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draft Template  Text Observation

Id 2.16.840.1.113883.10.20.6.2.12
ref
ccda-
 		Effective Date 2015‑08‑13
Status draft Draft Version Label 2.1
Name TextObservation Display Name Text Observation
Description
DICOM Template 2000 specifies that Imaging Report Elements of Value Type Text are contained in sections. The Imaging Report Elements are inferred from Basic Diagnostic Imaging Report Observations that consist of image references and measurements (linear, area, volume, and numeric). Text DICOM Imaging Report Elements in this context are mapped to CDA text observations that are section components and are related to the SOP Instance Observations (templateId 2.16.840.1.113883.10.20.6.2.8) or Quantity Measurement Observations (templateId 2.16.840.1.113883.10.20.6.2.14) by the SPRT (Support) act relationship. A Text Observation is required if the findings in the section text are represented as inferred from SOP Instance Observations.
Context Parent nodes of template element with id 2.16.840.1.113883.10.20.6.2.12
Classification CDA Entry Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 1 template, Uses 2 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
Uses as Name Version
2.16.840.1.113883.10.20.6.2.8 Containment draft SOP Instance Observation (2.1) 2015‑08‑13
2.16.840.1.113883.10.20.6.2.14 Containment draft Quantity Measurement Observation (2.1) 2015‑08‑13
Relationship Specialization: template 2.16.840.1.113883.10.12.303 CDA Observation (2005‑09‑07)
ref
ad1bbr-
Item DT Card Conf Description Label
cda:observation
 		(Texdotsion)
@classCode
 		1 … 1 F OBS CONFdots9288
  SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: ActCode urn:oid:2.16.840.1.113883.5.4 STATIC) (CONF:81-9288).
@moodCode
 		1 … 1 F EVN CONFdots9289
  SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:81-9289).
cda:templateId
 		II 1 … 1 M SHALL contain exactly one [1..1] templateId (CONF:81-9290) such that it CONFdots9290
@root
 		1 … 1 F 2.16.840.1.113883.10.20.6.2.12 CONFdots0534
  SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.6.2.12" (CONF:81-10534).
cda:code
 		CD 1 … 1 SHALL contain exactly one [1..1] code (CONF:81-9291). CONFdots9291
cda:text
 		0 … 1 MAY contain zero or one [0..1] text (CONF:81-9295). CONFdots9295
cda:reference
 		0 … 1 R The text, if present, SHOULD contain zero or one [0..1] reference (CONF:81-15938). CONFdots5938
@value
 		0 … 1   The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:81-15939). CONFdots5939
  Schematron assert role red error  
  test not(@value)=0 or starts-with(@value, '#')  
  Message This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1)  
cda:effectiveTime
 		IVL_TS 0 … 1 R SHOULD contain zero or one [0..1] effectiveTime (CONF:81-9294). CONFdots9294
cda:value
 		ED 1 … 1 R SHALL contain exactly one [1..1] value with @xsi:type="ED" (CONF:81-9292). CONFdots9292
cda:entryRelationship
 		0 … * Contains 2.16.840.1.113883.10.20.6.2.8 SOP Instance Observation (2015‑08‑13) CONFdots9298
@typeCode
 		1 … 1 F SPRT CONFdots9299
  SHALL contain exactly one [1..1] @typeCode="SPRT" Has Support (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:81-9299).
cda:entryRelationship
 		0 … * Contains 2.16.840.1.113883.10.20.6.2.14 Quantity Measurement Observation (2015‑08‑13) CONFdots9301
@typeCode
 		1 … 1 F SPRT CONFdots9302
  SHALL contain exactly one [1..1] @typeCode="SPRT" Has Support (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:81-9302).