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Page 382​

 

DICOM PS3.16 2020a - Content Mapping Resource​

 

 

NL​ Rel with​

VT​

Concept Name​

VM​

Req​

Condition​

Value Set Constraint​

 

 

Parent​

 

 

 

Type​

 

 

4​

>​

CONTAINS​

CODE​

EV (387713003, SCT,​

1-n​

U​

 

BCID 12247 “Pediatric,​

 

 

 

 

"Surgical Procedure")​

 

 

 

Fetal and Congenital​

 

 

 

 

 

 

 

 

Cardiac Surgical​

 

 

 

 

 

 

 

 

Interventions”​

TID 5227 Cardiac Ultrasound Fetal Summary Section​

 

 

 

Comments and observations of the procedure of immediate clinical interest.​

 

 

 

Type:​

 

Extensible​

 

 

 

 

Order:​

 

Significant​

 

 

 

 

Root:​

 

No​

 

 

 

 

 

 

 

Table TID 5227. Cardiac Ultrasound Fetal Summary Section​

 

NL​

Rel with​

VT​

Concept Name​

VM​

Req​

Condition​

ValueSetConstraint​

 

 

Parent​

 

 

 

Type​

 

 

1​

 

 

CONTAINER​DT (125008, DCM,​

1​

M​

 

 

 

 

 

 

"Fetus Summary")​

 

 

 

 

2​

>​

HAS OBS​

INCLUDE​ DTID 1008 “Subject​

1​

MC​ IF this Template is​

 

 

CONTEXT​

 

Context, Fetus”​

 

invoked more than​

 

 

 

 

 

 

once to describe​

 

 

 

 

 

 

more than one fetus​

3​

>​

CONTAINS​

CODE​

EV (121071, DCM,​

1-n​

MC​ IF row 4 does not​ BCID 12249 “Cardiac​

 

 

 

 

"Finding")​

 

exist​

Ultrasound Fetal​

 

 

 

 

 

 

 

 

Summary Codes”​

4​

>​

CONTAINS​

TEXT​

EV (121071, DCM,​

1-n​

MC​ IF row 3 does not​

 

 

 

 

"Finding")​

 

exist​

 

5​

>​

CONTAINS​

CODE​

EV (387713003, SCT,​

1-n​

U​

 

BCID 12247​

 

 

 

 

"Surgical Procedure")​

 

 

 

“Pediatric, Fetal and​

 

 

 

 

 

 

 

 

Congenital Cardiac​

 

 

 

 

 

 

 

 

SurgicalInterventions”​

TID 5228 Cardiac Ultrasound Fetal Measurement Section​

 

 

Type:​

 

Extensible​

 

 

 

 

Order:​

 

Significant​

 

 

 

 

Root:​

 

No​

 

 

 

 

 

 

 

Table TID 5228. Cardiac Ultrasound Fetal Measurement Section​

 

NL​

Rel with​

VT​

Concept Name​

VM​ Req​ Condition​ Value Set Constraint​

 

 

Parent​

 

 

Type​

 

 

1​

 

CONTAINER​EV (125016, DCM, "Fetal​

1​

M​

 

 

 

 

 

 

Measurements")​

 

 

 

 

2​

>​ HAS OBS​ INCLUDE​

DTID 1008 “Subject​

1​

MC​IF this​

 

 

CONTEXT​

 

Context, Fetus”​

 

Templateis​

 

 

 

 

 

 

 

invoked​

 

 

 

 

 

 

 

more than​

 

once to​ describe​ more than​ one fetus.​

- Standard -​


 

 

 

 

DICOM PS3.16 2020a - Content Mapping Resource​

 

Page 383​

 

NL​ Rel with​

VT​

Concept Name​

VM​

Req​ Condition​

Value Set Constraint​

 

 

Parent​

 

 

 

Type​

 

 

3​

>​

CONTAINS​INCLUDE​

DTID 300 “Measurement”​

1-n​

U​

$Measurement = DCID 12279​

 

 

 

 

 

 

 

“CardiacUltrasoundFetalGeneral​

 

 

 

 

 

 

 

Measurements”​

4​

>​

CONTAINS​INCLUDE​

DTID 5222 “Pediatric, Fetal​ 1-n​

U​

$SectionSubject = EV (4432005,​

 

 

 

 

and Congenital Cardiac​

 

 

SCT, "Ductus arteriosus")​

 

 

 

 

Ultrasound Section”​

 

 

$MeasType = DCID 12218​

 

 

 

 

 

 

 

 

 

 

 

 

 

 

