Template 2.16.840.1.113883.2.51.10.62

Template XeH Request

2.16.840.1.113883.2.51.10.62

Effective Date

2022‑03‑21 16:04:11

Status

Draft

Version Label

DICOM-20150324

Name

XeHRequest

Display Name

XeH Request

Description

Information about the requested imaging studies and associated tests. It may include information on the reason for the request, and on any validation of the request by clinical decision support against relevant appropriateness criteria.

Context

Parent nodes of template element with id 2.16.840.1.113883.2.51.10.62

Classification

CDA Section Level Template

Open/Closed

Open (other than defined elements are allowed)

Used by / Uses

Used by 0 transactions and 2 templates, Uses 1 template

Used by	as	Name	Version
2.16.840.1.113883.2.51.10.61	Containment	XeH Clinical Information (DICOM-20150324)	2022‑03‑17 11:51:55
2.16.840.1.113883.2.51.10.2		XeH Diagnostic Imaging Report (0.1)	2021‑06‑21 14:23:14
Uses	as	Name	Version
1.2.840.10008.9.23	Include	General Section Entries (DICOM-20150324)	DYNAMIC

Relationship

Adaptation: template 1.2.840.10008.9.7 Request (2021‑06‑21 15:52:41)

ref

DICOM-

Example

<section classCode="DOCSECT" moodCode="EVN">
<templateId root="1.2.840.10008.9.7"/> <id root="1.2.840.10213.2.62.7906994785528.114289506"/> <code code="55115-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Request"/> <title>Request</title> <text>
PTA (Iliac Angioplasty) for treatment of symptomatic atherosclerotic disease in both iliac arteries. <content ID="CDS001">Procedure ordered by Pat Smith, MD, NPI:8740944987. Classified APPROPRIATE by RadCDS based on ACR Select criteria at 2015-07-21 10:52:31 CDT</content> </text></section>

Item	DT	Card	Conf	Description	Label
hl7:section		1 … 1	R		(XeHest)
hl7:templateId	II	1 … 1	R		(XeHest)
@root	uid	1 … 1	F	2.16.840.1.113883.2.51.10.62
hl7:id	II	1 … *	R		(XeHest)
hl7:code	CD (required)	1 … 1	R		(XeHest)
@code	CONF	0 … 1	F	55115-0
@codeSystem	CONF	0 … 1	F	2.16.840.1.113883.6.1 (LOINC)
hl7:title	ST	1 … 1	R		(XeHest)
hl7:text	SD.TEXT	0 … 1	C		(XeHest)
	Constraint	The text element SHALL be present if the section content is not completely represented by subsections.
	Example	<hl7:text> <hl7:content ID="--TODO--">content</hl7:content> <!-- template 1.2.840.10008.9.19 'Text' (2021-06-21T15:03:03) --> </hl7:text>
hl7:content	ST	0 … *			(XeHest)
@ID	xs:ID	0 … 1
Included		0 … 1		from 1.2.840.10008.9.23 General Section Entries (DYNAMIC)
hl7:author		0 … 1			(XeHest)
	Example	<hl7:author> <hl7:time value="20210806063409"/> <hl7:assignedAuthor> <hl7:id root="1.2.3.999" extension="--example only--"/> <hl7:assignedPerson> <hl7:name>name</hl7:name> </hl7:assignedPerson> <hl7:assignedAuthoringDevice> <hl7:manufacturerModelName>manufacturerModelName</hl7:manufacturerModelName> <hl7:softwareName>softwareName</hl7:softwareName> </hl7:assignedAuthoringDevice> <hl7:representedOrganization> <hl7:name>name</hl7:name> </hl7:representedOrganization> </hl7:assignedAuthor></hl7:author>
hl7:time	TS	1 … 1	R		(XeHest)
hl7:assignedAuthor		1 … 1	R		(XeHest)
hl7:id	II	1 … *	R		(XeHest)
hl7:assignedPerson		1 … 1	R		(XeHest)
hl7:name	PN	1 … 1	R		(XeHest)
hl7:assignedAuthoringDevice		1 … 1	R		(XeHest)
hl7:manufacturerModelName	ST	0 … 1			(XeHest)
hl7:softwareName	ST	0 … 1			(XeHest)
hl7:representedOrganization		0 … 1			(XeHest)
hl7:name	ON	0 … 1			(XeHest)
hl7:entry		0 … 1			(XeHest)
hl7:observation		1 … 1	R	Contains 2.16.840.1.113883.10.20.6.2.13 Code Observations (DYNAMIC)	(XeHest)
hl7:entry		0 … 1			(XeHest)
hl7:observation		1 … 1	R	Contains 2.16.840.1.113883.10.20.6.2.14 Quantity Measurement Observation (DYNAMIC)	(XeHest)
hl7:entry		0 … 1			(XeHest)
hl7:observationMedia		1 … 1	R	Contains 1.3.6.1.4.1.19376.1.4.1.4.7 Observation Media Entry (DYNAMIC)	(XeHest)
hl7:entry		0 … 1			(XeHest)
hl7:observation		1 … 1	R	Contains 1.2.840.10008.9.18 SOP Instance Observation (DYNAMIC)	(XeHest)
hl7:entry		0 … 1			(XeHest)
hl7:regionOfInterest			NP		(XeHest)

Template XeH Request