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draft Template  XeH Findings

Id 2.16.840.1.113883.2.51.10.79 Effective Date 2022‑06‑24 08:53:12
Status draft Draft Version Label DICOM-20150324
Name XeHFindings Display Name XeH 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.
Classification CDA Section 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 (0.1) 2021‑06‑21 14:23:14
Uses as Name Version
2.16.840.1.113883.2.51.10.88 Containment draft XeH Fetus Findings (DICOM-20150324) DYNAMIC
2.16.840.1.113883.2.51.10.89 Containment draft XeH Labeled Subsection (DICOM-20150324) DYNAMIC
Relationship Adaptation: template 1.2.840.10008.9.1.10.13 Findings (2021‑10‑28 13:46:14)
ref
DICOM-

Specialization: template 2.16.840.1.113883.10.20.6.1.2 Findings Section (DIR) (2015‑08‑13)
ref
ccda-

Specialization: template 2.16.840.1.113883.10.12.201 CDA Section (2005‑09‑07)
ref
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
(XeHdotsngs)
hl7:templateId
II 1 … 1 M (XeHdotsngs)
@root
uid 1 … 1 F 2.16.840.1.113883.2.51.10.79
hl7:id
II 1 … * R (XeHdotsngs)
hl7:code
CD 1 … 1 R (XeHdotsngs)
@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 (XeHdotsngs)
hl7:text
ED 0 … 1 C (XeHdotsngs)
  Constraint The text element SHALL be present if the section content is not completely represented by subsections.
hl7:component
0 … * (XeHdotsngs)
hl7:section
1 … 1 R Contains 2.16.840.1.113883.2.51.10.88 XeH Fetus Findings (DYNAMIC) (XeHdotsngs)
hl7:component
0 … * (XeHdotsngs)
hl7:section
1 … 1 R Contains 2.16.840.1.113883.2.51.10.89 XeH Labeled Subsection (DYNAMIC) (XeHdotsngs)