TextObservation

2.16.840.1.113883.10.20.6.2.12

Effective Date

2015‑08‑13

Status

Draft

Version Label

2.1

Name

TextObservation

Display Name

Text Observation

Description

DICOM Template 2000 specifies that Imaging Report Elements of Value Type Text are contained in sections. The Imaging Report Elements are inferred from Basic Diagnostic Imaging Report Observations that consist of image references and measurements (linear, area, volume, and numeric). Text DICOM Imaging Report Elements in this context are mapped to CDA text observations that are section components and are related to the SOP Instance Observations (templateId 2.16.840.1.113883.10.20.6.2.8) or Quantity Measurement Observations (templateId 2.16.840.1.113883.10.20.6.2.14) by the SPRT (Support) act relationship. A Text Observation is required if the findings in the section text are represented as inferred from SOP Instance Observations.

Context

Parent nodes of template element with id 2.16.840.1.113883.10.20.6.2.12

Classification

CDA Entry Level Template

Open/Closed

Open (other than defined elements are allowed)

Used by / Uses

Used by 1 transaction and 6 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
2.16.840.1.113883.3.1937.99.61.21.10.63	Containment	BC Findings (1.1)	2020‑07‑08 18:58:41
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
2.16.840.1.113883.10.20.6.1.2.1	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
2.16.840.1.113883.10.20.22.1.5	Containment	Diagnostic Imaging Report (V3) (2.1)	2015‑08‑01
Uses	as	Name	Version
2.16.840.1.113883.10.20.6.2.8	Containment	SOP Instance Observation (2.1)	2015‑08‑13
2.16.840.1.113883.10.20.6.2.14	Containment	Quantity Measurement 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					Texttion
@classCode	cs	1 … 1	F	OBS	CONF9288
				SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: ActCode urn:oid:2.16.840.1.113883.5.4 STATIC) (CONF:81-9288).
@moodCode	cs	1 … 1	F	EVN	CONF9289
				SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:81-9289).
cda:templateId	II	1 … 1	M	SHALL contain exactly one [1..1] templateId (CONF:81-9290) such that it	CONF9290
@root	uid	1 … 1	F	2.16.840.1.113883.10.20.6.2.12	CONF0534
				SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.6.2.12" (CONF:81-10534).
cda:code	CD	1 … 1		SHALL contain exactly one [1..1] code (CONF:81-9291).	CONF9291
cda:text		0 … 1		MAY contain zero or one [0..1] text (CONF:81-9295).	CONF9295
cda:reference		0 … 1	R	The text, if present, SHOULD contain zero or one [0..1] reference (CONF:81-15938).	CONF5938
@value		0 … 1		The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:81-15939).	CONF5939
	Schematron assert	role	error
		test	not(@value)=0 or starts-with(@value, '#')
		Message	This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1)
cda:effectiveTime	IVL_TS	0 … 1	R	SHOULD contain zero or one [0..1] effectiveTime (CONF:81-9294).	CONF9294
cda:value	ED	1 … 1	R	SHALL contain exactly one [1..1] value with @xsi:type="ED" (CONF:81-9292).	CONF9292
cda:entryRelationship		0 … *		Contains 2.16.840.1.113883.10.20.6.2.8 SOP Instance Observation (2015‑08‑13)	CONF9298
@typeCode	cs	1 … 1	F	SPRT	CONF9299
				SHALL contain exactly one [1..1] @typeCode="SPRT" Has Support (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:81-9299).
cda:entryRelationship		0 … *		Contains 2.16.840.1.113883.10.20.6.2.14 Quantity Measurement Observation (2015‑08‑13)	CONF9301
@typeCode	cs	1 … 1	F	SPRT	CONF9302
				SHALL contain exactly one [1..1] @typeCode="SPRT" Has Support (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:81-9302).