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DICOM PS3.16 2020a - Content Mapping Resource​

 

Page 241​

Order:​

 

Significant​

 

 

 

 

Root:​

 

 

No​

 

 

 

 

 

 

 

Table TID 3708. ECG Waveform Information​

 

 

NL​ Rel with Parent​ VT​

Concept Name​

VM​

Req​ Condition​ Value Set​

 

 

 

 

 

 

Type​

Constraint​

1​

 

 

CONTAINER​EV (55111-9, LN, "Current​

1​

M​

 

 

 

 

 

Procedure Descriptions")​

 

 

 

2​

>​

CONTAINS​

WAVEFORM​EV (121112, DCM, "Source of​

1​

U​

 

 

 

 

 

Measurement")​

 

 

 

3​

>​

CONTAINS​

CODE​

EV (10:11345, MDC, "Lead​

1​

U​

DCID 3263​

 

 

 

 

System")​

 

 

“Electrode​

 

 

 

 

 

 

 

Placement​

 

 

 

 

 

 

 

Values”​

4​

>​

CONTAINS​

TEXT​

EV (122142, DCM, "Acquisition​

1​

U​

 

 

 

 

 

Device Type")​

 

 

 

5​

>​

CONTAINS​

TEXT​

EV (121122, DCM, "Equipment​

1​

U​

 

 

 

 

 

Identification")​

 

 

 

6​

>​

CONTAINS​

INCLUDE​

DTID 1003 “Person Observer​

1​

U​

Person​

 

 

 

 

Identifying Attributes”​

 

 

performing the​

 

 

 

 

 

 

 

ECG​

 

 

 

 

 

 

 

acquisition​

7​

>​

CONTAINS​

TEXT​

EV (121121, DCM, "Room​

1​

U​

 

 

 

 

 

Identification")​

 

 

 

8​

>​

CONTAINS​

DATETIME​

EV (122146, DCM, "Procedure​

1​

M​

 

 

 

 

 

DateTime")​

 

 

 

9​

>​

CONTAINS​

NUM​

DCID 3690 “ECG Control​

1-n​

U​

 

 

 

 

 

Variables Numeric”​

 

 

 

10​

>​

CONTAINS​

TEXT​

DCID 3691 “ECG Control​

1-n​

U​

 

 

 

 

 

Variables Text”​

 

 

 

11​

>​

CONTAINS​

INCLUDE​

DTID 4019 “Algorithm​

1​

U​

 

 

 

 

 

Identification”​

 

 

 

TID 3713 ECG Global Measurements​

The ECG Global Measurements Template provides a structure for measurements calculated across the ECG waveform as a whole​ (multiple leads).​

AsanExtensibleTemplate,applicationsmayincludeanyECGglobalmeasurements,suchasanglesoftheelectricalvectorofvarious​ ECG waves. The recommended vocabulary for such concepts is ISO/IEEE 11073-10102.​

Type:​

Extensible​

Order:​

Significant​

Root:​

No​

 

Table TID 3713. ECG Global Measurements​

NL​ Rel with Parent​ VT​

Concept Name​

VM​

Req​Condition​Value Set Constraint​

 

 

 

 

Type​

1​

CONTAINER​EV (122158, DCM, "ECG​

1​

M​

 

 

Global Measurements")​

 

 

2​ >​ HAS OBS​

INCLUDE​

DTID 3715 “ECG​

1​

U​

CONTEXT​

 

Measurement Source”​

 

 

- Standard -​

Page 242​

 

DICOM PS3.16 2020a - Content Mapping Resource​

 

 

NL​ Rel with Parent​ VT​

Concept Name​

VM​

Req​Condition​Value Set Constraint​

 

 

 

 

 

 

Type​

 

3​

>​

CONTAINS​

NUM​

DT (2:16020, MDC, "Atrial​

1​

U​

UNITS = EV ({H.B.}/min,​

 

 

 

 

Heart Rate")​

 

 

UCUM, "BPM")​

4​

>​

CONTAINS​

NUM​

DT (2:16016, MDC,​

1​

M​

UNITS = EV ({H.B.}/min,​

 

 

 

 

"Ventricular Heart Rate")​

 

 

UCUM, "BPM")​

5​

>​

CONTAINS​

NUM​

DT (2:16160, MDC, "QT​

1​

M​

UNITS=EV(ms,UCUM,​

 

