ARCHETYPE ID | openEHR-EHR-OBSERVATION.imaging_exam_result-dicom_series_metadata.v0 |
Concept | Imaging examination result |
Description | Record the findings and interpretation of an imaging examination, or series of examinations, performed. |
Use | Use to record all results related to the diagnostic imaging aspects of any imaging examinations performed. Use to record the imaging examination components (only) of a more complex procedure, including those that may have been undertaken under imaging guidance. More complex procedures (such as echocardiaograms or Bone density scans) may be represented using templates or specialised archetypes where additional report content is appropriate. Will normally be reported back to the requesting clinician as one component within the context of an overall COMPOSITION-based report. |
Misuse | Not to be used to record non-imaging examination findings or activities. For example when imaging is performed as part of a procedure the information related to the procedure must be recorded using the ACTION.procedure archetype or an OBSERVATION for the operative findings. This archetype will only be used to record the findings from the imaging. Not to be used to record details about any parallel procedure undertaken. Use the specific procedure-related archetypes, for example ACTION.procedure. Not to be used to record details about medications administered during the imaging test. Use specific medication-related archetypes, for example ACTION.medication. |
Purpose | To record the findings and interpretation of an imaging examination, or series of examinations, performed. |
References | Derived from: https://ckm.highmed.org/ckm/archetypes/1246.145.613 IHE.net Technical Frameworks - Radiology [Internet]. [date unknown];[cited 2011 Jan 2 ] Available from: http://www.ihe.net/Technical_Framework/index.cfm#radiology RSNA.org: Radiology Reporting [Internet]. [date unknown];[cited 2011 Jan 2 ] Available from: http://www.rsna.org/Informatics/radreports.cfm Radiology Written Report Guideline Project (Draft Consultation); December 2010. Diagnostic Imaging data specifications; NEHTA, version 1.0, 2007 Jun 29. Imaging examination result, draft archetype, NEHTA Clinical Knowledge Manager [Internet]. London: NEHTA. Authored: 11 Feb 2007. Available at: http://dcm.nehta.org.au/ckm/#showArchetype_1013.1.943_6 (accessed 16 Sep 2013). |
Copyright | © openEHR Foundation, HiGHmed |
Authors | Author name: Grahame Grieve Organisation: Health Intersections Pty Ltd Email: grahame@healthintersections.com.au Date originally authored: 2011-02-07 |
Other Details Language | Author name: Grahame Grieve Organisation: Health Intersections Pty Ltd Email: grahame@healthintersections.com.au Date originally authored: 2011-02-07 |
OtherDetails Language Independent | {licence=This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/., custodian_organisation=HiGHmed, references=Derived from: https://ckm.highmed.org/ckm/archetypes/1246.145.613 IHE.net Technical Frameworks - Radiology [Internet]. [date unknown];[cited 2011 Jan 2 ] Available from: http://www.ihe.net/Technical_Framework/index.cfm#radiology RSNA.org: Radiology Reporting [Internet]. [date unknown];[cited 2011 Jan 2 ] Available from: http://www.rsna.org/Informatics/radreports.cfm Radiology Written Report Guideline Project (Draft Consultation); December 2010. Diagnostic Imaging data specifications; NEHTA, version 1.0, 2007 Jun 29. Imaging examination result, draft archetype, NEHTA Clinical Knowledge Manager [Internet]. London: NEHTA. Authored: 11 Feb 2007. Available at: http://dcm.nehta.org.au/ckm/#showArchetype_1013.1.943_6 (accessed 16 Sep 2013)., original_namespace=org.highmed, original_publisher=HiGHmed, custodian_namespace=org.highmed, MD5-CAM-1.0.1=A4E4AD7252E6B5B517F72C7E97FC1BB6, build_uid=33b18948-eb27-4220-bef4-59f4fd6f1482, revision=0.0.1-alpha} |
Keywords | |
Lifecycle | in_development |
UID | 9eec5190-b9ab-48e4-8296-5d5ce1bccee0 |
Language used | en |
Citeable Identifier | 1246.145.1284 |
Revision Number | 0.0.1-alpha |
All | Archetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Record the findings and interpretation of an imaging examination, or series of examinations, performed., archetypeConceptComment=null, otherContributors=Silje Ljosland Bakke, Nasjonal IKT HF, Norway (openEHR Editor) Sharmila Biswas, Australia Eric Browne David Cartwright, Queensland Health, Australia Stephen Chu, NEHTA, Australia (Editor) Matthew Cordell, NEHTA, Australia Andre de Wolf, NeHTA, Australia David Evans, Queensland Health, Australia Hildegard Franke, freshEHR Clinical Informatics Ltd., United Kingdom Jacquie Garton-Smith, Royal Perth Hospital and DoHWA, Australia Grahame Grieve, Health Intersections Pyty Ltd, Australia (Editor) Mary Kelaher, NEHTA, Australia Diane Kirkham, NEHTA, Australia Robert L'egan, NEHTA, Australia Heather Leslie, Ocean Health Systems, Australia (openEHR Editor) Mike Martyn, The Hobart Anaesthetic Group, Australia Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (openEHR Editor) Chris Mitchell, RACGP, Australia Stewart Morrison, NEHTA, Australia Michael Osborne, Mater Health Services, Australia Ning Pan Chris Pearce, Melbourne East GP Network, Australia Jodie Pycroft, Adelaide Northern Division of General Practice Ltd, Australia Cathy Richardson, NEHTA, Australia Stephen Royce, NEHTA, Australia Eleanor Royle Don Stewart Michael Thompson, Queensland Health, Australia Gordon Tomes, Australian Institute of Health and Welfare, Australia Richard Townley-O'Neill, NEHTA, Australia, originalLanguage=en, translators=