“Echocardiography Congenital”​

5​

>​

CONTAINS​INCLUDE​

DTID 5222 “Pediatric, Fetal​ 1-n​

U​

$SectionSubject = EV​

 

 

 

 

and Congenital Cardiac​

 

 

(367624001, SCT, "Ductus​

 

 

 

 

Ultrasound Section”​

 

 

venosus")​

 

 

 

 

 

 

 

$MeasType = DCID 12218​

 

 

 

 

 

 

 

“Echocardiography Congenital”​

6​

>​

CONTAINS​INCLUDE​

DTID 5222 “Pediatric, Fetal​ 1-n​

U​

$SectionSubject=EV(50536004,​

 

 

 

 

and Congenital Cardiac​

 

 

SCT, "Umbilical artery")​

 

 

 

 

Ultrasound Section”​

 

 

$MeasType = DCID 12218​

 

 

 

 

 

 

 

 

 

 

 

 

 

 

“Echocardiography Congenital”​

7​

>​

CONTAINS​INCLUDE​

DTID 5222 “Pediatric, Fetal​ 1-n​

U​

$SectionSubject = EV​

 

 

 

 

and Congenital Cardiac​

 

 

(367567000, SCT, "Umbilical​

 

 

 

 

Ultrasound Section”​

 

 

vein")​

 

 

 

 

 

 

 

$MeasType = DCID 12218​

 

 

 

 

 

 

 

“Echocardiography Congenital”​

8​

>​

CONTAINS​INCLUDE​

DTID 5222 “Pediatric, Fetal​ 1-n​

U​

$SectionSubject=EV(17232002,​

 

 

 

 

and Congenital Cardiac​

 

 

SCT, "Middle cerebral artery")​

 

 

 

 

Ultrasound Section”​

 

 

$MeasType = DCID 12218​

 

 

 

 

 

 

 

 

 

 

 

 

 

 

“Echocardiography Congenital”​

Simplified Adult Echocardiography Templates ​

The templates that comprise the Simplified Adult Echocardiography Report are interconnected as in Figure A-10b.​

TID 5300

 

 

TID 1001

Simplified Echo

 

 

Observation

Procedure Report

 

 

Context

 

 

 

TID 1204

 

 

 

Language of

 

 

 

Content Item and

 

 

 

Descendants

 

 

 

TID 3602

 

 

 

Cardiovascular

 

 

 

Patient

 

 

 

 

 

 

Characteristics

 

 

 

TID 5301

 

 

 

Pre-Coordinated

 

 

 

Echo Measurement

 

 

 

TID 5302

 

 

 

Post-Coordinated

 

 

 

Echo Measurement

 

 

 

TID 5303

 

 

 

Ad hoc Measurement

 

 

 

TID 5204

 

 

 

Wall Motion Analysis

Figure A-10b. Simplified Adult Echocardiography Template Structure​

- Standard -​


Page 384​

DICOM PS3.16 2020a - Content Mapping Resource​

TID 5300 Simplified Echo Procedure Report​

This template forms the top of a content tree that allows an ultrasound device to describe the results of an adult echocardiography​ imaging procedure.​

The template is instantiated at the root node. It can also be included in other templates that need to incorporate echocardiography​ findings into another report as quoted evidence.​

This template does not include an Image Library. Image Content Items in the Echo Measurement templates (for example to indicate​ Source of Measurement) shall be included with by-value relationships, not with by-reference relationships.​

Measurements in this template (except for the Wall Motion Analysis) are collected into one of three containers, each with a specific​ sub-template and constraints appropriate to the purpose of the container.​

•​Pre-coordinated Measurements​

•​Are fully standardized measurements (many taken from the ASE practice guidelines).​

•​Each has a single pre-coordinated standard code that fully captures the semantics of the measurement.​

•​The only modifiers permitted are to indicate coordinates where the measurement was taken, provide a brief display label, and​ indicate which of a set of repeated measurements is the preferred value. Other modifiers are not permitted.​

•​Post-coordinated Measurements​

•​Are non-standardized measurements that are performed with enough regularity to merit the control and configuration to capture​ thefullsemanticsofthemeasurement.Forexamplethesemeasurementsmayincludethoseconfiguredonthecartbythevendor​ or user site. Some of these may be variants of the Pre-coordinated Measurements.​

•​A set of mandatory and conditional modifiers with controlled vocabularies capture the essential semantics in a uniform way.​

•​A single pre-coordinated code is also provided so that when the same type of measurement is encountered in the future, it is not​ necessarytoparseandevaluatethefullconstellationofmodifervalues.Sincethismeasurementhasnotbeenfullystandardized,​ the pre-coordinated code may use a private coding scheme (e.g., from the vendor or user site).​

