PS-2020a / part16

DICOM PS3.16 2020a - Content Mapping Resource​

Page 291​

NL​ Rel with Parent​

VT​

Concept Name​

VM​

Req​ Condition​Value Set Constraint​

Type​

4​

HASOBSCONTEXT​NUM​

EV (271650006, SCT,​

1​

U​

UNITS = DT (mm[Hg],​

"Diastolic Blood Pressure")​

UCUM, "mmHg")​

5​

HASOBSCONTEXT​CODE​

EV (364062005, SCT,​

1​

U​

DCID 3823 “Respiratory​

"Respiration Observable")​

Status”​

6​

HASACQCONTEXT​INCLUDE​DTID 3106 “Drugs/Contrast​

1-n​

U​

Administered”​

Table TID 3990. Parameters​

Parameter Name​

Parameter Usage​

$MeasurementGraph​

Describes what the graph is about​

$X-Concept​

Concept of the X-Axis of the graph​

$Y-Concept​

Concept of the Y-Axis of the graph​

$X-AxisUnit​

Unit of the x-axis data elements​

$Y-AxisUnit​

Unit of the y-axis data elements​

Type:​

Extensible​

Order:​

Significant​

Root:​

No​

Table TID 3990. Two Dimensional Measurement Graph​

NL​

Rel with Parent​

VT​

Concept Name​

VM​ Req Type​Condition​ Value Set​

Constraint​

1​

CONTAINER​

$MeasurementGraph​

1​

M​

2​

>​

CONTAINS​

CODE​

EV (122698, DCM,​

1​

M​

$X-Concept​

"X-Concept")​

3​

>​

CONTAINS​

CODE​

EV (122699, DCM,​

1​

M​

$Y-Concept​

"Y-Concept")​

4​

>​

CONTAINS​

CONTAINER​

1-n​

MC​

IF Row 7,​

8, or 9 not​

present​

5​

>>​

CONTAINS​

NUM​

$X-Concept​

1​

M​

UNITS =​

$X-AxisUnit​

6​

>>​

CONTAINS​

NUM​

$Y-Concept​

1​

M​

UNITS =​

$Y-AxisUnit​

7​

>​

CONTAINS​

IMAGE​

$MeasurementGraph​

1​

U​

8​

>​

CONTAINS​

WAVEFORM​

$MeasurementGraph​

1​

U​

9​

>​

CONTAINS​

COMPOSITE​ $MeasurementGraph​

1​

U​

Content Item Descriptions​

Row 4​

No Concept Name is used for this container.​

Rows 5-6​

The X-Concept values shall be monotonically increasing.​

Row 7​

Secondary Capture Image containing a bitmap representation of the graph​

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DICOM PS3.16 2020a - Content Mapping Resource​

