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Imaging Reports Using HL7​ Clinical Document Architecture​ Page 2​ PS3.20​ DICOM PS3.20 2021d - Imaging Reports using HL7​ Clinical Document Architecture​ Page 2​ PS3.20: DICOM PS3.20 2021d - Imaging Reports using HL7 Clinical Document​ Architecture​ Copyright © 2021 NEMA​ A DICOM® publication​ - Standard -​ DICOM PS3.20 2021d - Imaging Reports using HL7 Clinical Document Architecture​ Page 3​ Table of Contents​ Notice and Disclaimer ........................................................................................................................................... 13​ Foreword ............................................................................................................................................................ 15​ 1. Scope and Field of Application ............................................................................................................................. 17​ 2. Normative and Informative References .................................................................................................................. 19​ 3. Definitions ....................................................................................................................................................... 21​ 4. Symbols and Abbreviations ................................................................................................................................. 23​ 5. Conventions ..................................................................................................................................................... 25​ 5.1. Template Metadata ..................................................................................................................................... 25​ 5.1.1. Template IDs and Version ...................................................................................................................... 25​ 5.1.2. Context .............................................................................................................................................. 25​ 5.1.3. Open and Closed Templates .................................................................................................................. 25​ 5.2. Template Table Structure ............................................................................................................................. 25​ 5.2.1. Business Name ................................................................................................................................... 26​ 5.2.1.1. Multiple Instantiations ..................................................................................................................... 27​ 5.2.1.2. Implicit Element Structure For Business Name .................................................................................... 27​ 5.2.2. Nesting Level ...................................................................................................................................... 27​ 5.2.3. Element/Attribute Names and XPath Notation ............................................................................................ 27​ 5.2.4. Cardinality .......................................................................................................................................... 28​ 5.2.5. Element/Attribute Conformance .............................................................................................................. 29​ 5.2.6. Data Type .......................................................................................................................................... 29​ 5.2.7. Value Conformance .............................................................................................................................. 29​ 5.2.8. Value Specification ............................................................................................................................... 29​ 5.2.8.1. Coded Simple Value ...................................................................................................................... 30​ 5.2.8.2. Concept Descriptor and Coded With Equivalents ................................................................................. 30​ 5.2.8.3. Value Set ..................................................................................................................................... 30​ 5.2.8.4. Concept Domains .......................................................................................................................... 30​ 5.2.8.5. Mapping From DICOM SOP Instances and HL7v2 Messages ................................................................. 30​ 5.2.9. Subsidiary Templates ........................................................................................................................... 31​ 5.2.9.1. Vocabulary Binding and Constraints .................................................................................................. 31​ 5.2.10. Additional Requirements ...................................................................................................................... 31​ 5.3. Encoding .................................................................................................................................................. 31​ 5.3.1. Translation Code Element ...................................................................................................................... 32​ 5.3.2. Null Flavor .......................................................................................................................................... 32​ 5.3.3. Unknown Information ............................................................................................................................ 33​ 5.3.4. XML ID .............................................................................................................................................. 34​ 5.4. Extension and Namespace ........................................................................................................................... 35​ 5.5. Serialization Order of Elements ..................................................................................................................... 35​ 6. Conformance ................................................................................................................................................... 37​ 7. Document-level Templates .................................................................................................................................. 39​ 7.1. Imaging Report .......................................................................................................................................... 39​ 7.1.1. clinicalDocument/code .......................................................................................................................... 40​ 7.1.2. Addendum .......................................................................................................................................... 41​ 7.2. Imaging Addendum Report ........................................................................................................................... 41​ 8. Header Content Templates ................................................................................................................................. 43​ 8.1. General Header ......................................................................................................................................... 43​ 8.1.1. templateId - contentTemplate ................................................................................................................. 45​ 8.1.2. title .................................................................................................................................................... 45​ 8.1.3. effectiveTime ...................................................................................................................................... 46​ 8.1.4. setID and versionNumber ...................................................................................................................... 46​ 8.1.5. recordTarget/patientRole ....................................................................................................................... 46​ 8.1.6. legalAuthenticator ................................................................................................................................ 46​ 8.1.7. recordTarget/patientRole/Patient/birthTime ................................................................................................ 47​ 8.1.8. author/assignedAuthor .......................................................................................................................... 48​ 8.1.9. InformationRecipient/intendedRecipient .................................................................................................... 49​ 8.2. Imaging Header ......................................................................................................................................... 49​ 8.2.1. componentOf/encompassingEncounter .................................................................................................... 52​ 8.2.2. Physician of Record Participant ............................................................................................................... 53​ - Standard -​ Page 4​ DICOM PS3.20 2021d - Imaging Reports using HL7 Clinical Document Architecture​ 8.2.3. inFulfillmentOf/Order and @ID ................................................................................................................ 53​ 8.2.4. documentationOf/serviceEvent
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