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Template SOP Instance Observation 2015‑08‑13

Id2.16.840.1.113883.10.20.6.2.8
ref
ccda-
Effective Date2015‑08‑13
Statusdraft DraftVersion Label2.1
NameSOPInstanceObservationDisplay NameSOP 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.
ContextParent nodes of template element with id 2.16.840.1.113883.10.20.6.2.8
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 4 transactions and 33 templates, Uses 2 templates
Used by as NameVersion
2.16.840.1.113883.3.1937.99.3.4.24Transactionfinal Diagnostic Imaging Report (V3)2015‑08‑01
2.16.840.1.113883.3.1937.99.61.26.4.9Transactiondraft Medical Imaging Document2016‑10‑08 20:07:38
1.2.40.0.34.77.4.40Transactiondeprecated de-DE ELGA CDA Dokument Befund Bildgebende Diagnostik2011‑08‑31
1.2.40.0.34.77.4.98Transactiondraft Befund Bildgebende Diagnostik (v2)2023‑05‑09 07:19:00
1.2.40.0.34.11.5linkretired Befund Bildgebende Diagnostik2013‑10‑16
1.2.40.0.34.11.5linkretired Befund Bildgebende Diagnostik2014‑03‑25
1.2.40.0.34.11.5linkretired Befund Bildgebende Diagnostik2014‑11‑20
1.2.40.0.34.11.5linkretired Befund Bildgebende Diagnostik2015‑01‑30
1.2.40.0.34.11.5linkactive Befund Bildgebende Diagnostik2015‑09‑24
1.2.40.0.34.11.5linkdraft Befund Bildgebende Diagnostik2023‑04‑17 12:20:09
1.2.40.0.34.11.1005linkcancelled Befund Bildgebende Diagnostik2023‑04‑17 12:12:26
1.2.40.0.34.11.30031Containmentactive Series Act2012‑01‑12
1.3.6.1.4.1.19376.1.4.1.2.21Containmentdraft Key Images - Cardiac Section (1.0)2017‑03‑07 19:32:30
2.16.840.1.113883.3.51.60.2.5.1linkdraft BC CDA ClinicalDocumentMedicalImaging2016‑10‑09 02:16:30
2.16.840.1.113883.3.1937.99.61.21.10.62linkdraft DICOM Object Catalog Section - DCM 121181 (2.1)2020‑07‑06 21:19:30
2.16.840.1.113883.3.1937.99.61.21.10.63Containmentdraft BC Findings (1.1)2020‑07‑08 18:58:41
2.16.840.1.113883.3.1937.99.61.21.10.73linkdraft BC Recommendations2020‑07‑10 21:49:56
2.16.840.1.113883.3.1937.99.61.26.10.47linkdraft BC CDA Recommendations Section (2.1)2017‑04‑18 22:13:16
2.16.840.1.113883.3.1937.99.61.41.10.1Containmentdraft Diagnostic Imaging Report (V3) (2.1)2018‑01‑26 11:31:29
2.16.840.1.113883.3.1937.99.61.67.10.10Containmentdraft XeH Diagnostic Imaging Report (wip)2020‑10‑24 18:18:56
2.16.840.1.113883.10.20.6.1.1linkretired DICOM Object Catalog Sektion Allgemein2012‑01‑12
2.16.840.1.113883.10.20.6.1.1linkdraft DICOM Object Catalog Sektion Allgemein2014‑03‑24
2.16.840.1.113883.10.20.6.1.1linkdraft DICOM Object Catalog Section - DCM 121181 (2.1)2015‑08‑13
2.16.840.1.113883.10.20.6.1.1linkdraft DICOM Object Catalog Section - DCM 121181 (1.1)2016‑10‑20 06:20:37
2.16.840.1.113883.10.20.6.1.2.1Containmentdraft BC MI Findings Section (1.1)2016‑12‑15 06:29:44
2.16.840.1.113883.10.20.6.1.2.2Containmentdraft BC CDA Findings Section (DIR) (2.1)2017‑03‑29 12:29:29
2.16.840.1.113883.10.20.6.2.6linkdraft Study Act (2.1)2015‑08‑13
2.16.840.1.113883.10.20.6.2.6linkdraft Study Act (2.1)2016‑12‑16 22:37:48
2.16.840.1.113883.10.20.6.2.12linkdraft Text Observation (2.1)2015‑08‑13
2.16.840.1.113883.10.20.6.2.12Containmentdraft Text Observation (2.1)2016‑12‑15 06:13:27
2.16.840.1.113883.10.20.6.2.13Containmentdraft Code Observations (2.1)2015‑08‑13
2.16.840.1.113883.10.20.6.2.13Containmentdraft Code Observations (2.1)2016‑12‑15 06:10:04
2.16.840.1.113883.10.20.6.2.14Containmentdraft Quantity Measurement Observation (2.1)2015‑08‑13
2.16.840.1.113883.10.20.6.2.14Containmentdraft Quantity Measurement Observation (2.1)2016‑12‑15 06:11:48
2.16.840.1.113883.10.20.22.1.5Containmentdraft Diagnostic Imaging Report (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.4.63Containmentdraft Series Act (2.1)2015‑08‑13
2.16.840.1.113883.10.20.22.4.63Containmentdraft Series Act (2.1)2016‑12‑15 06:22:25
Uses as NameVersion
2.16.840.1.113883.10.20.6.2.9Containmentdraft Purpose of Reference Observation (2.1)2015‑08‑13
2.16.840.1.113883.10.20.6.2.10Containmentdraft Referenced Frames Observation (2.1)2015‑08‑13
RelationshipSpecialization: template 2.16.840.1.113883.10.12.303 CDA Observation (2005‑09‑07)
ref
ad1bbr-
ItemDTCardConfDescriptionLabel
cda:observation
SOPIdotstion
where [cda:code/@codeSystem='1.2.840.10008.2.6.1']
@classCode
cs1 … 1FDGIMGCONFdots9240
 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
cs1 … 1FEVNCONFdots9241
 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
II1 … 1MNote: 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.SOPIdotstion
@root
uid1 … 1F2.16.840.1.113883.10.20.6.2.8
cda:id
II1 … *SHALL contain at least one [1..*] id (CONF:81-9242).

