1.3.6.1.4.1.19376.1.8.1.2.6/static-2014-05-13T193312

Id	1.3.6.1.4.1.19376.1.8.1.2.6	Effective Date	valid from 2014‑05‑13 19:33:12
Status	Draft	Version Label	2.0
Name	ProcedureStepsSection	Display Name	Procedure Steps Section
Description	The Procedure steps section contains the description of tissue dissection: representative specimens and derived specimens dissected for other ancillary procedures (flow cytometry, cytogenetics, molecular studies, electron microscopy, etc.) or biorepository.
Context	Parent nodes of template element with id 1.3.6.1.4.1.19376.1.8.1.2.6
Label	PaLM Suppl. 2.0‑3: 6.3.4.7 Procedure steps section
Classification	CDA Section Level Template
Open/Closed	Closed (only defined elements are allowed)
Associated with	Associated with 1 concept Id Name Data Set psr-data​element-23 Procedure APSR 2.0
Used by / Uses	Used by 1 template, Uses 2 templates Used by Template id as Name Version 1.3.6.1.4.1.19376.1.8.1.1.1 Containment Anatomic Pathology Structured Report Content Module (2.0) 2014‑05‑13 11:57:57 Uses Template id as Name Version 1.3.6.1.4.1.19376.1.8.1.4.2 Include CDA author DYNAMIC 1.3.6.1.4.1.19376.1.3.10.4.1 Containment Specimen Procedure Step (2.0) DYNAMIC
Relationship	Specialization: template 2.16.840.1.113883.10.12.201 (2005‑09‑07)
Example	Example <section classCode="DOCSECT" moodCode="EVN">   <templateId root="1.3.6.1.4.1.19376.1.8.1.2.6"/>  <code code="46059-2" codeSystem="2.16.840.1.113883.6.1" displayName="Special treatments and procedures section"/>  <title>PROCEDURE STEPS</title>  <text/>  <!-- include template 1.3.6.1.4.1.19376.1.8.1.4.2 'CDA author' (dynamic) 0..* C -->   <entry typeCode="COMP" contextConductionInd="false">     <!-- template 1.3.6.1.4.1.19376.1.3.10.4.1 'Specimen Procedure Step' (dynamic) -->   </entry></section>
Item DT Card Conf Description Label hl7:section 0 … 1 R PaLM Suppl. 2.0‑3: 6.3.4.7 Procedure steps section @classCode cs 0 … 1 F DOCSECT @moodCode cs 0 … 1 F EVN   Constraint This section SHALL contain a code element populated with these attributes: @code="46059-2" @codeSystem="2.16.840.1.113883.6.1" @displayName="Special treatments and procedures section"  This section SHALL contain a narrative block, represented by a text element, which renders the information to the human reader. This section SHOULD contain author elements in case the authors of this section differ from those declared at a higher level in the document. The section SHOULD contain as many Specimen Procedure Steps entry elements as there are procedure steps or groups thereof to be described. These entries provide the machine-readable data corresponding to the narrative block.    Associated with concepts: psr-data​element-23 Procedure APSR 2.0 hl7:templateId II 1 … 1 M PaLM Suppl. 2.0‑3: 6.3.4.7 Procedure steps section @root uid 1 … 1 F 1.3.6.1.4.1.19376.1.8.1.2.6 hl7:code CE 1 … 1 M PaLM Suppl. 2.0‑3: 6.3.4.7 Procedure steps section @code CONF 1 … 1 F 46059-2 @codeSystem 1 … 1 F 2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes) @displayName 1 … 1 F Special treatments and procedures section @codeSystemName 1 … 1 F LOINC hl7:title ST 1 … 1 R PaLM Suppl. 2.0‑3: 6.3.4.7 Procedure steps section   CONF element content shall be "PROCEDURE STEPS" hl7:text SD.TEXT 1 … 1 M PaLM Suppl. 2.0‑3: 6.3.4.7 Procedure steps section   Example <text>Part #1 is labeled “left breast biopsy” and has been sampled for frozen section preparation. Numerous sections are submitted for permanent processing. Part #2 received in two pieces is labeled "apical left axillary tissue". Both pieces are rendered into numerous sections and submitted in their entirety for history. </text> Included 0 … * C from 1.3.6.1.4.1.19376.1.8.1.4.2 CDA author (DYNAMIC) Author Source: PaLM Suppl.APSR 2.0‑3:6.3.6.2 hl7:author 0 … * C PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author @typeCode cs 0 … 1 F AUT @context​Control​Code cs 0 … 1 F OP   Associated with concepts: psr-data​element-4 Pathologist APSR 2.0 psr-data​element-79 Device APSR 2.0   Example author is a person <author typeCode="AUT" contextControlCode="OP">   <time value="201306101654"/>  <assignedAuthor classCode="ASSIGNED">     <!-- ... -->   </assignedAuthor></author> hl7:functionCode CE 0 … 1 PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author   CONF The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10267 ParticipationFunction (DYNAMIC) hl7:time TS.​DATE.​MIN 1 … 1 PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author hl7:assignedAuthor 1 … 1 PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author @classCode cs 0 … 1 F ASSIGNED hl7:id II 1 … * PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author hl7:code CE 0 … 1 PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author hl7:telecom TEL 0 … * PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author Choice 1 … 1 Elements to choose from: hl7:assigned​Person hl7:assigned​Authoring​Device hl7:assigned​Person  … 1 PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author Included 0 … * from 1.2.276.0.76.10.90010 CDA Person Elements (DYNAMIC) @classCode 0 … 1 F PSN @determiner​Code 0 … 1 F INSTANCE hl7:name PN 0 … * PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author hl7:assigned​Authoring​Device  … 1 PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author @classCode cs 0 … 1 F DEV @determiner​Code cs 0 … 1 F INSTANCE hl7:manufacturer​Model​Name SC 1 … 1 PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author hl7:softwareName SC 1 … 1 PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author hl7:represented​Organization 1 … 1 M PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author   Example author is a device <representedOrganization classCode="ORG" determinerCode="INSTANCE">   <name>     <!-- ... -->   </name></representedOrganization> Included from 1.2.276.0.76.10.90011 CDA Organization Elements (DYNAMIC) @classCode 0 … 1 F ORG @determiner​Code 0 … 1 F INSTANCE hl7:id II 0 … * PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author hl7:name ON 1 … 1 PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author hl7:telecom TEL 0 … * PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author hl7:addr AD 0 … 1 PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author hl7:entry 0 … * R Specimen procedure steps  Source: PaLM Suppl.APSR 2.0‑3:6.2.5.3 Contains 1.3.6.1.4.1.19376.1.3.10.4.1 Specimen Procedure Step (DYNAMIC) PaLM Suppl. 2.0‑3: 6.3.4.7 Procedure steps section @typeCode cs 1 … 1 F COMP @context​Conduction​Ind bl 0 … 1