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Template BC Findings 2020‑07‑08 18:58:41

Id2.16.840.1.113883.3.1937.99.61.21.10.63Effective Date2020‑07‑08 18:58:41
Statusdraft DraftVersion Label1.1
NameNHMIFindingsSectionDisplay NameBC Findings
Description The Complications section records problems that occurred during the procedure or other activity. The complications may have been known risks or unanticipated problems.
ClassificationCDA Section Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 1 template, Uses 4 templates
Used by as NameVersion
2.16.840.1.113883.3.1937.99.61.21.10.51Containmentdraft BC CDA MedicalImaging2020‑06‑13 00:18:42
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 (2013‑01‑31)
ref
ccda-
ItemDTCardConfDescriptionLabel
cda:section
1 … 1MAn observation found on an imaging study.

This 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. 
CONF‑9484
cda:templateId
II1 … 1MCONFdots0244
@root
uid1 … 1F2.16.840.1.113883.10.20.6.1.2.1 CONFdots0244
cda:code
CE1 … 1MCONFdots0245
@code
CONF1 … 1F18782-3
@codeSystem
1 … 1F2.16.840.1.113883.6.1
cda:title
ST1 … 1RSHALL contain exactly one [1..1] title (CONF:8176).CONFdots0246
cda:text
SD.TEXT1 … 1MSHALL contain exactly one [1..1] text (CONF:8177).CONFdots0247
cda:bodySite
CE0 … *Include SNOMED CT code for body siteCONF‑9484
@codeSystem
CONF0 … 1F2.16.840.1.113883.6.96
@codeSystemName
0 … 1FSNOMED CT
cda:laterality
CE0 … *Include SNOMED CT code for lateralityCONF‑9484
@codeSystem
CONF0 … 1F2.16.840.1.113883.6.96
@codeSystemName
0 … 1FSNOMED CT
cda:modality
CE0 … *Include SNOMED CT code for modalityCONF‑9484
@codeSystem
CONF0 … 1F2.16.840.1.113883.6.96
@codeSystemName
0 … 1FSNOMED CT
cda:entry
0 … *Contains 2.16.840.1.113883.10.20.6.2.13 Code Observations (DYNAMIC)CONF‑8532
 Constraint
This 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:entry
0 … *Contains 2.16.840.1.113883.10.20.6.2.14 Quantity Measurement Observation (DYNAMIC)CONF‑8532
 Constraint
This 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:entry
0 … *Contains 2.16.840.1.113883.10.20.6.2.12 Text Observation (DYNAMIC)CONF‑8532
 Constraint
This 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:entry
0 … *Contains 2.16.840.1.113883.10.20.6.2.8 SOP Instance Observation (DYNAMIC)CONF‑8532
 Constraint
This 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.