The @root contains an OID representing the DICOM SOP Instance UID		CONFdots9242
cda:code
1 … 1MSHALL 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).

CONFdots9244
@codeSystem
CONF1 … 1F1.2.840.10008.2.6.1
cda:text
0 … 1RSHOULD contain zero or one [0..1] text (CONF:81-9246).CONFdots9246
@mediaType
st1 … 1Fapplication/dicomCONFdots9247
 The text, if present, SHALL contain exactly one [1..1] @mediaType="application/dicom" (CONF:81-9247).
cda:reference
1 … 1The text, if present, SHALL contain exactly one [1..1] reference (CONF:81-9248).CONFdots9248
 ConstraintSHALL contain a @value that contains a WADO reference as a URI
cda:effectiveTime
0 … 1RSHOULD contain zero or one [0..1] effectiveTime (CONF:81-9250).CONFdots9250
@value
1 … 1RThe effectiveTime, if present, SHALL contain exactly one [1..1] @value (CONF:81-9251).CONFdots9251
cda:low
NPCONFdots9252
 ConstraintThe effectiveTime, if present, SHALL NOT contain [0..0] low (CONF:81-9252).
cda:high
NPCONFdots9253
 ConstraintThe 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 itCONFdots9254
@typeCode
cs1 … 1FSUBJCONFdots9255
 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)CONFdots9257
@typeCode
cs1 … 1FRSONCONFdots9258
 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)CONFdots9260
@typeCode
cs1 … 1FCOMPCONFdots9261
 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).
 ConstraintThis entryRelationship SHALL be present if the referenced DICOM object is a multiframe object and the reference does not apply to all frames

