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DICOM PS3.16 2020a - Content Mapping Resource |
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Req ConditionValue Set Constraint |
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Type |
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29 |
>> |
HAS |
CODE |
EV (111380, DCM, |
1-n |
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DCID 6158 “Correlation |
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PROPERTIES |
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"Correlation to Other |
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to Other Findings” |
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Findings") |
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30 |
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INFERREDFROMINCLUDE |
DTID 350 “References to |
1 |
U |
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Supporting Evidence” |
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Content Item Descriptions |
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Row 5b |
The laterality of the finding may be different from the laterality of the procedure specified in Row 3, if the latter |
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is undefined or bilateral. If this content item is absent, the laterality of the procedure is assumed to apply. The |
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laterality of the finding may be bilateral. |
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TID 4207 Breast Imaging Pathology Results
ThisTemplatedefinesthepathologyresultsforaprocedure.ItmaybeappliedtoaBreastImagingAssessment(seeTID4203“Breast Imaging Assessment”), or a Breast Imaging Intervention (see TID 4204 “Breast Imaging Report Intervention Section”).
Type: |
Extensible |
Order: |
Significant |
Root: |
No |
Table TID 4207. Breast Imaging Pathology Results
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NL |
Rel with Parent VT |
Concept Name |
VM |
ReqCondition Value Set Constraint |
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Type |
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1 |
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CONTAINEREV (111468, DCM, |
1 |
M |
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"Pathology Results") |
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2 |
> |
CONTAINS |
INCLUDE |
DTID 4201 “Breast Imaging 1 |
U |
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Procedure Reported” |
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3 |
> |
CONTAINS |
DATETIME EV (111469, DCM, |
1 |
M |
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"Sampling DateTime") |
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4 |
> |
CONTAINS |
CODE |
EV (122177, DCM, |
1 |
M |
DCID 6063 “Interventional |
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"Procedure Result") |
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Procedure Results” |
5 |
> |
CONTAINS |
CODE |
EV (111042, DCM, |
1-n |
U |
BCID 6030 |
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"Pathology") |
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“MammographyPathology |
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Codes” |
6 |
>> |
HAS |
CODE |
EV (111388, DCM, |
1 |
U |
DCID 6159 “Malignancy |
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PROPERTIES |
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"Malignancy Type") |
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Type” |
7 |
>> |
HAS |
NUM |
DCID 6165 “Breast Linear 1-n |
U |
UNITS = EV (mm, UCUM, |
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PROPERTIES |
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Measurements” |
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"millimeter") |
8 |
>> |
HAS |
CODE |
EV (373372005, SCT, |
1 |
U |
BCID 6069 “Nottingham |
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PROPERTIES |
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"Histologicalgradefinding") |
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Combined Histologic |
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Grade” |
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BCID 6070 |
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“Bloom-Richardson |
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Histologic Grade” |
9 |
>>> |
HAS CONCEPTCODE |
EV (371469007, SCT, |
1 |
U |
BCID 6071 “Histologic |
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MOD |
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"Histologic grade") |
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Grading Method” |
- Standard -
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DICOM PS3.16 2020a - Content Mapping Resource |
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Concept Name |
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ReqCondition Value Set Constraint |
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Type |
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10 |
>> |
HAS |
CODE |
EV (372249001, SCT, |
1 |
U |
DT (111470, DCM, |
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PROPERTIES |
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"Tumor margin status") |
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"Uninvolved"), |
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DT (111471, DCM, |
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"Involved") |
11 |
>> |
HAS |
CODE |
EV (111472, DCM, "Nipple |
1 |
U |
DCID 230 “Yes-No” |
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PROPERTIES |
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involved") |
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12 |
>> |
HAS |
NUM |
EV(111473,DCM,"Number 1 |
U |
UNITS = EV ({nodes}, |
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PROPERTIES |
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of nodes removed") |
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UCUM, "nodes") |
13 |
>> |
HAS |
NUM |
EV(111474,DCM,"Number 1 |
MC Shall be UNITS = EV ({nodes}, |
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PROPERTIES |
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of nodes positive") |
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present |
UCUM, "nodes") |
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IFF value |
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of row 12 |
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is > 0 |
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14 |
>> |
HAS |
CODE |
EV (385385001, SCT, "pT |
1 |
U |
DCID 6160 “Breast |
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PROPERTIES |
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category finding") |
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Primary Tumor |
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Assessment From AJCC” |
15 |
>> |
HAS |
CODE |
EV (385382003, SCT, |
1 |
U |
DCID 6161 “Clinical |
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PROPERTIES |
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"Node stage finding") |
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Regional Lymph Node |
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Assessment for Breast” |
16 |
>> |
HAS |
CODE |
EV (385380006, SCT, |
1 |
U |
DCID 6162 “Assessment |
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PROPERTIES |
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"Metastasis stage finding") |
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of Metastasis for Breast” |
17 |
>> |
HAS |
CODE |
EV (385356007, SCT, |
1 |
U |
BCID6068“TumorStages |
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PROPERTIES |
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"Tumor stage finding") |
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From AJCC” |
18 |
>> |
HAS |
CODE |
EV (111475, DCM, |
1 |
U |
DCID 250 |
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PROPERTIES |
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"Estrogen receptor") |
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“Positive-Negative” |
19 |
>> |
HAS |
CODE |
EV (111476, DCM, |
1 |
U |
DCID 250 |
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PROPERTIES |
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"Progesterone receptor") |
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“Positive-Negative” |
20 |
>> |
HAS |
NUM |
EV (111477, DCM, "S |
1 |
U |
UNITS = EV (%, UCUM, |
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PROPERTIES |
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Phase") |
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"percent") |
21 |
>> |
HAS |
CODE |
EV (48676-1, LN, "HER2") |
1 |
U |
DCID 250 |
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PROPERTIES |
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“Positive-Negative” |
TID 4208 Breast Imaging Report Supplementary Data
This Template forms a supplementary data sub-tree of the content tree of a Breast Imaging Report. Each subsection provides a specific type of supporting evidence to the narrative text sub-tree, for example, as coded and numeric data.