openEHR-EHR-CLUSTER.anatomical_
openEHR-EHR-CLUSTER.imaging_ openEHR-EHR-CLUSTER.multimedia.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0059], code=at0059, itemType=ELEMENT, level=4, text=Recommendation, description=Suggestion for further imaging, investigations and/or referral, and associated rationale., comment=This data element has 0..* occurrences to allow for more than one recommendation and associated rationale. Formal orders for additional imaging examination, investigation should be recorded using an INSTRUCTION archetype, such as INSTRUCTION.service_request., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0023], code=at0023, itemType=ELEMENT, level=4, text=Comment, description=Additional narrative about the examination not captured in other fields., comment=For example: a note that the film was given to the patient., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0.15], code=at0.15, itemType=SLOT, level=4, text=Anatomic region sequence, description=Extension for anatomic region sequence. Referes to DICOM tag (0008,2218)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: All not explicitly excluded archetypes, extendedValues=null]], credentials=[], target=[], items=[], content=[], description=[], contacts=[], state=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/state[at0047]/items[at0048], code=at0048, itemType=ELEMENT, level=4, text=Confounding factors, description=Narrative description of factors, not recorded elsewhere, that may influence the examination findings and/or result., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], events=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=2, text=Any event, description=Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=null, extendedValues=null]], provider=[], identities=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0049], code=at0049, itemType=ELEMENT, level=2, text=Technique, description=Narrative description about the technical details and procedure., comment=For example: outline of technique; non-routine alternative or additional imaging; nature and route of administration of contrast agent, radiopharmaceuticals and/or treatments administered; adverse reactions to contrast media., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0041], code=at0041, itemType=SLOT, level=2, text=Structured technique, description=Additional structured details of technical details and procedure., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: All not explicitly excluded archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0057], code=at0057, itemType=ELEMENT, level=2, text=Imaging quality, description=Narrative description about the quality of the examination., comment=For example: the nature of any limitations and their impact on interpretation., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0026], code=at0026, itemType=SLOT, level=2, text=Receiving imaging service, description=Demographic details about the receiving imaging service performing the imaging test., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: All not explicitly excluded archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0027], code=at0027, itemType=CLUSTER, level=2, text=Examination request details, description=Details concerning a single examination requested. Note: Usually there is one examination request for each result, however in some circumstances multiple examination requests may be represented using a single Imaging examination result archetype., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=1..