Row 8​

Waveform containing a representation of the graph​

Row 9​

Composite Object containing a rendered representation of the graph​

DICOM PS3.16 2020a - Content Mapping Resource​

Page 293​

Type:​

Non-Extensible​

Order:​

Significant​

Root:​

Yes​

Table TID 4000. Mammography CAD Document Root​

NL​

Rel with​

VT​

Concept Name​

VM​ Req​ Condition​

Value Set Constraint​

Parent​

Type​

1​

CONTAINER​EV (111036, DCM,​

1​

M​

Root node​

"Mammography CAD Report")​

2​

>​

HAS​

INCLUDE​

DTID 1204 “Language of​

1​

M​

CONCEPT​

Content Item and​

MOD​

Descendants”​

3​

>​

CONTAINS​ CONTAINER​EV (111028, DCM, "Image​

1​

M​

Library")​

4​

>>​

CONTAINS​ INCLUDE​

DTID4020“CADImageLibrary​1-n​

M​

$ImageLaterality =​

Entry”​

DCID 6022 “Side”​

$ImageView = DCID​

4014 “View for​

Mammography”​

$ImageViewMod =​

DCID 4015 “View​

Modifier for​

Mammography”​

5​

>​

CONTAINS​ INCLUDE​

DTID 4001 “Mammography​

1​

M​

CAD Overall​

Impression/Recommendation”​

6​

>​

CONTAINS​ CODE​

EV (111064, DCM, "Summary​ 1​

M​

DCID 6042 “Status of​

of Detections")​

Results”​

7​

>>​

INFERRED​ INCLUDE​

DTID 4015 “CAD Detections​

1​

MC​Shall be present​ $DetectionCode=DCID​

FROM​

Performed”​

unlessthevalueof​6014 “Mammography​

(111064, DCM,​

Single Image Finding”​

"Summary of​

Detections") is​

(111225, DCM,​

"Not Attempted")​

8​

>​

CONTAINS​ CODE​

EV (111065, DCM, "Summary​ 1​

M​

DCID 6042 “Status of​

of Analyses")​

Results”​

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NL​

Rel with​

VT​

Concept Name​

VM​ Req​ Condition​

Value Set Constraint​

Parent​

Type​

9​ >>​

INFERRED​ INCLUDE​

DTID 4016 “CAD Analyses​

1​ MC​Shall be present​ $AnalysisCode = DCID​

FROM​

Performed”​

unlessthevalueof​6043 “Types of​

(111065, DCM,​

Mammography CAD​

"Summary of​

Analysis”​

Analyses") is​

(111225, DCM,​

"Not Attempted")​

Content Item Descriptions​

Image Library​

The "Image Library" section of the Content Tree (TID 4000 “Mammography CAD Document Root”, row​

3) shall include all Image SOP Instances from the Current Requested Procedure Evidence Sequence​

(0040,A375) attribute of the SR Document General module. If a portion of another instance of a​

Mammography CAD SR IOD is duplicated in the "Overall Impression/ Recommendation" section of​

the Content Tree, the "Image Library" shall also include all Image Library Entries referenced from the​

duplicated portions of the Mammography CAD SR.​

Detections Performed​

The "Detections Performed" and "Analyses Performed" sections of the Content Tree (TID 4000​

Analyses Performed​

“MammographyCADDocumentRoot”,rows6and8)togethershallreferenceallImageSOPInstances​

included in the Current Requested Procedure Evidence Sequence (0040,A375) attribute of the SR​

Type:​

Non-Extensible​

Order:​

Significant​

Root:​

No​

Table TID 4001. Mammography CAD Overall Impression/Recommendation​

NL​

Rel with​

VT​

Concept Name​

VM​

Req​

Condition​

Value Set​

Parent​

Type​

Constraint​

1​

CODE​

EV (111017, DCM, "CAD​

1​

M​

DCID6047“CAD​

Processing and Findings​

Processing and​

Summary")​

Findings​

Summary”​

2​

>​

HAS​

INCLUDE​DTID 4002 “Mammography​

1​

U​

PROPERTIES​

CAD​

Impression/Recommendation​

Body”​

3​

>​

INFERRED​

INCLUDE​DTID 4003 “Mammography​

1-n​

MC​ Shall be present if 1 or​

FROM​

CAD Individual​

more (111059, DCM,​

Impression/Recommendation”​

"Single Image Finding")​

or (111015, DCM,​

DICOM PS3.16 2020a - Content Mapping Resource​

Page 295​

Ifthecodevalueindicatesthattherewerenofindings,thenthecodevaluecanbeusedtodeterminewhether​

mammography CAD processing occurred successfully, without parsing the Summary of Detections and​

Summary of Analyses sub-trees.​

Row 3​

There are no constraints regarding the 1-n multiplicity of the inclusion of TID 4003 “Mammography CAD​

IndividualImpression/Recommendation”oritsunderlyingstructure,otherthantheTID4001“Mammography​

CAD Overall Impression/Recommendation” and TID 4003 “Mammography CAD Individual​

Impression/Recommendation” requirements. Individual Impression/Recommendation containers may be​

organized, for example per image, per finding or composite feature, or some combination thereof.​

