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draft Template  Findings Section (DIR)

Id 2.16.840.1.113883.10.20.6.1.2
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ccda-
 		Effective Date 2015‑08‑13
Other versions this id:
  • Findings as of 2021‑06‑22 12:11:39
Status draft Draft Version Label 2.1
Name FindingsSectionDIR Display Name Findings Section (DIR)
Description
The Findings section contains the main narrative body of the report. While not an absolute requirement for transformed DICOM SR reports, it is suggested that Diagnostic Imaging Reports authored in CDA follow Term Info guidelines for the codes in the various observations and procedures recorded in this section.
Context Parent nodes of template element with id 2.16.840.1.113883.10.20.6.1.2
Classification CDA Section Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 1 template, Uses 0 templates
Used by as Name Version
2.16.840.1.113883.2.51.10.2 Containment draft XeH Diagnostic Imaging Report (wip) 2021‑06‑21 14:23:14
Relationship Specialization: template 2.16.840.1.113883.10.12.201 CDA Section (2005‑09‑07)
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ad1bbr-
Item DT Card Conf Description Label
cda:section
 		(FindotsDIR)
  Constraint This section SHOULD contain only the direct observations in the report, with topics such as Reason for Study, History, and Impression placed in separate sections. However, in cases where the source of report content provides a single block of text not separated into these sections, that text SHALL be placed in the Findings section.
cda:templateId
 		II 1 … 1 M SHALL contain exactly one [1..1] templateId (CONF:81-8531) such that it CONFdots8531
@root
 		1 … 1 F 2.16.840.1.113883.10.20.6.1.2 CONFdots0456
  SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.6.1.2" (CONF:81-10456).