*, cardinalityText= , subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0027]/items[at0028.1], code=at0028.1, itemType=ELEMENT, level=3, text=Requester order identifier, description=The local identifier assigned to the order by the order requester. Equivalent to the HL7 Placer Order Identifier. Referes to DICOM Tag: (0008,0050)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0027]/items[at0029], code=at0029, itemType=ELEMENT, level=3, text=Examination requested name, description=Identification of imaging examination or procedure requested, where the examination requested differs from the examination actually performed., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0027]/items[at0030.1], code=at0030.1, itemType=SLOT, level=3, text=Requester, description=Details about the clinician or organisation requesting the imaging examination. Referes to DICOM Tag (0008,0090)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: All not explicitly excluded archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0027]/items[at0031], code=at0031, itemType=ELEMENT, level=3, text=Receiver order identifier, description=The local identifier assigned to the examination order by the order filler, usually by the Radiology Information System (RIS). Usually equivalent to the HL7 Filler Order Number., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0027]/items[at0032.1], code=at0032.1, itemType=ELEMENT, level=3, text=DICOM study identifier, description=Unique identifier of this study allocated by the imaging service. Referes to DICOM Tag (0020,000D)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_URI, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0027]/items[at0033], code=at0033, itemType=ELEMENT, level=3, text=Report identifier, description=The local identifier given to the imaging examination report., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0027]/items[at0034], code=at0034, itemType=CLUSTER, level=3, text=(Image details), description=Images referred to, or provided, to assist clinical understanding of the examination. If attached image is in DICOM format, all the fields below should be populated so the values are available to software that does not process DICOM images., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=1..*, cardinalityText= , subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Runtime name constraint:
openEHR-EHR-CLUSTER.device.v1, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0027]/items[at0.6], code=at0.6, itemType=ELEMENT, level=3, text=DICOM SOP class UID, description=Referes to DICOM Tag (0008,0016)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0027]/items[at0.7], code=at0.7, itemType=ELEMENT, level=3, text=DICOM SOP instance UID, description=Referes to DICOM Tag (0020,000D)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0027]/items[at0.1], code=at0.1, itemType=ELEMENT, level=3, text=DICOM study description, description=Referes to DICOM Tag (0008,1030)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0027]/items[at0.10], code=at0.10, itemType=ELEMENT, level=3, text=DICOM images in study, description=Number of images in DICOM study., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0027]/items[at0.2], code=at0.2, itemType=ELEMENT, level=3, text=DICOM study date and time, description=Referes to DICOM Tags date (0008,0020) and time (0008,0030)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0027]/items[at0.16], code=at0.16, itemType=SLOT, level=3, text=DICOM modality in study, description=Slot for modalities used in DICOM study., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: openEHR-EHR-CLUSTER.device.v1, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0046], code=at0046, itemType=SLOT, level=2, text=Extension, description=Additional information required to extend the model with local content or to align with other reference models or formalisms., comment=For example: local information requirements; or additional metadata to align with FHIR., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: All not explicitly excluded archetypes, extendedValues=null]]}, topLevelItems={data=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=ITEM_TREE, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=1..*, subCardinalityText= , dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], state=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001]/events[at0002]/state[at0047], code=at0047, itemType=ITEM_TREE, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items , dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0025], code=at0025, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items , dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0049], code=at0049, itemType=ELEMENT, level=2, text=Technique, description=Narrative description about the technical details and procedure., comment=For example: outline of technique; non-routine alternative or additional imaging; nature and route of administration of contrast agent, radiopharmaceuticals and/or treatments administered; adverse reactions to contrast media., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0041], code=at0041, itemType=SLOT, level=2, text=Structured technique, description=Additional structured details of technical details and procedure., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: All not explicitly excluded archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0057], code=at0057, itemType=ELEMENT, level=2, text=Imaging quality, description=Narrative description about the quality of the examination., comment=For example: the nature of any limitations and their impact on