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Page 346​

 

 

DICOM PS3.16 2020a - Content Mapping Resource​

 

 

NL​

Rel with Parent​

VT​

Concept Name​

VM​

Req​ Condition​Value Set Constraint​

 

 

 

 

 

 

 

Type​

 

29​

>>​

HAS​

CODE​

EV (111380, DCM,​

1-n​

U​

DCID 6158 “Correlation​

 

 

PROPERTIES​

 

 

"Correlation to Other​

 

 

to Other Findings”​

 

 

 

 

 

Findings")​

 

 

 

30​

>>​

INFERREDFROM​INCLUDE​

DTID 350 “References to​

1​

U​

 

 

 

 

 

 

Supporting Evidence”​

 

 

 

Content Item Descriptions​

 

 

 

 

 

 

Row 5b​

The laterality of the finding may be different from the laterality of the procedure specified in Row 3, if the latter​

 

 

is undefined or bilateral. If this content item is absent, the laterality of the procedure is assumed to apply. The​

 

 

laterality of the finding may be bilateral.​

 

 

 

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​

 

NL​

Rel with Parent​ VT​

Concept Name​

VM​

Req​Condition​ Value Set Constraint​

 

 

 

 

 

 

Type​

 

1​

 

 

CONTAINER​EV (111468, DCM,​

1​

M​

 

 

 

 

 

"Pathology Results")​

 

 

 

2​

>​

CONTAINS​

INCLUDE​

DTID 4201 “Breast Imaging​ 1​

U​

 

 

 

 

 

Procedure Reported”​

 

 

 

3​

>​

CONTAINS​

DATETIME​ EV (111469, DCM,​

1​

M​

 

 

 

 

 

"Sampling DateTime")​

 

 

 

4​

>​

CONTAINS​

CODE​

EV (122177, DCM,​

1​

M​

DCID 6063 “Interventional​

 

 

 

 

"Procedure Result")​

 

 

Procedure Results”​

5​

>​

CONTAINS​

CODE​

EV (111042, DCM,​

1-n​

U​

BCID 6030​

 

 

 

 

"Pathology")​

 

 

“MammographyPathology​

 

 

 

 

 

 

 

Codes”​

6​

>>​

HAS​

CODE​

EV (111388, DCM,​

1​

U​

DCID 6159 “Malignancy​

 

 

PROPERTIES​

 

"Malignancy Type")​

 

 

Type”​

7​

>>​

HAS​

NUM​

DCID 6165 “Breast Linear​ 1-n​

U​

UNITS = EV (mm, UCUM,​

 

 

PROPERTIES​

 

Measurements”​

 

 

"millimeter")​

8​

>>​

HAS​

CODE​

EV (373372005, SCT,​

1​

U​

BCID 6069 “Nottingham​

 

 

PROPERTIES​

 

"Histologicalgradefinding")​

 

 

Combined Histologic​

 

 

 

 

 

 

 

Grade”​

 

 

 

 

 

 

 

BCID 6070​

 

 

 

 

 

 

 

“Bloom-Richardson​

 

 

 

 

 

 

 

Histologic Grade”​

9​

>>>​

HAS CONCEPT​CODE​

EV (371469007, SCT,​

1​

U​

BCID 6071 “Histologic​

 

 

MOD​

 

"Histologic grade")​

 

 

Grading Method”​

- Standard -​


 

 

 

DICOM PS3.16 2020a - Content Mapping Resource​

Page 347​

 

NL​

Rel with Parent​ VT​

Concept Name​

VM​

Req​Condition​ Value Set Constraint​

 

 

 

 

 

 

Type​

 

10​

>>​

HAS​

CODE​

EV (372249001, SCT,​

1​

U​

DT (111470, DCM,​

 

 

PROPERTIES​

 

"Tumor margin status")​

 

 

"Uninvolved"),​

 

 

 

 

 

 

 

DT (111471, DCM,​

 

 

 

 

 

 

 

"Involved")​

11​

>>​

HAS​

CODE​

EV (111472, DCM, "Nipple​

1​

U​

DCID 230 “Yes-No”​

 

 

PROPERTIES​

 

involved")​

 

 

 

12​

>>​

HAS​

NUM​

EV(111473,DCM,"Number​ 1​

U​

UNITS = EV ({nodes},​

 

 

PROPERTIES​

 

of nodes removed")​

 

 

UCUM, "nodes")​

13​

>>​

HAS​

NUM​

EV(111474,DCM,"Number​ 1​

MC​ Shall be​ UNITS = EV ({nodes},​

 

 

PROPERTIES​

 

of nodes positive")​

 

present​

UCUM, "nodes")​

 

 

 

 

 

 

IFF value​

 

 

 

 

 

 

of row 12​

 

 

 

 

 

 

 

is > 0​

 

14​

>>​

HAS​

CODE​

EV (385385001, SCT, "pT​

1​

U​

DCID 6160 “Breast​

 

 

PROPERTIES​

 

category finding")​

 

 

Primary Tumor​

 

 

 

 

 

 

 