Type:​

Non-Extensible​

Order:​

Significant​

Root:​

No​

Table TID 4002. Mammography CAD Impression/Recommendation Body​

NL​ Rel with​

VT​

Concept Name​

VM​

Req​

Condition​

Value Set Constraint​

Parent​

Type​

1​

CODE​

EV (111005, DCM,​

1-n​

MC​ At least one of rows 1, 3,​DCID 6026​

"Assessment Category")​

5, 6, 8, 9 shall be present.​“Mammography​

Assessment”​

2​

>​

HAS​

CODE​

EV (272741003, SCT,​

1​

U​

DCID 6022 “Side”​

CONCEPT​

"Laterality")​

MOD​

3​

CODE​

EV (111023, DCM,​

1-n​

MC​ At least one of rows 1, 3,​DCID 6002 “Change​

"Differential Diagnosis/​

5, 6, 8, 9 shall be present.​Since Last​

Impression")​

Mammogram or Prior​

Surgery”​

4​

>​

HAS​

CODE​

EV (272741003, SCT,​

1​

U​

DCID 6022 “Side”​

CONCEPT​

"Laterality")​

MOD​

5​

TEXT​

EV (111033, DCM,​

1​

MC​ At least one of rows 1, 3,​

"Impression Description")​

5, 6, 8, 9 shall be present.​

6​

CODE​

EV (111053, DCM,​

1-n​

MC​ At least one of rows 1, 3,​DCID 6028​

"Recommended​

5, 6, 8, 9 shall be present.​“Mammography​

Follow-up")​

Recommended​

Follow-up”​

7​

>​

HAS​

CODE​

EV (272741003, SCT,​

1​

U​

DCID 6022 “Side”​

CONCEPT​

"Laterality")​

MOD​

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DICOM PS3.16 2020a - Content Mapping Resource​

NL​ Rel with​

VT​

Concept Name​

VM​

Req​

Condition​

Value Set Constraint​

Parent​

Type​

9​

DATE​

EV (111054, DCM,​

1​

MC​ At least one of rows 1, 3,​Shallbelaterthandate​

"RecommendedFollow-up​

5, 6, 8, 9 shall be present.​of exam​

Date")​

May be present only if​

(111055, DCM,​

"RecommendedFollow-up​

Interval") is not present.​

10​

NUM​

EV (111013, DCM,​

1​

UC​ May be present only if​

UNITS = EV (%,​

"Certainty of impression")​

(111005, DCM,​

UCUM, "Percent")​

"Assessment Category"),​

(111023, DCM,​

Values = 0 - 100​

"Differential​

Diagnosis/Impression") or​

(111033, DCM,​

"Impression Description")​

is present.​

11​

INCLUDE​DTID 4019 “Algorithm​

1-n​

M​

Identification”​

12​

NUM​

DCID 6142 “Calculated​

1-n​

U​

Value”​

13​

>​

HAS​

CODE​

EV (272741003, SCT,​

1​

U​

DCID 6022 “Side”​

CONCEPT​

"Laterality")​

MOD​

14​

>​

HAS​

CODE​

EV (121401, DCM,​

1​

M​

DCID 6140​

CONCEPT​

"Derivation")​

“Calculation Methods”​

MOD​

15​

>​

INFERRED​TEXT​

EV (112034, DCM,​

1​

U​

FROM​

"Calculation Description")​

Content Item Descriptions​

Certainty of Impression​

The certainty that the device populating the Mammography CAD SR report places on this​

