DICOM PS3.20 2019a - Imaging Reports using HL7 Clinical Document Architecture

9.7.2 component/section - Communication of Actionable Findings

It is possible for an imaging report to be legally signed (authenticated) prior to the Actionable Findings being properly communicated. In this event, an addendum to the imaging report is often created to document the communication of the actionable findings. This can be included in the section/text of the 9.7 Addendum, or using the 9.8.10 Communication of Actionable Findings subsection.

Example 9.7.2-1. Addendum section example

<section classCode="DOCSECT" moodCode="EVN" ID="Adndm">
    <templateId root="1.2.840.10008.9.6"/>
    <id root="1.2.840.10213.2.62.7906994044785528.1142895428068506"/>
    <code code="55107-7" codeSystem="2.16.840.1.113883.6.1"
        codeSystemName="LOINC" displayName=" Addendum"/>
    <title>Addendum</title>
    <text>The supplemental information added to the original document...</text>
    <author>
        <time value="20140605143000+0500"/>
        <assignedAuthor>
            <id extension="23454345" root="2.16.840.1.113883.19.5"/>
            <assignedPerson>
            <name><given>Henry</given> <family>Radiologist</family></name>
            </assignedPerson>
        </assignedAuthor>
    </author>
</section>

DICOM PS3.20 2019a - Imaging Reports using HL7 Clinical Document Architecture