See Figure Q.1-4 “Breast Imaging Report Supplementary Data Content Tree” in PS3.17.
Type: |
Non-Extensible |
Order: |
Significant |
Root: |
No |
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Table TID 4208. Breast Imaging Report Supplementary Data |
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NL Rel with Parent |
VT |
Concept Name |
VM |
Req ConditionValue Set |
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Type |
Constraint |
1 |
CONTAINER EV (111414, DCM, |
1 |
M |
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"Supplementary Data") |
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2 |
> CONTAINS INCLUDE |
DTID 4201 “Breast Imaging |
1-n |
M |
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Procedure Reported” |
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- Standard -
Page 348 |
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NL Rel with Parent |
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Type |
Constraint |
3 |
> |
CONTAINS |
CODE |
EV (111403, DCM, "Baseline |
1 |
U |
DCID 230 |
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screening mammogram") |
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“Yes-No” |
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4 |
> |
CONTAINS |
CODE |
EV (111404, DCM, "First |
1 |
U |
DCID 230 |
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mammogram ever") |
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“Yes-No” |
5 |
> |
CONTAINS |
INCLUDE |
DTID 4205 “Breast Composition |
1 |
U |
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Section” |
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6 |
> |
CONTAINS |
INCLUDE |
DTID4206“BreastImagingReport 1-n |
U |
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Finding Section” |
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7 |
> |
CONTAINS |
INCLUDE |
DTID4204“BreastImagingReport 1-n |
U |
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Intervention Section” |
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8 |
> |
CONTAINS |
CONTAINER EV (111413, DCM, "Overall |
1 |
U |
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Assessment") |
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9 |
>> |
CONTAINS |
INCLUDE |
DTID 4203 “Breast Imaging |
1 |
M |
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Assessment” |
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TID 4209 Breast Patient Characteristics |
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Type: |
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Extensible |
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Order: |
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Non-Significant |
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Root: |
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No |
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Table TID 4209. Breast Patient Characteristics |
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NL |
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VT |
Concept Name |
VM Req TypeConditionValue Set Constraint |
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Parent |
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1 |
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CONTAINEREV (121118, DCM, "Patient |
1 |
M |
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Characteristics") |
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5 |
> |
CONTAINS |
CODE |
EV (11323-3, LN, "Health |
1 |
U |
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BCID 3772 “Health |
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status") |
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Status” |
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5 |
> |
CONTAINS |
CODE |
EV (C35461, NCIt, "Clinical |
1 |
U |
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BCID 6098 “Clinical |
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course of disease") |
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Course of Disease” |
OB-GYN Report Templates
TID 5000 OB-GYN Ultrasound Procedure Report
This is the Template for the root of the content tree for the OB-GYN ultrasound procedure report.
