SOPInstanceObservation

Template SOP Instance Observation 2015‑08‑13

2.16.840.1.113883.10.20.6.2.8

ref

ccda-

Effective Date

2015‑08‑13

Status

Draft

Version Label

2.1

Name

SOPInstanceObservation

Display Name

SOP Instance Observation

Description

A SOP Instance Observation contains the DICOM Service Object Pair (SOP) Instance information for referenced DICOM composite objects. The SOP Instance act class is used to reference both image and non-image DICOM instances. The text attribute contains the DICOM WADO reference.

Context

Parent nodes of template element with id 2.16.840.1.113883.10.20.6.2.8

Classification

CDA Entry Level Template

Open/Closed

Open (other than defined elements are allowed)

Used by / Uses

Used by 4 transactions and 40 templates, Uses 2 templates

Used by	as	Name	Version
2.16.840.1.113883.3.1937.99.3.4.24	Transaction	Diagnostic Imaging Report (V3)	2015‑08‑01
2.16.840.1.113883.3.1937.99.61.26.4.9	Transaction	Medical Imaging Document	2016‑10‑08 20:07:38
1.2.40.0.34.77.4.40	Transaction	ELGA CDA Dokument Befund Bildgebende Diagnostik	2011‑08‑31
1.2.40.0.34.77.4.98	Transaction	Befund Bildgebende Diagnostik (v2)	2023‑05‑09 07:19:00
1.2.40.0.34.11.5		Befund Bildgebende Diagnostik	2013‑10‑16
1.2.40.0.34.11.5		Befund Bildgebende Diagnostik	2014‑03‑25
1.2.40.0.34.11.5		Befund Bildgebende Diagnostik	2014‑11‑20
1.2.40.0.34.11.5		Befund Bildgebende Diagnostik	2015‑01‑30
1.2.40.0.34.11.5		Befund Bildgebende Diagnostik	2015‑09‑24
1.2.40.0.34.11.5		Befund Bildgebende Diagnostik	2023‑04‑17 12:20:09
1.2.40.0.34.11.1005		Befund Bildgebende Diagnostik	2023‑04‑17 12:12:26
1.2.40.0.34.11.30031	Containment	Series Act	2012‑01‑12
1.3.6.1.4.1.19376.1.4.1.2.21	Containment	Key Images - Cardiac Section (1.0)	2017‑03‑07 19:32:30
2.16.840.1.113883.2.51.10.1.3.2		Test1	2021‑06‑24 10:48:39
2.16.840.1.113883.2.51.10.63		XeH Imaging Procedure Description (DICOM-20150324)	2022‑03‑21 16:08:00
2.16.840.1.113883.2.51.10.76		XeH General Section Entries (DICOM-20150324)	2022‑06‑17 11:12:40
2.16.840.1.113883.2.51.10.77		XeH Procedure Indications (DICOM-20150324)	2022‑06‑17 11:56:34
2.16.840.1.113883.2.51.10.78		XeH Procedure Indications (DICOM-20150324)	2022‑06‑17 11:56:56
2.16.840.1.113883.2.51.10.81		XeH Radiation Exposure and Protection Information (DICOM-20150324)	2022‑06‑24 11:24:15
2.16.840.1.113883.2.51.10.85		XeH Impression (DICOM-20150324)	2022‑07‑15 09:56:05
2.16.840.1.113883.2.51.10.86		XeH Comparison Study (DICOM-20150324)	2022‑07‑15 10:02:06
2.16.840.1.113883.3.51.60.2.5.1		BC CDA ClinicalDocumentMedicalImaging	2016‑10‑09 02:16:30
2.16.840.1.113883.3.1937.99.61.21.10.63	Containment	BC Findings (1.1)	2020‑07‑08 18:58:41
2.16.840.1.113883.3.1937.99.61.26.10.47		BC CDA Recommendations Section (2.1)	2017‑04‑18 22:13:16
2.16.840.1.113883.3.1937.99.61.41.10.1	Containment	Diagnostic Imaging Report (V3) (2.1)	2018‑01‑26 11:31:29
2.16.840.1.113883.3.1937.99.61.67.10.10	Containment	XeH Diagnostic Imaging Report (wip)	2020‑10‑24 18:18:56
2.16.840.1.113883.10.20.6.1.1		DICOM Object Catalog Sektion Allgemein	2012‑01‑12
2.16.840.1.113883.10.20.6.1.1		DICOM Object Catalog Sektion Allgemein	2014‑03‑24
2.16.840.1.113883.10.20.6.1.1		DICOM Object Catalog Section - DCM 121181 (2.1)	2015‑08‑13
2.16.840.1.113883.10.20.6.1.1		DICOM Object Catalog Section - DCM 121181 (1.1)	2016‑10‑20 06:20:37
2.16.840.1.113883.10.20.6.1.2.1	Containment	BC MI Findings Section (1.1)	2016‑12‑15 06:29:44
2.16.840.1.113883.10.20.6.1.2.2	Containment	BC CDA Findings Section (DIR) (2.1)	2017‑03‑29 12:29:29
2.16.840.1.113883.10.20.6.2.6		Study Act (2.1)	2015‑08‑13
2.16.840.1.113883.10.20.6.2.6		Study Act (2.1)	2016‑12‑16 22:37:48
2.16.840.1.113883.10.20.6.2.12	Containment	Text Observation (2.1)	2015‑08‑13
2.16.840.1.113883.10.20.6.2.12	Containment	Text Observation (2.1)	2016‑12‑15 06:13:27
2.16.840.1.113883.10.20.6.2.13	Containment	Code Observations (2.1)	2015‑08‑13
2.16.840.1.113883.10.20.6.2.13	Containment	Code Observations (2.1)	2016‑12‑15 06:10:04
2.16.840.1.113883.10.20.6.2.14	Containment	Quantity Measurement Observation (2.1)	2015‑08‑13
2.16.840.1.113883.10.20.6.2.14	Containment	Quantity Measurement Observation (2.1)	2016‑12‑15 06:11:48
2.16.840.1.113883.10.20.22.1.5	Containment	Diagnostic Imaging Report (V3) (2.1)	2015‑08‑01
2.16.840.1.113883.10.20.22.2.29		Procedure Indications (DICOM-20150324)	2021‑06‑21 16:23:58
2.16.840.1.113883.10.20.22.4.63	Containment	Series Act (2.1)	2015‑08‑13
2.16.840.1.113883.10.20.22.4.63	Containment	Series Act (2.1)	2016‑12‑15 06:22:25
Uses	as	Name	Version
2.16.840.1.113883.10.20.6.2.9	Containment	Purpose of Reference Observation (2.1)	2015‑08‑13
2.16.840.1.113883.10.20.6.2.10	Containment	Referenced Frames Observation (2.1)	2015‑08‑13