interpretation., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0026], code=at0026, itemType=SLOT, level=2, text=Receiving imaging service, description=Demographic details about the receiving imaging service performing the imaging test., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: All not explicitly excluded archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0027], code=at0027, itemType=CLUSTER, level=2, text=Examination request details, description=Details concerning a single examination requested. Note: Usually there is one examination request for each result, however in some circumstances multiple examination requests may be represented using a single Imaging examination result archetype., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=1..*, cardinalityText= , subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0027]/items[at0028.1], code=at0028.1, itemType=ELEMENT, level=3, text=Requester order identifier, description=The local identifier assigned to the order by the order requester. Equivalent to the HL7 Placer Order Identifier. Referes to DICOM Tag: (0008,0050)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0027]/items[at0029], code=at0029, itemType=ELEMENT, level=3, text=Examination requested name, description=Identification of imaging examination or procedure requested, where the examination requested differs from the examination actually performed., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0027]/items[at0030.1], code=at0030.1, itemType=SLOT, level=3, text=Requester, description=Details about the clinician or organisation requesting the imaging examination. Referes to DICOM Tag (0008,0090)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: All not explicitly excluded archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0027]/items[at0031], code=at0031, itemType=ELEMENT, level=3, text=Receiver order identifier, description=The local identifier assigned to the examination order by the order filler, usually by the Radiology Information System (RIS). Usually equivalent to the HL7 Filler Order Number., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0027]/items[at0032.1], code=at0032.1, itemType=ELEMENT, level=3, text=DICOM study identifier, description=Unique identifier of this study allocated by the imaging service. Referes to DICOM Tag (0020,000D)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_URI, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0027]/items[at0033], code=at0033, itemType=ELEMENT, level=3, text=Report identifier, description=The local identifier given to the imaging examination report., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0027]/items[at0034], code=at0034, itemType=CLUSTER, level=3, text=(Image details), description=Images referred to, or provided, to assist clinical understanding of the examination. If attached image is in DICOM format, all the fields below should be populated so the values are available to software that does not process DICOM images., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=1..*, cardinalityText= , subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Runtime name constraint:
openEHR-EHR-CLUSTER.device.v1, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0027]/items[at0.6], code=at0.6, itemType=ELEMENT, level=3, text=DICOM SOP class UID, description=Referes to DICOM Tag (0008,0016)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0027]/items[at0.7], code=at0.7, itemType=ELEMENT, level=3, text=DICOM SOP instance UID, description=Referes to DICOM Tag (0020,000D)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0027]/items[at0.1], code=at0.1, itemType=ELEMENT, level=3, text=DICOM study description, description=Referes to DICOM Tag (0008,1030)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0027]/items[at0.10], code=at0.10, itemType=ELEMENT, level=3, text=DICOM images in study, description=Number of images in DICOM study., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0027]/items[at0.2], code=at0.2, itemType=ELEMENT, level=3, text=DICOM study date and time, description=Referes to DICOM Tags date (0008,0020) and time (0008,0030)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0027]/items[at0.16], code=at0.16, itemType=SLOT, level=3, text=DICOM modality in study, description=Slot for modalities used in DICOM study., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: openEHR-EHR-CLUSTER.device.v1, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0046], code=at0046, itemType=SLOT, level=2, text=Extension, description=Additional information required to extend the model with local content or to align with other reference models or formalisms., comment=For example: local information requirements; or additional metadata to align with FHIR., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: All not explicitly excluded archetypes, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null] |