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Template BC CDA Findings Section (DIR) 2017‑03‑29 12:29:29

Id2.16.840.1.113883.10.20.6.1.2.2Effective Date2017‑03‑29 12:29:29
Statusdraft DraftVersion Label2.1
NameBCFindingsSectionDIRDisplay NameBC CDA Findings Section (DIR)
Description
The Findings section contains the main narrative body of the report. This section is mandatory in the BC Medical Imaging specification.   it is suggested that Diagnostic Imaging Reports authored in CDA follow Term Info guidelines for the codes in the various observations and procedures recorded in this section.
ContextParent nodes of template element with id 2.16.840.1.113883.10.20.6.1.2.2
ClassificationCDA Section Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 0 templates, Uses 4 templates
Uses as NameVersion
2.16.840.1.113883.10.20.6.2.8Containmentdraft SOP Instance Observation (2.1)DYNAMIC
2.16.840.1.113883.10.20.6.2.12Containmentdraft Text Observation (2.1)DYNAMIC
2.16.840.1.113883.10.20.6.2.13Containmentdraft Code Observations (2.1)DYNAMIC
2.16.840.1.113883.10.20.6.2.14Containmentdraft Quantity Measurement Observation (2.1)DYNAMIC
RelationshipSpecialization: template 2.16.840.1.113883.10.20.22.2.37 Complications Section (DYNAMIC)
ItemDTCardConfDescriptionLabel
cda:section
CONF‑9484
 ConstraintThis section SHOULD contain only the direct observations in the report, with topics such as Reason for Study, History, and Impression placed in separate sections. However, in cases where the source of report content provides a single block of text not separated into these sections, that text SHALL be placed in the Findings section.
cda:templateId
II1 … 1MSHALL contain exactly one [1..1] templateId (CONF:81-8531) such that itCONFdots0244
@root
uid1 … 1F2.16.840.1.113883.10.20.6.1.2.2CONFdots0244
 SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.6.1.2" (CONF:81-10456).
cda:code
CE1 … 1MSHALL contain exactly one [1..1] code (CONF:15453).CONFdots0245
@code
CONF1 … 1F18782-3
@codeSystem
1 … 1F2.16.840.1.113883.6.1
cda:title
ST1 … 1MSHALL contain exactly one [1..1] title (CONF:8176).CONFdots0246
cda:text
SD.TEXT1 … 1MSHALL contain exactly one [1..1] text (CONF:8177).CONFdots0247
cda:entry
0 … *Contains 2.16.840.1.113883.10.20.6.2.13 Code Observations (DYNAMIC)CONF‑8532
cda:entry
0 … *Contains 2.16.840.1.113883.10.20.6.2.14 Quantity Measurement Observation (DYNAMIC)CONF‑8532
cda:entry
0 … *Contains 2.16.840.1.113883.10.20.6.2.12 Text Observation (DYNAMIC)CONF‑8532
cda:entry
0 … *Contains 2.16.840.1.113883.10.20.6.2.8 SOP Instance Observation (DYNAMIC)CONF‑8532