[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-162836-105":53,"doc-detail-162836-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","dicom-supplement-155-open-issues-imaging-reports-using-hl7-cda","DICOM Supplement 155 - Open Issues - Imaging Reports using HL7 CDA","","Open issues and related decisions are documented for DICOM Supplement 155, focusing on how imaging reports are expressed using the HL7 Clinical Document Architecture (CDA). The text addresses publication approach for accession numbers and order placer numbers, need for conformance statements, and specification style for template public interfaces including attribute naming, data types, and implementation technology. It also contrasts open vs closed items, such as guidance for embedding arbitrary measurement blocks into CDA sections and their placement in findings.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":11,"@type":70,"position":76},"https://docshare.wps.com/template/presentations/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/dicom-supplement-155-open-issues-imaging-reports-using-hl7-cda/162836/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/dicom-supplement-155-open-issues-imaging-reports-using-hl7-cda/162836.png","ImageObject",442,249,{"name":88,"@type":89},"Clementine","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/vnd.openxmlformats-officedocument.wordprocessingml.document","2026-09-19","2026-08-30",true,{"@type":98,"interactionType":99,"userInteractionCount":79},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What open issues are discussed regarding accession numbers and order placer numbers in inFulfillmentOf?","Question",{"text":108,"@type":109},"The document considers whether these should be published as a new DICOM Part jointly balloted with HL7, or whether Part 20 should be recast to incorporate the transformation and shared template/header-section approach.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"Are specific conformance statements required for this CDA-based imaging reporting work?",{"text":113,"@type":109},"The text raises the question of whether specific conformance statements are needed, noting they would likely differ from the current Part 2 conventions.",{"name":115,"@type":106,"acceptedAnswer":116},"How should an arbitrary block of measurements from a measurement application be placed into a CDA section?",{"text":117,"@type":109},"The closed issue resolution directs that the measurements should be put into Findings, or alternatively into a user-labeled subsection.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},162836,1788132063,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":8,"category_name":11,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":79,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":135,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":125,"read_time":140},1374391974564,"https://ap-avatar.wpscdn.com/avatar/14000253aa45c000a9e?x-image-process=image/resize,m_fixed,w_180,h_180&k=1779874745381141002","Digital Imaging and Communications in Medicine (DICOM)\nSupplement 155:\nImaging Reports using HL7 Clinical Document Architecture\nPrepared by:\nDICOM Standards Committee, Working Group 8: Structured Reporting\nin cooperation with Working Group 20: Integration of Imaging and Information Systems\n1300 N. 17th Street, Suite 1752\nRosslyn, Virginia 22209 USA\nVERSION: \tDraft 2014-02-28\nDeveloped in accordance with: DICOM Workitem 2010-04-D\n\u000f\nOpen issues\nUse of Accession Numbers and Order Placer Numbers in inFulfillmentOf\nFor WG-6 – How should this be published within the Parts of DICOM?  Should this be a new Part, so that might be jointly balloted with HL7 (like Part 18 was with ISO)?  Or should Part 20 be recast to be combined with this (since it has transformation of SR imaging reports directly to CDA, and includes templates for header elements and sections)?\nDo we need specific Conformance Statements (probably different than current Part 2)\nFor RSNA and IHE – Should the MRRT specification be standardized within DICOM?  Might that be a later step after trial use of MRRT (in a different Supplement)?\nStyle of specification for template Public Interface – template name, attribute names and data types (is template name just an attribute name in a higher level template?)\nDo we need an Implementation Technology Specification for the data types used in the template public interfaces?\nStyle of specification for template – tabular, or conformance statements, or both?