Assessment From AJCC”​

15​

>>​

HAS​

CODE​

EV (385382003, SCT,​

1​

U​

DCID 6161 “Clinical​

 

 

PROPERTIES​

 

"Node stage finding")​

 

 

Regional Lymph Node​

 

 

 

 

 

 

 

Assessment for Breast”​

16​

>>​

HAS​

CODE​

EV (385380006, SCT,​

1​

U​

DCID 6162 “Assessment​

 

 

PROPERTIES​

 

"Metastasis stage finding")​

 

 

of Metastasis for Breast”​

17​

>>​

HAS​

CODE​

EV (385356007, SCT,​

1​

U​

BCID6068“TumorStages​

 

 

PROPERTIES​

 

"Tumor stage finding")​

 

 

From AJCC”​

18​

>>​

HAS​

CODE​

EV (111475, DCM,​

1​

U​

DCID 250​

 

 

PROPERTIES​

 

"Estrogen receptor")​

 

 

“Positive-Negative”​

19​

>>​

HAS​

CODE​

EV (111476, DCM,​

1​

U​

DCID 250​

 

 

PROPERTIES​

 

"Progesterone receptor")​

 

 

“Positive-Negative”​

20​

>>​

HAS​

NUM​

EV (111477, DCM, "S​

1​

U​

UNITS = EV (%, UCUM,​

 

 

PROPERTIES​

 

Phase")​

 

 

"percent")​

21​

>>​

HAS​

CODE​

EV (48676-1, LN, "HER2")​

1​

U​

DCID 250​

 

 

PROPERTIES​

 

 

 

 

“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​

 

Table TID 4208. Breast Imaging Report Supplementary Data​

 

NL​ Rel with Parent​

VT​

Concept Name​

VM​

Req​ Condition​Value Set​

 

 

 

 

 

Type​

Constraint​

1​

CONTAINER​ EV (111414, DCM,​

1​

M​

 

 

 

 

"Supplementary Data")​

 

 

 

2​

>​ CONTAINS​ INCLUDE​

DTID 4201 “Breast Imaging​

1-n​

M​

 

 

 

 

Procedure Reported”​

 

 

 

- Standard -​


Page 348​

 

DICOM PS3.16 2020a - Content Mapping Resource​

 

 

 

NL​ Rel with Parent​

VT​

Concept Name​

VM​

Req​ Condition​Value Set​

 

 

 

 

 

 

 

 

Type​

Constraint​

3​

>​

CONTAINS​

CODE​

EV (111403, DCM, "Baseline​

1​

U​

DCID 230​

 

 

 

 

 

screening mammogram")​

 

 

“Yes-No”​

4​

>​

CONTAINS​

CODE​

EV (111404, DCM, "First​

1​

U​

DCID 230​

 

 

 

 

 

mammogram ever")​

 

 

 

“Yes-No”​

5​

>​

CONTAINS​

INCLUDE​

DTID 4205 “Breast Composition​

1​

U​

 

 

 

 

 

 

Section”​

 

 

 

 

6​

>​

CONTAINS​

INCLUDE​

DTID4206“BreastImagingReport​ 1-n​

U​

 

 

 

 

 

 

Finding Section”​

 

 

 

 

7​

>​

CONTAINS​

INCLUDE​

DTID4204“BreastImagingReport​ 1-n​

U​

 

 

 

 

 

 

Intervention Section”​

 

 

 

 

8​

>​

CONTAINS​

CONTAINER​ EV (111413, DCM, "Overall​

1​

U​

 

 

 

 

 

 

Assessment")​

 

 

 

 

9​

>>​

CONTAINS​

INCLUDE​

DTID 4203 “Breast Imaging​

1​

M​

 

 

 

 

 

 

Assessment”​

 

 

 

 

TID 4209 Breast Patient Characteristics​

 

 

 

 

Type:​

 

Extensible​

 

 

 

 

 

Order:​

 

Non-Significant​

 

 

 

 

Root:​

 

No​

 

 

 

 

 

 

 

 

 

Table TID 4209. Breast Patient Characteristics​

 

 

 

NL​

Rel with​

VT​

Concept Name​

VM​ Req Type​Condition​Value Set Constraint​

 

 

Parent​

 

 

 

 

 

 

 

1​

 

 

CONTAINER​EV (121118, DCM, "Patient​

1​

M​

 

 

 

 

 

 

Characteristics")​

 

 

 

 

5​

>​

CONTAINS​

CODE​

EV (11323-3, LN, "Health​

1​

U​

 

BCID 3772 “Health​

 

 

 

 

status")​

 

 

 

Status”​

5​

>​

CONTAINS​

CODE​

EV (C35461, NCIt, "Clinical​

1​

U​

 

BCID 6098 “Clinical​

 

 

 

 

course of disease")​

 

 

 

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​

 

Table TID 5000. OB-GYN Ultrasound Procedure Report​

 

NL​ Rel with Parent​ VT​

Concept Name​

VM​

Req​Condition​ Value Set​

 

 

 

 

