PS-2020a / part16
.pdfDICOM PS3.16 2020a - Content Mapping Resource Page 211
TID 3309 Stress Echo Measurement Group
Type: |
Extensible |
Order: |
Significant |
Root: |
No |
|
Table TID 3309. Stress Echo Measurement Group |
|
NL |
Rel with |
VT |
Concept Name |
VM Req Condition |
Value Set Constraint |
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Parent |
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Type |
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1 |
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CONTAINERDT (121070, DCM, |
1 |
M |
|
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"Findings") |
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2 |
> |
HAS |
CODE |
EV (121058, DCM, |
1 |
M |
DT (40701008, SCT, |
|
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CONCEPT |
|
"Procedurereported") |
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"Echocardiography") |
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MOD |
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3 |
> |
CONTAINS |
INCLUDE |
DTID 5203 “Echo |
1-n |
U |
$Measurement = DCID 12200 |
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|
Measurement” |
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“Echocardiography Left |
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Ventricle” |
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$Method = CID 12227 |
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“Echocardiography |
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Measurement Method” |
4 |
>> |
HAS |
CODE |
EV(363698007,SCT, 1 |
MCIF Row 3 |
EV (87878005, SCT, "Left |
|
|
|
CONCEPT |
|
"Finding Site") |
|
measurement |
Ventricle") |
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MOD |
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concept is in CID |
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12222 “Orifice |
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Flow Properties” |
|
5 |
> |
CONTAINS |
INCLUDE |
DTID 5203 “Echo |
1-n |
U |
$Measurement = DCID 12211 |
|
|
|
|
Measurement” |
|
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“EchocardiographyAorticValve” |
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$Method = CID 12227 |
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“Echocardiography |
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Measurement Method” |
6 |
>> |
HAS |
CODE |
EV(363698007,SCT, 1 |
MCIF Row 5 |
EV (34202007, SCT, "Aortic |
|
|
|
CONCEPT |
|
"Finding Site") |
|
measurement |
Valve") |
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MOD |
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concept is in CID |
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12222 “Orifice |
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Flow Properties” |
|
7 |
> |
CONTAINS |
INCLUDE |
DTID 5203 “Echo |
1-n |
U |
$Measurement = DCID 12207 |
|
|
|
|
Measurement” |
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“EchocardiographyMitralValve” |
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$Method = CID 12227 |
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“Echocardiography |
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Measurement Method” |
8 |
>> |
HAS |
CODE |
EV(363698007,SCT, 1 |
MCIF Row 7 |
EV (91134007, SCT, "Mitral |
|
|
|
CONCEPT |
|
"Finding Site") |
|
measurement |
Valve") |
|
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MOD |
|
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concept is in CID |
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|
12222 “Orifice |
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Flow Properties” |
|
9 |
> |
CONTAINS INCLUDE |
DTID 5203 “Echo |
1-n |
U |
$Measurement = DCID 12208 |
|
|
|
|
|
Measurement” |
|
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“Echocardiography Tricuspid |
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Valve” |
$Method = CID 12227 “Echocardiography Measurement Method”
- Standard -
Page 212 |
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DICOM PS3.16 2020a - Content Mapping Resource |
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NL |
Rel with |
VT |
Concept Name |
VM Req Condition |
Value Set Constraint |
|
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Parent |
|
|
|
Type |
|
10 >> |
HAS |
CODE |
EV(363698007,SCT, 1 |
MCIF Row 9 |
EV(46030003,SCT,"Tricuspid |
|
|
CONCEPT |
|
"Finding Site") |
|
measurement |
Valve") |
|
MOD |
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concept is in CID |
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12222 “Orifice |
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|
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|
Flow Properties” |
|
11 > |
CONTAINS INCLUDE |
DTID 5204 “Wall |
1 |
U |
$Procedure = DT (35757004, |
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Motion Analysis” |
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SCT, "Echocardiography for |
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Determining Ventricular |
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Contraction") |
Content Item Descriptions
Rows 3-10 These invocations of TID 5203 “Echo Measurement” do not include an inherited Findings Site concept, for example as in the invocations of TID 5203 “Echo Measurement” from TID 5202 “Echo Section”. Echo measurements that do nothavetheassociatedFindingSitepre-coordinatedinthemeasurementconcept(i.e.,theorificeflowmeasurements ofCID12222“OrificeFlowProperties”),shallhavetheFindingSiteexplicitlypost-coordinatedwithaConceptModifier (Rows 4, 6, 8, and 10).
This Template does not include the concept of an Image Library, for example as used in TID 5200 “Echocardiography Procedure Report”. Image Content Items in the Echo Measurement Template shall be included with by-value relationships, not with by-reference relationships.
