Non-Normative Content The Normative content for these specifications may be found on the HL7, IHE, and HITSP web sites.

Code Observations

[Observation: templateId 2.16.840.1.113883.10.20.6.2.13]

DICOM Template 2000 specifies that Imaging Report Elements of Value Type Code are contained in sections. The Imaging Report Elements are inferred from Basic Diagnostic Imaging Report Observations that consist of image references and measurements (linear, area, volume, and numeric). Coded DICOM Imaging Report Elements in this context are mapped to CDA-coded observations that are section components and are related to the SOP Instance Observations (templateId 2.16.840.1.113883.10.20.6.2.8) or Quantity Measurement Observations (templateId 2.16.840.1.113883.10.20.6.2.14) by the SPRT (Support) act relationship.

  1. SHALL contain exactly one [1..1] templateId ( CONF:15523, CONF:15524 ) such that it
    1. SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.6.2.13"
  2. SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: 2.16.840.1.113883.5.6 HL7ActClass) (CONF:9304)
  3. SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: 2.16.840.1.113883.5.1001 HL7ActMood) (CONF:9305)
  4. SHALL contain exactly one [1..1] code (CONF:9307)
  5. SHOULD contain zero or one [0..1] effectiveTime (CONF:9309)
  6. SHALL contain exactly one [1..1] value (CONF:9308)
  7. MAY contain zero or more [0..*] entryRelationship (CONF:9311, CONF:9312, CONF:9313)
    1. Contains @typeCode="SPRT" SPRT
    2. Contains exactly one [1..1] SOP Instance Observation (templateId: 2.16.840.1.113883.10.20.6.2.8)
  8. MAY contain zero or more [0..*] entryRelationship (CONF:9314, CONF:9315, CONF:9316)
    1. Contains @typeCode="SPRT" SPRT
    2. Contains exactly one [1..1] Quantity Measurement Observation (templateId: 2.16.840.1.113883.10.20.6.2.14)
  9. Code Observations SHALL be rendered into section/text in separate paragraphs (CONF:9310)

Code Observations example

<observation xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns="urn:hl7-org:v3">
  <id root="MDHT" extension="2068692296"/>
  <code code="149562038"/>
  <effectiveTime>
    <low value="2013"/>
    <high value="2013"/>
  </effectiveTime>
  <entryRelationship>
    <observation>
      <id root="MDHT" extension="989471034"/>
      <code code="1508612050"/>
      <effectiveTime>
        <low value="2013"/>
        <high value="2013"/>
      </effectiveTime>
      <entryRelationship>
        <observation>
          <id root="MDHT" extension="1193451416"/>
          <code code="1196425350"/>
          <effectiveTime>
            <low value="2013"/>
            <high value="2013"/>
          </effectiveTime>
          <value xsi:type="CD" code="1508045446"/>
        </observation>
      </entryRelationship>
      <entryRelationship>
        <observation>
          <id root="MDHT" extension="1671499976"/>
          <code code="887856362"/>
          <effectiveTime>
            <low value="2013"/>
            <high value="2013"/>
          </effectiveTime>
          <entryRelationship>
            <observation/>
          </entryRelationship>
        </observation>
      </entryRelationship>
    </observation>
  </entryRelationship>
  <entryRelationship>
    <observation>
      <id root="MDHT" extension="1694722231"/>
      <code code="1693736507"/>
      <effectiveTime>
        <low value="2013"/>
        <high value="2013"/>
      </effectiveTime>
      <value xsi:type="PQ"/>
      <entryRelationship>
        <observation>
          <id root="MDHT" extension="239024097"/>
          <code code="1401988621"/>
          <effectiveTime>
            <low value="2013"/>
            <high value="2013"/>
          </effectiveTime>
          <entryRelationship>
            <observation/>
          </entryRelationship>
          <entryRelationship>
            <observation/>
          </entryRelationship>
        </observation>
      </entryRelationship>
    </observation>
  </entryRelationship>
</observation>