Файл: part16.pdf

DICOM PS3.16 2020a - Content Mapping Resource​

Page 373​

NL​ Rel with Parent​

VT​

Concept Name​

VM​

Req​ Condition​Value Set Constraint​

Type​

8​

>>​

CONTAINS​

INCLUDE​

DTID 5203 “Echo​

1-n​

M​

$Measurement =​

Measurement”​

$MeasType​

$Method = CID 12227​

“Echocardiography​

Measurement Method”​

Content Item Descriptions​

Rows 4, 5​

Type of measurement group. May be grouped by image mode, or acquisition protocol, or some other​

user or manufacturer designated classification​

Row 7​

Formeasurementsacquiredinastagedprotocol,allmeasurementsinameasurementgroupareacquired​

at the identified stage.​

TID 5203 Echo Measurement​

Table TID 5203. Parameters​

Parameter Name​

Parameter Usage​

$Measurement​

Coded term or Context Group for Concept Name of measurement​

$Method​

Value for Measurement Method​

Type:​

Extensible​

Order:​

Significant​

Root:​

No​

Table TID 5203. Echo Measurement​

NL​ Rel with Parent​

VT​

Concept Name​

VM​

Req​ Condition​ Value Set Constraint​

Type​

1​

INCLUDE​DTID300“Measurement”​ 1​

M​

$Measurement=$Measurement​

$Method = $Method​

$TargetSite = BCID 12236​

“Echo Anatomic Sites”​

$TargetSiteMod = BCID 12237​

“Echocardiography Anatomic​

Site Modifiers”​

2​

>​

HAS CONCEPT​ CODE​

EV (260674002, SCT,​

1​

U​

BCID 12221 “Flow Direction”​

MOD​

"Flow Direction")​

3​

>​

HAS CONCEPT​ CODE​

EV (272517003, SCT,​

1​

U​

DCID12234“RespirationState”​

MOD​

"RespiratoryCyclePoint")​

4​

>​

HAS CONCEPT​ CODE​

EV (272518008, SCT,​

1​

U​

DCID 12233 “Cardiac Phase”​

MOD​

"Cardiac Cycle Point")​

5​

>​

HAS ACQ​

CODE​

EV (399264008, SCT,​

1​

U​

DCID 12224 “Ultrasound Image​

CONTEXT​

"Image Mode")​

Modes”​

6​

>​

HAS ACQ​

CODE​

EV (111031, DCM,​

1​

U​

BCID12226“Echocardiography​

CONTEXT​

"Image View")​

Image View”​

7​

>​

HAS ACQ​

CODE​

EV (18139-6, LN,​

1​

U​

BCID 12002 “Ultrasound​

CONTEXT​

"Stage")​

Protocol Stage Types”​

Page 374​

DICOM PS3.16 2020a - Content Mapping Resource​

Content Item Descriptions​

Row 1​

TID 300 specifies an "Equivalent Meaning of Concept Name" that allows the creating application to specify the​

preferred composed concept name representing the measurement and the associated post-coordination Concept​

Modifiers (e.g., the ASE terminology described in Section N.3 “Illustrative Mapping to ASE Concepts” in PS3.17).​

