Id
2.16.840.1.113883.2.51.10.79
Effective Date
2022‑06‑24 08:53:12
Status
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
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 >
Expand All Collapse All
Item
DT
Card
Conf
Description
Label
hl7:section
(XeH ngs)
hl7:templateId
II
1 … 1
M
(XeH ngs)
@root
uid
1 … 1
F
2.16.840.1.113883.2.51.10.79
hl7:id
II
1 … *
R
(XeH ngs)
hl7:code
CD
1 … 1
R
(XeH ngs)
@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
(XeH ngs)
hl7:text
ED
0 … 1
C
(XeH ngs)
Constraint
The text element SHALL be present if the section content is not completely represented
by subsections.
hl7:component
0 … *
(XeH ngs)
hl7:section
1 … 1
R
Contains 2.16.840.1.113883.2.51.10.88 XeH Fetus Findings (DYNAMIC)
(XeH ngs)
hl7:component
0 … *
(XeH ngs)
hl7:section
1 … 1
R
Contains 2.16.840.1.113883.2.51.10.89 XeH Labeled Subsection (DYNAMIC)
(XeH ngs)