Type: |
Extensible |
Order: |
Significant |
Root: |
Yes |
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Table TID 5000. OB-GYN Ultrasound Procedure Report |
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NL Rel with Parent VT |
Concept Name |
VM |
ReqCondition Value Set |
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Type |
Constraint |
1 |
CONTAINEREV (125000, DCM, "OB-GYN |
1 |
M |
Root node |
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Ultrasound Procedure |
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Report") |
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2 |
> HAS CONCEPTINCLUDE |
DTID 1204 “Language of |
1 |
U |
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MOD |
Content Item and |
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Descendants” |
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- Standard -
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NL Rel with Parent VT |
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VM |
ReqCondition |
Value Set |
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Type |
Constraint |
3 > HAS OBS |
INCLUDE |
DTID 1001 “Observation |
1 |
M |
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CONTEXT |
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Context” |
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4 |
> |
CONTAINS |
INCLUDE |
DTID 5001 “OB-GYN Patient |
1 |
U |
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Characteristics” |
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5 |
> |
CONTAINS |
CONTAINERDT (111028, DCM, "Image |
1 |
U |
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Library") |
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6 |
>> |
CONTAINS |
IMAGE |
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1-n |
M |
7 |
> |
CONTAINS |
INCLUDE |
DTID 5002 “OB-GYN |
1 |
U |
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ProcedureSummarySection” |
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8 |
> |
CONTAINS |
INCLUDE |
DTID 5004 “Fetal Biometry |
1-n |
U |
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Ratio Section” |
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9 |
> |
CONTAINS |
INCLUDE |
DTID 5005 “Fetal Biometry |
1-n |
U |
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Section” |
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10 |
> |
CONTAINS |
INCLUDE |
DTID5006“FetalLongBones 1-n |
U |
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Section” |
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11 |
> |
CONTAINS |
INCLUDE |
DTID 5007 “Fetal Cranium |
1-n |
U |
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Section” |
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12 |
> |
CONTAINS |
INCLUDE |
DTID 5009 “Fetal Biophysical 1-n |
U |
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Profile Section” |
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13 |
> |
CONTAINS |
INCLUDE |
DTID 5011 “Early Gestation |
1-n |
U |
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Section” |
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14 |
> |
CONTAINS |
INCLUDE |
DTID 5010 “Amniotic Sac |
1 |
U |
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Section” |
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15 |
> |
CONTAINS |
INCLUDE |
DTID5015“PelvisandUterus |
1 |
U |
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Section” |
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16 |
> |
CONTAINS |
INCLUDE |
DTID 5012 “Ovaries Section” |
1 |
U |
17 |
> |
CONTAINS |
INCLUDE |
DTID 5013 “Follicles Section” |
1 |
U |
18 > CONTAINS INCLUDE DTID 5013 “Follicles Section” 1 U
19 |
> |
CONTAINS |
CONTAINEREV(121070,DCM,"Findings") 1-n |
U |
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20 |
>> |
HAS CONCEPTCODE |
EV (363698007, SCT, |
1 |
M |
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MOD |
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"Finding Site") |
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21 |
>> |
CONTAINS |
INCLUDE |
DTID 5025 “OB-GYN Fetal |
1 |
M |
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Vascular Ultrasound |
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Measurement Group” |
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$Laterality = EV (7771000, SCT, "Left")
$Number = EV
(11879-4, LN, "Number of follicles in left ovary")
$Laterality = EV (24028007, SCT, "Right")
$Number = EV
(11880-2, LN, "Number of follicles in right ovary")
EV (51852003, SCT, "Embryonic Vascular Structure")
$AnatomyGroup = DCID 12141 “Fetal Vasculature AnatomicalLocation”
- Standard -
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DICOM PS3.16 2020a - Content Mapping Resource |
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NL Rel with Parent |
VT |
Concept Name |
VM |
ReqCondition Value Set |
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Type |
Constraint |
22 |
> |
CONTAINS |
CONTAINEREV(121070,DCM,"Findings") 1-n |
U |
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23 |
>> |
HAS CONCEPTCODE |
EV (363698007, SCT, |
1 |
M |
EV (281496003, |
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MOD |
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"Finding Site") |
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SCT, "Pelvic |
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Vascular Structure") |
24 |
>> |
CONTAINS |
INCLUDE |
DTID 5026 “OB-GYN Pelvic |
1 |
M |
$AnatomyGroup = |
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Vascular Ultrasound |
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DCID 12140 “Pelvic |
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Measurement Group” |
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Vasculature |
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AnatomicalLocation” |
Content Item Descriptions |
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Row 6 |
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No purpose of reference is specified. |
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TID 5001 OB-GYN Patient Characteristics
Patient Characteristic concepts in this Template, which may replicate attributes in the Patient Study Module, are included here as possible targets of by-reference relationships from other Content Items in the SR tree.
Note
Several of the concepts in this Template duplicate concepts in TID 1007 “Subject Context, Patient”. The difference in use is that this Template has those concepts as primary observations of the patient, while in TID 1007 “Subject Context, Patient” the concepts are used to set (or reset) the context for other observations.
Type: |
Extensible |
Order: |
Significant |
Root: |
No |
Table TID 5001. OB-GYN Patient Characteristics
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NL |
Rel with Parent |
VT |
Concept Name |
VM Req TypeConditionValue Set |
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Constraint |
1 |
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CONTAINEREV (121118, DCM, "Patient |
1 |
M |
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Characteristics") |
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2 |
> |
CONTAINS |
TEXT |
EV (121106, DCM, "Comment") |
1 |
U |
3 |
> |
CONTAINS |
NUM |
EV(8302-2,LN,"PatientHeight") |
1 |
U |
4 |
> |
CONTAINS |
NUM |
EV (29463-7, LN, "Patient |
1 |
U |
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Weight") |
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5 |
> |
CONTAINS |
NUM |
EV (11996-6, LN, "Gravida") |
1 |
U |
6 |
> |
CONTAINS |
NUM |
EV (11977-6, LN, "Para") |
1 |
U |
7 |
> |
CONTAINS |
NUM |
EV (11612-9, LN, "Aborta") |
1 |
U |
8 |
> |
CONTAINS |
NUM |
EV (33065-4, LN, "Ectopic |
1 |
U |
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Pregnancies") |
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TID 5002 OB-GYN Procedure Summary Section
Observations of the procedure of immediate clinical interest.
Type: |
Extensible |
Order: |
Significant |
Root: |
No |
- Standard -