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DICOM PS3.16 2020a - Content Mapping Resource |
Page 341 |
TID 4202 Breast Imaging Report Narrative
This Template contains the narrative text sub-tree of the content tree of a Breast Imaging Report. The narrative summary may be subdivided into sections with section headings.
See Figure Q.1-3 “Breast Imaging Report Narrative Content Tree” in PS3.17.
Type: |
Non-Extensible |
Order: |
Significant |
Root: |
No |
|
Table TID 4202. Breast Imaging Report Narrative |
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NL |
Rel with Parent |
VT |
Concept Name |
VM ReqTypeConditionValue Set |
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Constraint |
1 |
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CONTAINER EV (111412, DCM, "Narrative |
1 |
M |
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Summary") |
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2 |
> |
CONTAINS |
CONTAINER BCID 6052 “Breast Imaging |
1-n |
M |
|
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Report Section Title” |
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3 |
>> |
HAS OBS |
INCLUDE |
DTID 1002 “Observer Context” |
1-n |
U |
|
|
CONTEXT |
|
|
|
|
4 |
>> |
CONTAINS |
TEXT |
BCID 6053 “Breast Imaging |
1 |
M |
|
|
|
|
Report Elements” |
|
|
5 |
>>> |
INFERREDFROMINCLUDE |
DTID 350 “References to |
1 |
U |
|
|
|
|
|
Supporting Evidence” |
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TID 4203 Breast Imaging Assessment
This Template provides the content of a Breast Imaging Assessment, for an overall assessment section for the entire report (see TID 4208 “Breast Imaging Report Supplementary Data”) or an assessment of a particular finding (see TID 4206 “Breast Imaging Report Finding Section”). This Template defines a code-based assessment of the interpretation results.
See Figure Q.1-5 “Breast Imaging Assessment Content Tree” in PS3.17. |
|
Type: |
Non-Extensible |
Order: |
Significant |
Root: |
No |
Table TID 4203. Breast Imaging Assessment
|
NL Rel with Parent VT |
Concept Name |
VM |
Req Condition Value Set Constraint |
|||
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Type |
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1 |
|
|
CODE |
EV (111005, DCM, |
1 |
M |
DCID 6026 |
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"Assessment Category") |
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“Mammography |
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Assessment” |
2 |
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CODE |
EV (111053, DCM, |
1-n |
U |
BCID 6028 |
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"Recommended Follow-up") |
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“Mammography |
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RecommendedFollow-up” |
3 |
> |
HAS CONCEPTCODE |
EV (272741003, SCT, |
1 |
U |
DCID 6022 “Side” |
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|
MOD |
|
"Laterality") |
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4 |
> |
HAS |
NUM |
EV (111055, DCM, |
1 |
U |
UNITS=DCID6046“Units |
|
|
PROPERTIES |
|
"Recommended Follow-up |
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of Follow-up Interval” |
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Interval") |
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Values = Integer ≥ 0, |
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where 0 = immediate |
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follow-up |
- Standard -
Page 342 |
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DICOM PS3.16 2020a - Content Mapping Resource |
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NL Rel with Parent VT |
Concept Name |
VM |
Req Condition Value Set Constraint |
||
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|
Type |
5 |
> |
HAS |
DATE |
EV (111054, DCM, |
1 |
U |
|
|
PROPERTIES |
|
"Recommended Follow-up |
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Date") |
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6 |
> |
HAS |
INCLUDEDTID 4207 “Breast Imaging |
1-n |
U |
|
|
|
PROPERTIES |
|
Pathology Results” |
|
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TID 4204 Breast Imaging Report Intervention Section
This Template defines a supplementary data section for an Intervention of the breast, for the Breast Imaging Report. It is included from TID 4208 “Breast Imaging Report Supplementary Data”.