•​Adhoc Measurements​

•​Are non-standardized measurements that do not merit the effort to track or configure all the details necessary to populate the​ set of modifiers required for a post-coordinated measurement.​

•​The measurement code describes the elementary property measured.​

•​Modifiers provide a brief display label and indicate coordinates where the measurement was taken. Other modifiers are not per-​ mitted.​

For an example of this encoding and a discussion of the benefits and use cases, see Annex CCCC Populating The Simplified Echo​ Procedure Report Template (Informative) in PS3.17.​

Type:​

Non-Extensible​

Order:​

Significant​

Root:​

Yes​

 

Table TID 5300. Simplified Echo Procedure Report​

 

NL​ RelwithParent​ VT​

Concept Name​

VM​

Req​Condition​Value Set Constraint​

 

 

 

 

Type​

1​

CONTAINER​EV (125200, DCM, "Adult​

1​

M​

 

 

Echocardiography Procedure​

 

 

 

 

Report")​

 

 

2​

>​ HASCONCEPT​INCLUDE​

DTID 1204 “Language of​

1​

U​

 

MOD​

Content Item and​

 

 

 

 

Descendants”​

 

 

- Standard -​


 

 

 

DICOM PS3.16 2020a - Content Mapping Resource​

Page 385​

 

NL​ RelwithParent​ VT​

Concept Name​

VM​

Req​Condition​Value Set Constraint​

 

 

 

 

 

 

Type​

 

3​

>​

HAS OBS​

INCLUDE​

DTID 1001 “Observation​

1​

M​

 

 

 

CONTEXT​

 

Context”​

 

 

 

4​

>​

CONTAINS​

CONTAINER​DT (55111-9, LN, "Current​

1​

U​

 

 

 

 

 

Procedure Descriptions")​

 

 

 

5​

>>​

CONTAINS​

CODE​

DT (125203, DCM,​

1-n​

M​

BCID12001“Ultrasound​

 

 

 

 

"Acquisition Protocol")​

 

 

Protocol Types”​

6​

>​

CONTAINS​

CONTAINER​EV(18785-6,LN,"Indications​

1​

U​

 

 

 

 

 

for Procedure")​

 

 

 

7​

>>​

CONTAINS​

CODE​

EV (121071, DCM, "Finding")​ 1-n​

U​

DCID 12246 “Cardiac​

 

 

 

 

 

 

 

UltrasoundIndicationfor​

 

 

 

 

 

 

 

Study”​

8​

>>​

CONTAINS​

TEXT​

EV (121071, DCM, "Finding")​

1​

U​

 

9​

>​

CONTAINS​

INCLUDE​

DTID 3602 “Cardiovascular​

1​

U​

 

 

 

 

 

Patient Characteristics”​

 

 

 

10​

>​

CONTAINS​

CONTAINER​EV (125301, DCM,​

1​

M​

 

 

 

 

 

"Pre-coordinated​

 

 

 

 

 

 

 

Measurements")​

 

 

 

11​

>>​

CONTAINS​

INCLUDE​

DTID 5301 “Pre-coordinated​

1-n​

M​

$Measurement = DCID​

 

 

 

 

Echo Measurement”​

 

 

12300 “Core Echo​

 

 

 

 

 

 

 

Measurements”​

 

 

 

 

 

 

 

$Preferred = DCID​

 

 

 

 

 

 

 

12301 “Measurement​

 

 

 

 

 

 

 

Selection Reasons”​

12​

>​

CONTAINS​

CONTAINER​EV (125302, DCM,​

1​

M​

 

 

 

 

 

"Post-coordinated​

 

 

 

 

 

 

 

Measurements")​

 

 

 

13​

>>​

CONTAINS​

INCLUDE​

DTID 5302 “Post-coordinated​ 1-n​

U​

$Preferred = DCID​

 

 

 

 

Echo Measurement”​

 

 

12301 “Measurement​

 

 

 

 

 

 

 

Selection Reasons”​

14​

>​

CONTAINS​

CONTAINER​EV (125303, DCM, "Adhoc​

1​

M​

 

 

 

 

 

Measurements")​

 

 

 

15​

>>​

CONTAINS​

INCLUDE​

DTID 5303 “Adhoc​

1-n​

U​

$Property=DCID12304​

 

 

 

 

Measurement”​

 

 

“Echo Measured​

 

 

 

 

 

 

 

