DICOM PS3.20 2016c - Imaging Reports using HL7 Clinical Document Architecture

10.9 Image Quality
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## 10.9 Image Quality

Template ID | 1.2.840.10008.9.15
Name | Image Quality
Effective Date | 2015/03/24
Version Label | DICOM-20150324
Status | Active
Description | Provides a quality assessment for the image set identified by the invoking section. By default unless otherwise identified, applies to the image set interpreted by the document (typically a Study). If the quality rating applies to only a subset of the Study (e.g., a Series, or a specific Image), that subset shall be identified in the invoking section.
Classification | CDA Entry Level
Relationships | Included in 9.3 Imaging Procedure Description
Context | parent node
Open/Closed | open
Revision History | DICOM-20150324: Initial version Derived from Coded Observation

Name | Nest Level | Element/​Attribute | Card | Elem/Attr Conf | Data Type | Value Conf | Value | Subsidiary Template
--- | --- | --- | --- | --- | --- | --- | --- | ---
Image​Quality |  | observation | 1..1 | SHALL |  |  |  |
| @ | @classCode | 1..1 | SHALL | CS | SHALL | OBS |
| @ | @moodCode | 1..1 | SHALL | CS | SHALL | EVN |
| > | template​Id | 1..1 | SHALL | II |  |  |
| >@ | @root | 1..1 | SHALL | UID | SHALL | 1.2.840.10008.9.15 |
| > | id | 1..1 | SHALL | II |  |  |
| > | code | 1..1 | SHALL | CD |  | (111050, DCM, "Image Quality Assessment") |
| > | text | 0..1 | SHOULD |  |  |  |
Ref | >> | reference | 1..1 | SHALL | URL (XML IDREF) |  | # content​Ref |
| > | status​Code | 1..1 | SHALL | CS | SHALL | COMPLETED |
Rating | > | value | 1..1 | SHALL | CD | SHOULD CWE | ValueSet CID 7036 “Image Quality Assessment” |
| >@ | @xsi:type | 1..1 | SHALL | ST | SHALL | CD |

### 10.9.1 text/reference and Related Narrative Block Markup

The Observation entry SHOULD include a text/reference element, whose value attribute (not to be confused with the value element of the Observation class) SHALL begin with a '#' and SHALL point to its corresponding narrative in the parent section (using the approach defined in CDA Release 2, section 4.3.5.1). See Section 9.1.1.1.

Example 10.9-1. Image Quality example

    <observation classCode="OBS" moodCode="EVN">
        <templateId root="1.2.840.10008.9.15"/>
        <id root="1.2.840.113619.2.62.994044785528.20060823.200608232232322.3"/>
        <code code="111050" codeSystem="1.2.840.10008.2.6.1"
            codeSystemName="DCM"
            displayName="Image Quality Assessment"/>
        <text>
            <reference value="#Q9"/>
        </text>
        <statusCode code="completed"/>
        <value xsi:type="CD" code="RID12"
            codeSystem="2.16.840.1.113883.6.256"
            codeSystemName="RADLEX"
            displayName="Diagnostic quality"/>
    </observation>

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DICOM PS3.20 2016c - Imaging Reports using HL7 Clinical Document Architecture