DICOM PS3.20 2024c - Imaging Reports using HL7 Clinical Document Architecture
10.4.3 text/reference and Related Narrative Block Markup (Current)
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10.4.3 text/reference and Related Narrative Block Markup

The Procedure entry SHOULD include a text/reference element, whose value attribute SHALL begin with a '#' and SHALL point to its corresponding narrative in the parent section (using the approach defined in CDA Release 2, section 4.3.5.1). See Section 9.1.1.1.

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DICOM PS3.20 2024c - Imaging Reports using HL7 Clinical Document Architecture