Type​

Constraint​

1​

CONTAINER​EV (125000, DCM, "OB-GYN​

1​

M​

Root node​

 

 

Ultrasound Procedure​

 

 

 

 

 

Report")​

 

 

 

2​

>​ HAS CONCEPT​INCLUDE​

DTID 1204 “Language of​

1​

U​

 

 

MOD​

Content Item and​

 

 

 

 

 

Descendants”​

 

 

 

- Standard -​


 

DICOM PS3.16 2020a - Content Mapping Resource​

Page 349​

NL​ Rel with Parent​ VT​

Concept Name​

VM​

Req​Condition​

Value Set​

 

 

 

 

Type​

Constraint​

3​ >​ HAS OBS​

INCLUDE​

DTID 1001 “Observation​

1​

M​

 

CONTEXT​

 

Context”​

 

 

 

4​

>​

CONTAINS​

INCLUDE​

DTID 5001 “OB-GYN Patient​

1​

U​

 

 

 

 

Characteristics”​

 

 

5​

>​

CONTAINS​

CONTAINER​DT (111028, DCM, "Image​

1​

U​

 

 

 

 

Library")​

 

 

6​

>>​

CONTAINS​

IMAGE​

 

1-n​

M​

7​

>​

CONTAINS​

INCLUDE​

DTID 5002 “OB-GYN​

1​

U​

 

 

 

 

ProcedureSummarySection”​

 

 

8​

>​

CONTAINS​

INCLUDE​

DTID 5004 “Fetal Biometry​

1-n​

U​

 

 

 

 

Ratio Section”​

 

 

9​

>​

CONTAINS​

INCLUDE​

DTID 5005 “Fetal Biometry​

1-n​

U​

 

 

 

 

Section”​

 

 

10​

>​

CONTAINS​

INCLUDE​

DTID5006“FetalLongBones​ 1-n​

U​

 

 

 

 

Section”​

 

 

11​

>​

CONTAINS​

INCLUDE​

DTID 5007 “Fetal Cranium​

1-n​

U​

 

 

 

 

Section”​

 

 

12​

>​

CONTAINS​

INCLUDE​

DTID 5009 “Fetal Biophysical​ 1-n​

U​

 

 

 

 

Profile Section”​

 

 

13​

>​

CONTAINS​

INCLUDE​

DTID 5011 “Early Gestation​

1-n​

U​

 

 

 

 

Section”​

 

 

14​

>​

CONTAINS​

INCLUDE​

DTID 5010 “Amniotic Sac​

1​

U​

 

 

 

 

Section”​

 

 

15​

>​

CONTAINS​

INCLUDE​

DTID5015“PelvisandUterus​

1​

U​

 

 

 

 

Section”​

 

 

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​

CONTAINER​EV(121070,DCM,"Findings")​ 1-n​

U​

20​

>>​

HAS CONCEPT​CODE​

EV (363698007, SCT,​

1​

M​

 

 

MOD​

 

"Finding Site")​

 

 

21​

>>​

CONTAINS​

INCLUDE​

DTID 5025 “OB-GYN Fetal​

1​

M​

 

 

 

 

Vascular Ultrasound​

 

 

 

 

 

 

Measurement Group”​

 

 

$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 -​


Page 350​

 

 

DICOM PS3.16 2020a - Content Mapping Resource​

 

 

NL​ Rel with Parent​

VT​

Concept Name​

VM​

Req​Condition​ Value Set​

 

 

 

 

 

 

 

Type​

Constraint​

22​

>​

CONTAINS​

CONTAINER​EV(121070,DCM,"Findings")​ 1-n​

U​

 

23​

>>​

HAS CONCEPT​CODE​

EV (363698007, SCT,​

1​

M​

EV (281496003,​

 

 

MOD​

 

 

"Finding Site")​

 

 

SCT, "Pelvic​

 

 

 

 

 

 

 

 

Vascular Structure")​

24​

>>​

CONTAINS​

INCLUDE​

DTID 5026 “OB-GYN Pelvic​

1​

M​

$AnatomyGroup =​

 

 

 

 

 

Vascular Ultrasound​

 

 

DCID 12140 “Pelvic​

 

 

 

 

 

Measurement Group”​

 

 

Vasculature​

 

 

 

 

 

 

 

 

AnatomicalLocation”​

Content Item Descriptions​

 

 

 

 

 

 

Row 6​

 

 

No purpose of reference is specified.​

 

 

 

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​

 

NL​

Rel with Parent​

VT​

Concept Name​

VM​ Req Type​Condition​Value Set​

 

 

 

 

 

 

Constraint​

1​

 

 

CONTAINER​EV (121118, DCM, "Patient​

1​

M​

 

 

 

 

Characteristics")​

 

 

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​

 

 

 

 

Weight")​

 

 

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​

 

 

 

 

Pregnancies")​

 

 

TID 5002 OB-GYN Procedure Summary Section​

Observations of the procedure of immediate clinical interest.​

Type:​

Extensible​

Order:​

Significant​

Root:​

No​

- Standard -​