TID 3311 Stress Test Summary
Type: |
Extensible |
Order: |
Significant |
Root: |
No |
Table TID 3311. Stress Test Summary
|
NL Rel with Parent VT |
Concept Name |
VM |
Req Condition Value Set |
|||
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Type |
Constraint |
1 |
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CONTAINEREV(121111,DCM,"Summary") |
1 |
M |
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|
2 |
> |
CONTAINS |
TEXT |
EV(121111,DCM,"Summary") |
1 |
U |
|
3 |
> |
CONTAINS |
INCLUDE |
DTID 3312 “Physiological |
1 |
U |
|
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|
Summary” |
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4 |
> |
CONTAINS |
INCLUDE |
DTID 3313 “Stress ECG |
1 |
U |
|
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|
Summary” |
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5 |
> |
CONTAINS |
INCLUDE |
DTID 3317 “Stress Imaging |
1 |
U |
|
|
|
|
|
Summary” |
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6 |
> |
CONTAINS |
CODE |
EV (121071, DCM, "Finding") |
1 |
U |
EV (300995000, |
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SCT, |
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"Exercise-induced |
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angina") |
7 |
>> |
|
INCLUDE |
DTID 1350 “Negation Modifier, |
1 |
M |
|
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Presence of Finding” |
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8 |
> |
CONTAINS |
CODE |
EV (121071, DCM, "Finding") |
1-n |
U |
DCID 3220 “Stress |
|
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|
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|
|
|
Symptoms” |
9 |
> |
CONTAINS |
TEXT |
EV (121071, DCM, "Finding") |
1 |
U |
|
10 |
> |
CONTAINS |
CODE |
DT(246101005,SCT,"Reason |
1 |
U |
DCID 3221 “Stress |
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for stopping test") |
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|
Test Termination |
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Reasons” |
- Standard -
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NL Rel with Parent |
VT |
Concept Name |
VM |
Req Condition Value Set |
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Type |
Constraint |
11 |
> |
CONTAINS NUM |
DT (122715, DCM, |
|
1 |
U |
DT (mg/kg, UCUM, |
||
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"PharmacologicalStressAgent |
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"mg/kg") |
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Dose") |
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Content Item Descriptions |
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Rows 6-7 |
These rows allow an explicit finding of presence or absence of exercise-induced angina through the TID |
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1350 “Negation Modifier, Presence of Finding” Concept Modifier "Presence of property" |
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TID 3312 Physiological Summary |
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Type: |
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Extensible |
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Order: |
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Significant |
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Root: |
|
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No |
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Table TID 3312. Physiological Summary |
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NL Rel with |
VT |
Concept Name |
VM |
Req Condition Value Set Constraint |
||||
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Parent |
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Type |
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1 |
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NUM |
DT (40443-4, LN, "Resting |
1 |
M |
|
UNITS = DT ({H.B.}/min, |
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|
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Heart Rate") |
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UCUM, "BPM") |
|
2 |
|
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NUM |
EV (271649006, SCT, "Systolic |
1 |
M |
|
UNITS=DCID3500“Pressure |
|
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|
|
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Blood Pressure") |
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Units” |
|
3 |
> |
HAS |
CODE |
EV (109054, DCM, "Patient |
1 |
M |
|
DT (128975004, SCT, |
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CONCEPT |
State") |
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"Resting State") |
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MOD |
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4 |
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NUM |
EV(271650006,SCT,"Diastolic |
1 |
M |
|
UNITS=DCID3500“Pressure |
|
|
|
|
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Blood Pressure") |
|
|
|
Units” |
|
5 |
> |
HAS |
CODE |
EV (109054, DCM, "Patient |
1 |
M |
|
DT (128975004, SCT, |
|
|
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CONCEPT |
State") |
|
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"Resting State") |
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MOD |
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6 |
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NUM |
DT (428420003, SCT, "Target |
1 |
M |
|
UNITS = DT ({H.B.}/min, |
|
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|
|
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HR") |
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UCUM, "BPM") |
7 |
|
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NUM |
