TID 2005 Transcribed Diagnostic Imaging Report

Basic report template for general diagnostic imaging interpretation reports produced in a dictation/transcription workflow. SR documents encoded using this template are intended to be transformable to HL7 Clinical Document Architecture format (see PS3.17).

This template can be instantiated only at the root node, and cannot be included in other templates.

Observation Context shall be inherited from outside the SR Content tree, and shall not be changed within the Content tree. To satisfy the requirement that Observer Context is inherited, either or both the Author Observer Sequence (0040,A078) or the Verifying Observer Sequence (0040,A073) from the SR Document Module must be present in the SOP Instance.

Note: See Section on Observation Context Encoding in PS3.3

TID 2005TRANSCRIBED DIAGNOSTIC IMAGING REPORTType: Non-Extensible Order: Significant

NL Rel with Parent VT Concept Name VM Req Type Condition Value Set Constraint
1 CONTAINER BCID (7000) Diagnostic Imaging Report Document Titles 1 M
2 > HAS CONCEPT MOD CODE EV (121049, DCM, ”Language of Content Item and Descendants”) 1 M DCID (5000) Language
3 > CONTAINS CONTAINER BCID (7001) Diagnostic Imaging Report Headings 1-n M
4 >> CONTAINS TEXT BCID (7002) Diagnostic Imaging Report Elements 1 U
5 > CONTAINS CONTAINER EV (121180, DCM, “Key Images”) 1-n U
6 >> CONTAINS TEXT EV (113012, DCM, ”Key Object Description”) 1 U
7 >> CONTAINS IMAGE Purpose of Reference is not used 1-n M

Content Item Descriptions

Row 3 CONTAINER Concept Name may be absent.

Row 7 IMAGE Concept Name shall be absent.