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

9.8.6 Key Images

ID

1.3.6.1.4.1.19376.​1.4.1.2.14

Name

Key Images

Effective Date

2011-07

Version Label

DICOM-20150324

Status

Active

Description

The Key Images section contains narrative description of and references to DICOM Image Information Objects that illustrate the findings of the procedure reported.

Classification

CDA Section Level

Relationships

Included in 9.6 Impression

Context

parent node

Open/Closed

Open

Revision History

From IHE Cardiac Imaging Report Content

DICOM-20150324: Addition of optional inline image (observationMedia)

Business Name

Nest Level

Element/​Attribute

Card

Elem/Attr Conf

Data Type

Value Conf

Value

Subsidiary Template

Key​Images

section

1..1

SHALL

>

template​Id

1..1

SHALL

II

>@

@root

1..1

SHALL

UID

SHALL

1.3.6.1.4.1.19376.​1.4.1.2.14

>

id

1..*

SHALL

II

>

code

1..1

SHALL

CD

SHALL

(55113-5, LOINC, "Key Images")

Title

>

title

1..1

SHALL

ST

Text

>

text

1..1

COND

ED

9.1.1 Section Text 1.2.840.10008.9.19

>

entry

0..*

SHOULD

SOPInstance[*]

>>

observation

1..1

SHALL

>

entry

0..*

MAY

Graphic[*]

>>

observation​Media

1..1

SHALL

10.3 observationMedia 1.3.6.1.4.1.19376.​1.4.1.4.7

9.8.6.1 Section/text

The Key Images section text SHALL contain image references using linkHtml elements, where @href is a valid Web Access to DICOM Persistent Object (WADO) URL. See Section 9.1.1.5. The text content of linkHtml should be either visible text of the hyperlink, or a descriptor or identifier of the image; it may be associated with a (limited resolution) copy of the image (see Section 9.8.6.3).

Example 9.8.6-1. Key Images section example

<section classCode="DOCSECT" moodCode="EVN">>
	<templateId root="1.3.6.1.4.1.19376.1.4.1.2.14" />
	<id root="1.2.840.10213.2.62.704478559484.11428372623" />
	<code code="55113-5"
		codeSystem="2.16.840.1.113883.6.1"
		codeSystemName="LOINC"
		displayName="Key Images"/>
	<title>Key Images</title>
	<text>Maximum extent of tumor is shown in
		<linkHtml href="http://www.example.org/wado?requestType=WADO&amp;...">image 1</linkHtml>
		<renderMultiMedia referencedObject="refimag1"/>
	</text>
	<entry>
		<!-- SOP Instance reference -->
		<observation classCode=DGIMG moodCode=EVN ID="SOP1-2"/>
	</entry>
	<entry>
		<!-- inline rendered image -->
		<observationMedia ID="refimag1">
			<value representation=B64 mediaType="image/jpeg">
				Bgd3fsET4g...
			</value>
		</observationMedia>
	</entry>
</section>

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