DT (428630002, SCT, |
1 |
M |
|
UNITS = DT ({H.B.}/min, |
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|
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"Maximum HR Achieved") |
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UCUM, "BPM") |
|
8 |
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NUM |
DT (428630002, SCT, |
1 |
M |
|
UNITS = EV (%, UCUM, "%") |
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"Maximum HR Achieved") |
|
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9 |
> |
HAS |
CODE |
EV (121425, DCM, "Index") |
1 |
M |
|
DT(428420003,SCT,"Target |
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CONCEPT |
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HR") |
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MOD |
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10 |
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NUM |
DT (122716, DCM, "Maximum |
1 |
U |
|
UNITS = DT (W, UCUM, |
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Power Output Achieved") |
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"Watts") |
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11 |
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NUM |
DT (122717, DCM, "Peak |
1 |
U |
|
UNITS = DT ([MET], UCUM, |
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activity workload") |
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"METS") |
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12 |
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CODE |
DT (428531008, SCT, "HR |
1 |
U |
|
DCID 3210 “Speed of |
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Response") |
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Response” |
|
13 |
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NUM |
DT (314439003, SCT, |
1 |
U |
|
UNITS=DCID3500“Pressure |
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|
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"Maximum systolic blood |
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Units” |
|
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pressure") |
|
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- Standard -
Page 214 |
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DICOM PS3.16 2020a - Content Mapping Resource |
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NL Rel with |
|
VT |
Concept Name |
|
VM |
Req Condition |
Value Set Constraint |
||
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Parent |
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Type |
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14 |
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NUM |
DT (314452008, SCT, |
|
1 |
U |
UNITS=DCID3500“Pressure |
||
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"Maximum diastolic blood |
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Units” |
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pressure") |
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15 |
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CODE |
DT (427732000, SCT, "BP |
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1 |
U |
DCID 3210 “Speed of |
||
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Response") |
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|
Response” |
|
16 |
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NUM |
DT (122718, DCM, "Peak |
|
1 |
U |
UNITS = DT |
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Double Product") |
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(mm[Hg].{H.B.}/min, UCUM, |
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"mmHg.BPM") |
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17 |
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NUM |
DT (252130009, SCT, "Total |
|
1 |
U |
UNITS = DT (min, UCUM, |
||
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Exercise duration") |
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"min") |
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18 |
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NUM |
DT (252129004, SCT, "Total |
|
1 |
U |
UNITS = DT (min, UCUM, |
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test duration") |
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"min") |
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19 |
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INCLUDE DTID 300 “Measurement” |
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1 |
U |
$Measurement = DT |
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(429160000,SCT,"Functional |
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capacity") |
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20 |
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TEXT |
DT (429160000, SCT, |
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1 |
U |
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"Functional capacity") |
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21 |
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INCLUDE DTID 300 “Measurement” |
|
1-n |
U |
$Measurement=EV(122760, |
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DCM, "Stress test score") |
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$Method=BCID3238“Stress |
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Scoring Scales” |
|
22 |
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NUM |
DT (429157007, SCT, "Heart |
1 |
U |
UNITS = DT (s, UCUM, "s") |
|||
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rate recovery time") |
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23 |
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CODE |
EV (121071, DCM, "Finding") |
