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

C.4.4 Specific Section Content Mapping

Certain sections in a CDA Imaging Report have specific mappings from the DICOM SR header, or from specialized templates with content for particular uses.

C.4.4.1 Procedure Indications

The DICOM SR Document General Module may specify the Reason for the Requested Procedure as either free text in attribute (0040,1002), and/or as multiple coded values in attribute (0040,100A). These are mapped to the Procedure Indications subsection of the Clinical Information section of the CDA Imaging Report.

Note

Procedure indications may also be specified as SR content items in the (18785-6, LN, "Indications for Procedure") CONTAINER, which may be mapped to the CDA instance in accordance with Section C.4.3. It is an implementation decision how to handle multiple representations of indications in the SR document.

Table C.4-10. Clinical Information Procedure Indications mapping from SR

CDA Business Name

DICOM SR

ClinicalInformation: ProcedureIndications: Text

Referenced Request Sequence (0040,A370) > Reason for the Requested Procedure (0040,1002)

ClinicalInformation: ProcedureIndications: CodedObservation[*]: ObsName

(432678004, SNOMED, "Indication for procedure")

ClinicalInformation: ProcedureIndications: CodedObservation[*]: ObsValue

Referenced Request Sequence (0040,A370) > Reason for the Requested Procedure Code Sequence (0040,100A)


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