Findings. Alternatively, findings might be grouped into subsections by anatomy (e.g., a section each for head, neck and chest). The conformance rules apply to entries of the main section and any child subsections. Note 2: Radiation Exposure and Protection Information: A Radiation Exposure and Protection Information Section SHOULD be present if the documented service is CT or X-ray. Name XPath Card. Verb Data Fixed Value Type Findings section @classCode 1..1 2.16.840.1.113883.5.6 SHALL (HL7ActClass) = DOCSECT @moodCode 1..1 2.16.840.1.113883.5.1001 SHALL (ActMood) = EVN templateId 1..1 SET<II> SHALL @root 1..1 tbd SHALL id 1..* II SHALL 59776-5, LOINC, code 1..1 CD SHALL “Procedure Findings” text text 0..1 ED SHOULD author author 0..1 MAY component 0..* MAY OB.US component MAY Fetus 0..* Findings component 0..1 SHOULD component 0..1 MAY component 0..1 MAY component MAY and 0..1 Procedure entry 1..* MAY Context Categorical entry 0..* MAY Observation Numeric entry 0..* MAY Observation entry 0..* MAY (graphical) SOP Instance entry 0..* MAY Observation
Findings. Alternatively, findings might be grouped into subsections by anatomy (e.g., a section each for head, neck and chest). The conformance rules apply to entries of the main section and any child subsections. Note 2: Radiation Exposure and Protection Information: A Radiation Exposure and Protection Information Section SHOULD be present if the documented service is CT or X-ray. Name XPath Card. Verb Data Type Fixed Value Findings section @classCode 1..1 SHALL 2.16.840.1.113883.5.6 (HL7ActClass) = DOCSECT @moodCode 1..1 SHALL 2.16.840.1.113883.5.1001 (ActMood) = EVN templateId 1..1 SHALL SET<II> @root 1..1 SHALL tbd id 1..* SHALL II code 1..1 SHALL CD 59776-5, LOINC, “Procedure Findings” text text 0..1 SHOULD ED author author 0..1 MAY component 0..* MAY OB.US Fetus Findings component 0..* MAY component 0..1 SHOULD component 0..1 MAY component 0..1 MAY and component 0..1 MAY Procedure Context entry 1..* MAY Categorical Observation entry 0..* MAY Numeric Observation entry 0..* MAY (graphical) entry 0..* MAY SOP Instance Observation entry 0..* MAY
sup155.docx