1-n |
U |
BCID 3213 “Stress |
|||
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Hemodynamic Findings” |
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24 |
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CODE |
EV (395112001, SCT, |
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1 |
U |
BCID 3118 “Level of Risk” |
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"Cardiovascular event risk") |
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Content Item Descriptions |
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Row 22 |
Numerical scoring of a patient's functional capacity shall include the range of the scoring system in the Units of |
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Measurement (see Section 7.2.2), and may include a coded identifier for the scoring system in the Method |
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concept modifier of TID 300 “Measurement”. |
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TID 3313 Stress ECG Summary |
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Type: |
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Extensible |
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|
|
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||
Order: |
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Significant |
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Root: |
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No |
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Table TID 3313. Stress ECG Summary |
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NL Rel with |
VT |
Concept Name |
VM ReqCondition |
Value Set Constraint |
|||||
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Parent |
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Type |
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1 |
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TEXT |
EV (271921002, SCT, |
|
1 |
U |
DeviceGeneratedTestSummary |
|
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|
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"ECG Finding") |
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2 |
> |
HAS OBS |
|
CODE |
EV (121005, DCM, |
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1 |
M |
EV (121007, DCM, "Device") |
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CONTEXT |
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"Observer Type") |
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3 |
> |
HAS OBS |
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INCLUDEDTID 1004 “Device |
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1 |
M |
|
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CONTEXT |
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|
Observer Identifying |
|
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|
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|
Attributes” |
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- Standard -
|
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DICOM PS3.16 2020a - Content Mapping Resource |
Page 215 |
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NL Rel with |
VT |
Concept Name |
VM |
ReqCondition Value Set Constraint |
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Parent |
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|
Type |
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4 |
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INCLUDEDTID 300 “Measurement” 1-n |
U |
$Measurement=EV(164931005, |
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SCT, "ST Elevation") |
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$Units = DT (mV, UCUM, "mV") |
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$Derivation = EV (56851009, |
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SCT, "Maximum") |
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$TargetSite = DCID 3001 “ECG |
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Leads” |
5 |
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INCLUDEDTID 300 “Measurement” 1-n |
U |
$Measurement=EV(429622005, |
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SCT, "ST Depression") |
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$Units = DT (mV, UCUM, "mV") |
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$Derivation = EV (56851009, |
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SCT, "Maximum") |
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$TargetSite = DCID 3001 “ECG |
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Leads” |
6 |
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INCLUDEDTID 300 “Measurement” 1-n |
U |
$Measurement=EV(428550008, |
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SCT, "T wave alternans") |
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$Units = DT (uV, UCUM, "uV") |
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$Derivation = EV (56851009, |
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SCT, "Maximum") |
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$TargetSite = DCID 3001 “ECG |
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Leads” |
7 |
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CODE |
EV (365416000, SCT, "ST |
1 |
U |
BCID 3231 “ST Segment |
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|
Segment Finding") |
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|
Findings” |
8 |
> |
HAS |
CODE |
EV (363698007, SCT, |
1-n |
U |
BCID 3232 “ST Segment |
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|
PROPERTIES |
"Finding Site") |
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|
Location” |
|
9 |
> |
HAS |
CODE |
EV (116676008, SCT, |
