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

Postprocedure Diagnosis

[Act: templateId 2.16.840.1.113883.10.20.22.4.51]

The Postprocedure Diagnosis entry encodes the diagnosis or diagnoses discovered or confirmed during the procedure. Often it is the same as the pre-procedure diagnosis or indication.

  1. SHALL contain exactly one [1..1] templateId ( CONF:16766, CONF:16767 ) such that it
    1. SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.51"
  2. SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: 2.16.840.1.113883.5.6 HL7ActClass) (CONF:8756)
  3. SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: 2.16.840.1.113883.5.1001 HL7ActMood) (CONF:8757)
  4. SHALL contain exactly one [1..1] code/@code="59769-0" Postprocedure Diagnosis (CodeSystem: 2.16.840.1.113883.6.1 LOINC) (CONF:8758)
  5. SHALL contain at least one [1..*] entryRelationship (CONF:8759, CONF:8760, CONF:15583)
    1. Contains @typeCode="SUBJ" SUBJ
    2. Contains exactly one [1..1] Problem Observation (templateId: 2.16.840.1.113883.10.20.22.4.4)

Postprocedure Diagnosis example

<act xmlns="urn:hl7-org:v3">
  <id root="MDHT" extension="612325425"/>
  <code code="281874729"/>
  <effectiveTime>
    <low value="2013"/>
    <high value="2013"/>
  </effectiveTime>
  <entryRelationship>
    <observation>
      <id root="MDHT" extension="1863764167"/>
      <code code="177010303"/>
      <effectiveTime>
        <low value="2013"/>
        <high value="2013"/>
      </effectiveTime>
      <entryRelationship>
        <observation>
          <id root="MDHT" extension="943771016"/>
          <code code="1696481311"/>
          <effectiveTime>
            <low value="2013"/>
            <high value="2013"/>
          </effectiveTime>
        </observation>
      </entryRelationship>
      <entryRelationship>
        <observation>
          <id root="MDHT" extension="1042933863"/>
          <code code="1459767463"/>
          <effectiveTime>
            <low value="2013"/>
            <high value="2013"/>
          </effectiveTime>
        </observation>
      </entryRelationship>
      <entryRelationship>
        <observation>
          <id root="MDHT" extension="1433509272"/>
          <code code="622133454"/>
          <effectiveTime>
            <low value="2013"/>
            <high value="2013"/>
          </effectiveTime>
        </observation>
      </entryRelationship>
    </observation>
  </entryRelationship>
</act>