DICOM PS3.20 2017b - Imaging Reports using HL7 Clinical Document Architecture

8.3 Parent Document
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## 8.3 Parent Document

Template ID | 1.2.840.10008.9.22
Name | Parent Document Header Elements
Effective Date | 2015/03/24
Version Label | DICOM-20150324
Status | Active
Description | CDA Header Elements describing relationship to prior/parent documents
Classification | CDA Header Elements
Relationships | Included in all document level templates
Context | sibling 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
--- | --- | --- | --- | --- | --- | --- | --- | ---
|  | related​Document | 0..1 | MAY |  |  |  |
| @ | @typecode | 1.1 | SHALL | CS | SHALL | RPLC |
| > | parent​Document | 1..1 | SHALL |  |  |  |
Replaced​Document​ID | >> | id | 1..1 | SHALL | II |  |  |
Replaced​Document​Set​ID | >> | set​Id | 0..1 | MAY | II |  |  |
Replaced​Document​Version | >> | version​Number | 1..1 | COND | INT |  |  |
|  | related​Document | 0..1 | MAY |  |  |  |
| @ | @typecode | 1.1 | SHALL | CS | SHALL | XFRM |
| > | parent​Document | 1..1 | SHALL |  |  |  |
Transformed​Document​ID | >> | id | 1..1 | SHALL | II |  |  |

### 8.3.1 relatedDocument

A document may have two types of parent document:

- A superseded version that the present document wholly replaces (typeCode =RPLC). Documents may go through stages of revision prior to being legally authenticated. Such early stages may be drafts from transcription, those created by residents, or other preliminary versions. Policies not covered by this specification may govern requirements for retention of such earlier versions. Except for forensic purposes, the latest version in a chain of revisions represents the complete and current report.

- A source document from which the present document is transformed (typeCode = XFRM). A document may be created by transformation from a DICOM Structured Report (SR) document (see Annex C).

The CDA document management vocabulary includes a typeCode APND (append) relationship to a parent document. This relationship type is not supported in this specification; rather, append is effected by creating a replacement document with an 9.7 Addendum.

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8.2.4.2 Performer | Home | 8.3.2 parentDocument/setId and versionNumber

DICOM PS3.20 2017b - Imaging Reports using HL7 Clinical Document Architecture