1 |
U |
BCID 3233 “ST Segment |
|
|
PROPERTIES |
"Associated Morphology") |
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|
Morphology” |
|
10 |
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|
NUM |
DT (122707, DCM, |
1 |
U |
UNITS = EV ({beats}, UCUM, |
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"NumberofEctopicBeats") |
|
|
"beats") |
11 |
> |
HAS |
CODE |
EV (116676008, SCT, |
1-n |
U |
BCID 3234 “Ectopic Beat |
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|
PROPERTIES |
"Associated Morphology") |
|
|
Morphology” |
|
12 |
|
|
CODE |
DT (8884-9, LN, "Cardiac |
1-2 |
U |
BCID 3415 “Cardiac Rhythms” |
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Rhythm") |
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13 |
> |
HAS |
CODE |
EV(109054,DCM,"Patient |
1 |
M |
DCID 3102 “Rest-Stress” |
|
|
CONCEPT |
|
State") |
|
|
|
|
|
MOD |
|
|
|
|
|
14 |
|
|
CODE |
EV (271921002, SCT, |
1-n |
U |
BCID 3230 “ECG Findings” |
|
|
|
|
"ECG Finding") |
|
|
|
15 |
> |
HAS |
CODE |
EV(109054,DCM,"Patient |
1 |
U |
BCID 3262 “ECG Patient State |
|
|
CONCEPT |
|
State") |
|
|
Values” |
|
|
MOD |
|
|
|
|
|
Content Item Descriptions
- Standard -
Page 216 |
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DICOM PS3.16 2020a - Content Mapping Resource |
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|
|||
Rows 4-14 |
Each observation (measurement or finding) may have a specific Content Item Observation DateTime |
|||||||
|
|
attribute to indicate the time in the procedure at which the observation was made (e.g., time of maximum |
||||||
|
|
heart rate, or time of occurrence of an arrhythmia). |
|
|
||||
Row 12-13 |
This Concept and the associated Concept Modifier may be instantiated twice, once for resting state |
|||||||
|
|
measurements, once for stress. |
|
|
|
|
||
TID 3317 Stress Imaging Summary |
|
|
|
|
||||
Type: |
|
Extensible |
|
|
|
|
||
Order: |
|
Significant |
|
|
|
|
||
Root: |
|
No |
|
|
|
|
||
|
|
|
|
Table TID 3317. Stress Imaging Summary |
|
|
||
|
NL Rel with |
VT |
Concept Name |
VM |
ReqCondition |
Value Set Constraint |
||
|
|
Parent |
|
|
|
Type |
|
|
1 |
|
|
CODE |
DT (122739, DCM, |
1 |
M |
BCID 3114 “Study Quality” |
|
|
|
|
|
"Overall study quality") |
|
|
|
|
2 |
|
|
CODE |
DT (113010, DCM, |
1 |
U |
BCID 3115 “Stress Imaging Quality |
|
|
|
|
|
"Quality Issue") |
|
|
Issues” |
|
3 |
|
|
CODE |
EV (121071, DCM, |
1 |
U |
BCID 3116 “NM Extracardiac |
|
|
|
|
|
"Finding") |
|
|
Findings” |
|
4 |
|
|
INCLUDE DTID300“Measurement” 1-2 |
U |
$Measurement = DT (427751006, |
|||
|
|
|
|
|
|
|
SCT, "Perfusion defect extent") |
|
|
|
|
|
|
|
|
$ModType = EV (109054, DCM, |
|
|
|
|
|
|
|
|
"Patient State") |
|
|
|
|
|
|
|
|
$ModValue = DCID 3102 |
|
|
|
|
|
|
|
|
“Rest-Stress” |
|
|
|
|
|
|
|
|
$Units = EV (%, UCUM, "%") |
|
5 |
|
|
INCLUDE DTID300“Measurement” |
1 |
U |
$Measurement = DT (429162008, |
||
|
|
|
|
|
|
|
SCT, "Stress ischemia extent") |
|
|
|
|
|
|
|
|
$Units = EV (%, UCUM, "%") |
|
6 |
|
|
INCLUDE DTID300“Measurement” |
1 |
U |
$Measurement=DT(122762,DCM, |
||
|
|
|
|
|
|
|
"Number of diseased vessel |
|
|
|
|
|
|
|
|
territories") |
|
|
|
|
|
|
|
|
$Units = EV ({territories}, UCUM, |
|
|
|
|
|
|
|
|
"territories") |
|
7 |
|
|
CODE |
EV (121071, DCM, |
1 |
U |
EV (53741008, SCT, "Coronary |
|
|
|
|
|
"Finding") |
|
|
artery disease") |
|
8 |
> |
HAS |
CODE |
EV (363698007, SCT, |
1-n |
M |
BCID 3016 “Major Coronary |
|
|
|
PROPERTIES |
"Finding Site") |
|
|
Arteries” |
||
9 |
|
|
CODE |
EV (251053005, SCT, |
1-2 |
U |
BCID 3120 “Perfusion Findings” |
|
|
|
|
|
"Myocardial perfusion") |
|
|
|
|
10 |
> |
HAS |
CODE |
EV (363698007, SCT, |
1 |
M |
BCID 3463 “Ventricle Identification” |
|
|
|
CONCEPT |
|
"Finding Site") |
|
|
|
|
|
|
MOD |
|
|
|
|
|
|
11 |
> |
HAS |
CODE |
EV (116676008, SCT, |
1 |
U |
BCID 3121 “Perfusion Morphology” |
|
|
|
PROPERTIES |
"AssociatedMorphology") |
|
|
|
|
|
12 |
|
|
CODE |
EV (121071, DCM, |
1 |
U |
DT (429710001, SCT, "Transient |
|
|
|
|
|
"Finding") |
|
|
cavitary dilatation") |
- Standard -
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|
|
DICOM PS3.16 2020a - Content Mapping Resource |
|
Page 217 |
||
NL |
Rel with |
VT |
Concept Name |
VM |
ReqCondition |
Value Set Constraint |
|
|
Parent |
|
|
|
Type |
|
|
13 > |
|
INCLUDE DTID 1350 “Negation |
1 |
U |
|
|
|
|
|
|
Modifier, Presence of |
|
|
|
|
|
|
|
Finding” |
|
|
|
|
14 |
|
INCLUDE DTID300“Measurement” |
1 |
U |
$Measurement = DT (428832008, |
||
|
|
|
|
|
|
SCT, "Transient cavitary dilatation |
|
|
|
|
|
|
|
ratio") |
|
|
|
|
|
|
|
$Units = EV ({ratio}, UCUM, "ratio") |
|
15 |
|
INCLUDE DTID300“Measurement” 1-2 |
U |
$Measurement = EV (10230-1, LN, |
|||
|
|
|
|
|
|
"LV Ejection Fraction") |
|
|
|
|
|
|
|
$ModType = EV (109054, DCM, |
|
|
|
|
|
|
|
"Patient State") |
|
|
|
|
|
|
|
$ModValue = DCID 3102 |
|
|
|
|
|
|
|
“Rest-Stress” |
|
|
|
|
|
|
|
$Units = EV (%, UCUM, "%") |
|
Content Item Descriptions |
|
|
|
|
|
||
Row 4 |
This row may be instantiated twice, once for resting state measurements, once for stress. |
||||||
Row 15 |
TheLVEFcodespecifiedinthisrowisdefinedinLOINCwithmethod"imaging".LVEFmeasurementbyultrasound |
||||||
|
may also be encoded elsewhere in the Content Tree (e.g., in TID 3309 “Stress Echo Measurement Group”) with |
||||||
|
LOINC code 18043-0, which has method "ultrasound". It is recommended that such findings from the per-phase |
||||||
|
measurements be summarized here with the generic "LVEF by Imaging" concept code. |
TID 3318 Comparison to Prior Stress Exam
ThisTemplatedescribeschangesinfindingsfromapriorstressexam.Comparisonistoonlyonepriorexam,eventhoughthegeneric concept name for the Template uses the plural "exams".
