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draft Template  Findings

Id 1.2.840.10008.9.1.10.13
ref
DICOM-
 		Effective Date 2021‑10‑28 13:46:14
Other versions this id:
  • Findings as of 2021‑06‑22 12:11:39
Status draft Draft Version Label DICOM-20150324
Name Findings Display Name Findings
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 1.2.840.10008.9.1.10.13
Classification CDA Section Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 0 templates, Uses 3 templates
Uses as Name Version
1.2.840.10008.9.19 Containment draft Text (DICOM-20150324) DYNAMIC
1.2.840.10008.9.9 Containment draft Fetus Findings (DICOM-20150324) DYNAMIC
1.2.840.10008.9.10 Containment draft Labeled Subsection (DICOM-20150324) DYNAMIC
Relationship Specialization: template 2.16.840.1.113883.10.20.6.1.2 Findings Section (DIR) (2015‑08‑13)
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ccda-

Specialization: template 2.16.840.1.113883.10.12.201 CDA Section (2005‑09‑07)
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ad1bbr-
Example
Example
<section classCode="DOCSECT" moodCode="EVN">
  <templateId root="2.16.840.1.113883.10.20.6.1.2"/>  <id root="1.2.840.10213.2.62.941494044785528.114289542452452805"/>  <code code="59776-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Procedure Findings"/>  <title>Findings</title>  <text>
    <paragraph>
      <caption>Finding</caption>      <content ID="Fndng2">The cardiomediastinum is... </content>    </paragraph>    <paragraph>
      <caption>Diameter</caption>      <content ID="Diam2">45mm</content>    </paragraph>    
...
  </text>  <entry>
    <templateId root="2.16.840.1.113883.10.20.6.2.12"/>    
...
  </entry>  <!-- see examples for other sections/entries -->
</section>
Item DT Card Conf Description Label
hl7:section
 		(Findotsngs)
hl7:templateId
 		II 1 … 1 M (Findotsngs)
@root
 		uid 1 … 1 F 1.2.840.10008.9.1.10.13
hl7:id
 		II 1 … * R (Findotsngs)
hl7:code
 		CD 1 … 1 R (Findotsngs)
@code
 		CONF 0 … 1 F 59776-5
@codeSystem
 		0 … 1 F 2.16.840.1.113883.6.1 (LOINC)
hl7:title
 		ST 1 … 1 R (Findotsngs)
hl7:text
 		ED 0 … 1 C Contains 1.2.840.10008.9.19 Text (DYNAMIC) (Findotsngs)
  Constraint The text element SHALL be present if the section content is not completely represented by subsections.
hl7:component
 		0 … * (Findotsngs)
hl7:section
 		1 … 1 R Contains 1.2.840.10008.9.9 Fetus Findings (DYNAMIC) (Findotsngs)
hl7:component
 		0 … * (Findotsngs)
hl7:section
 		1 … 1 R Contains 1.2.840.10008.9.10 Labeled Subsection (DYNAMIC) (Findotsngs)