 

 

 

interval global")​

 

 

"ms")​

6​

>​

CONTAINS​

NUM​

DT (2:15876, MDC, "QTc​

1​

U​

UNITS=EV(ms,UCUM,​

 

 

 

 

interval global")​

 

 

"ms")​

7​

>>​

HAS​

CODE​

DT(111001,DCM,"Algorithm​

1​

U​

DCID 3678 “QT​

 

 

PROPERTIES​

 

Name")​

 

 

Correction Algorithms”​

8​

>​

CONTAINS​

NUM​

DT (2:15872, MDC, "PR​

1​

M​

UNITS=EV(ms,UCUM,​

 

 

 

 

interval global")​

 

 

"ms")​

9​

>​

CONTAINS​

NUM​

DT (2:16156, MDC, "QRS​

1​

M​

UNITS=EV(ms,UCUM,​

 

 

 

 

duration global")​

 

 

"ms")​

10​

>​

CONTAINS​

NUM​

DT (2:16168, MDC, "RR​

1​

M​

UNITS=EV(ms,UCUM,​

 

 

 

 

interval global")​

 

 

"ms")​

11​

>​

CONTAINS​

NUM​

DCID 3689 “ECG Global​

1-n​

U​

UNITS=EV(ms,UCUM,​

 

 

 

 

Waveform Durations”​

 

 

"ms")​

12​

>​

CONTAINS​

NUM​

DCID 3229 “ECG Axis​

1-n​

U​

UNITS = EV (deg,​

 

 

 

 

Measurements”​

 

 

UCUM, "deg")​

13​

>​

CONTAINS​

NUM​

DT(2:16032,MDC,"Countof​

1​

U​

UNITS = EV ({beats},​

 

 

 

 

all beats")​

 

 

UCUM, "beats")​

14​

>​

CONTAINS​

NUM​

DT (122707, DCM, "Number​

1​

U​

UNITS = EV ({beats},​

 

 

 

 

of Ectopic Beats")​

 

 

UCUM, "beats")​

15​

>>​

HAS​

CODE​

EV (116676008, SCT,​

1-n​

U​

BCID3234“EctopicBeat​

 

 

PROPERTIES​

 

"Associated Morphology")​

 

 

Morphology”​

TID 3714 ECG Lead Measurements​

The ECG Lead Measurements Template provides a structure for measurements calculated on individual ECG leads.​

As an Extensible Template, applications may include any ECG per lead measurements, such as integrals over time of various ECG​ wave voltages. The recommended vocabulary for such concepts is ISO/IEEE 11073-10102.​

Type:​

Extensible​

Order:​

Significant​

Root:​

No​

 

Table TID 3714. ECG Lead Measurements​

 

NL​ Rel with Parent​ VT​

Concept Name​

VM​

Req​ Condition​Value Set Constraint​

 

 

 

 

 

 

Type​

 

1​

 

 

CONTAINER​EV (122159, DCM, "ECG​

1​

M​

 

 

 

 

 

Lead Measurements")​

 

 

 

2​

>​

HAS CONCEPT​CODE​

EV(122148,DCM,"LeadID")​

1​

M​

BCID 3001 “ECG​

 

 

MOD​

 

 

 

 

Leads”​

3​

>​

HAS OBS​

INCLUDE​

DTID 3715 “ECG​

1​

U​

 

 

 

CONTEXT​

 

Measurement Source”​

 

 

 

4​

>​

CONTAINS​

NUM​

DCID3687“Electrophysiology​ 1-n​

U​

UNITS = EV (ms,​

 

 

 

 

Waveform Durations”​

 

 

UCUM, "ms")​

- Standard -​

 

 

 

DICOM PS3.16 2020a - Content Mapping Resource​

Page 243​

 

NL​ Rel with Parent​ VT​

Concept Name​

VM​

Req​ Condition​Value Set Constraint​

 

 

 

 

 

 

Type​

 

5​

>​

CONTAINS​

NUM​

DCID3688“Electrophysiology​ 1-n​

U​

UNITS = EV (mV,​

 

 

 

 

Waveform Voltages”​

 

 

UCUM, "mV")​

6​

>​

CONTAINS​

CODE​

EV (365416000, SCT, "ST​

1​

U​

DCID 3233 “ST​

 

 

 

 

Segment Finding")​

 