Type: |
Extensible |
Order: |
Significant |
Root: |
No |
Table TID 3318. Comparison to Prior Stress Exam
|
NL Rel with Parent VT |
Concept Name |
VM |
ReqConditionValue Set Constraint |
|||
|
|
|
|
|
|
Type |
|
1 |
|
|
CONTAINEREV (111424, DCM, |
1 |
M |
|
|
|
|
|
|
"Comparison to previous |
|
|
|
|
|
|
|
exams") |
|
|
|
2 |
> |
CONTAINS |
CODE |
DT(121058,DCM,"Procedure |
1 |
U |
BCID3200“StressTest |
|
|
|
|
Reported") |
|
|
Procedure” |
3 |
>> |
HAS |
DATETIME EV(122146,DCM,"Procedure |
1 |
U |
|
|
|
|
PROPERTIES |
|
DateTime") |
|
|
|
4 |
>> |
HAS |
UIDREF |
EV(121018,DCM,"Procedure |
1 |
U |
|
|
|
PROPERTIES |
|
Study Instance UID") |
|
|
|
5 |
>> |
HAS |
COMPOSITEEV (122075, DCM, "Prior |
1-n |
U |
|
|
|
|
PROPERTIES |
|
report for current patient") |
|
|
|
6 |
> |
CONTAINS |
CODE |
DT (248243004, SCT, |
1 |
U |
BCID 3236 “Tolerance |
|
|
|
|
"Exercise tolerance") |
|
|
Comparison Findings” |
- Standard -
Page 218 |
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DICOM PS3.16 2020a - Content Mapping Resource |
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|
NL Rel with Parent VT |
Concept Name |
|
|
VM ReqConditionValue Set Constraint |
|||||
|
|
|
|
|
|
|
|
Type |
|
|
7 |
> |
CONTAINS |
CODE |
DT (251053005, SCT, |
|
|
1 |
U |
BCID 3235 “Perfusion |
|
|
|
|
|
"Myocardial Perfusion") |
|
|
|
|
Comparison Findings” |
|
8 |
>> |
HAS CONCEPTCODE |
EV (370129005, SCT, |
|
|
1-n |
U |
BCID 3215 “Perfusion |
||
|
|
MOD |
|
"Measurement Method") |
|
|
|
|
Finding Method” |
|
9 |
> |
CONTAINS |
CODE |
DT (250909007, SCT, "LV |
|
|
1-n |
U |
BCID 3237 “Wall |
|
|
|
|
|
Wall motion") |
|
|
|
|
Motion Comparison |
|
|
|
|
|
|
|
|
|
|
Findings” |
|
10 |
>> |
HAS CONCEPTCODE |
EV (109054, DCM, "Patient |
|
1 |
M |
DCID 3102 |
|||
|
|
MOD |
|
State") |
|
|
|
|
“Rest-Stress” |
|
11 |
> |
CONTAINS |
CODE |
EV (111424, DCM, |
|
|
1 |
U |
BCID 3217 |
|
|
|
|
|
"Comparison to previous |
|
|
|
|
“Comparison Finding” |
|
|
|
|
|
exams") |
|
|
|
|
|
|
12 |
> |
CONTAINS |
NUM |
DT(122768,DCM,"Difference |
1 |
U |
UNITS = EV (%, |
|||
|
|
|
|
in Ejection Fraction") |
|
|
|
|
UCUM, "%") |
|
13 |
> |
CONTAINS |
NUM |
DT(122769,DCM,"Difference |
1 |
U |
UNITS = EV (ml, |
|||
|
|
|
|
in ED LV Volume") |
|
|
|
|
UCUM, "ml") |
|
14 |
> |
CONTAINS |
NUM |
DT(122769,DCM,"Difference |
1 |
U |
UNITS = EV (ml/m2, |
|||
|
|
|
|
in ED LV Volume") |
|
|
|
|
UCUM, "ml/m2") |
|
15 |
>> |
HAS CONCEPTCODE |
EV (121425, DCM, "Index") |
|
1 |
M |
DT(8277-6,LN,"BSA") |
|||
|
|
MOD |
|
|
|
|
|
|
|
|
TID 3320 Conclusions and Recommendations |
|
|
|
|
|
|
||||
Type: |
|
|
Extensible |
|
|
|
|
|
|
|
Order: |
|
Non-Significant |
|
|
|
|
|
|
||
Root: |
|
No |
|
|
|
|
|
|
|
|
|
|
|
Table TID 3320. Conclusions and Recommendations |
|
||||||
|
NL |
Rel with |
VT |
Concept Name |
VM |
Req |
Condition |
Value Set |
||
|
|
Parent |
|
|
|
|
|
Type |
|
Constraint |
1 |
|
|
CONTAINEREV (121076, DCM, |
|
1 |
MC |
IF Completion |
|||
|
|
|
|
"Conclusions") |
|
|
|
|
Flag |
|
|
|
|
|
|
|
|
|
|
(0040,A491)= |
|
|
|
|
|
|
|
|
|
|
COMPLETE |
|
2 |
> |
CONTAINS |
TEXT |
EV (121077, DCM, |
|
1 |
U |
|
|
|
|
|
|
|
"Conclusion") |
|
|
|
|
|
|
3 |
> |
CONTAINS |
CODE |
EV (271921002, SCT, "ECG |
|
1 |
M |
|
DCID 3208 |
|
|
|
|
|
Finding") |
|
|
|
|
|
“Summary Codes |
|
|
|
|
|
|
|
|
|
|
Exercise ECG” |
4 |
> |
CONTAINS |
CODE |
EV (365853002, SCT, |
|
1 |
M |
|
DCID 3209 |
|
|
|
|
|
"Imaging Finding") |
|
|
|
|
|
“Summary Codes |
|
|
|
|
|
|
|
|
|
|
Stress Imaging” |
5 |
|
|
CONTAINEREV (121074, DCM, |
|
1 |
U |
|
|
||
|
|
|
|
"Recommendations") |
|
|
|
|
|
|
6 |
> |
CONTAINS |
TEXT |
EV (121075, DCM, |
|
1 |
U |
|
|
|
|
|
|
|
"Recommendation") |
|
|
|
|
|
|
Hemodynamics Report Templates
The Templates that comprise the Hemodynamic Report are interconnected as shown in Figure A-6.
