Id1.2.840.10008.9.2
ref
DICOM-
Effective Date2021‑06‑22 11:38:24
Statusdraft DraftVersion LabelDICOM-20150324
NameClinicalInformationDisplay NameClinical Information
DescriptionClinical details about the case such as presenting signs and symptoms, past clinical history, the overall condition of the patient, etc
ContextParent nodes of template element with id 1.2.840.10008.9.2
ClassificationCDA Section Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 1 transaction and 4 templates, Uses 5 templates
Used by as NameVersion
1.2.840.10008.9.1.4.2Transactiondraft Initial2021‑11‑16 10:02:42
1.2.840.10008.9.1Containmentcancelled Imaging Report (DICOM-20150324)2021‑07‑23 12:06:26
1.2.840.10008.9.1.10.12Containmentdraft DICOM Diagnostic Imaging Report (DICOM-20150324)2021‑08‑04 07:04:03
2.16.840.1.113883.2.51.10.1.9.1Containmentcancelled XeH Imaging Report2021‑06‑22 14:23:06
2.16.840.1.113883.2.51.10.45Containmentcancelled XeH Diagnostic Imaging Report2 (DICOM-20150324)2021‑11‑08 15:59:54
Uses as NameVersion
1.2.840.10008.9.1.10.14Containmentdraft Procedure Indications (DICOM-20150324)DYNAMIC
1.2.840.10008.9.7Containmentdraft Request (DICOM-20150324)DYNAMIC
1.2.840.10008.9.19Containmentdraft Text (DICOM-20150324)DYNAMIC
1.2.840.10008.9.23Includedraft General Section Entries (DICOM-20150324)DYNAMIC
2.16.840.1.113883.10.20.22.2.39Containmentdraft Medical (General) History Section (2.1)DYNAMIC
Example
Example
<section classCode="DOCSECT" moodCode="EVN">
  <templateId root="1.2.840.10008.9.2"/>  <id root="1.2.840.10213.2.62.994044785528.114289542805"/>  <code code="55752-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Clinical Information"/>  <title>Clinical Information</title>  <text>The patient was referred for evaluation of suspected pulmonary embolism.</text>  <!---see examples for other sections/entries -->
</section>
ItemDTCardConfDescriptionLabel
hl7:section
1 … 1RClindotstion
hl7:templateId
II1 … 1MClindotstion
@root
uid1 … 1F1.2.840.10008.9.2
hl7:id
II1 … 1RClindotstion
hl7:code
CD1 … 1RClindotstion
@code
CONF0 … 1F55752-0
@codeSystem
0 … 1F2.16.840.1.113883.6.1
 Example<hl7:code code="55752-0" codeSystem="2.16.840.1.113883.6.1"/>
hl7:title
ST1 … 1RClindotstion
hl7:text
ED1 … 1RContains 1.2.840.10008.9.19 Text (DYNAMIC)Clindotstion
hl7:component
0 … 1Contains 1.2.840.10008.9.7 Request (DYNAMIC)Clindotstion
hl7:component
0 … 1Contains 1.2.840.10008.9.1.10.14 Procedure Indications (DYNAMIC)Clindotstion
hl7:component
0 … 1Contains 2.16.840.1.113883.10.20.22.2.39 Medical (General) History Section (DYNAMIC)Clindotstion
Included0 … 1 from 1.2.840.10008.9.23 General Section Entries (DYNAMIC)
hl7:author
0 … 1Genedotsries
 Example<cda:author>
  <cda:time value="20210806063409"/>  <cda:assignedAuthor>
    <cda:id root="1.2.3.999" extension="--example only--"/>    <cda:assignedPerson>
      <cda:name>name</cda:name>    </cda:assignedPerson>    <cda:assignedAuthoringDevice>
      <cda:manufacturerModelName>manufacturerModelName</cda:manufacturerModelName>      <cda:softwareName>softwareName</cda:softwareName>    </cda:assignedAuthoringDevice>    <cda:representedOrganization>
      <cda:name>name</cda:name>    </cda:representedOrganization>  </cda:assignedAuthor></cda:author>
hl7:time
TS1 … 1RGenedotsries
hl7:assignedAuthor
1 … 1RGenedotsries
hl7:id
II1 … *RGenedotsries
hl7:assignedPerson
1 … 1RGenedotsries
hl7:name
PN1 … 1RGenedotsries
hl7:assignedAuthoringDevice
1 … 1RGenedotsries
hl7:manufacturerModelName
ST0 … 1Genedotsries
hl7:softwareName
ST0 … 1Genedotsries
hl7:representedOrganization
0 … 1Genedotsries
hl7:name
ON0 … 1Genedotsries
hl7:entry
0 … 1Contains 2.16.840.1.113883.10.20.6.2.13 Code Observations (DYNAMIC)Genedotsries
hl7:entry
0 … 1Contains 2.16.840.1.113883.10.20.6.2.14 Quantity Measurement Observation (DYNAMIC)Genedotsries
hl7:entry
0 … 1Contains 1.3.6.1.4.1.19376.1.4.1.4.7 Observation Media Entry (DYNAMIC)Genedotsries
hl7:entry
0 … 1Contains 1.2.840.10008.9.18 SOP Instance Observation (DYNAMIC)Genedotsries