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

9.8 Sub-sections

9.8.1 Request

Template ID

1.2.840.10008.9.7

Name

Request

Effective Date

2015/03/24

Version Label

DICOM-20150324

Status

Active

Description

Information about the requested imaging studies and associated tests. It may include information on the reason for the request, and on any validation of the request by clinical decision support against relevant appropriateness criteria.

Classification

CDA Section Level

Relationships

Included in 9.2 Clinical Information

Context

parent node

Open/Closed

Open

Revision History

DICOM-20150324: Initial version

Business Name

Nest Level

Element/​Attribute

Card

Elem/Attr Conf

Data Type

Value Conf

Value

Subsidiary Template

Request

section

1..1

SHALL

>

template​Id

1..1

SHALL

II

>@

@root

1..1

SHALL

UID

SHALL

1.2.840.10008.9.7

>

id

1..*

SHALL

II

>

code

1..1

SHALL

CD

SHALL

(55115-0, LOINC, "Request")

Title

>

title

1..1

SHALL

ST

Text

>

text

1..1

COND

ED

9.1.1 Section Text 1.2.840.10008.9.19

CDSRecord​Text[*]

>>

content

0..*

MAY

ST

*

>>@

@ID

1..1

SHALL

XML ID

>

0..1

MAY

9.1.2 General Section Entries 1.2.840.10008.9.23

9.8.1.1 text/content and @ID – CDS Record

The Request section narrative text block MAY include content blocks recording clinical decision support assessments of the request with respect to the indications, patient characteristics, and relevant guidelines. Each such text/content SHALL include an XML ID attribute that serves as the business name discriminator associated with an instantiation of the element. Even if only one content block is instantiated, the ID attribute shall be present.

Example 9.8.1.1-1. Request section example

<section classCode="DOCSECT" moodCode="EVN">
    <templateId root="1.2.840.10008.9.7" />
    <id root="1.2.840.10213.2.62.7906994785528.114289506"/>
    <code code="55115-0"
        codeSystem="2.16.840.1.113883.6.1"
        codeSystemName="LOINC"
        displayName="Request" />
    <title>Request</title>
    <text>PTA (Iliac Angioplasty) for treatment of symptomatic
        atherosclerotic disease in both iliac arteries.
        <content ID="CDS001">Procedure ordered by Pat Smith, MD, NPI:8740944987.
        Classified APPROPRIATE by RadCDS based on ACR Select criteria
        at 2015-07-21 10:52:31 CDT</content>
    </text>
</section>

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