A SOP Instance Observation contains the DICOM Service Object Pair (SOP) Instance information
for referenced DICOM composite objects. The SOP Instance act class is used to reference
both image and non-image DICOM instances. The text attribute contains the DICOM WADO
reference.
Context
Parent nodes of template element with id 2.16.840.1.113883.10.20.6.2.8
Classification
CDA Entry Level Template
Open/Closed
Open (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 35 templates, Uses 2 templates
Note: this element was not in the C-CDA 2.1 specification but was present in the example
and is normally present on every observation template. Considered this to be an inconsistency
in the specification.
SHALL contain at least one [1..*] id (CONF:81-9242).
The @root contains an OID representing the DICOM SOP Instance UID
CONF9242
cda:code
1 … 1
M
SHALL contain exactly one [1..1] code (CONF:81-9244).
a. This code SHALL contain exactly one [1..1] @code (CONF:81-19225). i. @code is an OID for a valid SOP class name UID (CONF:81-19226). b. This code SHALL contain exactly one [1..1] @codeSystem="1.2.840.10008.2.6.1" DCMUID
(CONF:81-19227).
CONF9244
@codeSystem
CONF
1 … 1
F
1.2.840.10008.2.6.1 (DICOM UID)
cda:text
0 … 1
R
SHOULD contain zero or one [0..1] text (CONF:81-9246).
CONF9246
@mediaType
1 … 1
F
application/dicom
CONF9247
The text, if present, SHALL contain exactly one [1..1] @mediaType="application/dicom"
(CONF:81-9247).
cda:reference
1 … 1
The text, if present, SHALL contain exactly one [1..1] reference (CONF:81-9248).
CONF9248
Constraint
SHALL contain a @value that contains a WADO reference as a URI
cda:effectiveTime
0 … 1
R
SHOULD contain zero or one [0..1] effectiveTime (CONF:81-9250).
CONF9250
@value
1 … 1
R
The effectiveTime, if present, SHALL contain exactly one [1..1] @value (CONF:81-9251).
CONF9251
cda:low
NP
CONF9252
Constraint
The effectiveTime, if present, SHALL NOT contain [0..0] low (CONF:81-9252).
cda:high
NP
CONF9253
Constraint
The effectiveTime, if present, SHALL NOT contain [0..0] high (CONF:81-9253).
cda:entryRelationship
0 … *
MAY contain zero or more [0..*] entryRelationship (CONF:81-9254) such that it
CONF9254
@typeCode
1 … 1
F
SUBJ
CONF9255
SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType
urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:81-9255).