Template SOP Instance Observation 2013‑01‑31

Id2.16.840.1.113883.10.20.6.2.8
ref
ccda-
Effective Date2013‑01‑31
Statusdraft DraftVersion Label1.1
NameSOPInstanceObservationDisplay NameSOP 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.
ContextParent nodes of template element with id 2.16.840.1.113883.10.20.6.2.8
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 1 transaction and 8 templates, Uses 2 templates
Used by as NameVersion
2.16.840.1.113883.3.1937.99.3.4.8Transactionfinal Imaging Integration, and DICOM Diagnostic Imaging Reports (DIR) (US Realm - Release 1)2013‑01‑31
2.16.840.1.113883.10.20.6.1.1linkdraft DICOM Object Catalog Section - DCM 121181 (1.1)2013‑01‑31
2.16.840.1.113883.10.20.6.2.6linkdraft Study Act (1.1)2013‑01‑31
2.16.840.1.113883.10.20.6.2.6linkrejected BC Study Act (1.1)2016‑10‑20 06:21:42
2.16.840.1.113883.10.20.6.2.12linkdraft Text Observation (1.1)2013‑01‑31
2.16.840.1.113883.10.20.6.2.13Containmentdraft Code Observations (1.1)2013‑01‑31
2.16.840.1.113883.10.20.6.2.14Containmentdraft Quantity Measurement Observation (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.1.5linkdraft Diagnostic Imaging Report (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.4.63Containmentdraft Series Act (1.1)2013‑01‑31
Uses as NameVersion
2.16.840.1.113883.10.20.6.2.9Containmentdraft Purpose of Reference Observation (1.1)2013‑01‑31
2.16.840.1.113883.10.20.6.2.10Containmentdraft Referenced Frames Observation (1.1)2013‑01‑31
ItemDTCardConfDescriptionLabel
cda:observation
SOPIdotstion
@classCode
cs1 … 1FDGIMGconf‑9240
@moodCode
cs1 … 1FEVNconf‑9241
cda:templateId
II1 … 1MSOPIdotstion
@root
uid1 … 1F2.16.840.1.113883.10.20.6.2.8
cda:id
II1 … *SHALL contain at least one [1..*] id (CONF:9242).conf‑9242
cda:code
CD1 … 1MSHALL contain exactly one [1..1] code (CONF:9244).conf‑9244
@codeSystem
CONF1 … 1F1.2.840.10008.2.6.1
cda:text
0 … 1RSHOULD contain zero or one [0..1] text (CONF:9246).conf‑9246
@mediaType
st1 … 1Fapplication/dicomconf‑9247
cda:reference
1 … 1The text, if present, SHALL contain exactly one [1..1] reference (CONF:9248).

SHALL contain a @value that contains a WADO reference as a URI		conf‑9248
cda:effectiveTime
IVL_TS0 … 1RSHOULD contain zero or one [0..1] effectiveTime (CONF:9250).conf‑9250
@value
1 … 1Rconf‑9251
cda:low
NPThe effectiveTime, if present, SHALL NOT contain [0..0] low (CONF:9252).conf‑9252
cda:high
NPThe effectiveTime, if present, SHALL NOT contain [0..0] high (CONF:9253).conf‑9253
cda:entryRelationship
0 … *MAY contain zero or more [0..*] entryRelationship (CONF:9254) such that itconf‑9254
@typeCode
cs1 … 1FSUBJconf‑9255
cda:entryRelationship
0 … *Contains 2.16.840.1.113883.10.20.6.2.9 Purpose of Reference Observation (2013‑01‑31)conf‑9257
@typeCode
cs1 … 1FRSONconf‑9258
cda:entryRelationship
0 … *This entryRelationship SHALL be present if the referenced DICOM object is a multiframe object and the reference does not apply to all frames
Contains 2.16.840.1.113883.10.20.6.2.10 Referenced Frames Observation (2013‑01‑31)		conf‑9260
@typeCode
cs1 … 1FCOMPconf‑9261