code[@code = "11450-4"]'> 
     Error: The section type code of a Pre-procedure Risk Assessment must be 11450-4 
   </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 = "1.3.6.1.4.1.19376.1.5.3.1.4.5"]'> 
     <!-- Verify that all required data elements are present -->
     Error: The Pre-procedure Risk Assessment Section must contain a(n) Conditions Entry Entry.
     See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.44
   </assert> 
 </rule> 
</pattern>

Uses

See Templates using the Pre-procedure Risk Assessment Section