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Template ID |
1.2.840.10008.9.12 |
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Name |
Recommendation |
|
Effective Date |
2015/03/24 |
|
Version Label |
DICOM-20150324 |
|
Status |
Active |
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Description |
This section provides a separate section to describe the study interpreter's recommendations for follow-up studies or procedures. |
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Classification |
CDA Section Level |
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Relationships |
Included in 9.6 Impression |
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Context |
parent node |
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Open/Closed |
Open |
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Revision History |
DICOM-20150324: Initial version |
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Business Name |
Nest Level |
Element/Attribute |
Card |
Elem/Attr Conf |
Data Type |
Value Conf |
Value |
Subsidiary Template |
|---|---|---|---|---|---|---|---|---|
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Recommendation |
section |
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> |
templateId |
1..1 |
SHALL |
II |
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>@ |
@root |
1..1 |
SHALL |
UID |
SHALL |
1.2.840.10008.9.12 |
||
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> |
id |
1..* |
SHALL |
II |
||||
|
> |
code |
1..1 |
SHALL |
CD |
SHALL |
|||
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Title |
> |
title |
0..1 |
MAY |
ST |
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|
Text |
> |
text |
0..1 |
SHALL |
ED |
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Content[*] |
>> |
content |
0..* |
SHALL |
ST |
[See 9.8.11.1 text/content] |
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* |
>>@ |
@ID |
1..1 |
SHALL |
XML ID |
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GuidelineRef |
>>> |
linkHtml |
0..1 |
MAY |
ST |
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GuidelineURI |
>>>@ |
@href |
1..1 |
SHALL |
URI |
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|
> |
entry |
0..* |
SHOULD |
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FollowupProcedure[*] |
>> |
procedure |
1..1 |
SHALL |
||||
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>>@ |
@classCode |
1..1 |
SHALL |
CS |
SHALL |
PROC |
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|
>>@ |
@moodCode |
1..1 |
SHALL |
CS |
SHALL |
PRP |
||
|
ProcedureCode |
>>> |
code |
1..1 |
SHALL |
CD |
ConceptDomain Recommended Follow-up |
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|
When |
>>> |
effectiveTime |
1..1 |
SHOULD |
IVL <TS> |
|||
|
>>> |
text |
1..1 |
SHALL |
ED |
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|
Ref |
>>>> |
reference |
1..1 |
SHALL |
URL (XML IDREF) |
# contentRef |
Each documented recommendation SHALL be included as narrative in a content element, labeled with an XML ID (see Section 9.1.1.1 <content> Markup and Links From Entries). The content element NEED NOT be top level markup within the section/text element; it MAY be wrapped in another allowed narrative block markup, such as paragraph, list/item, or table/row/cell.
If the recommendation is based on a clinical guideline, a reference to that guideline MAY be included in a linkHtml element.
Each recommendation SHOULD have a corresponding structured entry.
Example 9.8.11-1. Radiology recommendation section example
<section classCode="DOCSECT" moodCode="EVN">
<templateId root="1.2.840.10008.9.12" />
<id root="1.2.840.10213.2.62.7044779.114265201"/>
<code code="18783-1" codeSystem="2.16.840.1.113883.6.1"
codeSystemName="LOINC" displayName="Study Recommendation"/>
<title>Radiology Recommendation</title>
<text>
<content ID="rec01">Biopsy should be considered. Follow-up at 3 month interval.
</content>
<linkHtml href="http://pubs.rsna.org/doi/abs/10.1148/radiol.2372041887"/>
</text>
<entry>
<procedure ID="RadRec1" classCode="PROC" moodCode="PRP"/>
<!-- local coding scheme -->
<code code="9191919" codeSystem="2.16.840.1.56789.6.1"
codeSystemName="My Hospital Coding System"
displayName="3 month follow-up"/>
<text><reference value="#rec01"/></text>
<effectiveTime value="20141213"/>
</entry>
</section>