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

8.3 Parent Document

Template ID

1.2.840.10008.9.22

Name

Parent Document Header Elements

Effective Date

2015/03/24

Version Label

DICOM-20150324

Status

Active

Description

CDA Header Elements describing relationship to prior/parent documents

Classification

CDA Header Elements

Relationships

Included in all document level templates

Context

sibling 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

related​Document

0..1

MAY

@

@typecode

1.1

SHALL

CS

SHALL

RPLC

>

parent​Document

1..1

SHALL

Replaced​Document​ID

>>

id

1..1

SHALL

II

Replaced​Document​Set​ID

>>

set​Id

0..1

MAY

II

Replaced​Document​Version

>>

version​Number

1..1

COND

INT

related​Document

0..1

MAY

@

@typecode

1.1

SHALL

CS

SHALL

XFRM

>

parent​Document

1..1

SHALL

Transformed​Document​ID

>>

id

1..1

SHALL

II

8.3.1 relatedDocument

A document may have two types of parent document:

  • A superseded version that the present document wholly replaces (typeCode =RPLC). Documents may go through stages of revision prior to being legally authenticated. Such early stages may be drafts from transcription, those created by residents, or other preliminary versions. Policies not covered by this specification may govern requirements for retention of such earlier versions. Except for forensic purposes, the latest version in a chain of revisions represents the complete and current report.

  • A source document from which the present document is transformed (typeCode = XFRM). A document may be created by transformation from a DICOM Structured Report (SR) document (see Annex C).

The CDA document management vocabulary includes a typeCode APND (append) relationship to a parent document. This relationship type is not supported in this specification; rather, append is effected by creating a replacement document with an 9.7 Addendum.

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