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Template
Findings
Id
2.16.840.1.113883.10.20.6.1.2
Effective Date
2021‑06‑22 12:11:39
Other versions this id:
Findings
as of 2021‑10‑28 13:46:14
Status
Cancelled
Version Label
DICOM-20150324
Name
Findings
Display Name
Findings
Description
Records clinically significant observations confirmed or discovered during the procedure.
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 3 templates, Uses 3 templates
Used by
as
Name
Version
2.16.840.1.113883.2.51.10.1.9.1
Containment
XeH Imaging Report
2021‑06‑22 14:23:06
2.16.840.1.113883.2.51.10.2
Containment
XeH Diagnostic Imaging Report (0.1)
2021‑06‑21 14:23:14
2.16.840.1.113883.2.51.10.45
Containment
XeH Diagnostic Imaging Report2 (DICOM-20150324)
2021‑11‑08 15:59:54
Uses
as
Name
Version
1.2.840.10008.9.19
Containment
Text (DICOM-20150324)
DYNAMIC
1.2.840.10008.9.9
Containment
Fetus Findings (DICOM-20150324)
DYNAMIC
1.2.840.10008.9.10
Containment
Labeled Subsection (DICOM-20150324)
DYNAMIC
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
>
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Item
DT
Card
Conf
Description
Label
hl7:section
(Fin
ngs)
hl7:templateId
II
1 … 1
M
(Fin
ngs)
@root
uid
1 … 1
F
2.16.840.1.113883.10.20.6.1.2
hl7:id
II
1 … *
R
(Fin
ngs)
hl7:code
CD
1 … 1
R
(Fin
ngs)
@code
CONF
0 … 1
F
59776-5
@codeSystem
0 … 1
F
2.16.840.1.113883.6.1 (LOINC)
@codeSystemName
0 … 1
F
LOINC
@displayName
0 … 1
F
Procedure Findings
hl7:title
ST
1 … 1
R
(Fin
ngs)
hl7:text
ED
0 … 1
C
Contains
1.2.840.10008.9.19
Text
(DYNAMIC)
(Fin
ngs)
Constraint
The text element SHALL be present if the section content is not completely represented by subsections.
hl7:component
0 … *
(Fin
ngs)
hl7:section
1 … 1
R
Contains
1.2.840.10008.9.9
Fetus Findings
(DYNAMIC)
(Fin
ngs)
hl7:component
0 … *
(Fin
ngs)
hl7:section
1 … 1
R
Contains
1.2.840.10008.9.10
Labeled Subsection
(DYNAMIC)
(Fin
ngs)