impression, where 0 equals no certainty and 100 equals certainty.​

Impression Description​

Free-form text describing the overall or an individual impression​

Type:​

Non-Extensible​

Order:​

Significant​

Root:​

No​

NL​RelwithParent​ VT​

Concept Name​

VM​

Req​

Condition​ Value Set​

Type​

Constraint​

1​

CONTAINER​EV (111034, DCM, "Individual​

1​

M​

Impression/Recommendation")​

2​

>​

HASCONCEPT​CODE​

EV (111056, DCM, "Rendering​

1​

M​

DCID 6034​

MOD​

Intent")​

“Intended Use​

ofCADOutput”​

3​

>​

CONTAINS​

INCLUDE​

DTID4002“MammographyCAD​

1​

U​

Impression/Recommendation​

Body”​

4​

>​

CONTAINS​

INCLUDE​

DTID4004“MammographyCAD​ 1-n​

MC​

At least one of​

Composite Feature”​

rows 4, 5 shall be​

present.​

5​

>​

CONTAINS​

INCLUDE​

DTID4006“MammographyCAD​ 1-n​

MC​

At least one of​

Single Image Finding”​

rows 4, 5 shall be​

present.​

Type:​

Non-Extensible​

Order:​

Significant​

Root:​

No​

Table TID 4004. Mammography CAD Composite Feature​

NL​ Rel with Parent​ VT​

Concept Name​

VM​

Req​

Condition​

Value Set​

Type​

Constraint​

1​

CODE​

EV (111015, DCM,​

1​

M​

DCID 6016​

"Composite Feature")​

“Mammography​

Composite​

Feature”​

2​

>​

HAS CONCEPT​CODE​

EV (111056, DCM,​

1​

M​

DCID 6034​

MOD​

"Rendering Intent")​

“Intended Use​

of CAD Output”​

3​

>​

HAS OBS​

INCLUDE​ DTID 4108 “Tracking​

1​

U​

CONTEXT​

Identifier”​

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Concept Name​

VM​

Req​

Condition​

Value Set​

Type​

Constraint​

4​

>​

HAS​

INCLUDE​ DTID4005“Mammography​ 1​

M​

PROPERTIES​

CAD Composite Feature​

Body”​

5​

>​

INFERRED​

INCLUDE​ DTID4004“Mammography​1-n​

MC​ At least two items shall​

FROM​

CAD Composite Feature”​

be present: two of row​

5, two of row 6, or one​

of each.​

6​

>​

INFERRED​

INCLUDE​ DTID4006“Mammography​1-n​

MC​ At least two items shall​

FROM​

CADSingleImageFinding”​

be present: two of row​

5, two of row 6, or one​

of each.​

7​

>​

HAS OBS​

INCLUDE​ DTID 4022 “CAD​

1​

MC​ Shall be present only if​

CONTEXT​

Observation Context”​

this feature is​

incorporated from a​

different report than its​

parent.​

Type:​

Non-Extensible​

Order:​

Significant​

Root:​

No​

Table TID 4005. Mammography CAD Composite Feature Body​

NL​ Rel with​

VT​

Concept Name​

VM​ Req​

Condition​

Value Set Constraint​

Parent​

Type​

1​

CODE​

EV (111016, DCM,​

1​ M​

DCID 6035 “Composite​

"Composite type")​

Feature Relations”​

2​

CODE​ EV (111057, DCM,​ 1​

M​

DCID6036“ScopeofFeature”​

"Scope of Feature")​

3​

INCLUDE​TID 4019 “Algorithm​ 1​

M​

Identification”​

DICOM PS3.16 2020a - Content Mapping Resource​

Page 299​

NL​ Rel with​

VT​

Concept Name​

VM​ Req​

Condition​

Value Set Constraint​

Parent​

Type​

4​

NUM​

EV (111011, DCM,​

1​

U​

UNITS = EV (%, UCUM,​

"Certainty of Feature")​

"Percent")​

Value = 0 - 100​

5​

NUM​

EV (111047, DCM,​

1​ UC​May be present only if​UNITS = EV (%, UCUM,​

"Probabilityofcancer")​

value of parent is not​ "Percent")​

(111102, DCM,​

Value = 0 - 100​

"Non-lesion")​

6​

CODE​

EV (111042, DCM,​

1-n​

U​

BCID 6030 “Mammography​

"Pathology")​

Pathology Codes”​

7​

INCLUDE​TID 1400 “Linear​

1-n​

U​

If the measured path is​

Measurement”​

encoded,theSCOORDandits​

by-referencerelationshiptothe​

8​

INCLUDE​TID 1401 “Area​

1-n​

U​

If the measured path is​

Measurement”​

encoded,theSCOORDandits​

