DICOM PS3.20 2016e - Imaging Reports using HL7 Clinical Document Architecture
9.8.11.5 entry/procedure/text/reference
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9.8.11.5 entry/procedure/text/reference

The procedure entry SHALL include a text/reference element, whose value attribute SHALL begin with a '#' and SHALL point to its corresponding narrative content block. See Section 9.1.1.1.

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