Table TID 5204. Parameters​

Parameter Name​

Parameter Usage​

$Procedure​

The imaging procedure used for wall motion analysis.​

Type:​

Extensible​

Order:​

Significant​

Root:​

No​

Table TID 5204. Wall Motion Analysis​

NL​

Rel with Parent​ VT​

Concept Name​

VM​

Req​ Condition​ Value Set​

Type​

Constraint​

1​

CONTAINER​EV(121070,DCM,"Findings")​

1​

M​

2​

>​

HAS CONCEPT​ CODE​

EV (121058, DCM,​

1​

M​

$Procedure​

MOD​

"Procedure reported")​

3​

>​

HAS ACQ​

CODE​

EV (18139-6, LN, "Stage")​

1​

U​

BCID 3207 “Stress​

CONTEXT​

Test Procedure​

Phases”​

4​

>​

CONTAINS​

IMAGE​

EV (125201, DCM,​

1​

U​

"Illustration of Finding")​

5​

>​

CONTAINS​

TEXT​

EV (18118-0, LN, "LV Wall​

1​

U​

Motion Segmental Findings")​

6​

>​

CONTAINS​

NUM​

DT (125202, DCM, "LV Wall​

1​

U​

Motion Score Index")​

7​

>>​

HAS CONCEPT​ CODE​

EV (273249006, SCT,​

1​

M​

BCID 12238 “Wall​

MOD​

"Assessment Scale")​

Motion Scoring​

Schemes”​

8​

>​

CONTAINS​

CONTAINER​EV(121070,DCM,"Findings")​

1​

U​

9​

>>​

HAS CONCEPT​ CODE​

EV (363698007, SCT,​

1​

M​

DT (272657006,​

MOD​

"Finding Site")​

SCT, "Myocardial​

Wall")​

10​

>>​

CONTAINS​

CODE​

EV (18179-2, LN, "Wall​

1-n​

M​

BCID 3717​

Segment")​

“Myocardial Wall​

Segments”​

11​

>>>​

HAS​

CODE​

EV(60797005,SCT,"Cardiac​

1​

MC​ IF row 12​DCID 3703 “Wall​

PROPERTIES​

Wall Motion")​

is absent​Motion”​

12​

>>>​

HAS​

CODE​

EV (116676008, SCT,​

1​

MC​ IF row 11​DCID 3704​

PROPERTIES​

"Associated Morphology")​

is absent​“Myocardium Wall​

MorphologyFindings”​

13​

>>>​

HAS​

NUM​

DT (246262008, SCT,​

1​

U​

PROPERTIES​

"Score")​

DICOM PS3.16 2020a - Content Mapping Resource​

Page 375​

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VT​

Concept Name​

VM​

Req​ Condition​ Value Set​

Type​

Constraint​

14​ >>>​

HAS​

NUM​

EV (122624, DCM, "Wall​

1​

U​

UNITS = DT (%,​

PROPERTIES​

Thickness Ratio end-systolic​

UCUM, "%")​

to end-diastolic")​

Content Item Descriptions​

Row 3​

The stage of the protocol at which these findings were scored. This row may be absent if this is a generic,​

non-staged scoring.​

Row 4​

Image that graphically depicts the segments and their scores.​

Row 5​

Text narration accompanying this stage.​

Row 6​

The composite score computed from the average of the scored segments​

Row 7​

The type of scoring scheme used to score this exam.​

Row 8​

A container of all of the individual segment findings for this stage. The container shall be present if the​

observer makes an assessment, including the assessment of Not Visualized. It shall not be present if no​

evaluation was made.​

Rows 11, 12​

Scar/thinning (in Row 12) may accompany akinesis and dyskinesis (in Row 11).​

Row 13​

A numeric designation for the score. Score ranges vary, typically 0-4 or 0-5. Numeric scores may depend​

on wall motion findings as well as morphology findings. See Table 5204-1 for conventional numeric​

Conventional​

Wall Motion Finding or Morphology Finding​

Numeric​

4 Point​

5 Point​

5 Point with Graded Hypokinesis​

Assignment​

-1​

(60797005, SCT, "Cardiac Wall​

(60797005, SCT, "Cardiac Wall​

(60797005, SCT, "Cardiac Wall Motion") =​

Motion") = (373123005, SCT,​

Motion") = (373123005, SCT,​

(373123005, SCT, "Hyperkinesis")​

"Hyperkinesis")​

"Hyperkinesis")​

0​

(60797005, SCT, "Cardiac Wall​

(60797005, SCT, "Cardiac Wall​

(60797005, SCT, "Cardiac Wall Motion") =​

Motion") = (122288, DCM, "Not​

Motion") = (122288, DCM, "Not​

(122288, DCM, "Not Visualized")​

Visualized")​

Visualized")​

1​

(60797005, SCT, "Cardiac Wall​

(60797005, SCT, "Cardiac Wall​

(60797005, SCT, "Cardiac Wall Motion") =​

Motion") = (373122000, SCT,​ Motion")=(373122000,SCT,"Normal​(373122000, SCT, "Normal Wall Motion")​