\nClosed issues\nArbitrary block of measurements from measurement app put into a CDA section. (D. Rubin)  Resolution: just put into Findings, or into user-labeled subsection\n\u000fTable of Contents\n\u0013 TOC \\o \"1-3\" \u0014Scope and Field of Application\t\u0013 PAGEREF _Toc257963225 \\h \u001412\u0015\nCDA and Implementation Guides\t\u0013 PAGEREF _Toc257963226 \\h \u001412\u0015\nTemplates\t\u0013 PAGEREF _Toc257963227 \\h \u001413\u0015\nImaging Report Templates for CDA\t\u0013 PAGEREF _Toc257963228 \\h \u001413\u0015\nUse with RSNA RadReport and IHE MRRT\t\u0013 PAGEREF _Toc257963229 \\h \u001414\u0015\nStructures provided by this Supplement\t\u0013 PAGEREF _Toc257963230 \\h \u001414\u0015\nRelationship to DICOM SR\t\u0013 PAGEREF _Toc257963231 \\h \u001415\u0015\n1\tGeneral Requirements and Conventions\t\u0013 PAGEREF _Toc257963232 \\h \u001416\u0015\n1.1\tUse of Templates\t\u0013 PAGEREF _Toc257963233 \\h \u001416\u0015\n1.1.1\tOriginator Responsibilities: General Case\t\u0013 PAGEREF _Toc257963234 \\h \u001416\u0015\n1.1.2\tRecipient Responsibilities: General Case\t\u0013 PAGEREF _Toc257963235 \\h \u001416\u0015\n1.2\tLevels of Constraint\t\u0013 PAGEREF _Toc257963236 \\h \u001416\u0015\n1.3\tConformance Conventions Used in This Guide\t\u0013 PAGEREF _Toc257963237 \\h \u001417\u0015\n1.3.1\tOpen and Closed Templates\t\u0013 PAGEREF _Toc257963238 \\h \u001417\u0015\n1.3.2\tConformance Verbs (Keywords)\t\u0013 PAGEREF _Toc257963239 \\h \u001417\u0015\n1.3.3\tCardinality\t\u0013 PAGEREF _Toc257963240 \\h \u001418\u0015\n1.3.4\tOptional and Required with Cardinality\t\u0013 PAGEREF _Toc257963241 \\h \u001419\u0015\n1.3.5\tVocabulary Conformance\t\u0013 PAGEREF _Toc257963242 \\h \u001419\u0015\n1.3.6\tContainment Relationships\t\u0013 PAGEREF _Toc257963243 \\h \u001420\u0015\n1.3.7\tNull Flavor\t\u0013 PAGEREF _Toc257963244 \\h \u001421\u0015\n1.3.8\tUnknown Information\t\u0013 PAGEREF _Toc257963245 \\h \u001422\u0015\n1.3.9\tData Types\t\u0013 PAGEREF _Toc257963246 \\h \u001424\u0015\n1.4\tXML Conventions Used in This Guide\t\u0013 PAGEREF _Toc257963247 \\h \u001424\u0015\n1.4.1\tXPath Notation\t\u0013 PAGEREF _Toc257963248 \\h \u001424\u0015\n1.4.2\tXML Examples and Sample Documents\t\u0013 PAGEREF _Toc257963249 \\h \u001425\u0015\n2\tDocument-Level Templates\t\u0013 PAGEREF _Toc257963250 \\h \u001426\u0015\n2.1\tDiagnostic Imaging Report Release 2\t\u0013 PAGEREF _Toc257963251 \\h \u001426\u0015\n2.1.1\tDIR Header Constraints\t\u0013 PAGEREF _Toc257963252 \\h \u001427\u0015\n2.1.2\tDIR Body Constraints\t\u0013 PAGEREF _Toc257963253 \\h \u001429\u0015\n2.2\tInterventional Radiology Report (reserved)\t\u0013 PAGEREF _Toc257963254 \\h \u001430\u0015\n2.3\tAnatomic Pathology Report (reserved)\t\u0013 PAGEREF _Toc257963255 \\h \u001430\u0015\n3\tHeader Content Modules\t\u0013 PAGEREF _Toc257963256 \\h \u001432\u0015\n3.1\tGeneral Header Constraints\t\u0013 PAGEREF _Toc257963257 \\h \u001432\u0015\n3.1.1\tRendering Header Information for Human Presentation\t\u0013 PAGEREF _Toc257963258 \\h \u001434\u0015\n3.2\tRecordTarget and Patient Demographics\t\u0013 PAGEREF _Toc257963259 \\h \u001434\u0015\n3.2.1\tPatient\t\u0013 PAGEREF _Toc257963260 \\h \u001435\u0015\n3.2","cbCaibs8tVlJlMf2","https://ap.wps.com/l/cbCaibs8tVlJlMf2","docx",681865,177,"English","# Scope and Field of Application\n## CDA and Implementation Guides\n## Templates\n## Imaging Report Templates for CDA\n## Use with RSNA RadReport and IHE MRRT\n## Structures provided by this Supplement\n## Relationship to DICOM SR\n# General Requirements and Conventions\n## Use of Templates\n## Levels of Constraint\n## Conformance Conventions Used in This Guide\n## XML Conventions Used in This Guide\n# Document-Level Templates\n## Diagnostic Imaging Report Release 2\n## Interventional Radiology Report (reserved)\n## Anatomic Pathology Report (reserved)\n# Header Content Modules\n## General Header Constraints\n## RecordTarget and Patient Demographics\n## inFulfillmentOf Order\n## componentOf Encompassing Encounter\n# Section-Level Templates\n## Addendum\n## Clinical Information\n## Communication of Critical Results\n## Comparison Study","[{\"question\":\"What open issues are discussed regarding accession numbers and order placer numbers in inFulfillmentOf?\",\"answer\":\"The document considers whether these should be published as a new DICOM Part jointly balloted with HL7, or whether Part 20 should be recast to incorporate the transformation and shared template/header-section approach.\"},{\"question\":\"Are specific conformance statements required for this CDA-based imaging reporting work?\",\"answer\":\"The text raises the question of whether specific conformance statements are needed, noting they would likely differ from the current Part 2 conventions.\"},{\"question\":\"How should an arbitrary block of measurements from a measurement application be placed into a CDA section?\",\"answer\":\"The closed issue resolution directs that the measurements should be put into Findings, or alternatively into a user-labeled subsection.\"}]","DICOM Supplement 155 - Open Issues - Imaging Reports using HL7 CDA | DOCX",62]