- Standard -
DICOM PS3.16 2020a - Content Mapping Resource |
Page 219 |
|||||||||||
TID 3500 |
|
|
TID 3501 |
|
|
|
TID 3520 |
|
|
|
||
Hemodynamics |
|
|
Hemodynamics |
|
|
|
|
Hemodynamics |
|
|
|
|
Report Root |
|
|
Measurement Group |
|
|
|
Clinical Context |
|
|
|
||
|
|
|
TID 3601 |
|
|
|
TID 3510 |
|
|
|
||
|
|
|
Lab Procedure |
|
|
|
Vital Signs |
|
|
|
||
|
|
|
Context |
|
|
|
|
|
|
|
|
|
|
|
|
TID 3602 |
|
|
|
TID 3515 |
|
|
|
||
|
|
|
Patient |
|
|
|
Cardiac Output |
|
|
|
||
|
|
|
Characteristics |
|
|
|
by Dilution |
|
|
|
||
|
|
|
TID 3570 |
|
|
|
TID 3516 |
|
|
|
||
|
|
|
Hemodynamics |
|
|
|
Blood Oxygen |
|
|
|
||
|
|
|
Summary |
|
|
|
Measurements |
|
|
|
||
|
|
|
TID 3603 |
|
|
|
TID 3560 |
|
|
|
||
|
|
|
Procedure |
|
|
|
Derived |
|
|
|
||
|
|
|
Environmental |
|
|
|
Hemodynamic |
|
|
|
||
|
|
|
Characteristics |
|
|
|
Measurements |
|
|
|
||
|
|
|
|
|
|
|
|
TID 3504 |
|
TID 3530 |
|
|
|
|
|
|
|
|
|
|
Arterial Pressure |
|
Hemodynamic |
|
|
|
|
|
|
|
|
|
|
Measurement |
|
Acquisition Context |
|
|
|
|
|
|
|
|
|
|
TID 3505 |
|
TID 3550 |
|
|
|
|
|
|
|
|
|
|
Atrial Pressure |
|
Pressure Waveform |
|
|
|
|
|
|
|
|
|
|
Measurement |
|
|
Measurements |
|
TID 3506
Venous Pressure
Measurement
TID 3507
Ventricular Pressure
Measurement
TID 3508
Gradient
Measurement
TID 3509
Blood Velocity
Measurement
Figure A-6. Hemodynamic Report Template Hierarchy
Figure A-6 shows only the use of Templates specific to the Hemodynamic Report; it does not show common structural Templates such as TID 300 “Measurement”.
Note
Figure A-6 shows the relationship of Templates; it does not show the structural hierarchy of Content Items in the IOD. See Figure L-1 “Hemodynamics Report Structure” in PS3.17.
TID 3500 Hemodynamics Report
The Hemodynamic Report Template is the root structure for the representation of measurements acquired during a procedure in a cardiac catheterization lab.