Type: |
Extensible |
Order: |
Significant |
Root: |
No |
Table TID 4204. Breast Imaging Report Intervention Section
|
NL Rel with Parent VT |
Concept Name |
VM |
Req ConditionValueSetConstraint |
|||
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Type |
|
1 |
|
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CONTAINEREV (111463, DCM, |
1 |
M |
|
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|
|
|
|
"Supplementary Data for |
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Intervention") |
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2 |
> |
CONTAINS |
INCLUDE |
DTID 4201 “Breast Imaging |
1 |
M |
|
|
|
|
|
Procedure Reported” |
|
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|
3 |
> |
CONTAINS |
CODE |
EV (57134006, SCT, |
1 |
U |
|
|
|
|
|
"Instrument") |
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4 |
>> |
HAS |
TEXT |
EV (111465, DCM, "Needle |
1 |
UC XORrow5 |
|
|
|
PROPERTIES |
|
Gauge") |
|
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|
5 |
>> |
HAS |
CODE |
EV (111465, DCM, "Needle |
1 |
UC XORrow4 |
|
|
|
PROPERTIES |
|
Gauge") |
|
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|
6 |
>> |
HAS |
NUM |
EV (111467, DCM, "Needle |
1 |
U |
UNITS = EV (cm, |
|
|
PROPERTIES |
|
Length") |
|
|
UCUM, "centimeter") |
7 |
> |
CONTAINS |
NUM |
EV (111436, DCM, "Number |
1 |
U |
UNITS = EV |
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of passes") |
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|
({passes}, UCUM, |
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"passes") |
8 |
> |
CONTAINS |
NUM |
EV (111437, DCM, "Number |
1 |
U |
UNITS = EV |
|
|
|
|
of specimens") |
|
|
({specimens},UCUM, |
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|
|
|
|
|
"specimens") |
9 |
> |
CONTAINS |
CODE |
EV(111431,DCM,"Instrument 1-n |
U |
DCID 6065 |
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|
|
|
Approach") |
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|
“InstrumentApproach” |
10 |
> |
CONTAINS |
CODE |
EV (111438, DCM, "Needle in |
1 |
U |
DCID 230 “Yes-No” |
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target") |
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|
11 |
> |
CONTAINS |
NUM |
EV (111439, DCM, "Number |
1 |
U |
UNITS = EV |
|
|
|
|
of needles around target") |
|
|
({needles}, UCUM, |
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|
|
|
|
|
"needles") |
12 |
> |
CONTAINS |
CODE |
EV (182833002, SCT, |
1-n |
U |
|
|
|
|
|
"Medication given") |
|
|
|
13 |
> |
CONTAINS |
CODE |
EV (111440, DCM, "Incision |
1 |
U |
DCID 230 “Yes-No” |
|
|
|
|
made") |
|
|
|
14 |
> |
CONTAINS |
CODE |
EV (111123, DCM, "Marker |
1 |
U |
DCID 230 “Yes-No” |
|
|
|
|
placement") |
|
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|
- Standard -
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DICOM PS3.16 2020a - Content Mapping Resource |
Page 343 |
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NL Rel with Parent VT |
Concept Name |
VM |
Req ConditionValueSetConstraint |
|||
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Type |
|
15 |
> |
CONTAINS |
CODE |
EV (111442, DCM, |
1 |
U |
DCID 6066 “Target |
|
|
|
|
"Confirmation of target") |
|
|
Confirmation” |
16 |
> |
CONTAINS |
CODE |
EV (116224001, SCT, |
1-n |
U |
DCID 6062 |
|
|
|
|
"Complication of procedure") |
|
|
“Interventional |
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|
|
Procedure |
|
|
|
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|
|
Complications” |
17 |
>> |
HAS |
CODE |
EV (111466, DCM, "Severity |
1 |
U |
DCID251“Severityof |
|
|
PROPERTIES |
|
of Complication") |
|
|
Complication” |
18 |
> |
CONTAINS |
CONTAINEREV (121027, DCM, |
1-n |
U |
|
|
|
|
|
|
"Specimen") |
|
|
|
19 |
>> |
HAS OBS |
INCLUDE |
DTID 1009 “Subject Context, |
1 |
U |
|
|
|
CONTEXT |
|
Specimen” |
|
|
|
20 |
>> |
CONTAINS |
CODE |
EV (250431005, SCT, "Color |
1 |
U |
DCID 6067 “Fluid |
|
|
|
|
of fluid") |
|
|
Color” |
21 |
>> |
CONTAINS |
CODE |
EV (111456, DCM, "Action on |
1 |
U |
DT (111457, DCM, |
|
|
|
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fluid") |
|
|
"Sent for analysis") |
|
|
|
|
|
|
|
DT (111458, DCM, |
|
|
|
|
|
|
|
"Discarded") |
22 |
>> |
CONTAINS |
CODE |
EV (111455, DCM, "Occult |
1 |
U |
DCID 250 |
|
|
|
|
blood test result") |
|
|
“Positive-Negative” |
23 |
>> |
CONTAINS |
INCLUDE |
DTID 4207 “Breast Imaging |
1-n |
U |
|
|
|
|
|
Pathology Results” |
|
|
|
24 |
> |
CONTAINS |
INCLUDE |
DTID 350 “References to |
1 |
U |
|
|
|
|
|
Supporting Evidence” |
|
|
|
TID 4205 Breast Composition Section
This Template defines a Breast Composition section for the supplementary data sub-tree of the Breast Imaging Report. It is included from TID 4208 “Breast Imaging Report Supplementary Data”.
