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

9.8 Sub-sections
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## 9.8 Sub-sections

### 9.8.1 Request

Template ID | 1.2.840.10008.9.7
Name | Request
Effective Date | 2015/03/24
Version Label | DICOM-20150324
Status | Active
Description | Information about the requested imaging studies and associated tests. It may include information on the reason for the request, and on any validation of the request by clinical decision support against relevant appropriateness criteria.
Classification | CDA Section Level
Relationships | Included in 9.2 Clinical Information
Context | parent 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
--- | --- | --- | --- | --- | --- | --- | --- | ---
Request |  | section | 1..1 | SHALL |  |  |  |
| > | template​Id | 1..1 | SHALL | II |  |  |
| >@ | @root | 1..1 | SHALL | UID | SHALL | 1.2.840.10008.9.7 |
| > | id | 1..* | SHALL | II |  |  |
| > | code | 1..1 | SHALL | CD | SHALL | (55115-0, LOINC, "Request") |
Title | > | title | 1..1 | SHALL | ST |  |  |
Text | > | text | 1..1 | COND | ED |  |  | 9.1.1 Section Text 1.2.840.10008.9.19
CDSRecord​Text[*] | >> | content | 0..* | MAY | ST |  |  |
* | >>@ | @ID | 1..1 | SHALL | XML ID |  |  |
| > |  | 0..1 | MAY |  |  |  | 9.1.2 General Section Entries 1.2.840.10008.9.23

#### 9.8.1.1 text/content and @ID – CDS Record

The Request section narrative text block MAY include content blocks recording clinical decision support assessments of the request with respect to the indications, patient characteristics, and relevant guidelines. Each such text/content SHALL include an XML ID attribute that serves as the business name discriminator associated with an instantiation of the element. Even if only one content block is instantiated, the ID attribute shall be present.

Example 9.8.1.1-1. Request section example

    <section classCode="DOCSECT" moodCode="EVN">
        <templateId root="1.2.840.10008.9.7" />
        <id root="1.2.840.10213.2.62.7906994785528.114289506"/>
        <code code="55115-0"
            codeSystem="2.16.840.1.113883.6.1"
            codeSystemName="LOINC"
            displayName="Request" />
        <title>Request</title>
        <text>PTA (Iliac Angioplasty) for treatment of symptomatic
            atherosclerotic disease in both iliac arteries.
            <content ID="CDS001">Procedure ordered by Pat Smith, MD, NPI:8740944987.
            Classified APPROPRIATE by RadCDS based on ACR Select criteria
            at 2015-07-21 10:52:31 CDT</content>
        </text>
    </section>

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9.7.2 component/section - Communication of Actionable Findings | Home | 9.8.2 Procedure Indications

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