| DICOM PS3.20 2024c - Imaging Reports using HL7 Clinical Document Architecture |
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CDA Header Elements for imaging reports, including encounter, order, and study context |
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Included in 7.1 Imaging Report |
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Issuer of Admission ID Sequence (0038;0014) > Universal Entity ID (0040,0032) |
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Order Placer Identifier Sequence (0040,0026) > Universal Entity ID (0040,0032) |
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Issuer of Accession Number Sequence (0008,0051) > Universal Entity ID (0040,0032) |
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ValueSet ActPriority Value Set 2.16.840.1.113883.11.16866 |
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Study Date (0008,0020) + Study Time (0008,0030) + Timezone Offset From UTC (0008,0201) |
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ValueSet x_serviceEventPerformer Value Set 2.16.840.1.113883.11.19601 |
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Note that there is no business name associated with this template. Rather, this template is an editorial convenience for template specification, and the Business Names for the elements of this template are logically part of the Business Name scope of the invoking template.
The id element of the encompassingEncounter represents the identifier for the encounter. When the diagnostic imaging procedure is performed in the context of a hospital stay or an outpatient visit for which there is an Encounter Number, Visit Number, or Admission ID, equivalent to DICOM attribute (0038,0010), that number should be present as the ID of the encompassingEncounter.
The effectiveTime of the encompassingEncounter represents the time interval or point in time in which the encounter took place. The encompassing encounter might be that of the hospital or office visit in which the imaging procedure was performed. If the effective time is unknown, a nullFlavor attribute can be used.
Example 8.2.1-1. componentOf example
<componentOf>
<encompassingEncounter>
<id extension="9937012" root="1.3.6.4.1.4.1.2835.12"/>
<effectiveTime value="20060828170821"/>
<encounterParticipant typeCode="ATND">
<assignedEntity>
<id extension="4" root="2.16.840.1.113883.19"/>
<code code="208M00000X"
codeSystem="2.16.840.1.113883.6.101"
codeSystemName="NUCC"
displayName="Hospitalist"/>
<addr nullFlavor="NI"/>
<telecom nullFlavor="NI"/>
<assignedPerson>
<name>
<prefix>Dr.</prefix>
<given>Fay </given>
<family>Family</family>
</name>
</assignedPerson>
</assignedEntity>
</encounterParticipant>
</encompassingEncounter>
</componentOf>
| DICOM PS3.20 2024c - Imaging Reports using HL7 Clinical Document Architecture |
|---|