Back To Index  <<  Back To Templates

draft Template  Findings Section (DIR)

Id 2.16.840.1.113883.10.20.6.1.2 Effective Date valid from 2016‑10‑09 02:22:03
Status draft Draft Version Label 1.1
Name FindingsSectionDIR Display Name Findings Section (DIR)
Description The Findings section contains the main narrative body of the report. While not an absolute requirement for transformed DICOM SR reports, it is suggested that Diagnostic Imaging Reports authored in CDA follow Term Info guidelines for the codes in the various observations and procedures recorded in this section.
Context Parent nodes of template element with id 2.16.840.1.113883.10.20.6.1.2
Classification CDA Section Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 1 template, Uses 0 templates
Used by Template id as Name Version
2.16.840.1.113883.3.51.60.2.5 Containment BC CDA ClinicalDocumentMedicalImaging 2016‑10‑09 02:16:30
Relationship Specialization: template 2.16.840.1.113883.10.20.6.1.2 (2013‑01‑31)
Item DT Card Conf Description Label
cda:section
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. (FindingsSectionDIR)
treetree cda:templateId
II 1 … 1 M SHALL contain exactly one [1..1] templateId (CONF:8531) such that it conf‑8531
treeblank treetree @root
uid 1 … 1 F 2.16.840.1.113883.10.20.6.1.2 conf‑10456