Properties”​

16​

>​

CONTAINS​

INCLUDE​

DTID 5204 “Wall Motion​

1-n​

U​

$Procedure = DT​

 

 

 

 

Analysis”​

 

 

(35757004, SCT,​

 

 

 

 

 

 

 

"Echocardiography for​

 

 

 

 

 

 

 

Determining Ventricular​

 

 

 

 

 

 

 

Contraction")​

17​

>​

CONTAINS​

CONTAINER​EV (125310, DCM, "Staged​

1​

U​

 

 

 

 

 

Measurements")​

 

 

 

18​

>>​

HAS ACQ​

CODE​

EV (18139-6, LN, "Stage")​

1​

M​

BCID 3207 “Stress Test​

 

 

CONTEXT​

 

 

 

 

Procedure Phases”​

19​

>>​

CONTAINS​

CONTAINER​EV (125301, DCM,​

1​

M​

 

 

 

 

 

"Pre-coordinated​

 

 

 

 

 

 

 

Measurements")​

 

 

 

- Standard -​


Page 386​

 

DICOM PS3.16 2020a - Content Mapping Resource​

 

 

NL​ RelwithParent​ VT​

Concept Name​

VM​

Req​Condition​Value Set Constraint​

 

 

 

 

 

 

Type​

 

20​

>>>​

CONTAINS​

INCLUDE​

DTID 5301 “Pre-coordinated​

1-n​

U​

$Measurement = DCID​

 

 

 

 

Echo Measurement”​

 

 

12300 “Core Echo​

 

 

 

 

 

 

 

Measurements”​

 

 

 

 

 

 

 

$Preferred = DCID​

 

 

 

 

 

 

 

12301 “Measurement​

 

 

 

 

 

 

 

Selection Reasons”​

21​

>>​

CONTAINS​

CONTAINER​EV (125302, DCM,​

1​

M​

 

 

 

 

 

"Post-coordinated​

 

 

 

 

 

 

 

Measurements")​

 

 

 

22​

>>>​

CONTAINS​

INCLUDE​

DTID 5302 “Post-coordinated​ 1-n​

U​

$Preferred = DCID​

 

 

 

 

Echo Measurement”​

 

 

12301 “Measurement​

 

 

 

 

 

 

 

Selection Reasons”​

23​

>>​

CONTAINS​

CONTAINER​EV (125303, DCM, "Adhoc​

1​

M​

 

 

 

 

 

Measurements")​

 

 

 

24​

>>>​

CONTAINS​

INCLUDE​

DTID 5303 “Adhoc​

1-n​

U​

$Property=DCID12304​

 

 

 

 

Measurement”​

 

 

“Echo Measured​

 

 

 

 

 

 

 

Properties”​

Content Item Descriptions​

 

 

 

 

 

Row 8​

Atextstringcontainingoneormoresentencesdescribingoneormoreindications,possiblywithadditionalcomments​

 

 

from the physician or tech.​

 

 

 

 

Row 11​ These are measurements from a standardized list of pre-coordinated codes. See CID 12300 “Core Echo​ Measurements”. Measurements which do not correspond to the full semantics of one of the pre-coordinated codes​ in CID 12300 can likely be encoded in Row 13 instead.​

Multiple instances of the same measurement code may be present in the container. Each instance represents a​ different sample or derivation.​

This template makes no requirement that any or all samples be sent. For example, a mean value of all the samples​ ofagivenmeasurementcouldbesentwithoutsendingalloranyofthesamplesfromwhichthemeanwascalculated.​ Device configuration and/or operator interactions determine what measurements are sent.​

Row 13​ These are measurements that can be encoded using a standardized structure of post-coordinated codes.​ Measurements which correspond to the full semantics of one of the pre-coordinated codes in CID 12300 “Core​ Echo Measurements” should be encoded in Row 11 instead.​

$Measurement shall be provided, but is not constrained to a CID.​

Multiple instances of the same measurement code may be present in the container. Each instance represents a​ different sample or derivation.​

This template makes no requirement that any or all samples be sent. For example, a mean value of all the samples​ ofagivenmeasurementcouldbesentwithoutsendingalloranyofthesamplesfromwhichthemeanwascalculated.​ Device configuration and/or operator interactions determine what measurements are sent.​

Row 15​ These are adhoc measurements encoded with minimal semantics.​

Row 13 can be used to encode measurements with more complete semantics.​

$Units shall be provided, but is not constrained to a CID.​

Device configuration and/or operator interactions determine what measurements are sent.​

Rows 17-24​ When present, these rows contain measurements and associate them with a specific stage of a staged procedure.​

- Standard -​