Non-Normative Content The Normative content for these specifications may be found on the HL7, IHE, and HITSP web sites.

Operative Note Surgical Procedure Section

[Section: templateId 2.16.840.1.113883.10.20.7.14]

The Operative Note Surgical Procedure section can be used to restate the procedures performed if appropriate for an enterprise workflow.  The procedure(s) performed associated with the Operative Note are formally modeled in the header using serviceEvent.

  1. SHALL contain exactly one [1..1] templateId ( CONF:8034, CONF:10464 ) such that it
    1. SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.7.14"
  2. SHALL contain exactly one [1..1] code (CONF:15393)/@code="10223-6" Operative Note Surgical (CodeSystem: 2.16.840.1.113883.6.1 LOINC) (CONF:15394)
  3. SHALL contain exactly one [1..1] text (CONF:8037)
  4. SHALL contain exactly one [1..1] title (CONF:8036)
  5. If the surgical procedure section is present there SHALL be text indicating the procedure performed. (CONF:8054)