 

Segment Morphology”​

7​

>​

CONTAINS​

CODE​

EV (121071, DCM, "Finding")​ 1-n​

U​

DCID 3680 “ECG Lead​

 

 

 

 

 

 

 

Noise Descriptions”​

TID 3715 ECG Measurement Source​

The ECG Measurement Source Template provides a structure for identifying the particular cardiac cycle, or beat, in an analyzed ECG​ waveform used for the measurement group for which this Template provides Observation Context. The cardiac cycle is identified by​ beat number, and optionally by specific temporal coordinates within a DICOM ECG Waveform SOP Instance.​

Type:​

Extensible​

Order:​

Significant​

Root:​

No​

 

Table TID 3715. ECG Measurement Source​

NL​

Rel with​

VT​

Concept Name​

VM​ Req Type​Condition​Value Set Constraint​

 

Parent​

 

 

 

 

 

1​

 

TEXT​

EV (122149, DCM, "Beat​

1​

U​

Up to three numeric​

 

 

 

Number")​

 

 

characters​

2​

 

CODE​

EV (370129005, SCT,​

1​

U​

DCID 3676 “Lead​

 

 

 

"Measurement Method")​

 

 

Measurement​

 

 

 

 

 

 

Technique”​

3​

 

TCOORD​

EV (121112, DCM, "Source​

1​

U​

 

 

 

 

of Measurement")​

 

 

 

4​ >​

SELECTED​ WAVEFORM​

 

1​

U​

 

 

FROM​

 

 

 

 

 

Content Item Descriptions​

 

 

 

 

 

Row 1​

BeatNumberisspecifiedasanumerictextstring,andshallbetreatedastheordinalofthebeat(cardiaccycle)​

 

within the waveform acquisition for this lead that was analyzed for the measurements in this container (i.e.,​

"1"forthefirstbeat,"2"forthesecond,etc.).Ifabsent,themeasurementsmayhavebeenmadebyatechnique​ across multiple cycles as specified in Row 2 Measurement Method.​

Rows 3 and 4​ Source of measurement identify the specific channel and time period within a DICOM ECG Waveform SOP​ Instance that was analyzed for the measurements in this container.​

TID 3717 ECG Qualitative Analysis​

The ECG Qualitative Analysis Template allows a free text qualitative interpretation of the analyzed ECG, as well as a structure for a​ coded analysis.​

Type:​

Extensible​

Order:​

Significant​

Root:​

No​

- Standard -​

Page 244​ DICOM PS3.16 2020a - Content Mapping Resource​

Table TID 3717. Qualitative Analysis, ECG​

 

NL​

Rel with Parent​

VT​

Concept Name​

VM​

Req​

Condition​

Value Set​

 

 

 

 

 

 

Type​

 

Constraint​

1​

 

CONTAINS​

CONTAINER​EV (122145, DCM,​

1​

M​

 

 

 

 

 

 

"Qualitative Analysis")​

 

 

 

 

2​

>​

CONTAINS​

TEXT​

EV (271921002, SCT, "ECG​

1​

MC​

At least one of​

 

 

 

 

 

Finding")​

 

 

rows2and3shall​

 

 

 

 

 

 

 

be present​

 

3​

>​

CONTAINS​

CODE​

EV (271921002, SCT, "ECG​

1-n​

MC​

At least one of​

BCID 3230​

 

 

 

 

Finding")​

 

 

rows2and3shall​“ECG​

 

 

 

 

 

 

 

be present​

Findings”​

4​

>>​

HAS CONCEPT​ TEXT​

EV (121051, DCM,​

1​

U​

 

 

 

 

MOD​

 

"Equivalent Meaning of​

 

 

 

 

 

 

 

 

Value")​

 

 

 

 

5​

>>​

INFERRED FROM​CODE​

EV (271921002, SCT, "ECG​ 1-n​

U​

 

 

 

 

 

 

Finding")​

 

 

 

 

6​

>>>​

HAS CONCEPT​ TEXT​

EV (121051, DCM,​

1​

U​

 

 

 

 

MOD​

 

"Equivalent Meaning of​

 

 

 

 

 

 

 

 

Value")​

 

 

 

 

Content Item Descriptions​

 

 

 

 

 

 

Row 3-4​

ECG Finding provides one or more coded interpretive statements using standard or implementation-specific​

 

