| DICOM PS3.20 2024e - Imaging Reports using HL7 Clinical Document Architecture |
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Records observations related to a fetus confirmed or discovered during an imaging procedure. |
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Included in 9.5 Findings |
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9.1.1 Section Text 1.2.840.10008.9.19 |
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9.8.9 Labeled Subsection 1.2.840.10008.9.10 |
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9.1.2 General Section Entries 1.2.840.10008.9.23 |
For reports on mothers and their fetus(es), information on a mother is mapped to recordTarget/PatientRole/Patient in the CDA header. Information on the fetus is mapped to subject/relatedSubject/SubjectPerson at the CDA section level. Both context information on the mother and fetus must be included in the document if observations on fetus(es) are contained in the document.
The subject/relatedSubject/subject/name element is used to store the fetus ID, typically a pseudonym such as "fetus A". This shall be present even if only one fetus is identified in the document.
Example 9.8.8-1. Fetus Findings section example
<section classCode="DOCSECT" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.2.27" />
<id root="1.2.840.10213.2.62.70447834679.11429737"/>
<code code="76514-9" codeSystem="2.16.840.1.113883.6.1"
codeSystemName="LOINC" displayName="Fetal Study observation" />
<title>Fetus #1</title>
<text>Estimated gestational age of 27 weeks... </text>
<relatedSubject>
<code code="121026" codeSystem="1.2.840.10008.2.16.4" displayName="Fetus"/>
<subject>
<name>Fetus 1</name>
</subject>
</relatedSubject>
</section>
| DICOM PS3.20 2024e - Imaging Reports using HL7 Clinical Document Architecture |
|---|