Type: |
Non-Extensible |
Order: |
Significant |
Root: |
No |
|
Table TID 4205. Breast Composition Section |
|
NL Rel with Parent VT |
Concept Name |
VM |
Req |
Condition |
Value Set |
||
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|
|
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|
|
Type |
|
Constraint |
1 |
|
|
CONTAINEREV (129715009, SCT, |
1 |
M |
|
|
|
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|
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|
"Breast composition") |
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2 |
> |
CONTAINS |
INCLUDE |
DTID 4201 “Breast Imaging |
1-n |
U |
|
|
|
|
|
|
Procedure Reported” |
|
|
|
|
3 |
> |
CONTAINS |
CODE |
EV (129715009, SCT, |
1-n |
MC At least one ofDCID 6000 “Overall |
||
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|
|
|
"Breast composition") |
|
|
row 3, 5 shallBreast Composition” |
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be present |
|
4 |
>> |
HAS CONCEPTCODE |
EV (272741003, SCT, |
1 |
M |
|
DCID 6022 “Side” |
|
|
|
MOD |
|
"Laterality") |
|
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|
|
5 |
> |
CONTAINS |
NUM |
EV (111046, DCM, "Percent 1-n |
MC At least one ofUNITS = EV (%, |
|||
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Fibroglandular Tissue") |
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|
row 3, 5 shallUCUM, "Percent") |
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be present |
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- Standard -
Page 344 |
DICOM PS3.16 2020a - Content Mapping Resource |
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NL Rel with Parent VT |
Concept Name |
VM |
Req Condition |
Value Set |
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|
|
|
|
Type |
Constraint |
6 |
>> |
HAS CONCEPTCODE |
EV (272741003, SCT, |
1 |
M |
DCID 6022 “Side” |
|
|
MOD |
"Laterality") |
|
|
|
7 |
> |
CONTAINS CODE |
EV (111350, DCM, "Breast |
1-2 |
U |
DCID 6151 |
|
|
|
background echo texture") |
|
|
“Background |
|
|
|
|
|
|
Echotexture” |
8 |
>> |
HAS CONCEPTCODE |
EV (272741003, SCT, |
1 |
M |
DCID 6022 “Side” |
|
|
MOD |
"Laterality") |
|
|
|
TID 4206 Breast Imaging Report Finding Section
This Template defines a supplementary data section for the Findings of the Breast Imaging Report. It is included from TID 4208 “Breast Imaging Report Supplementary Data”.
Type: |
Extensible |
Order: |
Significant |
Root: |
No |
Table TID 4206. Breast Imaging Report Finding Section
|
NL |
Rel with Parent VT |
Concept Name |
VM |
Req ConditionValue Set Constraint |
||
|
|
|
|
|
|
Type |
|
1 |
|
|
CONTAINEREV (121070, DCM, |
1 |
M |
|
|
|
|
|
|
"Findings") |
|
|
|
2 |
> |
HAS OBS |
INCLUDE |
DTID 1002 “Observer |
1-n |
U |
|
|
|
CONTEXT |
|
Context” |
|
|
|
3 |
> |
CONTAINS |
INCLUDE |
DTID4201“BreastImaging |
1 |
M |
|
|
|
|
|
Procedure Reported” |
|
|
|
4 |
> |
CONTAINS |
CODE |
EV (121071, DCM, |
1-n |
M |
DCID 6054 “Breast |
|
|
|
|
"Finding") |
|
|
Imaging Findings” |
5 |
>> |
HAS CONCEPT CODE |
EV(111405,DCM,"Implant 1-n |
UC May be |
DCID 6059 “Breast |
||
|
|
MOD |
|
type") |
|
present if Implant Types” |
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value of |
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row 4 is |
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(40388003, |
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SCT, |
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"Implant") |
|
5b |
>> |
HAS CONCEPT CODE |
EV (272741003, SCT, |
1 |
U |
DCID 6022 “Side” |
|
|
|
MOD |
|
"Laterality") |
|
|
|
6 |
>> |
HAS |
INCLUDE |