Relationship

Specialization: template 2.16.840.1.113883.10.12.303 CDA Observation (2005‑09‑07)

ref

ad1bbr-

Item	DT	Card	Conf	Description	Label
cda:observation					SOPItion
where [cda:code/@codeSystem='1.2.840.10008.2.6.1']
@classCode	cs	1 … 1	F	DGIMG	CONF9240
				SHALL contain exactly one [1..1] @classCode="DGIMG" Diagnostic Image (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:81-9240).
@moodCode	cs	1 … 1	F	EVN	CONF9241
				SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:81-9241).
cda:templateId	II	1 … 1	M	Note: this element was not in the C-CDA 2.1 specification but was present in the example and is normally present on every observation template. Considered this to be an inconsistency in the specification.	SOPItion
@root	uid	1 … 1	F	2.16.840.1.113883.10.20.6.2.8
cda:id	II	1 … *		SHALL contain at least one [1..*] id (CONF:81-9242). The @root contains an OID representing the DICOM SOP Instance UID	CONF9242
cda:code		1 … 1	M	SHALL contain exactly one [1..1] code (CONF:81-9244). a. This code SHALL contain exactly one [1..1] @code (CONF:81-19225). i. @code is an OID for a valid SOP class name UID (CONF:81-19226). b. This code SHALL contain exactly one [1..1] @codeSystem="1.2.840.10008.2.6.1" DCMUID (CONF:81-19227).	CONF9244
@codeSystem	CONF	1 … 1	F	1.2.840.10008.2.6.1
cda:text		0 … 1	R	SHOULD contain zero or one [0..1] text (CONF:81-9246).	CONF9246
@mediaType	st	1 … 1	F	application/dicom	CONF9247
				The text, if present, SHALL contain exactly one [1..1] @mediaType="application/dicom" (CONF:81-9247).
cda:reference		1 … 1		The text, if present, SHALL contain exactly one [1..1] reference (CONF:81-9248).	CONF9248
	Constraint	SHALL contain a @value that contains a WADO reference as a URI
cda:effectiveTime		0 … 1	R	SHOULD contain zero or one [0..1] effectiveTime (CONF:81-9250).	CONF9250
@value		1 … 1	R	The effectiveTime, if present, SHALL contain exactly one [1..1] @value (CONF:81-9251).	CONF9251
cda:low			NP		CONF9252
	Constraint	The effectiveTime, if present, SHALL NOT contain [0..0] low (CONF:81-9252).
cda:high			NP		CONF9253
	Constraint	The effectiveTime, if present, SHALL NOT contain [0..0] high (CONF:81-9253).
cda:entryRelationship		0 … *		MAY contain zero or more [0..*] entryRelationship (CONF:81-9254) such that it	CONF9254
@typeCode	cs	1 … 1	F	SUBJ	CONF9255
				SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:81-9255).
cda:entryRelationship		0 … *		Contains 2.16.840.1.113883.10.20.6.2.9 Purpose of Reference Observation (2015‑08‑13)	CONF9257
@typeCode	cs	1 … 1	F	RSON	CONF9258
				SHALL contain exactly one [1..1] @typeCode="RSON" Has Reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:81-9258).
cda:entryRelationship		0 … *		Contains 2.16.840.1.113883.10.20.6.2.10 Referenced Frames Observation (2015‑08‑13)	CONF9260
@typeCode	cs	1 … 1	F	COMP	CONF9261
				SHALL contain exactly one [1..1] @typeCode="COMP" Has Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:81-9261).
	Constraint	This entryRelationship SHALL be present if the referenced DICOM object is a multiframe object and the reference does not apply to all frames

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Template SOP Instance Observation 2015‑08‑13