 

codes. Each coded finding will include a Code Meaning (0008,0104) using the LO Value Representation (64​

 

 

characters); longer human-readable text strings for interpretive statements may be conveyed in the Row 4​

 

 

Equivalent Meaning of Value Content Item..​

 

 

 

 

Row 5-6​

Each primary ECG Finding of Row 3 may have multiple supporting coded findings in Row 5, with longer​

 

 

human-readable text strings for interpretive statements if necessary in Row 6.​

 

TID 3718 ECG Interpretive Statement (Retired)​

This Template is retired. See PS3.16-2009.​

TID 3719 Summary, ECG​

Type:​

Extensible​

Order:​

Significant​

Root:​

No​

 

Table TID 3719. Summary, ECG​

 

NL​

Rel with Parent​ VT​

Concept Name​

VM​ Req Type​Condition​ Value Set​

 

 

 

 

 

 

 

Constraint​

1​

 

CONTAINS​

CONTAINER​EV (121111, DCM,​

1​

M​

 

 

 

 

 

"Summary")​

 

 

 

2​

>​

CONTAINS​

TEXT​

EV (121111, DCM,​

1​

U​

 

 

 

 

 

"Summary")​

 

 

 

3​

>​

CONTAINS​

CODE​

DT (18810-2, LN, "ECG​

1​

U​

DCID 3677​

 

 

 

 

overall finding")​

 

 

“Summary Codes​

 

 

 

 

 

 

 

ECG”​

Cath Lab Clinical Report Templates ​

The Templates that comprise the Cardiac Catheterization Report are interconnected as shown in Figure A-7.​

- Standard -​

DICOM PS3.16 2020a - Content Mapping Resource​

Page 245​

TID 3800

Cardiac Cath

Results Root

TID 3601

Lab Procedure

Context

TID 3802

Patient History

TID 3803

Patient

Presentation

TID 3806

Cath

Procedure

TID 3807

TID 3808

TID 3105

PCI

Lesion Information

Lesion

 

Procedure

Identification

 

 

 

TID 3809

 

 

 

Other Interventions

 

 

 

TID 3810

TID 3817

 

 

Cardiac Cath

Arteriographic

 

 

Findings

Findings

 

 

TID 3820

TID 3812

 

 

Complications

Hemodynamic

 

 

Findings

 

 

 

 

 

TID 3824

TID 3814

TID 3816

TID 3819

Summary

Left

Ventricular

Common

Ventriculography

Assessment

Findings

 

TID 3828

TID 3815

 

 

Discharge

Right

 

 

Summary

Ventriculography

 

 

 

TID 3818

 

 

 

Other Cardiography

 

 

Figure A-7. Cardiac Catheterization Report Template Hierarchy​

Note​

Figure A-7 shows the relationship of Templates; it does not show the structural hierarchy of Content Items in the IOD.​

TID 3800 Cardiac Catheterization Report Root​

The Cardiac Cath Report provides the overall clinical results of the catheterization procedure and interventions. In many cases, more​ detailed information is optionally available in other reports (Hemodynamic Measurements, Procedure Log, etc.). That information is​ collected and summarized here (and referenced when available).​

WhenaDischargeSummarysection(row12)isincluded,thisreportTemplatecoversthefullsetofinformationrequiredforsubmission​ to the ACC NCDR™ (version 2.0) registry.​

Note​

1.​TheinformationrequiredforsuchasubmissionmustsometimesbereformattedfromasingleconceptintheseTemplates​ to two data elements for the registry, or vice versa.​

2.​ThisTemplateisexpectedtobeusedwiththeBasicTextSRorEnhancedSRIOD.3.ThisCardiacCathReportTemplate​ is a baseline Template within these SOP Classes that may be replaced; it is therefore in no sense binding for exchange​ of this type of report. It is solely an example of a possible encoding of the Cardiac Cath Report.​

Type:​

Extensible​

Order:​

Significant​

Root:​

Yes​

 

Table TID 3800. Cardiac Catheterization Report Root​

NL​

Rel with Parent​

VT​

Concept Name​

VM​

Req​ Condition​Value Set​

 

 

 

 

 

Type​

Constraint​

1​

CONTAINER​

EV (18745-0, LN, "Cardiac​

1​

M​

Root node​

 

 

 

Catheterization Report")​

 

 

 

- Standard -​

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