DTID4203“BreastImaging |
1 |
U |
|
|
|
PROPERTIES |
|
Assessment” |
|
|
|
7 |
>> |
HAS |
CODE |
EV (111014, DCM, |
1 |
U |
DCID 6018 “Clockface |
|
|
PROPERTIES |
|
"Clockface or region") |
|
|
Location or Region” |
8 |
>> |
HAS |
CODE |
EV (111048, DCM, |
1 |
U |
DCID 6020 “Quadrant |
|
|
PROPERTIES |
|
"Quadrant location") |
|
|
Location” |
9 |
>> |
HAS |
INCLUDE |
DTID 1400 “Linear |
1-n |
U |
|
|
|
PROPERTIES |
|
Measurement” |
|
|
|
10 |
>> |
HAS |
INCLUDE |
DTID 1401 “Area |
1-n |
U |
|
|
|
PROPERTIES |
|
Measurement” |
|
|
|
11 |
>> |
HAS |
INCLUDE |
DTID 1402 “Volume |
1-n |
U |
|
|
|
PROPERTIES |
|
Measurement” |
|
|
|
- Standard -
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DICOM PS3.16 2020a - Content Mapping Resource |
Page 345 |
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NL |
Rel with Parent VT |
Concept Name |
VM |
Req ConditionValue Set Constraint |
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Type |
|
12 |
>> |
HAS |
CODE |
EV(111020,DCM,"Depth") |
1 |
U |
DCID 6024 “Depth” |
|
|
PROPERTIES |
|
|
|
|
|
13 |
>> |
HAS |
CODE |
EV (111035, DCM, "Lesion |
1 |
U |
DCID 6008 “Density |
|
|
PROPERTIES |
|
Density") |
|
|
Modifier” |
14 |
>> |
HAS |
CODE |
EV (107644003, SCT, |
1-n |
U |
DCID 6004 |
|
|
PROPERTIES |
|
"Shape") |
|
|
“Mammography |
|
|
|
|
|
|
|
Characteristics of |
|
|
|
|
|
|
|
Shape” |
15 |
>> |
HAS |
CODE |
EV (111037, DCM, |
1-n |
U |
DCID 6006 |
|
|
PROPERTIES |
|
"Margins") |
|
|
“Mammography |
|
|
|
|
|
|
|
Characteristics of |
|
|
|
|
|
|
|
Margin” |
16 |
>> |
HAS |
CODE |
EV (111009, DCM, |
1-n |
U |
DCID 6010 |
|
|
PROPERTIES |
|
"Calcification Type") |
|
|
“Mammography |
|
|
|
|
|
|
|
Calcification Types” |
17 |
>> |
HAS |
CODE |
EV (111008, DCM, |
1 |
U |
DCID 6012 |
|
|
PROPERTIES |
|
"Calcification Distribution") |
|
|
“Calcification |
|
|
|
|
|
|
|
Distribution Modifier” |
18 |
>> |
HAS |
NUM |
EV (111038, DCM, |
1 |
U |
UNITS = EV |
|
|
PROPERTIES |
|
"Number of calcifications") |
|
|
({calcifications},UCUM, |
|
|
|
|
|
|
|
"calcifications") |
|
|
|
|
|
|
|
Value = Integer 1 - n |
19 |
>> |
HAS |
CODE |
EV(111407,DCM,"Implant 1-n |
U |
DCID 6072 “Breast |
|
|
|
PROPERTIES |
|
finding") |
|
|
Implant Findings” |
20 |
>> |
HAS |
CODE |
EV (246090004, SCT, |
1-n |
U |
DCID 6056 “Associated |
|
|
PROPERTIES |
|
"Associated Finding") |
|
|
Findings for Breast” |
21 |
>> |
HAS |
NUM |
EV (111406, DCM, |
1 |
U |
UNITS = EV ({findings}, |
|
|
PROPERTIES |
|
"Number of similar |
|
|
UCUM, "findings") |
|
|
|
|
findings") |
|
|
Value = Integer 2 - n |
|
|
|
|
|
|
|
|
22 |
>> |
HAS |
CODE |
EV (129720009, SCT, |
1-n |
U |
DCID 6002 “Change |
|
|
PROPERTIES |
|
"Change since last |
|
|
SinceLastMammogram |
|
|
|
|
mammogram") |
|
|
or Prior Surgery” |
23 |
>> |
HAS |
CODE |
EV (111354, DCM, |
1 |
U |
DCID6152“Orientation” |
|
|
PROPERTIES |
|
"Orientation") |
|
|
|
24 |
>> |
HAS |
CODE |
EV (111357, DCM, "Lesion |
1 |
U |
DCID 6153 “Lesion |
|
|
PROPERTIES |
|
boundary") |
|
|
Boundary” |
25 |
>> |
HAS |
CODE |
EV (111360, DCM, "Echo |
1 |
U |
DCID 6154 “Echo |
|
|
PROPERTIES |
|
pattern") |
|
|
Pattern” |
26 |
>> |
HAS |
CODE |
EV (111366, DCM, |
1 |
U |
DCID 6155 “Posterior |
|
|
PROPERTIES |
|
"Posterior acoustic |
|
|
Acoustic Features” |
|
|
|
|
features") |
|
|
|
27 |
>> |
HAS |
CODE |
EV (111371, DCM, |
1 |
U |
DCID 6015 “Single |
|
|
PROPERTIES |
|
"Identifiable effect on |
|
|
Image Finding from |
|
|
|
|
surrounding tissues") |
|
|
BI-RADS®” |
28 |
>> |
HAS |
CODE |
EV (111372, DCM, |
1 |
U |
DCID6157“Vascularity” |
|
|
PROPERTIES |
|
"Vascularity") |
|
|
|
- Standard -