"Normal Wall Motion")​

Wall Motion")​

1.5​

(60797005, SCT, "Cardiac Wall Motion") =​

(371868005, SCT, "Mild Hypokinesis")​

2​

(60797005, SCT, "Cardiac Wall​

(60797005, SCT, "Cardiac Wall​

(60797005, SCT, "Cardiac Wall Motion") =​

Motion") = (37706002, SCT,​

Motion") = (37706002, SCT,​

(371869002,SCT,"ModerateHypokinesis")​

"Hypokinesis")​

"Hypokinesis")​

2.5​

(60797005, SCT, "Cardiac Wall Motion") =​

(371870001, SCT, "Severe Hypokinesis")​

3​

(60797005, SCT, "Cardiac Wall​

(60797005, SCT, "Cardiac Wall​

(60797005, SCT, "Cardiac Wall Motion") =​

Motion") = (195675009, SCT,​

Motion") = (195675009, SCT,​

(195675009, SCT, "Akinesis")​

"Akinesis")​

"Akinesis")​

4​

(60797005, SCT, "Cardiac Wall​

(60797005, SCT, "Cardiac Wall​

(60797005, SCT, "Cardiac Wall Motion") =​

Motion") = (25437005, SCT,​

Motion") = (25437005, SCT,​

(25437005, SCT, "Dyskinesis")​

"Dyskinesis")​

"Dyskinesis")​

Page 376​

DICOM PS3.16 2020a - Content Mapping Resource​

Conventional​

Wall Motion Finding or Morphology Finding​

Numeric​

4 Point​

5 Point​

5 Point with Graded Hypokinesis​

Assignment​

5​

(116676008, SCT, "Associated​

(116676008, SCT, "Associated​

Morphology") = (90539001, SCT,​

Morphology") = (90539001, SCT,​

"Ventricular Aneurysm")​

"Ventricular Aneurysm")​

Type:​

Extensible​

Order:​

Significant​

Root:​

Yes​

NL​ Rel with Parent​ VT​

Concept Name​

VM​

Req​ Condition​ Value Set​

Type​

Constraint​

1​

CONTAINER​DCID 12245 “Cardiac​

1​

M​

Root node​

Ultrasound Report Titles”​

2​

>​

HAS CONCEPT​INCLUDE​

DTID 1204 “Language of​

1​

M​

MOD​

ContentItemandDescendants”​

3​

>​

HAS OBS​

INCLUDE​

DTID 1001 “Observation​

1​

M​

CONTEXT​

Context”​

4​

>​

CONTAINS​

CONTAINER​EV (18785-6, LN, "Indications​

1​

U​

for Procedure")​

5​

>>​

CONTAINS​

CODE​

EV (121071, DCM, "Finding")​

1-n​

U​

DCID 12246​

“Cardiac​

Ultrasound​

Indication for​

Study”​

6​

>>​

CONTAINS​

TEXT​

EV (121071, DCM, "Finding")​

1​

U​

7​

>​

CONTAINS​

INCLUDE​

DTID 3802 “Cardiovascular​

1​

U​

Patient History”​

8​

>​

CONTAINS​

INCLUDE​

DTID 3602 “Cardiovascular​

1​

U​

Patient Characteristics”​

9​

>​

CONTAINS​

INCLUDE​

DTID 5225 “Cardiac Ultrasound​ 1-n​

U​

No more than​

Fetal Characteristics”​

one inclusion per​

fetus​

10​

>​

CONTAINS​

INCLUDE​

DTID 5226 “Cardiac Ultrasound​

1​

U​

Summary Section”​

11​

>​

CONTAINS​

INCLUDE​

DTID 5227 “Cardiac Ultrasound​ 1-n​

U​

No more than​

Fetal Summary Section”​

one inclusion per​

fetus​

12​

>​

CONTAINS​

CONTAINER​EV (111028, DCM, "Image​

1​

U​

Library")​

13​

>>​

CONTAINS​

IMAGE​

1-n​

M​

14​

>​

CONTAINS​

INCLUDE​

DTID 5221 “Cardiac Ultrasound​

1​

U​

Pediatric Echo Measurement​

Section”​

DICOM PS3.16 2020a - Content Mapping Resource​

Page 377​

NL​ Rel with Parent​

VT​

Concept Name​

VM​

Req​ Condition​ Value Set​

Type​

Constraint​

15​ >​

CONTAINS​

INCLUDE​

DTID 5228 “Cardiac Ultrasound​ 1-n​

UC​ For Fetal​No more than​

Fetal Measurement Section”​

Report​

one inclusion per​

only.​

fetus​

Content Item Descriptions​

Row 3​

For Fetal Report, this row establishes the subject context of the mother.​

Row 7​

For Fetal Report, this row will be the patient history of the mother.​

Row 8​

For Fetal Report, this row will be the Patient Characteristics for the mother.​

Row 10​

For Fetal Report, this row will be the Summary Section for the mother.​

Row 13​

No purpose of reference is specified.​

TID 5221 Cardiac Ultrasound Pediatric Echo Measurement Section​

Type:​

Extensible​

Order:​

Significant​

Root:​

No​

Table TID 5221. Cardiac Ultrasound Pediatric Echo Measurement Section​

NL​ Rel​

VT​

Concept Name​

VM​ Req​Condition​

Value Set Constraint​

with​

Type​

Parent​

1​

INCLUDE​DTID 5222 “Pediatric, Fetal​

1-n​

U​

$SectionSubject = DCID 12282 “Cardiac​

and Congenital Cardiac​

Ultrasound Venous Return Systemic Finding​

Ultrasound Section”​

Sites”​

$MeasType = DCID 12264 “Cardiac​

Ultrasound Venous Return Systemic​

Measurements”​

2​

INCLUDE​DTID 5222 “Pediatric, Fetal​

1-n​

U​

$SectionSubject = DCID 12283 “Cardiac​

and Congenital Cardiac​

UltrasoundVenousReturnPulmonaryFinding​

Ultrasound Section”​

Sites”​

$MeasType = DCID 12263 “Cardiac​

Ultrasound Venous Return Pulmonary​

Measurements”​

3​

INCLUDE​DTID 5222 “Pediatric, Fetal​

1-n​

U​

$SectionSubject = DCID 12284 “Cardiac​

and Congenital Cardiac​

Ultrasound Atria and Atrial Septum Finding​

Ultrasound Section”​

Sites”​

$MeasType = DCID 12265 “Cardiac​

Ultrasound Atria and Atrial Septum​

Measurements”​

4​

INCLUDE​DTID 5222 “Pediatric, Fetal​

1-n​

U​

$SectionSubject = DCID 12285 “Cardiac​

and Congenital Cardiac​

Ultrasound Atrioventricular Valves Finding​

Ultrasound Section”​

Sites”​