Results Radiology with Image Narrative

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Approval Status

  • Approval Status: Approved
  • Example Task Force: 3/10/2016
  • SDWG approved: 3/31/2016
  • SDWG C-CDA R2.1 Upgrade: 2/2/2017

C-CDA 2.1 Example:

  • 2.16.840.1.113883.
  • 2.16.840.1.113883.
  • 2.16.840.1.113883.
  • 2.16.840.1.113883.
  • 2.16.840.1.113883.
  • 2.16.840.1.113883.

Reference to full CDA sample:

  • Results in empty CCD

Validation location


  • This is an example of how to show a radiology result with narrative report in the results section. For the value, xsi-type equals ED (with reference) for encapsulated data.


  • John D'Amore, (GitHub:jddamore)


  • Radiology, Imaging Study, Narrative




Example: download example view on GitHub

	<templateId root="2.16.840.1.113883."/>
	<templateId root="2.16.840.1.113883." extension="2015-08-01"/>
	<!-- Results Section with Coded Entries Required-->
	<code code="30954-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Relevant diagnostic tests and/or laboratory data"/>
		<table border="1">
					<th>Value / Unit</th>
					<th>Reference Range</th>
					<th colspan="4">Chest X-RAY 2 views</th>
					<th colspan="4">Performed on 02-25-2015 9:10a</th>
				<tr ID="Result1">
					<td>Chest X-Ray 2 Views</td>
					<td ID="Result1OriginalText">
						The lungs are clear. The heart is enlarged with evidence of cardiomegaly.
						Pulmonary vasculature is normal. The aorta is mildly ectatic and tortuous.
						IMPRESSION: Cardiomegaly. No other acute abnormality. 
					<td />
					<td />
					<th colspan="4">Electronically signed: Hermione Seaven, MD 02-25-2015 10:32a</th>
		<organizer classCode="CLUSTER" moodCode="EVN">
			<!-- Selected CLUSTER since not a set of tests -->
			<templateId root="2.16.840.1.113883."/>
			<templateId root="2.16.840.1.113883." extension="2015-08-01"/>
			<!-- Results Organizer -->
			<id root="e1aa44dd-6f39-4f5c-b267-897c3821b563"/>
			<code code="71020" displayName="Chest X-Ray 2 Views" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT"/>
			<statusCode code="completed"/>
			<!-- an organizer/effectiveTime value="20150225091059-0500" could be used but is not required -->
				<observation classCode="OBS" moodCode="EVN">
					<templateId root="2.16.840.1.113883."/>
					<templateId root="2.16.840.1.113883." extension="2015-08-01"/>
					<!-- Results Observation -->
					<id root="e1aa44dd-6f39-2f5c-b267-897c3824b563"/>
					<code code="36643-5" displayName="XR Chest 2 Views" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC">
						<!-- a translation code may be helpful and used by some EHRs to denote that this is a textual response of result impression -->
						<reference value="#Result1"/>
					<statusCode code="completed"/>
					<!-- This is the timestamp of biologically relevance (i.e. when chest x-ray was performed), aligning with HL7 v3 modeling. -->
					<effectiveTime value="20150225091059-0500"/>
					<value xsi:type="ED">
						<reference value="#Result1OriginalText" />
						<!-- This is the timestamp of when the author (i.e. the radiologist) interepreted the chest x-ray-->
						<time value="20150225103206-0500"/>
							<id extension="66666" root="2.16.840.1.113883.4.6"/>
							<code code="111NR0200X" codeSystem="2.16.840.1.113883.6.101" codeSystemName="NUCC" displayName="Chiropractic Providers; Chiropractor, Radiology"/>
								<streetAddressLine>6666 StreetName St.</streetAddressLine>
								<city>Silver Spring</city>
							<telecom value="tel:+1(301)666-6666" use="WP"/>
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