by-referencerelationshiptothe​

IMAGE in TID 1401 “Area​

Measurement” shall be used.​

9​

INCLUDE​TID 1402 “Volume​

1-n​

U​

If the measured path is​

Measurement”​

encoded,theSCOORDandits​

by-referencerelationshiptothe​

IMAGE in TID 1402 “Volume​

Measurement” shall be used.​

10​

INCLUDE​TID 4021​

1-n​

U​

“Mammography CAD​

Geometry”​

11​

NUM​

DCID 6037​

1-n​

UC​May be present only if​UNITS = DCID 7460 “Units of​

“Mammography​

the value of (111016,​ Linear Measurement”​

Quantitative Temporal​

DCM, "Composite​

UNITS = DCID 7461 “Units of​

Difference Type”​

type")is(111153,DCM,​

"Target content items​ Area Measurement”​

arerelatedtemporally")​

UNITS = DCID 7462 “Units of​

Volume Measurement”​

UNITS = DT (1, UCUM, "no​

units")​

12​

>​ R-INFERRED​NUM​

2​

U​

Thereferencednumericvalues​

FROM​

shall have the same Concept​

Name. Their UNITS shall be​

the same as row 11​

13​

CODE​

EV (111049, DCM,​

1-n​

UC​May be present only if​DCID 6038 “Mammography​

"Qualitative​

the value of (111016,​ Qualitative Temporal​

Difference")​

DCM, "Composite​

Difference Type”​

type")is(111153,DCM,​

"Target content items​

arerelatedtemporally")​

14​

>​ HAS​

TEXT​

EV (111021, DCM,​

1​

U​

PROPERTIES​

"Description of​

Change")​

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DICOM PS3.16 2020a - Content Mapping Resource​

NL​ Rel with​

VT​

Concept Name​

VM​ Req​

Condition​

Value Set Constraint​

Parent​

Type​

15​

>​ R-INFERRED​CODE​

2​

M​

The referenced code values​

FROM​

shall have the same Concept​

Name and be from the same​

context group.​

16​

CODE​

EV (111048, DCM,​

1​

U​

DCID 6020 “Quadrant​

"Quadrant location")​

Location”​

17​

CODE​

EV (111014, DCM,​

1​

U​

DCID 6018 “Clockface​

"Clockface or region")​

Location or Region”​

18​

CODE​

EV (111020, DCM,​

1​

U​

DCID 6024 “Depth”​

"Depth")​

19​

CODE​

EV (111035, DCM,​

1​

UC​May be present only if​DCID 6008 “Density Modifier”​

"Lesion Density")​

value of parent is​

(129788004, SCT,​

"Mammographicbreast​

mass") or (129793001,​

SCT, "Mammography​

breast density")​

20​

CODE​

EV (107644003, SCT,​ 1​

UC​May be present only if​DCID 6004 “Mammography​

"Shape")​

value of parent is​

Characteristics of Shape”​

(129788004, SCT,​

"Mammographicbreast​

mass") or (129793001,​

SCT, "Mammography​

breast density")​

21​

CODE​

EV (111037, DCM,​

1-n​

UC​May be present only if​DCID 6006 “Mammography​

"Margins")​

value of parent is​

Characteristics of Margin”​

(129788004, SCT,​

"Mammographicbreast​

mass") or (129793001,​

SCT, "Mammography​

breast density")​

22​

CODE​

EV (111009, DCM,​

1-n​

UC​May be present only if​DCID 6010 “Mammography​

"Calcification Type")​

value of parent is​

Calcification Types”​

(129769006, SCT,​

"Calcification Cluster")​

or (129770007, SCT,​

"Individual​

Calcification")​

23​

CODE​

EV (111008, DCM,​

1​

UC​May be present only if​DCID 6012 “Calcification​

"Calcification​

value of parent is​

Distribution Modifier”​

Distribution")​

(129769006, SCT,​

"Calcification Cluster")​

24​

NUM​

EV (111038, DCM,​

1​

UC​May be present only if​UNITS = EV (1, UCUM, "no​

"Number of​

value of parent is​

units")​

calcifications")​

(129769006, SCT,​

"Calcification Cluster")​Value = Integer 1 - n​

25​

NUM​

DCID6142“Calculated​1-n​

U​

Value”​

26​

>​ HAS​

CODE​

EV (121401, DCM,​

1​

M​

DCID 6140 “Calculation​

CONCEPT​

"Derivation")​

Methods”​

MOD​