DICOM PS3.20 2019b - Imaging Reports using HL7 Clinical Document Architecture

10.3 observationMedia (Current)
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## 10.3 observationMedia

Template ID | 1.3.6.1.4.1.19376.​1.4.1.4.7
Name | observation​Media Entry
Effective Date | 2011-07
Version Label | IHECIRC-TI
Status | Active
Description | The observationMedia Entry provides an in-line graphic depiction of the section findings. It is referenced by a <renderMultiMedia> element in the section text. Typical uses are for graphic representation of findings (e.g., arterial tree diagrams) or in-line representations of key images.
Classification | CDA Entry Level
Relationships |
Context | parent node
Open/Closed | Open
Revision History | From IHE Cardiac Imaging Report Content Profile Supplement for Trial Implementation

Business Name | Nest Level | Element/​Attribute | Card | Elem/Attr Conf | Data Type | Value Conf | Value | Subsidiary Template
--- | --- | --- | --- | --- | --- | --- | --- | ---
Graphic[*] |  | observation​Media | 1..1 | SHALL |  |  |  |
| @ | class​Code | 1..1 | SHALL | CS | OBS |  |
| @ | mood​Code | 1..1 | SHALL | CS | EVN |  |
* | @ | @ID | 1..1 | SHALL | XML ID |  | [See 5.3.4 XML ID] |
| > | template​Id | 1..1 | SHALL | II |  |  |
| >@ | @root | 1..1 | SHALL | UID | SHALL | 1.3.6.1.4.1.19376.​1.4.1.4.7 |
| > | id | 1..1 | SHALL | II |  |  |
Image | > | value | 1..1 | SHALL | ED |  |  |
| >@ | @representation | 1..1 | SHALL | CS | SHALL | B64 |
Media​Type | >@ | @mediaType | 1..1 | SHALL | CS | SHALL CNE STATIC | ValueSet ImageMediaType Value Set 2.16.840.1.113883.11.14839 |
Image​URI | >> | reference | 0..1 | MAY | TEL |  |  |

### 10.3.1 observationMedia/@ID and Related Narrative Block Markup

The ObservationMedia entry SHALL include an XML ID attribute (not to be confused with the id element of the act class) used as a target of a<renderMultiMedia> element in the section/text narrative block of the parent section. See Section 9.1.1.3.

Example 10.3-1. Observation Media activity example

    <observationMedia classCode="SBADM" moodCode="EVN" ID="obsMedia-1">
        <templateId root="1.3.6.1.4.1.19376.1.4.1.4.7"/>
        <id root="1.2.840.19432234.2342342.23232232"/>
        <value representation="B64" mediaType="image/jpeg">
            Bgd3fsET4g...
        </value>
    </observationMedia>

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DICOM PS3.20 2019b - Imaging Reports using HL7 Clinical Document Architecture