9.8.6 Key Images

9.8.6 Key Images (Current)
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ID	1.3.6.1.4.1.19376.1.4.1.2.14
Name	Key Images
Effective Date	2011-07
Version Label	DICOM-20150324
Status	Active
Description	The Key Images section contains narrative description of and references to DICOM Image Information Objects that illustrate the findings of the procedure reported.
Classification	CDA Section Level
Relationships	Included in 9.6 Impression
Context	parent node
Open/Closed	Open
Revision History	From IHE Cardiac Imaging Report Content DICOM-20150324: Addition of optional inline image (observationMedia)

Business Name	Nest Level	Element/Attribute	Card	Elem/Attr Conf	Data Type	Value Conf	Value	Subsidiary Template
KeyImages		section	1..1	SHALL
	>	templateId	1..1	SHALL	II
	>@	@root	1..1	SHALL	UID	SHALL	1.3.6.1.4.1.19376.1.4.1.2.14
	>	id	1..*	SHALL	II
	>	code	1..1	SHALL	CD	SHALL	(55113-5, LOINC, "Key Images")
Title	>	title	1..1	SHALL	ST
Text	>	text	1..1	COND	ED			9.1.1 Section Text 1.2.840.10008.9.19
	>	entry	0..*	SHOULD
SOPInstance[*]	>>	observation	1..1	SHALL
	>	entry	0..*	MAY
Graphic[*]	>>	observationMedia	1..1	SHALL				10.3 observationMedia 1.3.6.1.4.1.19376.1.4.1.4.7

9.8.6.1 Section/text

The Key Images section text SHALL contain image references using linkHtml elements, where @href is a valid Web Access to DICOM Persistent Object (WADO) URL. See Section 9.1.1.5. The text content of linkHtml should be either visible text of the hyperlink, or a descriptor or identifier of the image; it may be associated with a (limited resolution) copy of the image (see Section 9.8.6.3).

Example 9.8.6-1. Key Images section example

<section classCode="DOCSECT" moodCode="EVN">>
	<templateId root="1.3.6.1.4.1.19376.1.4.1.2.14" />
	<id root="1.2.840.10213.2.62.704478559484.11428372623" />
	<code code="55113-5"
		codeSystem="2.16.840.1.113883.6.1"
		codeSystemName="LOINC"
		displayName="Key Images"/>
	<title>Key Images</title>
	<text>Maximum extent of tumor is shown in
		<linkHtml href="http://www.example.org/wado?requestType=WADO&amp;...">image 1</linkHtml>
		<renderMultiMedia referencedObject="refimag1"/>
	</text>
	<entry>
		<!-- SOP Instance reference -->
		<observation classCode=DGIMG moodCode=EVN ID="SOP1-2"/>
	</entry>
	<entry>
		<!-- inline rendered image -->
		<observationMedia ID="refimag1">
			<value representation=B64 mediaType="image/jpeg">
				Bgd3fsET4g...
			</value>
		</observationMedia>
	</entry>
</section>

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