Type: |
Extensible |
Order: |
Significant |
Root: |
Yes |
Table TID 3500. Hemodynamics Report
|
NL |
Rel with Parent |
VT |
Concept Name |
VM |
Req ConditionValue Set |
||
|
|
|
|
|
|
|
Type |
Constraint |
1 |
|
|
CONTAINER |
EV (122120, DCM, |
1 |
M |
Root node |
|
|
|
|
|
"Hemodynamics Report") |
|
|
|
|
2 |
> |
HAS OBS |
INCLUDE |
DTID 1002 |
“Observer Context” |
1-n |
M |
|
|
|
CONTEXT |
|
|
|
|
|
|
3 |
> |
|
INCLUDE |
DTID 3601 |
“Procedure Context” |
1 |
M |
|
4 |
> |
HAS OBS |
INCLUDE |
DTID 3602 |
“Cardiovascular |
1 |
M |
|
|
|
CONTEXT |
|
Patient Characteristics” |
|
|
|
|
5 |
> |
HAS ACQ |
INCLUDE |
DTID 3603 |
“Procedure |
1 |
U |
|
|
|
CONTEXT |
|
Environmental Characteristics” |
|
|
|
- Standard -
Page 220 |
|
DICOM PS3.16 2020a - Content Mapping Resource |
|
|
|||
|
NL |
Rel with Parent |
VT |
Concept Name |
VM |
Req ConditionValue Set |
|
|
|
|
|
|
|
Type |
Constraint |
6 |
> |
CONTAINS |
INCLUDE |
DTID 3501 “Hemodynamics |
1-n |
M |
|
|
|
|
|
Measurement Group” |
|
|
|
7 |
> |
CONTAINS |
INCLUDE |
DTID 3570 “Summary, |
1 |
U |
|
|
|
|
|
Hemodynamics” |
|
|
|
TID 3501 Hemodynamics Measurement Group
The Hemodynamic Measurement Group Template provides a structure for measurements acquired during a single procedure phase in a cardiac catheterization lab.
Type: |
Extensible |
Order: |
Significant |
Root: |
No |
Table TID 3501. Hemodynamics Measurement Group
|
NL Rel with Parent |
VT |
Concept Name |
VM |
Req Condition Value Set |
|||
|
|
|
|
|
|
|
Type |
Constraint |
1 |
|
|
CONTAINER EV (121070, DCM, "Findings") |
1 |
M |
|
||
2 |
> |
HAS ACQ |
CODE |
EV (129085009, SCT, |
1 |
M |
DCID 3651 |
|
|
|
CONTEXT |
|
|
"Catheterization Procedure |
|
|
“Hemodynamic |
|
|
|
|
|
Phase") |
|
|
Measurement |
|
|
|
|
|
|
|
|
Phase” |
3 |
> |
HAS ACQ |
INCLUDE |
DTID 3520 “Hemodynamic |
1 |
U |
|
|
|
|
CONTEXT |
|
|
Clinical Context” |
|
|
|
4 |
> |
HAS ACQ |
TEXT |
EV (121124, DCM, "Procedure |
1 |
U |
|
|
|
|
CONTEXT |
|
|
Action ID") |
|
|
|
5 |
> |
CONTAINS |
INCLUDE |
DTID 3510 “Vital Signs” |
1-n |
U |
|
|
6 |
> |
CONTAINS |
INCLUDE |
DTID 3504 “Arterial Pressure |
1-n |
U |
|
|
|
|
|
|
|
Measurement” |
|
|
|
7 |
> |
CONTAINS |
INCLUDE |
DTID 3505 “Atrial Pressure |
1-n |
U |
|
|
|
|
|
|
|
Measurement” |
|
|
|
8 |
> |
CONTAINS |
INCLUDE |
DTID 3506 “Venous Pressure |
1-n |
U |
|
|
|
|
|
|
|
Measurement” |
|
|
|
9 |
> |
CONTAINS |
INCLUDE |
DTID3507“VentricularPressure |
1-n |
U |
|
|
|
|
|
|
|
Measurement” |
|
|
|
10 |
> |
CONTAINS |
INCLUDE |
DTID 3508 “Gradient |
1-n |
U |
|
|
|
|
|
|
|
Measurement” |
|
|
|
11 |
> |
CONTAINS |
INCLUDE |
DTID 3509 “Blood Velocity |
1-n |
U |
|
|
|
|
|
|
|
Measurement” |
|
|
|
12 |
> |
CONTAINS |
INCLUDE |
DTID 3515 “Cardiac Output |
1-n |
U |
|
|
|
|
|
|
|
Measurement by Indicator |
|
|
|
|
|
|
|
|
Dilution” |
|
|
|
13 |
> |
CONTAINS |
INCLUDE |
DTID 3516 “Blood Lab |
1-n |
U |
|
|
|
|
|
|
|
Measurements” |
|
|
|
14 |
> |
CONTAINS |
INCLUDE |
DTID 3560 “Derived |
1-n |
U |
|
|
|
|
|
|
|
Hemodynamic Measurements” |
|
|
|
15 |
> |
CONTAINS |
INCLUDE |
DTID 3714 “ECG Lead |
1-n |
U |
|
|
|
|
|
|
|
Measurements” |
|
|
|
Content Item Descriptions
- Standard -